Attach-5_Vendor Info Form.pdf
PDF 106 KB Posted
- Attached to
- Park Cleaning Services - Hords Creek Lake, TX
- Solicitation number
- W9126G26QA104
About this file
This is a Vendor Information Sheet template used as part of federal contract solicitations to collect essential vendor identification and compliance data.
The form requires vendors to provide standard company information including solicitation number, requirement title, company name, point of contact details, physical address, phone and mobile numbers, and email address. Vendors must supply their Unique Identifier Number and CAGE Code for federal contracting purposes. The form includes two compliance checkboxes requiring vendors to confirm they maintain an active and updated System for Award Management (SAM) record and an active and updated NIST Assessment in PIEE/SPRS. A signature block requires an authorized company representative to certify agreement with all terms, conditions, and provisions contained in the solicitation and any amendments, in accordance with FAR clause 52.212-1(a)(6). The signatory must provide their name, title, and date of signature to complete the submission.
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Other files
| File | Type | Posted |
|---|---|---|
| B08-SF30_26QA104 AMD 0002.pdf | ||
| Attach-6_Map_Hords Creek Swim Beaches.pdf | ||
| Attach-7_26QA104_Govt-Rsp-Questions.pdf | ||
| B08_SF30_26QA104 AMD 0001.pdf | ||
| Attach-3_PriceSchedule-RVSD_26QA104.xlsx | XLSX spreadsheet | |
| Attach-1-PWS_26QA104.pdf | ||
| Attach-2_WD_2015-5809_05132026.pdf | ||
| Attach-4_PPQ_TEMPLATE.docx | DOCX document | |
| B08_Released W9126G26QA104.pdf | ||
| Attach-3_PriceSchedule_26QA104.xlsx | XLSX spreadsheet |
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Text version
VENDOR INFORMATION SHEET
SOLICITATION NUMBER: _______________________
REQUIREMENT TITLE: _________________________________________________
COMPANY NAME: ____________________________________________________________
POC: _______________________________________________________________________
(Last, First, Middle Initial)
ADDRESS: __________________________________________________________________
(Number & Street) (City, State and Zip Code)
PHONE NUMBER: (___)________________ MOBILE NUMBER: (___)_________________
EMAIL ADDRESS: _____________________________________________
UNIQUE IDENFITY NUMBER: _______________________ CAGE CODE: ______________
Vendor’s has an active and updated SAM record: ☐ YES ☐ NO
Vendor has an active and updated NIST Assessment in PIEE / SPRS: ☐ YES ☐ NO
I _____________________________ agree with all terms, conditions, and provisions included in the solicitation and any solicitation amendments (IAW 52.212-1(a)(6)).
Signed by :
Name: ________________________ Title: ______________________Date:___________
| SOLICITATION NUMBER: |
| REQUIREMENT TITLE: |
| COMPANY NAME: |
| POC: |
| ADDRESS: |
| PHONE NUMBER: |
| MOBILE NUMBER: |
| EMAIL ADDRESS: |
| UNIQUE IDENFITY NUMBER: |
| CAGE CODE: |
| Vendors has an active and updated SAM record: Off |
| Vendor has an active and updated NIST Assessment in PIEE SPRS: Off |
| Name: |
| Title: |
| Date: |
| NUMBER1: |
| NUMBER2: |
| VENDOR REPRESENTATIVE: |
File details come from the government source that posted it. Updated .