Attachment_01_Foreign Vendor Information Sheet AFRICOM 20200120.pdf

PDF 641 KB Posted

Attached to
Tax Exoneration Support Services
Solicitation number
N6817122Q4020
Issued by

About this file

This document contains a foreign vendor information sheet and details of a related federal contract opportunity. The information sheet requests company information from foreign vendors, including business name, address, ownership structure, and banking details. It seeks these details along with passport or national ID copies for owners and key employees. The related federal contract opportunity is a solicitation from the Department of the Navy for tax exoneration support services in Mogadishu, Somalia. The work supports Combined Joint Task Force-Horn of Africa. Questions are due by April 4th, 2022 and quotes are due no later than 10:00 AM Eastern on April 8th, 2022. The opportunity number is N6817122Q4020 and is for external affairs liaison and tax exoneration support services.

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Other files

File Type Posted
Amendment 0001_N6817122Q4020_Released.pdf PDF
Attachment 02 - QA Log.pdf PDF
N6817122Q4020 RFQ_FINAL.pdf PDF

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Text version

US AFRICOM Foreign Vendor Information Sheet

Please attach copies of Passport or National ID for all owner(s) and key employee(s). Please ensure all fields are completely filled out. This form will not be accepted if there is missing information or documents.

Official Business Name

Doing Business As Name

Country Incorporated / Registered Date Business Commenced

Business Commercial Registration Number

DUNS (if applicable) CAGE / NCAGE (if applicable)

Complete Business Address Complete Mailing Address

Company Contact(s) Information:

Position Name Phone Email Other Phone

Please attach copies of Passport or National ID for all owner(s) and key employee(s). Please ensure all fields are completely filled out. This form will not be accepted if there is missing information or documents.

Type of Business (Corporation / LLC / Sole Proprietorship / Partnership / etc…)

Number of Employees

Annual Revenue (USD / CFA / TND / EURO / RWF / etc…)

Nature of Business (Industry / Transportation / Construction / Logistics / etc…)

Additional Business Locations (Inventory / Trading / Registered in Other Countries)

Trading / Inventory Location Name Address Own / Rent

Owners Information (attach copy of passport or National ID) First Name Middle Name Last Name Amount of Capital

Contributed Ownership Start Date

% of Business / # of Shares

Please attach copies of Passport or National ID for all owner(s) and key employee(s). Please ensure all fields are completely filled out. This form will not be accepted if there is missing information or documents.

Key Employee’s Information (attach copy of passport or National ID) First Name / Middle Name Last Name Position Work Phone

Number Mobile / Other Phone Number

Banking Information for Electronic Funds Transfer (note your bank must accept USD / if an intermediary bank is used, please provide information below)

Bank Name Bank Address Account Number SWIFT Code / IBAN

Intermediary Bank Information

Parent Company Name / Address (if applicable)

Subsidiaries Name / Address (if applicable)

Formerly Operated As Name / Address (if applicable)

PositionRow1:
NameRow1:
PhoneRow1:
EmailRow1:
Other PhoneRow1:
PositionRow2:
NameRow2:
PhoneRow2:
EmailRow2:
Other PhoneRow2:
Trading Inventory Location NameRow1:
AddressRow1:
Own RentRow1:
Trading Inventory Location NameRow2:
AddressRow2:
Own RentRow2:
Trading Inventory Location NameRow3:
AddressRow3:
Own RentRow3:
First NameRow1:
Middle NameRow1:
Last NameRow1:
Amount of Capital ContributedRow1:
Ownership Start DateRow1:
of Business of SharesRow1:
First Name Middle NameRow1:
Last NameRow1_2:
PositionRow1_2:
Work Phone NumberRow1:
Mobile Other Phone NumberRow1:
First Name Middle NameRow2:
Last NameRow2:
PositionRow2_2:
Work Phone NumberRow2:
Mobile Other Phone NumberRow2:
First Name Middle NameRow3:
Last NameRow3:
PositionRow3:
Work Phone NumberRow3:
Mobile Other Phone NumberRow3:
Bank NameRow1:
Bank AddressRow1:
Account NumberRow1:
SWIFT Code IBANRow1:
Business Name:
DBA:
Country Incorporated:
Date Business:
Registration Number:
DUNS:
CAGE / NCAGE:
Business Address:
Mailing Address:
Type of Business:
Number of Employees:
State Currency:
Nature of Business:
First Name Row 2:
Middle Name Row 2:
Last Name Row2:
Capital Contributed:
Text19:
Text20:
First Name Row3:
Middle Name Row3:
Last Name Row3:
Text24:
Text25:
Text26:
Intermediary Bank Information:
Parent Company:
Subsidiaries:
Formerly Operated As:

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