Attachment 1 - Vendor Information Form.pdf
PDF 191 KB Posted
- Solicitation number
- SP30026SS5001
- Issued by
-
Department of Defense
About this file
This document is a Vendor Information Form designed to collect critical details from potential contractors. The form requests specific information including DSS facility clearance status and level (with options for Top Secret, Secret, or Confidential), DCAA branch office contact details, and confirmation of an approved accounting system. Vendors are required to provide their last three years of annual revenues, contractor information such as name, address, CAGE code, and point of contact details, and indicate their socioeconomic status for NAICS code 493110. Additionally, the form includes an option for vendors to request a one-on-one virtual meeting, with checkbox selections for yes or no.
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Text version
Attachment 1 - VENDOR INFORMATION FORM Please complete the required information below.
DSS FACILITY CLEARANCE:
YES
NO
DSS FACILITY CLEARANCE LEVEL:
Top Secret
Secret
Confidential
DCAA BRANCH OFFICE, POC, ADDRESS, PHONE NUMBER, EMAIL ADDRESS:
APPROVED ACCOUNTING SYSTEM:
YES
NO
Please provide the last 3 years' annual revenues by year. Indicate the dates in the blocks below.
Year 1
Year 2
Year 3
CONTRACTOR NAME, ADDRESS, CAGE
CODE, POC NAME, PHONE NUMBER:
CONTRACTOR POC SIGNATURE & DATE:
SOCIOECONOMIC STATUS FOR NAICS CODE: 493110
No, I do not request a one-on-one virtual meeting.
Yes, I would like a one-on-one virtual meeting.
| fc-int01-generateAppearances: |
| CONTRACTOR NAME, ADDRESS, CAGE_GGrMwf7yZ*AX3bbvuPI3oQ: |
| Year 3_om1sS12-Qp41H3Ac*8rKfA: |
| Year 2_uSJoZouxEHGAKk3YxYhyHg: |
| Year 1_58ls7CIuPY61Q9nEX52n-A: |
| APPROVED ACCOUNTING SYSTEM:_dl7PpeJv*eY*XGycNeaOHg: Off |
| DCAA BRANCH OFFICE, POC, ADDRE_YYw-oOeOHsbbCFDMAio2qA: |
| DSS FACILITY CLEARANCE LEVEL:_srAOvHuifZi1nedkN2ioqw: Off |
| DSS FACILITY CLEARANCE:_J0Lvf5ucBp-5ulQLRIh*9Q: Off |
| Text1: |
| Check Box2: Off |
| Check Box3: Off |
File details come from the government source that posted it. Updated .