Attachment 1 - Vendor Information Form.pdf

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Attached to
Chemical Management Services (CMS)/ Third Party Logistics Services (3PL) for Fleet Readiness Centers (FRCE, FRCSE, FRCSW, and FRCMA)
Solicitation number
SP330026SS5001
Issued by

About this file

The document is a Vendor Information Form (Attachment 1) designed to collect comprehensive vendor details for a federal contract opportunity. The form requires vendors to provide critical information including DSS Facility Clearance status (with options for Top Secret, Secret, or Confidential clearance levels), DCAA Branch Office contact information, and confirmation of an approved accounting system. Vendors must also disclose their last three years of annual revenues, contractor details (name, address, CAGE code, point of contact), and their socioeconomic status for NAICS code 493110. The form includes an optional checkbox for requesting a one-on-one virtual meeting with the contracting agency, allowing vendors to express interest in further engagement about the potential procurement opportunity.

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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

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