Attachment 2 doa-3477 Vendor Information RFB 28257-RH.doc

DOC document 72 KB Posted

Attached to
Model Year 2017 or Newer Medium/Heavy Duty Truck
Solicitation number
28265-RH
Issued by
Wisconsin

About this file

This is a vendor information form (DOA-3477) issued by the State of Wisconsin Department of Administration Division of Enterprise Operations for Request for Bid (RFB) 28265-RH related to Model Year 2017 or newer Medium/Heavy Duty Truck purchases. The form is designed to collect essential vendor information from bidders interested in participating in this procurement. The RFB will be utilized by State Agencies, including University of Wisconsin System campuses, and eligible participants in Wisconsin's cooperative purchasing program. The document does not specify quantities, response deadlines, due dates, site visits, bidder conferences, award dates, or contract terms within this particular form; those details would be contained in the main RFB solicitation documents.

This vendor information form requires bidders to provide company contact details, identify a primary contact person for bid inquiries, designate an affirmative action representative (required for vendors awarded contracts exceeding $50,000), supply a mailing address and contact for purchase order processing and billing inquiries, and identify the CEO or President. The form does not address pricing terms, set-asides, incumbent contractors, funding sources, or other financial requirements; such information would be specified in the accompanying RFB solicitation and supporting documents.

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Text version

State of Wisconsin

Department of Administration

Division of Enterprise Operations

Bureau of Procurement

s. 16.765, Wis. Stats.

DOA-3477 (R02/15)

Bid / Proposal #
RFB 28265-RH
Commodity / Service

Vendor Information

1.
BIDDING / PROPOSING COMPANY NAME
Phone
( )
Toll Free Phone
( )
FAX
( )
E-Mail Address
Address
City
State
Zip + 4
2.
Name the person to contact for questions concerning this bid / proposal.
Name
Title
Phone
( )
Toll Free Phone
( )
FAX
( )
E-Mail Address
Address
City
State
Zip + 4
3.
Any vendor awarded over $50,000 on this contract must submit affirmative action information to the department. Please name the Personnel / Human Resource and Development or other person responsible for affirmative action in the company to contact about this plan.
Name
Title
Phone
( )
Toll Free Phone
( )
FAX
( )
E-Mail Address
Address
City
State
Zip + 4
4.
Mailing address to which state purchase orders are mailed and person the department may contact concerning orders and billings.
Name
Title
Phone
( )
Toll Free Phone
( )
FAX
( )
E-Mail Address
Address
City
State
Zip + 4
5.
CEO / President Name

This document can be made available in alternate formats to individuals with disabilities upon request.

File details come from the government source that posted it. Updated .