Attachment 3 - 12FPC326Q0021 Vendor Info Sheet.docx
DOCX document 20 KB Posted
- Solicitation number
- 12FPC326Q0021
About this file
This is a Vendor Information Sheet template required for submission with quotations under Solicitation #12FPC326Q0021 for NRCS-Ohio Gliatta Wetland Reserve Easement (WRE) Restoration Project. The form requests standard vendor identification and registration information from offerors, including offeror name, business name and address, business phone, point of contact email, Unique Entity Identifier (UEI), and GSA contract number if applicable. The sheet also requires vendors to confirm their registration status in the System for Award Management (SAM) and to provide signature verification from an authorized representative with date.
This is a template document with blank fields for completion. It serves as an administrative requirement for the RFQ issued by the Department of Agriculture Under Secretary for Farm Production and Conservation for wetland restoration services in Delaware County, Ohio. The acquisition is a Total Small Business Set-Aside with a magnitude between $25,000 and $100,000, with quotations due by July 8, 2026, at 5:00 PM ET. Vendors must submit this completed form along with their quotation to amy.smith2@usda.gov.
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Text version
Attachment 3 Solicitation #12FPC326Q0021
VENDOR INFORMATION SHEET
Offeror Name: ________________________________________________________________________
Business Name: _______________________________________________________________________
Business Address: ______________________________________________________________________
Business Phone: ________________________________________________________________________
Offer POC Email: ______________________________________________________________________________
UEI (Unique Entity Identified): ___________________________________________________________________
GSA Contract # (if applicable): _____________________________________________________________
System for Award Management (SAM) Verification ______are, _______are not registered in SAM.
A copy of the SAM record ______ is, ______is not, included with this quote.
Printed name of Authorized Representative Date
Signature image1.jpg image2.jpg image3.jpg image4.jpg
File details come from the government source that posted it. Updated .