Attachment 3 Vendor Information Sheet.docx

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Title Search and Closing Services for NRCS-California
Solicitation number
12FPC322Q0027
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Attachment 3 Solicitation #12FPC322Q0027

VENDOR INFORMATION SHEET

Offeror Name: ________________________________________________________________________

Business Name: _______________________________________________________________________

Business Address: ______________________________________________________________________

Business Phone: ________________________________________________________________________

Offer POC Email: ______________________________________________________________________________

UEI (Unique Entity Identifier): ___________________________________________________________________

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

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