Attachment 3 Vendor Information Sheet.docx
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- 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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