Attachment 3 Vendor Information Sheet.docx
DOCX document 20 KB Posted
- Solicitation number
- 12FPC326Q0002
About this file
This is a Vendor Information Sheet template for Solicitation #12FPC326Q0002, an electrical work project at the USDA Natural Resources Conservation Service (NRCS) Bridger Plant Materials Center in Bridger, Montana. The form requires offerors to provide standard vendor identification information including the offeror name, business name and address, contact details, and a point of contact email address. Vendors must also supply their Unique Entity Identifier (UEI) and indicate whether they hold a GSA Contract, and confirm their registration status in the System for Award Management (SAM), with instructions to include a copy of the SAM record if registered.
The form includes signature blocks for an authorized representative and requires submission of supporting documentation. While this is a template document that does not specify products or services itself, it is part of the solicitation package for electrical installation work that includes installing three-phase power distribution, conduit and wiring infrastructure, a new 100-amp subpanel, and electrical connections for forklift charging and a walk-in seed cooler at the Bridger PMC facility. The form serves as the required vendor qualification and identification documentation that all offerors must complete and return with their proposals.
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Other files
| File | Type | Posted |
|---|---|---|
| S01 - 12FPC326Q0002 Combined Synopsis Solicitation.pdf | ||
| Attachment 1 - Bridger PMC_Electrical_SOW.pdf | ||
| Attachment 4 -WD 2015-5389 Rev. 27 12-3-2025.pdf | ||
| Attachment 2 Quote Sheet.docx | DOCX document |
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Text version
Attachment 3 Solicitation # 12FPC326Q0002
VENDOR INFORMATION SHEET
Offeror Name: ________________________________________________________________________
Business Name: _______________________________________________________________________
Business Address: ______________________________________________________________________
Business Phone: ________________________________________________________________________
Offer POC Email: ______________________________________________________________________________
UEI (Unique Entity Identifier): ___________________________________________________________________
GSA Contract # (if applicable): N/A___________________________________________________________
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 .