Attachment 3 Vendor Information Sheet.docx

DOCX document 20 KB Posted

Attached to
Electrical Work at the Bridger Plant Materials Center, Bridger, Montana
Solicitation number
12FPC326Q0002
Issued by

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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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 .