Attachment 3_Vendor Information Sheet.docx

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NATIONAL RESOURCES INVENTORY FEDERAL AND NON-FEDERAL ON-SITE GRAZING LAND DATA COLLECTION USDA-NRCS COLORADO
Solicitation number
12FPC323Q0017
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Attachment 3 Solicitation #12FPC323Q0017

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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