Attachment 3 Vendor Information Sheet.docx
DOCX document 19 KB Posted
- Solicitation number
- 12FPC323Q0072
About this file
This document is a vendor information sheet template to be completed by offerors responding to Solicitation #12FPC323Q0072 from the USDA-NRCS Northwest Water and Climate Center for SCAN Maintenance Services. The solicitation seeks offers for maintenance of the Streamflow Climate and Nutrient database. Offerors must provide identifying and contact information including business name, address, phone number, point of contact email, Unique Entity Identifier, and GSA contract number if applicable. Offerors must also indicate whether they are registered in the System for Award Management and include a copy of their SAM registration if so. The authorized representative must sign and date the completed vendor information sheet, which is Attachment 3 to the solicitation. The solicitation is issued by the Department of Agriculture Under Secretary for Farm Production and Conservation.
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Other files
| File | Type | Posted |
|---|---|---|
| 12FPC323Q0072 Combined Synopsis-Solicitation NWCC SCAN Maintenance Svcs RFQ.pdf | ||
| Attachment 2 Quote Sheet.docx | DOCX document | |
| Attachment 1 NWCC SCAN Maintenance Statement of Work.pdf |
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Text version
Attachment 3 Solicitation #12FPC323Q0072
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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