Attachment 3 Vendor Information Sheet Southern NV NRI.docx

DOCX document 19 KB Posted

Attached to
NRCS-Southern Nevada National Resources Inventory (NRI) Data Collection Services
Solicitation number
12FPC326Q0009
Issued by

About this file

This is a Vendor Information Sheet form for Solicitation #12FPC326Q0009 issued by the Natural Resources Conservation Service (NRCS), an agency under the Department of Agriculture's Under Secretary for Farm Production and Conservation. The form serves as a template for offerors to submit required vendor identification and registration information when responding to the NRCS-Southern Nevada National Resources Inventory (NRI) Data Collection Services solicitation.

The form requires offerors to provide standard business information including offeror name, business name and address, business phone number, point of contact email, and the Unique Entity Identifier (UEI). Additionally, offerors must indicate their GSA contract number if applicable and verify their registration status in the System for Award Management (SAM), with instructions to include a copy of the SAM record if registered. The form must be signed by an authorized representative with printed name and date. The sheet includes space for signature images, indicating this is a fillable document intended to capture formal authorization for the proposal submission.

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Text version

Attachment 3 Solicitation #12FPC326Q0009

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

File details come from the government source that posted it. Updated .