Attachment 4 Vendor Information Sheet.docx

DOCX document 23 KB Posted

Attached to
Assunpink Creek Site 8 Dam Rehab – NRCS-New Jersey
Solicitation number
12FPC326Q0056
Issued by

About this file

This is a Vendor Information Sheet template for Solicitation #12FPC326Q0056, a Request for Quotation (RFQ) issued by the Department of Agriculture's NRCS-New Jersey office for the Assunpink Creek Site 8 Dam Rehabilitation project. The form is a standard template designed to capture essential vendor information from offerors responding to this acquisition.

The sheet requires vendors to provide their offeror name, business name, business address, business phone number, offer point of contact email, and Unique Entity Identifier (UEI). Vendors must also indicate whether they are registered in the System for Award Management (SAM) and include a copy of their SAM record if applicable. The form includes signature lines for an authorized representative and date. This acquisition is a Total Small Business Set-Aside with a size standard of $40 million, classified under NAICS code 237990, and the project objectives focus on rehabilitating the dam to meet or exceed state and federal dam safety criteria while maintaining current flood protection levels. GSA Contract information is noted as not required for this solicitation.

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Text version

Attachment 3 Solicitation #12FPC326Q0056

VENDOR INFORMATION SHEET

Offeror Name:

Business Name:

Business Address:

Business Phone:

Offer POC Email:

UEI (Unique Entity Identifier):

GSA Contract # (if applicable): Not required for this solicitation.

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.png

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