ATTACHMENT 5 - References.docx
DOCX document 83 KB Posted
- Solicitation number
- RFP-127249
- Issued by
- Richmond City, Roanoke City, Virginia
About this file
This is a Vendor Data Sheet (Attachment 5) for RFP BPM093807 issued by the State of Virginia for financing of energy projects under a master lease agreement. The document serves as a qualification and reference form that vendors must complete and submit as part of their proposal response. Failure to provide the requested information when asked may result in the bid being deemed non-responsive. The form requires vendors to demonstrate capability and capacity to meet all contractual requirements through the submission of structured vendor qualification data.
The attachment requires vendors to provide their primary contact information, years in business, Federal Employer Identification Number or Social Security Number, and a minimum of three references from current or recent accounts servicing either commercial or governmental clients. For each reference, vendors must supply the company name, contact person, address, phone number, email address, project description, dates of service, and approximate annual volume dollar value. Vendors must certify the accuracy of all information provided by signing and dating the form with their title. The document includes a placeholder image but no specific pricing terms, set-asides, incumbent information, or funding details are addressed within this attachment.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment 3 - SCC ID Form.docx | DOCX document | |
| RFP - Final.pdf | ||
| ATTACHMENT 1 - Pricing Schedule Submission.docx | DOCX document | |
| ATTACHMENT 1A - Bid Form (8-4-26).xlsx | XLSX spreadsheet | |
| ATTACHMENT 6 - VENDOR DATA SHEET.docx | DOCX document | |
| ATTACHMENT 8 - MASTER LEASE AGREEMENT.docx | DOCX document | |
| Attachment 2 - Small Business Subcontracting Plan.docx | DOCX document | |
| ATTACHMENT 4 PROPRIETARY VENDOR INFORMATION.docx | DOCX document | |
| ATTACHMENT 1B - List of Qualified Depositories.pdf | ||
| ATTACHMENT 7 - CERTIFICATE OF COUNSEL.docx | DOCX document |
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Text version
RFx: BPM093807
ATTACHMENT 5
Vendor Data Sheet
Note: The following information is required as part of your response to this RFP. If not provided with your proposal failure to supply when requested to do so may result in your bid being deemed non-responsive.
| 1. | Qualification: A vendor must have the capability and capacity in all respects to meet all contractual requirements. | |
| 2. | Vendor’s Primary Contact: Name: ___________________________ | Phone: ______________________ |
| 3. | Years in Business: Indicate the length of time you have been in business providing this type of goods or services: __________ Years | ________ Months |
| 4. | Vendor Information: FEIN (If Company, Corporation, or Partnership): __________________or Social Security Number (If Individual): ________________________________ | |
| 5. | Indicate below a listing of at least three (3) current or recent accounts, either commercial or governmental, that your company is servicing, has serviced, or has provided similar goods and/or services. | |
| A. | Company: ______________________________________ Contact: _______________________ |
Address: ______________________________________________________________________ Phone: (_____) _________________ Email: ____________________________________ Project: _______________________________________________________________________ Dates of Service: ______________ $ Value: _________________ (Approximate Annual Volume) B. Company: ________________________________ Contact: ___________________________ Address: _____________________________________________________________________ Phone: (_____) _________________ Email: ___________________________________ Project: ______________________________________________________________________ Dates of Service: ______________ $ Value: _________________ (Approximate Annual Volume) C. Company: ________________________________ Contact: ____________________________ Address: _____________________________________________________________________ Phone: (_____) _________________ Email: ___________________________________ Project: ______________________________________________________________________ Dates of Service: ______________ $ Value: _________________ (Approximate Annual Volume) I certify the accuracy of this information.
Signed: ____________________________________ Title: ____________________________________ image1.jpeg
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