Attachment A_Vendor Data Sheet.docx

DOCX document 75 KB Posted

Attached to
Concrete Work at Powhatan State Park
Solicitation number
64594
Issued by
Powhatan County, Virginia

About this file

This document is an Attachment A - Vendor Data Sheet for a state and local contract opportunity in Virginia. The vendor must have the capability and capacity to satisfy all contractual requirements. The vendor is required to provide information such as their primary contact, years in business, and at least two current or recent accounts that are similar to the required goods or services.

The related state and local contract opportunity is for concrete work to replace gravel flooring at two picnic shelters located within Powhatan State Park in Powhatan County, Virginia. Site visits are optional but highly recommended. The solicitation does not provide any additional details such as the response dates, due dates, award dates, contract term, or pricing terms.

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Attachment A – Vendor Data Sheet Note: The following information is required as part of your response to this solicitation. Failure to complete and provide this sheet may result in finding your bid nonresponsive. (In the case of a two-step IFB, it may cause the proposal portion to be determined to be not acceptable.)

1.Qualification: The vendor must have the capability and capacity in all respects to satisfy fully all of the 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 good or service:
__________ Years________ Months

B. Vendor Information:

eVA Vendor ID: ________________________________ B. Indicate below a listing of at least TWO (2) current or recent accounts, either commercial or governmental, that your company is servicing, has serviced, or has provided similar goods. Include the length of service and the name, address, and telephone number of the point of contact.

B. Company: _________________________________ Contact: ___________________________________ Phone (_____) _____________________________Fax: (_____) ________________________________ Project: _____________________________________________________________________________ Dates of Service: _________________________________$ Value: _______________________

B. Company________________________________ Contact: ____________________________________ Phone (_____) ___________________________ Fax: (_____) _________________________________ Project: _____________________________________________________________________________ Dates of Service: _________________________________$ Value: ________________________

I certify the accuracy of this information.

Signed: ____________________________________Title: ________________________________Date: _______________ image1.png

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