ATTACHMENT A-Vendor Data Sheet.pdf
PDF 124 KB Posted
- Attached to
- Nansemond River Mulching Project
- Solicitation number
- 80482
- Issued by
- Greene County, Virginia
About this file
This is a Vendor Data Sheet (Attachment A) required by the Virginia Department of Forestry for the Nansemond River Mulching Project. The document outlines qualification requirements for vendors, specifically requiring at least three years of experience successfully fulfilling tree mulching contracts. The form requires comprehensive vendor information including primary contact details, years in business, and eVA Vendor ID or DUNS Number.
The document requires vendors to provide references from at least four accounts spanning the past 5 or more years, either commercial or governmental, that demonstrate similar service provision. For each reference, vendors must provide detailed information including company name, contact person, phone and fax numbers, project description, dates of service, and dollar value. The form concludes with a certification of accuracy to be signed by an authorized representative of the vendor, including their title and date of signature.
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Text version
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.
1. Qualification: The vendor must have the capability and capacity in all respects to satisfy fully all of the contractual requirements. Bidders must have at least three (3) years’ experience successfully fulfilling tree mulching contracts, as evidenced by the references indicated below.
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
4. Vendor Information:
eVA Vendor ID or DUNS Number: ________________________________
5. Indicate below a listing of at least four (4) accounts spanning the past 5 or more years, either commercial or governmental, that your company is providing with similar services or has provided with similar services. Include the length of service and the name, address, and telephone number of the point of contact.
A. Company:__________________________________Contact:_________________________________
Phone:(_____)______________________________ Fax: (_____)________________________________
Project:_____________________________________________________________________________
Dates of Service: _________________________________$ Value: _______________________
B. Company________________________________ Contact: ____________________________________
Phone:(_____)___________________________ Fax: (_____)_________________________________
Project:______________________________________________________________________________
Dates of Service: _________________________________$ Value: ________________________
C. Company:________________________________ Contact: ____________________________________
Phone:(_____)______________________________Fax:(_____)_________________________________
Project:______________________________________________________________________________
Dates of Service: _________________________________$ Value: ________________________
D. Company:_________________________________ Contact: ____________________________________
Phone:(_____)______________________________Fax:(_____)_____________________________
Project: ______________________________________________________________________________
Dates of Service: _________________________________$ Value: _______________________
I certify the accuracy of this information.
Signed: ______________________________Title: _____________________________ Date:
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