ATTACHMENT A - VENDOR INFORMATION.docx

DOCX document 89 KB Posted

Attached to
ROADSIDE UNIT AND ONBOARD UNIT DEVICES (CVAZ) State and local contract opportunity
Solicitation number
D730-RB-0000000004
Issued by
Maricopa County, Arizona

About this file

This document is a Vendor Information form for a Maricopa County Department of Transportation (MCDOT) procurement opportunity related to Connected Vehicle (CV) equipment. The form is designed to capture essential vendor details for potential bidders on a solicitation for Roadside Units (RSU), Roadside Processors (RSP), and On-Board Units (OBU) as part of the Connected Vehicle Acceleration Zone (CVAZ) initiative. The form requires vendors to provide comprehensive company information, including contact details, mailing addresses, unique entity identifier, payment terms, and procurement card acceptance preferences.

The vendor information form offers multiple payment term options, ranging from net 10 to net 90 days, with some terms offering early payment discounts. Vendors are instructed to complete registration with the Maricopa County Department of Finance website upon award and must ensure their submitted information matches the county's vendor registration records. The form also requires vendors to indicate whether their contract will allow other governmental entities to purchase from it and whether they will accept procurement cards for payment. Failure to select payment terms will result in a default to net 30 days, and payment terms will be considered in determining the lowest bid.

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Text version

AGREEMENT#

Attachment A - Vendor Information

VENDOR INFORMATION MUST MATCH INFORMATION CONTAINED IN MARICOPA COUNTY DEPARTMENT OF FINANCE VENDOR REGISTRATION.

PLEASE NOTE THAT VENDORS ARE REQUIRED TO COMPLETE REGISTRATION UPON AWARD AT THE MARICOPA DEPARTMENT OF FINANCE WEBSITE *https://www.maricopa.gov/5169/Vendor-Information

COMPANY NAME:

DOING BUSINESS AS (dba):

MAILING ADDRESS:

REMIT TO ADDRESS:

TELEPHONE NUMBER:

WWW ADDRESS:

CONTACT NAME:

CONTACT TELEPHONE NUMBER:

CONTACT EMAIL ADDRESS:

UNIQUE ENTITY IDENTIFIER (UEI)

WILL ALLOW OTHER GOVERNMENTAL ENTITIES TO PURCHASE FROM THIS CONTRACT:

YES NO REBATE

WILL ACCEPT PROCUREMENT CARD FOR PAYMENT:

PAYMENT TERMS: RESPONDENT IS REQUIRED TO PICK ONE OF THE FOLLOWING. PAYMENT TERMS WILL BE CONSIDERED IN DETERMINING LOW BID. FAILURE TO CHOOSE PAYMENT TERMS WILL RESULT IN A DEFAULT TO NET 30 DAYS.

NET 10 DAYS
NET 45 DAYS
1% 10 DAYS NET 30 DAYS
NET 15 DAYS
NET 60 DAYS
2% 30 DAYS NET 31 DAYS
NET 20 DAYS
NET 90 DAYS
1% 30 DAYS NET 31 DAYS
NET 30 DAYS
2% 10 DAYS NET 30 DAYS
5% 30 DAYS NET 31 DAYS

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