Attachment B - Supplier Data Sheet.pdf
PDF 84 KB Posted
- Solicitation number
- 55907
- Issued by
- Henrico County, Roanoke City, Virginia
About this file
This document is an Attachment B - Supplier Data Sheet for a state or local government solicitation. The solicitation requires the offeror to provide information on their qualifications, primary contact, years in business, eVA vendor ID or DUNS number, and a listing of at least four current or recent governmental accounts where the offeror has provided comparable services. The offeror must certify the accuracy of the information provided.
The document does not provide details on the specific products or services requested, project overview, quantities, response dates, site visits, bidder's meetings, award dates, or contract term. It also does not include information on pricing, set asides, incumbents, funding requirements, or other salient details related to the solicitation.
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Text version
QQ-55907, ATTACHMENT B
SUPPLIER DATA SHEET
The following information is required as part of the Offeror’s response to this solicitation. Failure to complete and provide this sheet may result in bid being declared nonresponsive. (In the case of a Combined Two-Step UIFB, it may cause the Technical Proposal to be determined to be not acceptable.)
1. Qualification: The Offeror must have the capability and capacity in all respects to satisfy fully all of the contractual requirements.
2. Offeror’s Primary Contact:
Name: Phone: Email:
3. Years in Business: Indicate the length of time Offeror has been in business providing this type of good or service:
Years Months
4. eVA Vendor ID or DUNS Number:
5. Indicate below a listing of at least four (4) current or recent accounts, governmental, that the Offeror is servicing, has serviced, or has provided comparable services. Include the length of service and the name, address, and telephone number of the point of contact.
A. Company:_ Contact:
Phone:(_ _) Email:
Dates of Service: _ $ Value: _
B. Company _ Contact: _
Phone:(_ _) Email:
Dates of Service: _ $ Value:
C. Company:_ _ Contact: _ _
Phone:(_ _) Email: Dates of Service: _ $ Value:
D. Company:_ Contact:
Phone:(_ _) Email: _
Dates of Service: _ $ Value: _
I certify the accuracy of this information.
Signed: Title:
Date:
File details come from the government source that posted it. Updated .