Attachment B Vendor Data Sheet.pdf
PDF 133 KB Posted
- Attached to
- HVAC Maintenance and Repair
- Solicitation number
- IFB-127290
- Issued by
- Virginia
About this file
This is a Vendor Data Sheet attachment for an Invitation for Bids (IFB# BPM093846) issued by the Virginia Department of Juvenile Justice to establish an HVAC preventative maintenance and emergency repair contract. The solicitation seeks qualified vendors capable of providing comprehensive heating, ventilation, and air conditioning services to DJJ facilities. Vendors responding to this bid are required to complete and submit the Vendor Data Sheet as part of their proposal response; failure to provide this completed form may result in the bid being deemed non-responsive.
The Vendor Data Sheet requires bidders to provide essential qualification information including the vendor's primary contact details, years in business providing similar services, eVA Vendor ID or DUNS number, and a minimum of five current or recent client references from either commercial or governmental accounts. For each reference account listed, vendors must supply the company name, contact person information, phone and fax numbers, project description, dates of service, and contract value. The vendor must certify the accuracy of all information provided and sign the sheet with appropriate title and date. This documentation serves as verification that the vendor possesses the capability and capacity to fully satisfy all contractual requirements for HVAC maintenance services.
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Department of Juvenile Justice
IFB# BPM093846
HVAC Preventative Maintenance
ATTACHMENT B
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 non-responsive.
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
4. Vendor Information:
eVA Vendor ID or DUNS Number: ___________________________________
5. Indicate below a listing of at least five (5) 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.
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: ______________
ATTACHMENT C
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