Attachment B- Vendor Data Sheet.pdf
PDF 126 KB Posted
- Attached to
- Janitorial Services- Cedar Bluff Office
- Solicitation number
- IFB-116698
- Issued by
- Powhatan County, Chatham Town, Virginia
About this file
Attachment B is a vendor data sheet required as part of bid submissions to Virginia Works for comprehensive janitorial services at the Cedar Bluff office located at 761 Claypool Hill Mall Road, Cedar Bluff, Virginia 24609. The document establishes mandatory qualification requirements and information submission standards for prospective vendors, with failure to complete and submit the sheet potentially rendering a bid nonresponsive. Vendors must demonstrate capability and capacity to fully satisfy all contractual requirements and provide primary contact information, years in business servicing this type of work, vendor identification numbers (eVA Vendor ID or DUNS Number), and detailed documentation of at least four current or recent commercial or governmental accounts.
The vendor reference section requires submission of company names, contact persons, phone and fax numbers, project descriptions, dates of service, and monetary values for each referenced account, demonstrating the vendor's experience and track record in providing similar janitorial services. Vendors must certify the accuracy of all submitted information by signing the form and providing their title and submission date. This documentation serves as a baseline qualification assessment to evaluate vendor eligibility and experience prior to contract award.
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Text version
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 nonresponsive.
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 four (4) 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: _______________
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