Attachment C - Contractor Point of Contact doc..pdf
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- Solicitation number
- 6100066498
- Issued by
- Pennsylvania
About this file
This is a Supplier Contact Form used by the Commonwealth of Pennsylvania for the Bagged De-Icing Materials (50 lb. Bags) supplemental procurement, which serves as a supplement to solicitation numbers IFB 6100060797 and IFB 6100061430. The de-icing materials will be distributed to various Commonwealth agencies for use as a melting agent during winter weather events. The form requires contractors to provide comprehensive business information including their company name, address, SAP vendor ID number, federal identification number, telephone number, and email address.
The form designates a specific point of contact individual within the contracting organization who will be responsible for receiving requests for quotes, preparing and submitting bids, monitoring the contractor's supply of materials, and notifying the Commonwealth of any delivery issues. This contact person must provide their name, title, telephone number, fax number, and email address, and must maintain availability to answer questions regarding the contractor's ability to deliver products. The Commonwealth has restricted this procurement to Small Business entities certified through the Department of General Services' self-certification process under Executive Order 2011-09, making this a set-aside for small businesses only.
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Text version
SUPPLIER CONTACT FORM
SECTION I – CONTRACTOR INFORMATION
CONTRACTOR’S NAME: _____________________________________________
CONTRACTOR’S ADDRESS: _________________________________________________________________
CONTRACTOR’S SAP VENDOR ID NUMBER: ___________________________
CONTRACTOR’S FEDERAL IDENTIFICATION NUMBER: __________________
CONTRACTOR’S TELEPHONE NUMBER: ____________________________
CONTRACTOR’S E-MAIL ADDRESS: ________________________________
SECTION II – CONTRACTOR CONTACT PERSON
NAME OF INDIVIDUAL RESPONSIBLE FOR RECEIVING THE REQUEST FOR QUOTE AND FOR PREPARING AND
SUBMITTING BID: __________________________________________________
TITLE OF INDIVIDUAL: ________________________________________________________________
INDIVIDUAL’S TELEPHONE NUMBER: ___________________________________________
INDIVIDUAL’S FAX NUMBER: __________________________________________________
INDIVIDUAL’S E-MAIL ADDRESS: _______________________________________________
This individual must be available to answer questions regarding the Contractor’s ability to deliver product. This person will be responsible for monitoring the Contractor’s supply of materials, and will notify the Commonwealth of any problems meeting delivery requirements.
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