Attachment C, Vendor Data Sheet (01-23).pdf
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- Attached to
- Microscopes & Accessories
- Solicitation number
- IFB-123913
- Issued by
- Virginia
About this file
Vendor Data Sheet Summary
Attachment C is a vendor data sheet form required for participation in the Commonwealth of Virginia's Invitation for Bids (IFB) for Microscopes and Accessories, applicable to all Virginia state agencies, institutions of higher education, and other authorized public bodies. This document serves as a standardized data collection instrument to gather essential vendor information during the bid submission process. The form requests comprehensive vendor details to establish a qualified supplier contract that will support procurement activities across Virginia's public sector organizations. The IFB seeks to identify one or more qualified suppliers capable of providing microscopes and related accessories to meet the needs of Commonwealth agencies and authorized users as defined in Virginia Code sections 2.2-1110, 2.2-1120, and 2.2-4301.
The vendor data sheet requires bidders to complete detailed information about their company, product specifications, pricing structure, and compliance capabilities to be considered for contract award. This standardized form ensures all vendors provide consistent, comparable information that enables fair evaluation across all bid submissions. Completion and submission of Attachment C is a mandatory requirement for bid consideration, and the information provided becomes part of the official contract documentation if the vendor is selected as a successful bidder.
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Text version
IFB #123913, Attachment C
VENDOR DATA SHEET
The following information is required as part of the Bidder’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 IFB, it may cause the
Technical Proposal to be determined to be not acceptable.)
1. Qualification: The Bidder must have the capability and capacity in all respects to satisfy fully all of the contractual requirements.
2. Bidder’s Primary Contact:
Name: _______________________________ Phone: ______________ Email: _____________________
3. Years in Business: Indicate the length of time Bidder has been in business providing this type of good or service:
__________ Years ________ Months
4. eVA Supplier ID or DUNS Number: ________________________________
5. Indicate below a listing of at least four (4) current or recent accounts, either commercial or governmental, that the
Bidder is servicing, has serviced, or has provided similar goods/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: ____________________________________
Dates of Service: _________________________________$ Value: ________________________
C. Company:________________________________ Contact: ____________________________________
Dates of Service: _________________________________$ Value: ________________________
D. Company:_________________________________ Contact: ____________________________________
Dates of Service: _________________________________$ Value: _______________________
I certify the accuracy of this information.
Signed: ___________________________________ Title: ______________________________ Date: _______
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