Attachment C - Vendor Data Sheet.pdf

PDF 295 KB Posted

Attached to
DCR-VSP-Lake Anna State Park-Fireplace and Chimney Repairs
Solicitation number
QQ-126132
Issued by
Stafford County, Virginia

About this file

This is a Vendor Data Sheet attachment for a Virginia Department of Conservation and Recreation Quick Quote solicitation for fireplace and chimney inspection, maintenance, and repairs at Lake Anna State Park cabins. The solicitation requires qualified contractors to submit fixed-price bids and mandates attendance at a pre-bid meeting. Vendors must demonstrate capability and capacity to fully satisfy all contractual requirements.

Respondents must complete the entire data sheet, including company legal business name, primary contact information, years in business, Virginia Contractor License number and class, eVA Vendor ID, and SBSD certification number if applicable. Vendors are required to provide documentation of at least three recent commercial or governmental accounts demonstrating similar services, including client contact information, project descriptions, service dates, and project values. Failure to complete and submit this vendor data sheet may result in the bid being deemed nonresponsive to the solicitation.

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Text version

ATTACHMENT - C

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 Legal Business Name: ______________________________________________________

3. Vendor’s Primary Contact:

Name: Phone:

Title: Email:

4. Years in Business: Indicate the length of time you have been in business providing this type of good or service:

Years Months

5. Vendor Information: eVA Vendor ID: ______________________SBSD Cert # ______________________

Virginia Contractor License # , Class ______& Specialty _______________

6. Indicate below a listing of at least three (3) 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.

Company: Contact:

Phone: ( ) Email:

Project:

Dates of Service: $ Value:

File details come from the government source that posted it. Updated .