Attachment C - Vendor_Data_Sheet.pdf
PDF 94 KB Posted
- Solicitation number
- RFA-128726
- Issued by
- Virginia
About this file
This is a Vendor Data Sheet attachment for a Virginia DMV state and local contract opportunity for administrative services related to aluminum license plate hauling and recycling. The solicitation requires bidders to collect, haul, and recycle aluminum license plates from all DMV Customer Service Centers and DMV Select Office locations statewide while providing the DMV with a share of the recycling revenue. Bidders must demonstrate capability and capacity to satisfy all contractual requirements and must submit a completed vendor data sheet as part of their bid response; failure to complete and provide this form may result in the bid being declared nonresponsive.
The vendor data sheet requires bidders to provide primary contact information, years in business, eVA Vendor ID or DUNS number, and documentation of at least four current or recent accounts from commercial or governmental clients that demonstrate relevant experience. For each reference account listed, bidders must include the company name, contact person, phone number, email address, dates of service, and contract value. Bidders must certify the accuracy of all information provided on the form by signature, title, and date. The form serves as a qualification verification mechanism to ensure bidders possess the necessary experience and references to perform aluminum license plate collection, hauling, and recycling services across Virginia's DMV network.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment B - State Corporation Commission Form.pdf | ||
| RFA 154-27-128726 - Aluminum License Plate Recycling.pdf | ||
| Attachment A - CSCs and Select Office Locations.xlsx | XLSX spreadsheet |
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Text version
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 Vendor 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: ____________________________________
Phone:(_____)______________________________ Email: ___________________________________
Dates of Service: _________________________________$ Value: ________________________
C. Company:________________________________ Contact: ____________________________________
Phone:(_____)______________________________ Email: ___________________________________
Dates of Service: _________________________________$ Value: ________________________
D. Company:_________________________________ Contact: ____________________________________
Phone:(_____)______________________________ Email: ___________________________________
Dates of Service: _________________________________$ Value: _______________________
I certify the accuracy of this information.
Signed: ___________________________________ Title: ______________________________ Date: _______
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