ATTACHMENT D BIDDER INFORMATION SHEET.pdf
PDF 280 KB Posted
- Solicitation number
- 146843
- Issued by
- Nueces County, Texas
About this file
This is a Bidder Information Sheet attachment for a Request for Quotes issued by the Corpus Christi Regional Transportation Authority (CCRTA) in Texas for Solid Waste Collection and Disposal Services. The RFQ seeks qualified bidders to provide a two-year, fixed-unit-price service agreement for waste collection at two locations: Staples Street Center and the Operations Facility. The document serves as the required vendor submission form that accompanies each quote.
The Bidder Information Sheet requires vendors to provide company identification details, including legal name, street address, Federal Employer Identification Number or Taxpayer Identification Number, and subsidiary status. Vendors must identify a primary contact and an authorized signatory with their respective titles and contact information. The form requires certification by an authorized representative affirming the accuracy of submitted information. No specific pricing terms, set-asides, incumbent information, funding amounts, or other financial details are outlined in this document, as it functions solely as a standardized information collection form for vendor qualification and contact verification purposes.
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACHMENT C REFERENCES.pdf | ||
| ATTACHMENT B CONFLICT OF INTEREST AND ETHICS CERTIFICATION.pdf | ||
| ATTACHMENT A PRICE SCHEDULE.xlsx | XLSX spreadsheet | |
| RFQ for Solid Waste Collection and Disposal Services.pdf |
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Text version
Request for Quotes Solid Waste Collection and Disposal Services
ATTACHMENT D
BIDDER INFORMATION SHEET
To Be Completed By Vendor And Submitted With Quote
Company Name
Street Address
City, State, Zip Code
(If Applicable) Federal Employer Identification Number (FEIN) or Taxpayer Identification Number (TIN)
Is the Company a subsidiary? If yes, name the Holding/Parent Company
Number of years in business
Bidder Primary Contact
Name
Title
Office Telephone Number (with area code)
Cell Telephone Number (with area code)
E-mail Address
Authorized Signatory If different from Primary Contact)
Name
Title
Office Telephone Number (with area code)
Cell Telephone Number (with area code)
E-mail Address
CERTIFICATION
I certify that I am authorized to execute this certification on behalf of the Bidder and that the statements made above are true and correct to the best of my knowledge.
Authorized Representative: __________________________________________
Title: __________________________________________
Signature: __________________________________________
Date: __________________________________________
| Authorized Representative: __________________________________________ |
| Title: __________________________________________ |
| Company Name: |
| Street Address: |
| City State Zip Code: |
| If Applicable Federal Employer Identification Number FEIN or Taxpayer Identification Number TIN: |
| Is the Company a subsidiary If yes name the HoldingParent Company: |
| Number of years in business: |
| Name: |
| Title: |
| Office Telephone Number with area code: |
| Cell Telephone Number with area code: |
| Email Address: |
| Name_2: |
| Title_2: |
| Office Telephone Number with area code_2: |
| Cell Telephone Number with area code_2: |
| Email Address_2: |
| Authorized Representative 1: |
| Authorized Representative 2: |
| Authorized Representative 3: |
| Authorized Representative 4: |
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