Attachment D - Supplier Data Sheet.pdf

PDF 147 KB Posted

Attached to
Custom Color Coded Case File Folders & Supplies
Solicitation number
QQ-125165
Issued by
Virginia

About this file

This is a Supplier Data Sheet (Attachment D) for solicitation QQ-125165 issued by the Commonwealth of Virginia for Custom Color Coded Case File Folders & Supplies. The document serves as a mandatory component of the bidder's response package, with failure to complete and submit the sheet potentially resulting in the bid being declared nonresponsive or, in the case of a Combined Two-Step UIFB, causing the Technical Proposal to be deemed unacceptable. Bidders must demonstrate capability and capacity to fully satisfy all contractual requirements and provide their primary contact information, years in business, and vendor identification numbers (eVA Vendor ID or DUNS Number).

The data sheet requires bidders to document at least four current or recent governmental accounts that they are currently servicing, have previously serviced, or for which they have provided comparable services. For each account listing, bidders must provide the company name, point of contact information (name, phone, and email), dates of service, and the dollar value of services rendered. Bidders must certify the accuracy of all submitted information by signature, title, and date. This documentation requirement is designed to establish the bidder's relevant experience and track record in providing similar goods or services to government entities.

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QQ-125165, ATTACHMENT D

SUPPLIER 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 UIFB, 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, governmental, that the Bidder is servicing, has serviced, or has provided comparable 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:

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