Attachment D - Supplier Information Form.pdf

This Supplier Information Form, associated with Bid Number 6100066311, is a required submission document for the Pennsylvania Department of Transportation's (PennDOT) solicitation for Waterborne High Build Traffic Line Paint. The form mandates that each supplier bidding on this contract opportunity designate and provide a point of contact person who will be available to answer questions regarding the supplier's capability to deliver the specified product. Bidders must complete the form by entering their vendor name, the designated point of contact representative's name, and a phone number where that representative can be reached.

The solicitation is limited to suppliers who are approved in PennDOT Bulletin 15 and can supply lead-free, waterborne paints that meet the specifications for Waterborne High Build Traffic Line Paint dated July 2, 2026, as outlined in Attachment E of the solicitation. Suppliers may submit bids for any paint formula that has been approved in writing by PennDOT prior to the bid opening date. The paints will be supplied in white and yellow colors, and all materials must be controlled in accordance with Section 106 of Publication 408, current version. This Supplier Information Form must be completed and returned with the bid response.