Attachment D - Vendor Data Sheet.pdf
PDF 222 KB Posted
- Attached to
- Janitorial Services for DMV CSCs
- Solicitation number
- IFB-115641
- Issued by
- Craig County, Virginia
About this file
This is a Vendor Data Sheet attachment required for a janitorial services solicitation issued by the Virginia Department of Motor Vehicles (DMV) for custodial services at nine stand-alone DMV Customer Service Center locations. The submission of a completed Vendor Data Sheet is mandatory, and failure to provide this information may result in a bid being deemed nonresponsive. Vendors must demonstrate the capability and capacity to fully satisfy all contractual requirements.
The Vendor Data Sheet requires submission of specific vendor information including the primary contact name, phone number, and email address; years of business experience providing similar services; eVA Vendor ID or DUNS Number; and a minimum of four current or recent references from commercial or governmental accounts. For each reference, vendors must provide the company name, contact person, phone and fax numbers, project description, dates of service, and contract value. The vendor certifying officer must sign and date the completed form, verifying the accuracy of all submitted information.
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Text version
ATTACHMENT D
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 Primary Contact:
Name: Phone:
Email:
3. Years in Business: Indicate the length of time you have been in business providing this type of good or service: Years Months
4. Vendor Information: ☐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 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.
A. Company: Contact:
Phone:( ) Fax: ( )
Project:
Dates of Service: $ Value:
B. Company Contact:
Phone:( ) Fax: ( )
Project:
Dates of Service: $ Value:
C. Company: Contact:
Phone:( ) Fax: ( )
Project:
Dates of Service: $ Value:
D. Company: Contact:
Phone:( ) Fax:( )
Project:
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 .