C04 Attachment 3-Vendor Information Sheet Baca and Las Animas Counties Colorado CR.docx
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- Solicitation number
- 12FPC326Q0027
About this file
This is a Vendor Information Sheet template for Solicitation #12FPC326Q0027, which is a request for Cultural Resource Inventory and Recordation Services in Baca and Las Animas Counties, Colorado. The form is designed to be completed by offerors and requires standard vendor identification information including the offeror name, business name and address, business phone, and offer point of contact email. Vendors must provide their Unique Entity Identifier (UEI) and any applicable GSA Contract number, as well as confirm their registration status in the System for Award Management (SAM) and provide supporting documentation if available. The form includes signature blocks for authorized representatives and dates.
This is a template document without specific pricing information, evaluation criteria, or response deadlines. According to the related solicitation information, the contract requires the contractor to provide personnel, supplies, materials, and services for cultural resource inventory and recordation work in support of NRCS-Colorado's Farm Bill Environmental Quality Incentives Program (EQIP) projects. The work constitutes an undertaking under Section 106 of the National Historic Preservation Act (NHPA) and requires pedestrian survey and documentation of historic properties within designated areas of potential effect (APE). Questions regarding the solicitation must be submitted in writing to amy.smith2@usda.gov no later than July 6, 2026, 5:00pm EDT, with complete solicitation details available in the full RFQ documents.
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Attachment 3 Solicitation #12FPC326Q0027
VENDOR INFORMATION SHEET
Offeror Name: ________________________________________________________________________
Business Name: _______________________________________________________________________
Business Address: ______________________________________________________________________
Business Phone: ________________________________________________________________________
Offer POC Email: ______________________________________________________________________________
UEI (Unique Entity Identifier): ___________________________________________________________________
GSA Contract # (if applicable): _____________________________________________________________
System for Award Management (SAM) Verification ______are, _______are not registered in SAM.
A copy of the SAM record ______ is, ______is not, included with this quote.
Printed name of Authorized Representative Date
Signature image1.jpg image2.jpg image3.jpg image4.jpg
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