Contractor Information Form.pdf
PDF 250 KB Posted
- Attached to
- Walking Path Resurfacing and Culvert replacement
- Solicitation number
- SRC0000026220
- Issued by
- Butler County, Ohio
About this file
This is a Contractor Information Form used by the State of Ohio to collect key details about vendors. The form requires contractors to provide their business name, address, authorized contact information including phone and email, and demographic information about their workforce both nationwide and specifically for Ohio-based operations, including total number of employees, percentage of women employees, and percentage of minority employees.
The form requires contractors to provide their OAKS Supplier ID or Tax Identification Number and includes space for an alternate billing address if different from the main business address. The form must be completed with an authorized signature and date. No specific pricing terms, set-asides, or funding requirements are mentioned in this basic information collection document.
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Other files
| File | Type | Posted |
|---|---|---|
| Affirmation_and_Disclosure_Form_5-20-24_fillable_form.pdf | ||
| Certification Statement.pdf | ||
| SOW Walking path.docx | DOCX document | |
| Contractor Information Form.pdf | ||
| Affirmation_and_Disclosure_Form_5-20-24_fillable_form.pdf | ||
| Certification Statement.pdf | ||
| SOW Walking path.docx | DOCX document |
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Text version
CONTRACTOR INFORMATION FORM
CONTRACTOR NAME: ______________________
STREET ADDRESS: _________________________
CITY: __________________________ STATE: _______________ ZIP CODE: __________
AUTHORIZED CONTACT NAME:
PHONE
NUMBER_________________
EMAIL: _______________________________
1. Provide current employee information both a nationwide basis (including Ohio), and Ohio's based operations.
NATIONWIDE OHIO
Total # of Employees:
Percent of Women:
Percent of Minorities:
2. Provide OAKS Supplier ID or Tax Identification Number: ______ _ _ _ _ _ _ _ _ _
3. If your billing address is different than the mailing address above, please provide below:
Contractor Name: ____________________________________________________________
Street Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Cit_y: State: Zip Code:
Authorized Signature Date
File details come from the government source that posted it. Updated .