Contractor_Information_Form__rev._5.24_.pdf

PDF 1 MB Posted

Attached to
NODC FY25 Window Replacement State and local contract opportunity
Solicitation number
SRC0000029539
Issued by
Lucas County, Ohio

About this file

Written by GovTribe AI ·

The document is a Contractor Information Form, likely for a state-level procurement process in Ohio. The form is designed to collect comprehensive details about potential contractors seeking to bid on a state contract, with a revision date of May 2024. The form requires contractors to provide detailed company information, including contact details, employee demographics, DODD (Department of Developmental Disabilities) certification status, and OAKS Supplier ID or Tax Identification Number.

The form seeks specific information about the contractor's workforce composition, both nationwide and within Ohio, including the current number of employees and percentages of women and minorities. Contractors must affirm they meet minimum qualifications specified in the RFP (Request for Proposal) and provide contact information for the person authorized to execute a contract. The form is a mandatory submission requirement, and it must be completed, signed, and submitted with the RFP proposal to be considered eligible for review and scoring. The form supports transparency and comprehensive vendor evaluation in the state's procurement process.

View the file

Other files for this state and local contract opportunity

Other files attached to NODC FY25 Window Replacement, newest first.
File Type Posted
Electronic Disclosures and Signatures Consent.pdf PDF
NODC FY25 Window Replacement.docx DOCX document

On GovTribe

Work with this file on GovTribe

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

CONTRACTOR INFORMATION FORM

STATE: ZIP CODE:

CONTRACTOR NAME:

STREET ADDRESS:

CITY:

OFFEROR CONTACT NAME:

PHONE NUMBER: EMAIL:

Current number of employees:

Percent of Women:

Percent of Minorities:

Authorized Signature Date

Contractor affirms that they meet the minimum qualifications identified in Part Two: Section IV of the RFP title:

This form must be completed, signed, and submitted with RFP Proposal for it to be considered eligible for review and scoring. Rev. 5/2024

1. DODD certified provider? NO YES, DODD Provider Certification #

2. Provide OAKS Supplier ID or Tax Identification Number:

3. Current employee information on both a nationwide basis (including Ohio), and for Ohio operations.

(enter RFP Title and RFP Number beginning with SRC)

Nationwide Ohio

4. If your remit to address is different than the mailing address above, pleas provide below:

Street Address:

City: State: Zip Code:

5. Provide contact information for person with authority to execute a contract on behalf of the contractor.

Name: Title:

Email:

Krista Shaw Line

Krista Shaw Line

Krista Shaw Line

STREET ADDRESS:
CITY:
STATE:
ZIP CODE:
PHONE NUMBER:
EMAIL:
NATIONWIDE 1:
NATIONWIDE 2:
NATIONWIDE 3:
OHIO 1:
Provide OAKS Supplier ID or Tax Identification Number:
Street Address:
Zip Code:
Date:
Check Box1: Off
CONTRACTOR NAME:
RFP Name & SRC #:
OHIO 2:
OHIO 3:
City:
State:
AUTHORIZED CONTACT NAME:
Signatory Name:
Signatory Title:
Signatory Email:
Check Box2: Off
Check Box3: Off
Certification #:

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