Offeror's_Info_Page.pdf

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Attached to
Vehicle History Reports
Solicitation number
DJM-13-A44-Q-0023
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Offeror Information Page

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OFFEROR’S INFORMATION PAGE

Each company shall complete this page and the attached Solicitation Checklist and submit as the first page of their quote.

Offeror’s Name (include ‘Doing Business As’ (DBA) and/or ‘Limited Liability Corporation’ (LLC) if applicable):

Offeror’s Address: ____________________________________________________

Offeror’s Email and Website: ____________________________________________________

Phone Number: ____________________________________________________

Fax Number: ___________________________________________

Dun’s Number: ___________________________________________

Federal Tax I.D. Number: ___________________________________________

Business Size (check all that apply): _____ Small Business

_____ Small Disadvantaged Business

_____ Woman-Owned Small Business

_____ Veteran-Owned Small Business

_____ Service-Disabled Veteran-Owned Small Business

_____ 8(a) Certified Small Business

_____ Large Business

I, ______________________________________________, represent that, to the best of my knowledge and belief, the information included in my offer is complete, accurate, and true.

Signature Date

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