Offeror_Info_Page.doc
DOC document 28 KB Posted
- Solicitation number
- DJM-15-A44-Q-0001
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Offeror Information Page
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Text version
(Attachment # 5)
REQUEST FOR QUOTE
VEHICLE TOWING, STORAGE, MAINTENANCE & DISPOSAL SERVICES
NORTHERN DISTRICT OF ILLINOIS AND NORTHERN DISTRICT OF INDIANA
SOLICITATION NO.: DJM-15-A44-Q-0001
OFFEROR’S INFORMATION PAGE
Each company shall complete this page and submit as the first page of their proposal.
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
_____ Other than Small
_____ Disadvantaged
_____ Women-Owned
_____ HUBZone
_____ Service-Disabled Veteran-Owned
_____ Women-Owned Small Business (WOSB) Eligible
Under the WOSB Program
_____ EDWOSB
_____ 8(a) Certified Small 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
File details come from the government source that posted it. Updated .