5._Offeror_Info_Page_-_Copy.doc

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Attached to
Towing, Storage, Maintenance and Disposal of seized/forfeited vehicles for the Southern District of Texas
Solicitation number
DJM-15-A44-Q-0015
Issued by

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Offeror Information Page

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Text version

(Attachment # 5)

REQUEST FOR QUOTE

VEHICLE TOWING, STORAGE, MAINTENANCE & DISPOSAL SERVICES

SOUTHERN DISTRICT OF TEXAS

SOLICITATION NO.: DJM-15-A44-Q-0015

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 .