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(Attachment # 5) REQUEST FOR QUOTE

VEHICLE TOWING, STORAGE, MAINTENANCE & DISPOSAL SERVICES

EASTERN AND WESTERN DISTRICTS OF LOUISIANA

SOLICITATION NO.: DJM-17-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 .