Offeror Info Page.doc

DOC document 24 KB Posted

Attached to
Towing, Storage, Maintenance and Disposal of seized/forfeited Vehicles for the District of Puerto Rico
Solicitation number
DJMS-11-Q-0091
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Offeror's 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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