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Offeror Information Page

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Request for Proposal

VEHICLE TOWING, STORAGE, MAINTENANCE & DISPOSAL SERVICES

DISTRICT OF MASSACHUSETTS, DISTRICT OF RHODE ISLAND, DISTRICT OF MAINE

AND DISTRICT OF NEW HAMPSHIRE

SOLICITATION # DJMS-12-R-0034

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

_____ 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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