Attachment J007 - DELPHI Vendor Entry Worksheet.docx
DOCX document 28 KB Posted
- Solicitation number
- DTFAWA-17-R-00017
About this file
This document provides details regarding a draft Screening Information Request (SIR) for the Enterprise Financial Services (EFS) portfolio of contracts. The EFS portfolio is anticipated to consist of multiple Indefinite Delivery Indefinite Quantity contracts, with at least one contract award set aside for small businesses provided conditions in the SIR are met. The SIR will require vendors to perform work in nine areas, including policies and processes, internal controls, program and project management, day-to-day operations, systems, training, strategic planning and evaluation, risk management, and other financial activities. The final SIR is estimated to be released in late January to February 2017, with proposals due 30 days after release. The Federal Aviation Administration and Department of Transportation may utilize the EFS vehicle. The North American Industry Classification System code is 541611.
Attachment J007 - DELPHI Vendor Entry Worksheet (docx)
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Text version
DELPHI VENDOR ENTRY WORKSHEET
Revised March 2016 – All Other Versions are Obsolete
** Bold/Yellow indicates a Required Fields **
CO/BUYER NAME:
| PHONE: - - |
| DATE: |
E-MAIL ADDRESS:
|_| New Supplier |_| Modifying Existing Supplier SUPPLIER NAME (As filed on IRS Form 1099):
DBA:
TAXPAYER ID:
DUNS or DUNS + 4: -
RESTRICTED FOR REAL ESTATE ONLY – LEASE?
|_| Yes |_| No
| GENERAL: |
| Parent Vendor Name: |
Parent Tax ID:
| CLASSIFICATION/TYPE: |
| |_| No Cost Lease/Award |_| Vendor |_| Federal Agency |
FEDERAL AGENCY LOCATION CODE (ALC) (* For New Agencies Only):
| ORGANIZATION TYPE: |
| |_| Corporation |
| |_| Foreign Corp/Government Agency/Individual/Partner |
| |_| Individual |
| |_| Reimbursable Non-Govt (Supplier/Grant Sponsor/State & |
Local Govt)
|_| Partnership
|_| Government Agency
IS VENDOR SAM REGISTERED (SEE SAM): |_| Yes |_| No
SUPPLIER SITES: (Additional Sites or Additional Tax Reporting Sites forward as an Attachment)
| |_| New Vendor |
| |_| Modifying Existing Site |
Supplier Number:
Supplier Site Name:
|_| Adding New Site
| Country: United States |
| Other: |
| Address: |
| City: |
| State: |
| County: |
| Zip Code: - |
| PAYMENT METHOD: |
| |_| Electronic |_| Check (Waiver Required) |
SITE USES: X Purchasing Site |_| Pay Site
TELEPHONE:
| Telephone Number: |
| - - |
| Facsimile Number: |
| - - |
BANKING INFO:
Bank Name:
Account Name:
Bank ABA Routing No:
Account Number:
Account Type:
|_| Checking |_| Savings
Scan and Email Form to: 9-AMC-KINTANA-Supplier-Setup@faa.gov
File details come from the government source that posted it. Updated .