Ex B Contractor Info Fillable.pdf

164 KB Posted

Attached to
WSU Pullman Recreation Center Management System
Solicitation number
CC0342-JMC
Issued by
Washington

About this file

Written by GovTribe AI ·

This is a Contractor Information fillable form (Exhibit B) required for submission with proposals to Washington State University (WSU) for the Pullman Recreation Center Management System procurement. The form serves as a standardized template for collecting essential contractor qualification and organizational information from bidders responding to this opportunity.

The form requires contractors to provide comprehensive organizational details including legal entity name, principal place of business address, telephone number, business structure (corporation, partnership, sole proprietorship, etc.), year established, Federal Employer ID, and Washington UBI/Revenue Registration Number. Contractors must also designate an RFP contact person with complete contact information and identify all principal officers including their names, titles, and email addresses. Additionally, the form requires disclosure of any employee relationships between the contractor or named parties and the State of Washington during the past 24 months, including separation dates where applicable. Contractors must also identify any current or former Washington State employees serving on their governing boards or in their organization, along with their positions and responsibilities within the contractor's entity.

View the file

Other files

File Type Posted
Exhibit C Fee Sheet CC0342-JMC.xlsx XLSX spreadsheet
Ex A Certifications Fillable.pdf PDF

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

EXHIBIT B – CONTRACTOR INFORMATION

to be submitted with Response

CONTRACTOR (LEGAL NAME OF ENTITY)

ADDRESS FOR THE PRINCIPLE PLACE OF BUSINESS

CITY, STATE, ZIP:

TELEPHONE

STRUCTURE (CORPORATION, PARTNERSHIP, SOLE PROPRIETORSHIP, ETC.)

YEAR ESTABLISHED

FEDERAL EMPLOYER ID

WASHINGTON UBI (REVENUE REGISTRATION NUMBER)

NAME, TITLE, ADDRESS, EMAIL, PHONE, AND FAX NUMBERS FOR CONTRACTOR’S RFP CONTACT.

NAME AND TITLE

ADDRESS:

CITY, STATE, ZIP

PHONE:

FAX:

E-MAIL

PRINCIPLE OFFICERS (E.G.: PRESIDENT, VICE PRESIDENT, TREASURER, BOARD CHAIRPERSON)

NAME TITLE EMAIL ADDRESS

CONTRACTOR'S EMPLOYEE RELATIONSHIP TO STATE OF WASHINGTON

If the Contractor or any party named above was, or is, an employee of WA State during the past 24 months, the following information is required: If none, indicate “not applicable”.

NAME AGENCY TITLE SEPARATION DATE

PERSONS EMPLOYED BOTH BY CONTRACTOR AND STATE OF WASHINGTON

Contractors employing or having on their governing board as of the date of their proposal, WA State employees, or former WA State employees, shall identify such persons and their position and responsibilities within the Contractor’s organization. If none, indicate “not applicable”.

NAME AGENCY TITLE SEPARATION DATE (OR N/A)

Responsibilities:

Responsibilities:

Solicitation No. WSU
to be submitted with Response
Name, title, address, email, phone, and fax numbers for contractor’s RFP contact.
Contractor's Employee Relationship to State of Washington
Persons Employed Both by Contractor and State of Washington
CONTRACTOR LEGAL NAME OF ENTITY:
ADDRESS FOR THE PRINCIPLE PLACE OF BUSINESS:
CITY STATE ZIP:
TELEPHONE:
STRUCTURE CORPORATION PARTNERSHIP SOLE PROPRIETORSHIP ETC:
YEAR ESTABLISHED:
FEDERAL EMPLOYER ID:
WASHINGTON UBI REVENUE REGISTRATION NUMBER:
NAME AND TITLE:
ADDRESS:
CITY STATE ZIP_2:
PHONE:
FAX:
EMAIL:
NAMERow1:
TITLERow1:
EMAIL ADDRESSRow1:
NAMERow2:
TITLERow2:
EMAIL ADDRESSRow2:
NAMERow3:
TITLERow3:
EMAIL ADDRESSRow3:
NAMERow4:
TITLERow4:
EMAIL ADDRESSRow4:
NAMERow1_2:
AGENCYRow1:
TITLERow1_2:
SEPARATION DATERow1:
NAMERow1_3:
AGENCYRow1_2:
TITLERow1_3:
SEPARATION DATE OR NARow1:
Responsibilities:
Name_Row_2:
Agency_Row2:
Title_Row2:
Separation_Date_or_N/A:
Responsibilities_2:

File details come from the government source that posted it. Updated .