EXHIBIT B - Contact Info.docx
DOCX document 38 KB Posted
- Solicitation number
- Q0003
- Issued by
- Suffolk County, New York
About this file
This document is Exhibit B, a contact information form for a Request for Quotes (RFQ) issued by the Suffolk County Water Authority in New York. The RFQ solicits proposals for furnishing and delivering chlorine tanks and accessories to their facility located at 4060 Sunrise Highway, Oakdale, New York. Proposals are due by 11:00 AM EST on February 3, 2025, and must be submitted electronically through BidNetDirect.com. The procurement is exclusively for electronic bid submissions, with physical deliveries, faxes, and email submissions explicitly prohibited.
The document includes a template for bidders to provide comprehensive contact information, including business details, ownership status (with options to indicate minority or woman-owned business), federal identification number, and contact information for contract follow-up. Potential bidders are advised to review accompanying documents such as insurance requirements and terms and conditions. Any questions about the RFQ must be submitted through BidNet or emailed to Steve Blevins, the Procurement Agent, no later than 72 hours before the response deadline. The document emphasizes that the RFQ does not guarantee an award, suggesting a competitive selection process.
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Other files
| File | Type | Posted |
|---|---|---|
| Q&A Document 1.pdf | ||
| SCWA Purchase of Chlorine Tanks and Accessories.pdf | ||
| EXHIBIT A - Insurance Carriers or Agents Acknowledgment Form.docx | DOCX document |
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Text version
EXHIBIT B CONTACT INFO
RFQ NO. _______
The purpose of this document is to clearly identify who has been delegated the authority to sign your Agreement / Offer or Contract on behalf of the named firm as well as identify pertinent company information. Pursuant to our policy, the only person(s) with the ability to delegate authority is an officer of the company. Therefore, please list the officers of the company. In addition, please list those persons to whom authority has been delegated to sign, negotiate and/or administer your Agreement / Offer or Contract.
The full name and residence of all persons and parties interested in the foregoing bid as principals are as follows:
NAME / TITLE ADDRESS
NOTE: Give the first and last name in full, and in case of corporation, give the name of President, Vice-President, Treasurer, Secretary Contractor:
Signature:
Name:
PRINT OR TYPE NAME OF PERSON SIGNING BID
PLEASE CHECK IF APPLICABLE
· MINORITY OWNED BUSINESS
· WOMAN OWNED BUSINESS
Business Name:
Business Address of Contractor:
Contact Person for Contract Follow-Up:
Business Contact Telephone:
Cell Number:
E-Mail Address:
Fax Number:
Federal Employee Identification Number:
Suffolk County Department of Consumer Affairs License Number (If Applicable)
Date:
This page must be fully completed.
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File details come from the government source that posted it. Updated .