EXHIBIT B - Contact Info.docx
DOCX document 38 KB Posted
- Solicitation number
- Q0017
- Issued by
- Suffolk County, New York
About this file
Exhibit B is a contact information form for the Suffolk County Water Authority (SCWA) related to a Request for Quotes (RFQ) for custom aluminum chlorine tank holders. The solicitation seeks proposals for fabrication and delivery of these custom tank holders, with bids due electronically through BidNetDirect.com by 11:00 AM EST on June 5, 2025. The procurement is open to various vendors, with SCWA evaluating proposals based on price, vendor experience, responsibility, potential Disadvantaged Business Enterprise status, and overall best value to the organization.
The document provides a template for vendors to submit critical business information, including company officer details, contact information, and optional minority or woman-owned business designations. Bidders are required to submit comprehensive documentation, including submission terms, conditions, insurance requirements, pricing sheets, and production drawings. The procurement allows for electronic submission only, with no physical, fax, or email submissions accepted. SCWA reserves the right to make purchasing decisions based on multiple factors, emphasizing a comprehensive evaluation approach beyond simply selecting the lowest price.
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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 .