EXHIBIT D - Contact Info.docx
DOCX document 35 KB Posted
- Solicitation number
- 8152
- Issued by
- Suffolk County, New York
About this file
This document is Exhibit D - Contact Information for a contract opportunity with the Suffolk County Water Authority in New York. The contract, identified as Contract No. 8152, seeks proposals to furnish and deliver Personal Protective Equipment (PPE), Consumables, and Vending Supplies. Bids are to be submitted electronically through BidNetDirect.com/new-york by 11:00 AM on November 12, 2025, with bid documents available on SCWA.com and BidNetDirect.com/new-york. The solicitation encourages participation from Disadvantaged Business Enterprises and will involve a public bid opening.
The exhibit provides a template for bidders to complete their company contact information, including business name, address, contact person, telephone numbers, and email. The document includes fields for identifying minority or woman-owned businesses and requires listing company officers with signing authority. While specific pricing details are not included in this exhibit, the document is part of the formal bidding process for the Suffolk County Water Authority's procurement of PPE, consumables, and vending supplies, with an emphasis on comprehensive vendor identification and transparency in the bidding process.
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Other files
| File | Type | Posted |
|---|---|---|
| EXHIBIT C - Insurance Carriers or Agents Acknowledgment Form.docx | DOCX document | |
| EXHIBIT A1 - SCWA Disclosure Form.docx | DOCX document | |
| EXHIBIT B - Affirmation of Understanding and Compliance.docx | DOCX document | |
| Subcontractor Insurance Agreement (If Applicable).docx | DOCX document | |
| Invitation to Bid.pdf | ||
| Non-Collusive Certificate .docx | DOCX document | |
| Exhibit A - Form of Offerer Disclosure.docx | DOCX document | |
| EXHIBIT E - Contract Prequalification Statement.docx | DOCX document |
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Text version
EXHIBIT D CONTACT INFO
CONTRACT 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 .