Vendor_Contact_Information.pdf

Vendor Contact Information

Offeror Name:

Address:

Point of Contact:

Phone Number:

E-mail Address:

Tax Identification Number (TIN):

DUNS:

CAGE Code:

Circle one: Offeror is / is not a small business.

Circle one:

Offeror is / is not SAM registered in www.sam.gov .

Other Classifications:

(ex: 8(a), HubZone, woman-owned, veteran-owned, service-disabled veteran-owned)

GSA Contract No. (if applicable):

NOTE: This RFQ form shall be completed and submitted in addition to any other quote form utilized by

Offeror.

*NOTE: This RFQ form shall be submitted in addition to any other quote format utilized by individual offerors.

**NOTE: Prices shall include all costs.

Offer is valid for ______ days after date of signature.

PLEASE REVIEW THE ENTIRE DOCUMENT.

Date:

Contractor Authorized Representative http://www.sam.gov/