g. DOA-3477 Vendor Information.doc

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Attached to
Macaroni and Cheese with Whole Grain Pasta, Bulk Food Processing
Solicitation number
PA180734
Issued by
Wisconsin

About this file

This is a vendor information form (DOA-3477) issued by the State of Wisconsin Department of Administration, Division of Enterprise Operations, in conjunction with the Department of Public Instruction for Bid PA180734 regarding Macaroni and Cheese with whole grain pasta bulk food processing. The State of Wisconsin seeks bids for processing USDA Bulk Cheese (Natural American FDB Barrel, Material ID Code #110242) into macaroni and cheese products intended for distribution to Wisconsin schools participating in the National School Lunch Program and Summer Food Service Program participants. The contract award will be based on the product that passes student taste tests at the lowest total price per serving, with the resulting product to be distributed to both public and private schools across the state.

The vendor information form requires bidding companies to provide comprehensive contact information including company name, phone, fax, and email; a designated contact person for bid-related questions; affirmative action personnel information for vendors awarded contracts exceeding $50,000; a mailing address and contact person for purchase orders and billing inquiries; and the company's CEO or President name. This form serves as a standardized submission requirement for all vendors bidding on this contract opportunity, ensuring the State has necessary contact and organizational details for contract administration and communication purposes.

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Text version

State of Wisconsin

Department of Administration

Division of Enterprise Operations

Bureau of Procurement

s. 16.765, Wis. Stats.

DOA-3477 (R02/15)

Bid / Proposal #
PA180734
Commodity / Service
Mac and Cheese

Vendor Information

1.
BIDDING / PROPOSING COMPANY NAME
Phone
( )
Toll Free Phone
( )
FAX
( )
E-Mail Address
Address
City
State
Zip + 4
2.
Name the person to contact for questions concerning this bid / proposal.
Name
Title
Phone
( )
Toll Free Phone
( )
FAX
( )
E-Mail Address
Address
City
State
Zip + 4
3.
Any vendor awarded over $50,000 on this contract must submit affirmative action information to the department. Please name the Personnel / Human Resource and Development or other person responsible for affirmative action in the company to contact about this plan.
Name
Title
Phone
( )
Toll Free Phone
( )
FAX
( )
E-Mail Address
Address
City
State
Zip + 4
4.
Mailing address to which state purchase orders are mailed and person the department may contact concerning orders and billings.
Name
Title
Phone
( )
Toll Free Phone
( )
FAX
( )
E-Mail Address
Address
City
State
Zip + 4
5.
CEO / President Name

This document can be made available in alternate formats to individuals with disabilities upon request.

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