Vendor Contact Info Sheet.doc

DOC document 23 KB Posted

Attached to
Lease of Temporary Testing Shelters Federal contract opportunity
Solicitation number
HC1028-10-T-2298
Issued by
Defense Information Systems Agency

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Vendor Info Sheet

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QASP - As of 11 Aug 10.doc DOC document
HC1028-10-T-2298 Solicitation.doc DOC document

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INFORMATIONAL SHEET

PLEASE INCLUDE THE FOLLOWING INFORMATION WITH YOUR QUOTE/PROPOSAL. IF ANY ITEMS ARE NOT APPLICABLE, SO STATE.

CONTRACTOR NAME: _______________________________________________

GSA SCHEDULE NO.: ____________________________________________

EXPIRATION DATE: ______________________________________________

MAX ORDER LIMIT: ___________________________________________

FOB: ______________________________________________________

PROMPT PAYMENT: ___________________________________________

DELIVERY TIME: _________________________

WARRANTY:__________________________________________________

Y2K COMPLIANT: _____________________________________________

CAGE CODE: ___________________________________________

FEDERAL TAX ID (TIN): ________________________________

DUNS NUMBER: _________________________________________

BUSINESS SIZE: __________________________________

MAILING ADDRESS: ______________________________________________

REMIT TO ADDRESS: _____________________________________________

(If different from mailing _____________________________________________ address)

BILLING INCREMENT Monthly Quarterly Annually Other (Circle One)

CONTRACTOR POC: _____________________________________

POC TELEPHONE NO.: _______________________________

POC FAX NO.: __________________________________________________

POC E-MAIL ADDRESS: ___________________________________

WILL YOU ACCEPT THE GOVERNMENT IMPAC CREDIT CARD FOR THIS PROCUREMENT:

ARE YOU REGISTERED IN CCR: _______

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