J.6 ACH-Vendor.pdf
PDF 256 KB Posted
- Attached to
- Comprehensive Analytical Chemistry Support Federal contract opportunity
- Solicitation number
- 75D301-21-R-71818
About this file
This document contains an ACH Vendor/Miscellaneous Payment Enrollment Form and details of a related federal contract opportunity for comprehensive analytical chemistry support services. The enrollment form provides instructions for setting up automated clearing house payments with the Centers for Disease Control and Prevention for the agency identifier and location code provided. It requests payee and financial institution information for electronic funds transfer purposes.
The solicitation is for comprehensive analytical chemistry support at the CDC Office of Acquisition Services and seeks proposals due by May 27, 2021. Questions regarding the opportunity are due by May 4. The support services sought include analytical chemistry tasks to aid in the agency's disease prevention and control efforts. Interested parties should monitor the solicitation documents for additional requirement details and submission instructions.
View the file
Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| Amendment 2 RFP CACS 71818 QA 2.pdf | ||
| Amendment 1 RFP CACS 71818 QA 1.pdf | ||
| J.5 Samples.zip | ZIP file | |
| J.3 CEMB SOPs.zip | ZIP file | |
| J.2 PERFORMANCE_BASED_AWARD_FEE_EVALUATION_CRITERIA_3-25-2021.pdf | ||
| J.1 HHS SubK Plan Template - updated 121620.doc | DOC document | |
| RFP 75D301-21-R-71818 CACS 4-27-21.pdf | ||
| J.4 QA_Manual_Feb2021-2.docx | DOCX document |
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CDC OCFO
REVISED 8/29/13
PRIVACY ACT STATEMENT
The following information is provided to comply with the Privacy Act of 1974 (P.L. 93-579). All information collected on this form is required under the provisions of 31 U.S.C. 3322 and 31 CFR 210. This information will be used by the Treasury Department to transmit payment data, by electronic means to vendor's financial institution. Failure to provide the requested information may delay or prevent the receipt of payments.
ACH VENDOR/MISCELLANEOUS PAYMENT
ENROLLMENT FORM
This form is used for Automated Clearing House (ACH) payments with an addendum record that contains payment-related information processed through the Vendor Express Program.
AGENCY INFORMATION
FEDERAL PROGRAM AGENCY
CENTERS FOR DISEASE CONTROL & PREVENTION
AGENCY IDENTIFIER: AGENCY LOCATION CODE (ALC): ACH FORMAT:
CDC 7509-0421 CCD+ CTX CTP
ADDRESS
P. O. BOX 15580 MS D06
ATLANTA, GA 30333
CONTACT PERSON NAME: TELEPHONE NUMBER:
Customer Service (678) 475-4510
ADDITIONAL INFORMATION
FAX (404) 638-5342
PAYEE/COMPANY INFORMATION
PAYEE/COMPANY NAME: SSN NO. OR TAXPAYER ID NO.
ADDRESS: DUNS+4 NUMBER
CITY STATE ZIP
CONTACT PERSON NAME: TELEPHONE NUMBER:
FINANCIAL INSTITUTION INFORMATION
FINANCIAL INSTITUTION NAME:
ADDRESS ( OR BRANCH):
CITY: STATE: ZIP:
NINE-DIGIT ROUTING TRANSIT NUMBER:
DEPOSITOR ACCOUNT NUMBER:
TYPE OF ACCOUNT:
CHECKING SAVINGS
ACH COORDINATOR NAME OR AUTHORIZED OFFICIAL AT FINANCIAL INSTITUTION ( NOT REQUIRED): TELEPHONE NUMBER:
| Payee Name: |
| EIN: |
| Address: |
| City: |
| State: |
| ZIP: |
| Contact: |
| Area: |
| Phone: |
| Duns: |
| Bank Name: |
| Bank Address: |
| Bank City: |
| Bank State: |
| Bank Zip: |
| 9-1: |
| 9-2: |
| 9-3: |
| 9-4: |
| 9-5: |
| 9-6: |
| 9-7: |
| 9-8: |
| 9-9: |
| Account #: |
| Check: |
| Save: |
| official: |
| Bank Area: |
| Bank phone: |
File details come from the government source that posted it. Updated .