Proposer Information Form.pdf
PDF 1 MB Posted
- Attached to
- NELAC Certified Analytical Services
- Solicitation number
- 147670
- Issued by
- Pinellas County, Florida
About this file
This is a Proposer Information Form for a State of Florida contract opportunity related to NELAC Certified Analytical Services. The form serves as a standardized submission document requiring prospective vendors to provide essential company identification and contact information. Proposers must complete fields including company name, tax identification number (SSN or EIN), company address, purchase order address, company website, and designated points of contact. The form requires two contacts to be listed: Company Contact #1, identified as the Principal or Director as registered with the Florida Department of State Division of Corporations, and Company Contact #2, identified as the Project Manager if different from the principal contact. Each contact must include name, email address, and phone number. The form must be signed by the Principal or Director, with the date of signature required.
The Proposer Information Form does not contain pricing information, set-asides, incumbent vendor details, funding sources, or contract term specifications. This form functions solely as a vehicle for collecting and verifying proposer identity, corporate registration status, and authorized representative information for the NELAC Certified Analytical Services opportunity in Florida. Submission of this completed and signed form is a prerequisite administrative requirement for bid consideration.
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Other files
| File | Type | Posted |
|---|---|---|
| Required Certifications.pdf | ||
| Sample Service Contract.pdf | ||
| Solicitation 27-P-873.pdf |
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Text version
Company Name: _____________________________________________________________________
Tax Identification Number (SSN or EIN): ___________________________________________________
Company Address: ____________________________________________________________________
Purchase Order Address: _______________________________________________________________
Company Website: ____________________________________________________________________
Company Contact #1 (Principle or Director)
Name: _______________________________________________________________________
Email : _______________________________________________________________________
Phone Number: _______________________________________________________________
Company Contact #2 (Project Manager, if different than above)
Name: _______________________________________________________________________
Email : _______________________________________________________________________
Phone Number: _______________________________________________________________
Signature: ____________________________ Date: ____________________________
Proposer Information Form
This form must be signed by the Principal or Director as indicated by the Florida Department of State, Division of Corporations (www.sunbiz.org). Other forms of signature authority will be considered.
| Company Name: |
| Tax Identification Number SSN or EIN: |
| Company Address: |
| Purchase Order Address: |
| Company Website: |
| Name: |
| Email: |
| Phone Number: |
| Name_2: |
| Email_2: |
| Phone Number_2: |
| Date: |
File details come from the government source that posted it. Updated .