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 PDF
Sample Service Contract.pdf PDF
Solicitation 27-P-873.pdf 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 .