Required Vendor Application Form.pdf
PDF 63 KB Posted
- Solicitation number
- 36086
- Issued by
- New Haven County, Connecticut
About this file
This is a Vendor Application Form issued by the Borough of Naugatuck, Connecticut for the Contract No. FY27-B114 RFQ for Fence Repair and Replacement. The solicitation seeks qualified vendors to provide fence repair and replacement services for borough properties. The bidding period opens on April 10, 2026 at 8:00 AM EDT and closes on April 28, 2026 at 11:00 AM EDT, with all proposals required to be submitted by the closing deadline. Prospective bidders should direct inquiries to Jennifer Scully at the Town of Naugatuck, 229 Church Street, Naugatuck, CT 06770, via telephone at 203-720-7025 or email at jscully@naugatuck-ct.gov. The solicitation does not specify quantities, detailed project requirements, site visit requirements, bidders' conferences, or award dates; comprehensive project specifications are contained in the referenced attachment "FY27-B114 Fence Repair Replacement.docx."
The vendor application form requires submission of completed documentation including a W9 form, Certificate of Insurance (COI), and signed Insurance Agreement. Vendors must identify their organization type (Corporation, S Corporation, Individual/Sole Proprietor, Single Member LLC, Partnership, Trust/Estate, or Other) and indicate whether state licensure is required to perform work in Connecticut, with credentials and individual employee licenses to be provided if applicable. The form requests vendor information including mailing address, point of contact for sales, Federal Tax ID or SSN, business type classification, and expected annual purchase amounts. The solicitation contains no estimated contract value, pricing structure details, budget range information, set-aside designations, incumbent contractor information, or specific evaluation criteria in the available documentation.
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Other files
| File | Type | Posted |
|---|---|---|
| 36086_May_4_26_solicitation_doc.pdf | ||
| 36086_Apr_15_26_solicitation_doc.pdf | ||
| FY27-B114 Fence Repair Replacement.docx | DOCX document | |
| 36086_Apr_27_26_solicitation_doc.pdf | ||
| Addendum 1-4.14.2026.pdf | ||
| VendorChangeDetailsReport_36086_v1_Apr_15_26.pdf |
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Text version
VENDOR INFORMATION
PO MAILING ADDRESS if different from above
POINT OF CONTACT FOR SALES - NAME & TITLE POC EMAIL
ORGANIZATION TYPE (Please submit completed W9)
VENDOR TYPE
SERVICE Type of Service
PRODUCT Type of Product
BOTH
SERVICE VENDORS
Where will the Service be performed: Borough Property Vendor's location
Is a State Licens Required to perfom work in the State of Connecticut? YES NO If Yes:
Credential Number (also provide a copy of current license) **Also provide individual license copy for employees performing work onsite(i.e. Electrical license, HVAC, etc)
NOTE: Service Vendors require a COI to be sumitted to Purchasing, as well as a signed Insurance Agreement
DEPARMENT USE ONLY
Expected Annual Purchase $$
Anticipated Purchase Authority (reason for adding vendor)
Which line item from your GL will this Vendor fall under?
Will we be processing payments for this Vendor? YES NO
Documents obtained: W9 COI Signed Insurance Agreement
VENDOR ID. If applicable
TAX ID NUMBER FEIN OR SSN
COMPANY / FIRM NAME as shown on Federal Tax Return
ALTERNATE NAME if applicable/(doing business as)
VENDOR ADDRESS
PAYMENT ADDRESS if different from above
PHONE
Limited Liability Company. (C=Corp, S=S Corp, P=Partnership
Trust/estate
Other
FAX WEBSITE
VENDOR APPLICATION FORM
BOROUGH OF NAUGATUCK
229 Church Street
Naugatuck, CT 06770
Type of License for Business: (Electrical, Mechanical, HVAC, etc.)
C Corporation
S Corporation
Individual/Sole Proprietor or Single Member LLC
Partnership
File details come from the government source that posted it. Updated .