S01 12FPC423Q0028 Attachment 3 Vendor Information Sheet.pdf

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Janitorial Services for Portage County, Ohio, FSA Offices
Solicitation number
12FPC422Q0028
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Attachment 3 Solicitation #12FPC423Q0028

VENDOR INFORMATION SHEET

Offeror Name: ________________________________________________________________________

Business Name: _______________________________________________________________________

Business Address: ______________________________________________________________________

Business Phone: ________________________________________________________________________

Offer POC Email: ______________________________________________________________________________

UEI (Unique Entity Identified): ___________________________________________________________________

GSA Contract # (if applicable): _____________________________________________________________

System for Award Management (SAM) Verification ______are, _______are not registered in SAM.

A copy of the SAM record ______ is, ______is not, included with this quote.

Printed name of Authorized Representative Date

Signature

VENDOR INFORMATION SHEET

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