S01 Attachment 3_Vendor Info Sheet.pdf

PDF 122 KB Posted

Attached to
Title Search and Closing Services for California NRCS Easement Programs Federal contract opportunity
Solicitation number
12FPC326Q0013
Issued by
Department of Agriculture Under Secretary for Farm Production and Conservation

About this file

Written by GovTribe AI ·

This is a Vendor Information Sheet template used as Attachment #3 in a federal solicitation to collect essential vendor qualifications and registration data from offerors.

The form requires offerors to provide basic business identification information including the offeror name, business name, business address, business phone number, and offer point of contact email. Vendors must also supply their Unique Entity Identifier (UEI) and any applicable GSA Contract number. The sheet includes certification requirements regarding System for Award Management (SAM) registration status, with checkboxes for vendors to indicate whether they are or are not registered in SAM, and whether a copy of their SAM record is included with the submission. An authorized representative must sign and date the form, providing printed name and signature as authentication of the vendor's submission.

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Attachment #

Solicitation #

VENDOR INFORMATION SHEET

Offeror Name:

Business Name:

Business Address:

Business Phone:

Offer POC Email:

UEI (Unique Entity Identifier):

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

Offeror Name:
Business Name:
Business Address 1:
Business Address 2:
undefined:
Business Phone:
Offer POC Email:
UEI Unique Entity Identifier:
GSA Contract if applicable:
Printed name of Authorized Representative:
Text1:
Text2: 3
Date3_af_date:
Check Box4: Off
Check Box5: Off
Check Box6: Off
Check Box7: Off

File details come from the government source that posted it. Updated .