S01 Attachment 4 - Vendor Info Sheet.pdf
PDF 134 KB Posted
- Attached to
- Special Mixture Anti-Freeze
- Solicitation number
- 12FPC325Q0053
About this file
This document is a Vendor Information Sheet for Solicitation #12FPC325Q0053. The form is designed to collect essential business details from potential offerors, including company name, business address, contact information, Unique Entity Identifier (UEI), and GSA Contract number. The sheet also includes a section for verifying System for Award Management (SAM) registration status, with checkboxes to indicate whether the vendor is registered in SAM and whether a copy of the SAM record is included with the quote. The document requires an authorized representative's printed name, signature, and date to complete the submission.
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Text version
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: 12FPC325Q0053 |
| Text2: 4 |
| 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 .