S02 - Att4 Contractor Information 676-21-201.docx
DOCX document 17 KB Posted
- Solicitation number
- 36C25221B0015
View the file
Other files
Show all 14
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
CONTRACTOR INFORMATION
| Name of Company: | ___________________________________________ |
| Address: | ___________________________________________ |
| City, State, Zip Code: | ___________________________________________ |
| Name(s) and Title of Company | 1.) ________________________________________ |
| Legal Binding Authority(s) | 2.) ________________________________________ |
| 3.) _______________________________________ | |
| 4.) _______________________________________ |
| Primary Point of Contact: | ___________________________________________ |
| E-Mail Address: | ___________________________________________ |
| Address: | ___________________________________________ |
| City, State, Zip Code: | ___________________________________________ |
| Phone No: | ___________________________________________ |
| Fax No: | ___________________________________________ |
| TAX ID Number: | ___________________________________________ |
| DUNS Number: | ___________________________________________ |
| Experian Number: | ___________________________________________ |
Past Performance Point of Contact (within your company), include name and email address:
| Solicitation 36C25221B0015 - Attachment 4 | Page 1 of 2 |
| 676-21-201 Replace Patient Lifts | Contractor Information |
File details come from the government source that posted it. Updated .