Solicitation no FHLA20150003_Ex.A_Vendor Information Confirmation of Offer Form.docm
DOCM document 17 KB Posted
- Solicitation number
- DQ1 FAAA FEDA2015000000000003 2
- Issued by
- Denver County, Denver City, Colorado
About this file
This is a Vendor Information Form and Confirmation of Offer document issued by the Colorado Department of Public Health and Environment for Solicitation #FEDA20150003 regarding a High-Density Mobile Storage System. The solicitation requires vendors to submit proposals by April 24, 2015, at 2:00 PM MT to the Contracts and Purchasing Unit Mail Room at 4300 Cherry Creek Drive South in Denver, Colorado 80246-1530, addressed to Timothy Massangale, Senior Purchasing Agent. All responses must be clearly marked with the solicitation number, due date, and time on the outside of the submittal package.
Vendors are required to complete and submit this form as part of their original solicitation response, providing company registration and contact information including the Colorado VSS Vendor Customer Number, Federal Employer Identification Number, DUNS Number, company name, business address, authorized officer signature, and point of contact information for solicitation-related communications. Direct inquiries regarding the solicitation should be directed to Timothy Massangale at (303) 692-2072. The form serves as confirmation that the vendor's offer is submitted in accordance with the specifications and conditions outlined in the complete solicitation documents.
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Other files
| File | Type | Posted |
|---|---|---|
| Solicitation no FEDA20150003_High Density Shelving System_Specifications.pdf.docx | DOCX document | |
| Solicitation no FEDA20150003_High Density Mobile Storage System_Written question and answers.pdf.docx | DOCX document |
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Text version
EXHIBIT A
COLORADO DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT
Vendor Information Form / Confirmation of Offer
SOLICITATION #: FEDA20150003
SOLICITATION NAME: HIGH – DENSITY MOBILE STORAGE SYSTEM
PROPOSAL DUE DATE: 04/24/2015 2:00 PM MT
Responses must be clearly marked with SOLICITATION #, DUE DATE and TIME on the outside of the submittal. Responses submitted subject to the conditions stipulated herein and in accordance with the specifications set forth in the solicitation will be accepted at the address listed below prior to the submittal deadline.
RETURN SOLICITATION RESPONSE AND THIS FORM TO:
Colorado Department of Public Health & Environment Contracts and Purchasing Unit Mail Room (B1) 4300 Cherry Creek Drive South Denver, CO. 80246-1530 Attention: Timothy Massangale, CPPB, Senior Purchasing Agent
Direct Telephone Inquiries To: Timothy Massangale at (303) 692-2072
PLEASE TYPE OR PRINT INFORMATION
VENDOR CUSTOMER # (From Colorado VSS):___________________________________________________________________
FEDERAL EMPLOYER’S IDENTIFICATION (FEIN) #: _______________________________________________________________
DUNS # (if applicable): ____________________________________________________________________________________
COMPANY NAME: ________________________________________ DBA (if applicable): ______________________________
ADDRESS: ______________________________________________________________________________________________
CITY, STATE, ZIP: _______________________________________________________________________________________
TYPED OR PRINTED NAME: _______________________________________________________________________________
HANDWRITTEN SIGNATURE OF AUTHORIZED COMPANY OFFICER / AGENT
SIGNING OFFICER / AGENT TITLE: _________________________________________________________________________
SIGNATURE DATE: ______________________________
E-MAIL ADDRESS: ______________________________________________________________________________________
PHONE #: __________________________________________ FAX #: ___________________________________________
POINT OF CONTACT FOR SOLICITATION-RELATED COMMUNICATIONS:
NAME______________________________________________ PHONE #: ______________________________________
E-MAIL: _____________________________________________________________________________________________
SUBMIT SIGNED ORIGINAL OF THIS FORM WITH ORIGINAL SOLICITATION RESPONSE
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