Attachment_H_Foreign_Vendor_Vetting_Information_Sheet.pdf

71 KB Posted

Attached to
DLA ENERGY AFRICA PC&S FUEL
Solicitation number
SPE605-19-R-0205
Issued by

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Attachment H Foreign Vendor Vetting

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pg. 1

FOREIGN VENDOR INFORMATION SHEET

Legal Business Name:

Also known as:

Incorporated in (Country):

Incorporated on (Date):

Performing contract/services in (Country/Countries):

2. ID Numbers

DUNS:

CAGE/NCAGE:

3. Mailing Address

COMPANY NAME

o Street Address:

o City, State/Province, Zip/Postal Code:

o Country:

COMPANY NAME

o Street Address:

o City, State/Province, Zip/Postal Code:

o Country:

COMPANY NAME

o Street Address:

o City, State/Province, Zip/Postal Code:

o Country:

4. Physical Business Address (if different from mailing address):

Street Address:

City, State/Province, Zip/Postal Code:

Country:

5. Number of Employees:

LOCATION:

LOCATION:

LOCATION:

6. Annual Revenue:

7. Electronic Funds Transfer (EFT) or Cash:

Account Number:

Routing Number:

pg. 2

Bank Name:

Bank Address:

8. Company Contact Information Phone:

Fax:

Email:

Web site:

9. Owner(s) name:

Phone:

Email:

10. Parent Company (if applicable):

Street Address:

City, State/Province, Zip/Postal Code:

Country:

11. Subsidiaries (if applicable):

Street Address:

City, State/Province, Zip/Postal Code:

Country:

12. Formerly Operated as (if applicable):

Street Address:

City, State/Province, Zip/Postal Code:

Country:

13. Manager’s Name:

Phone:

Email:

14. Other Primary Point(s) of Contact:

Phone:

Email:

Please attach copies of the contract proposal, licenses, certificates, registrations, and forms of identification if possible.

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