Submittals_-_Contractor_Information_rev_2-2023_(1).pdf
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- Solicitation number
- PKS-IFB-26-0337
- Issued by
- Maricopa County, Phoenix City, Arizona
About this file
This is a Contractor Information submittal form for the City of Phoenix, Arizona, relating to a Basketball Backboard Systems Repair and Preventive Maintenance Services contract. The solicitation invites sealed offers from qualified contractors to provide repair and preventive maintenance services for basketball backboard systems. The contract term is five years beginning September 1, 2026, with no options to extend. The agreement will be effective upon final signature and recording by the City Clerk's department, and will terminate upon the earliest occurrence of reaching the end of the term or termination pursuant to contract provisions. Offerors may access the solicitation through the City's Procurement Portal and should contact the listed procurement officer for inquiries related to the solicitation.
The submittal form requires contractors to provide comprehensive company information including legal entity name, street and mailing address, primary contact person details, telephone number, and email address. Additionally, contractors must furnish Arizona Sales Tax Number, City of Phoenix Sales Tax Number, Arizona Corporation Commission File Number, City Vendor Registration ID Number, and City SRM Vendor Number. The form also requires information on the contractor's insurance or bonding company, including the carrier's name, address, contact person, telephone, email, and relevant tax and registration numbers. This documentation is required to be completed and returned with all contract submittals.
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Text version
CONTRACTOR INFORMATION
(please complete and return with the submittal)
Company Name
Street/Mailing Address
City, State, Zip Code
Contact Person
Telephone Number
Email Address
Arizona Sales Tax No.
City of Phoenix Sales Tax No.
Arizona Corporation Commission File No.
City’s Vendor Registration ID No.
| CI Co Name: |
| CI Co Address: |
| CI Co City State: |
| CI Contact Name: |
| CI Phone No: |
| CI Email: |
| CI AZ Sales Tax No: |
| CI COP Sales Tax No: |
| CI ACC No: |
| CI SRM Vendor No: |
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