Unique_Entity_ID_(SAM).pdf

211 KB Posted

Attached to
CDBG ADA Push Buttons Upgrades
Solicitation number
2026-IFB-MS-0467
Issued by
Los Angeles County, California

About this file

Written by GovTribe AI ·

This is a Unique Entity Identifier (UEI) submission form required by the City of Pasadena, Department of Public Works for the CDBG ADA Push Buttons Upgrades project in California. The form serves as a mandatory documentation requirement for bid submission and requests contractor information including business name, address, contact details, and a 12-character alphanumeric UEI value obtained from SAM.gov. The project involves material procurement of Americans with Disabilities Act (ADA) accessible pedestrian signal (APS) push buttons, control units for traffic signal cabinets, and miscellaneous appurtenant items. Contractors must complete all required fields on this form and submit it with their bid; failure to provide the UEI will result in the bid being deemed non-responsive.

No additional pricing terms, set-asides, funding amounts, or other salient contract details are specified within this form document. The form functions solely as a data collection instrument to verify contractor eligibility and establish proper entity identification for contract administration purposes.

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CITY OF PASADENA

UNIQUE ENTITY IDENTIFIER (UEI)

PROJECT: ___________________________________________________________________

CONTRACTOR NAME: _______________________________________________________

BUSINESS ADDRESS:

STREET: _____________________________________________________________________

CITY: ________________________________________________________________________

STATE: ______________________________________________________________________

ZIP CODE: ____________________________________________________________________

UEI: __________________________

12-character alphanumeric value from SAM.gov

CONTACT NAME: ____________________________________________________________

TELEPHONE NO: _____________________________________________________________

Submit this form with the Bid. If you fail to submit your UEI, your Bid may be deemed non-responsive.

PROJECT:
CONTRACTOR NAME:
STREET:
CITY:
STATE:
ZIP CODE:
UEI:
CONTACT NAME:
TELEPHONE NO:

File details come from the government source that posted it. Updated .