Unique_Entity_ID_(SAM).pdf

PDF 240 KB Posted

Attached to
San Rafael Bridge Seismic Retrofit (BHLS-5064(101))
Solicitation number
2024-RFP-0637
Issued by
Los Angeles County, California

About this file

This document is a Unique Entity Identifier (UEI) form from the City of Pasadena, designed for contractors to provide their SAM.gov registration details when responding to a municipal contract opportunity. The form requires contractors to submit a 12-character alphanumeric UEI value, along with comprehensive business contact information including the contractor's name, business address, contact name, and telephone number. The form includes a critical warning that failure to submit the UEI may result in the response being deemed non-responsive.

The purpose of this form is to ensure proper vendor identification and compliance with federal procurement regulations by requiring contractors to provide their unique identifier from the System for Award Management (SAM.gov). While no specific project details are provided in this template, the form is a standard administrative document used to validate a contractor's eligibility and facilitate accurate vendor tracking for the City of Pasadena's procurement processes.

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Text version

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 your response. If you fail to submit your UEI, your response 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 .