Vendor_Conference_Registration_Form_-_fillable.pdf
PDF 173 KB Posted
- Solicitation number
- 2026-RFP-035-PR
- Issued by
- Dane County, Madison City, Wisconsin
About this file
This is a Vendor Conference Registration Form for a Jail Resident Commissary, Banking and Trust Services Request for Proposal (RFP) issued by Dane County, Wisconsin, through the Sheriff's Office. The registration form is required for all vendors planning to respond to the RFP, as attendance at the mandatory vendor conference and site visit is a prerequisite for proposal submission. The vendor conference will be held on Friday, April 10, 2026, at 10:00 am, with a registration deadline of Friday, April 3, 2026, at 4:00 pm. The conference includes facility tours related to the Jail Consolidation Project to enable vendors to understand operational changes and facility modifications. Vendors who fail to attend the conference will have their proposals rejected. The County intends to award one contract resulting from this RFP to be administered by the Dane County Sheriff's Office Security Services Captain or designee, with the Dane County Purchasing Division serving as the sole point of contact for inquiries during the RFP process.
The registration form requires completion of all sections by prospective vendors, including company information, attendee details, driver's license verification, criminal history disclosures, and personal background information. Each individual attending must submit the completed form electronically to patten.peter@danecounty.gov prior to the registration deadline. The form includes an "Office Use Only" section for conducting background checks, including Department of Transportation (DOT), Federal Bureau of Investigation (FBI), warrant checks, jail records, Criminal Investigation Bureau (CIB), and Wisconsin Circuit Court Access Program (CCAP) verification. No pricing, set-asides, funding sources, or contract term details are specified in this registration form document.
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Text version
Vendor Conference Registration Form Temporary 1 Day Access
Complete this form in its entirety and email it to the Purchasing Department email listed below before the registration deadline indicated in order to be approved to attend the site visit. Forms cannot be accepted after the registration deadline due to the amount of time it takes to complete the background process.
Registration Deadline: Friday, April 3, 2026 at 4:00pm Email Completed Form To: patten.peter@danecounty.gov
Today's Date Date of Access Friday, April 10, 2026 at 10:00am
Company Name Position
Reason for Visit Jail Commissary RFP Site Visit Phone #
FIRST Name Drivers License # MIDDLE Name State Issued LAST Name
Current Address Other LAST names used
Date of Birth States lived in, past 10 years Sex
Race
Felony Convictions? YES NO If Yes, when?
Misdemeanor Convictions? YES NO If Yes, when?
Representative's Signature Printed Name
OFFICE USE ONLY
D.O.T. F.B.I. WARRANTS JAIL RECORDS
C. I. B. CCAP OPEN TICKETS LOCAL COMP CONTACTS
Date Criminal History Run
Project & Program Assistant
Sergeant
| Todays Date: |
| Company Name: |
| Position: |
| Phone: |
| FIRST Name: |
| Drivers License: |
| MIDDLE Name: |
| State Issued: |
| LAST Name: |
| Other LAST names used: |
| Current Address: |
| Date of Birth: |
| Sex: |
| Race: |
| States lived in past 10 years: |
| YES: Off |
| undefined: Off |
| If Yes when: |
| YES_2: Off |
| undefined_2: Off |
| If Yes when_2: |
| Printed Name: |
| DOT: Off |
| FBI: Off |
| WARRANTS: Off |
| JAIL RECORDS: Off |
| C I B: Off |
| CCAP: Off |
| OPEN TICKETS: Off |
| LOCAL COMP CONTACTS: Off |
| Sergeant: |
| Project Program Assistant: |
| Date Criminal History Run: |
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