Vendor Data Sheet.pdf
PDF 18 KB Posted
- Attached to
- Clear Non-Slip Mattress Poly Bag with Side Vents
- Solicitation number
- 56012
- Issued by
- Albemarle County, Charlottesville City, Richmond City, Virginia
About this file
This document is a Vendor Data Sheet for a state or local government contract opportunity. The vendor must have the capability and capacity to fully satisfy the contractual requirements. The vendor is required to provide information on their company, including years in business, eVA Vendor ID or DUNS number, and a list of at least four current or recent accounts serviced. The vendor must certify the accuracy of the information provided.
The document does not provide additional details on the specific contract opportunity, such as the products or services requested, project overviews, quantities, response dates, due dates, site visits, bidder's meetings, award dates, or contract term. Pricing terms, set asides, incumbents, funding requirements and sources, and other salient information are also not included in this document.
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Text version
ATTACHMENT A
VENDOR DATA SHEET
Note: The following information is required as part of your response to this solicitation. Failure to complete and provide this sheet may result in finding your bid nonresponsive. (In the case of a two-step IFB, it may cause the proposal portion to be determined to be not acceptable.)
1. Qualification: The vendor must have the capability and capacity in all respects to satisfy fully all of the contractual requirements.
2. :
Name: Phone:
3. Years in Business: Indicate the length of time you have been in business providing this type of good or service:
Years Months
4. Vendor Information:
eVA Vendor ID or DUNS Number:
5. Indicate below a listing of at least four (4) current or recent accounts, either commercial or governmental, that your company is servicing, has serviced, or has provided similar goods. Include the length of service and the name, address, and telephone number of the point of contact.
A. Company: Contact:
Phone:( ) Fax: ( )
Project:
Dates of Service: $ Value:
B. Company Contact:
Phone:( ) Fax: ( )
Project:
Dates of Service: $ Value:
C. Company: Contact:
Phone:( ) Fax:( )
Project:
Dates of Service: $ Value:
D. Company: Contact:
Phone:( ) Fax:( )
Project:
Dates of Service: $ Value:
I certify the accuracy of this information.
Signed: Title: Date:
File details come from the government source that posted it. Updated .