VENDOR_INFORMATION_FORM.pdf
PDF 97 KB Posted
- Attached to
- ARPA Paving and Local Roads - PID 005651A
- Solicitation number
- 23-0281-ITB-CP
- Issued by
- Pinellas County, Florida
About this file
This document is a Vendor Information Form for a solicitation by the Board of County Commissioners of Pinellas County, Florida. The form is specifically related to an ARPA Paving and Local Roads project (PID 005651A) involving milling and resurfacing of five local subdivision roadways in the Ridgecrest, Lealman, and Highpoint communities. Vendors are required to complete this form, which captures essential vendor details such as company name, mailing address, contact information, tax identification number, and payment terms.
The solicitation is funded through Coronavirus Local Fiscal Recovery Funds from the American Rescue Plan Act (ARPA), with payment terms set at net 45 days per Florida Statute 218.73. The county's policy is to accept the lowest responsive and responsible submittal meeting specifications, and vendors are cautioned that no changes will be considered after the solicitation opening date due to pricing errors. Vendors must provide their proper corporate identity as registered with the Florida Division of Corporations and include a W-9 form with their response. The form requires vendors to agree to all solicitation terms and conditions, including insurance requirements, and must be signed by an authorized representative.
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Text version
VENDORS MUST COMPLETE THE FOLLOWING
VENDORS ARE CAUTIONED THAT THE POLICY OF THE BOARD OF COUNTY COMMISSIONERS,
PINELLAS COUNTY, IS TO ACCEPT THE LOWEST RESPONSIVE AND RESPONSIBLE SUBMITTAL
RECEIVED MEETING SPECIFICATIONS. NO CHANGES REQUESTED BY A VENDOR DUE TO AN
ERROR IN PRICING WILL BE CONSIDERED AFTER THE SOLICITATION OPENING DATE AS
ADVERTISED. BY SIGNING THIS SUBMITTAL FORM, VENDORS ARE ATTESTING TO THEIR
AWARENESS OF THIS POLICY AND ARE AGREEING TO ALL OTHER SOLICITATION TERMS AND
CONDITIONS, INCLUDING ANY INSURANCE REQUIREMENTS CONTAINED HEREIN.
VENDOR NAME: ______________________________________________ (As shown on W-9) DBA: ______________________________________________ (If applicable) MAILING ADDRESS: ______________________________________________ (As shown on W-9) CITY / STATE / ZIP: ______________________________________________ (As shown on W-9) VENDOR EMAIL: ______________________________________________ (Primary Company Email Address) REMIT TO NAME: ______________________________________________ (As Shown on Vendor Invoice) FEIN#: ______________________________________________ (As shown on W-9)
PAYMENT TERMS: ____% ___DAYS, NET 45 (PER F.S. 218.73)
DEPOSIT, IF REQUIRED, IS ATTACHED IN THE AMOUNT OF $ _____________
Proper Corporate Identity is needed when you submit your quote, especially how your firm is registered with the Florida Division of Corporations. Please visit dos.myflorida.com/sunbiz/ for this information. It is essential to return a copy of your W-9 with your quote. Thank you.
VENDOR CONTACT INFORMATION
CONTACT NAME: _______________________
PHONE NUMBER: _______________________
FAX NUMBER: _______________________
EMAIL ADDRESS: _______________________
I HEREBY AGREE TO ABIDE BY ALL CONDITIONS OF THIS SOLICITATION, INCLUDING ALL
INSURANCE REQUIREMENTS, AND CERTIFY THAT I AM AUTHORIZED TO SIGN THIS
SOLICITATION FOR THE VENDOR.
AUTHORIZED SIGNATURE: _______________________
PRINT NAME: _______________________
TITLE: _______________________
THIS FORM MUST BE RETURNED WITH YOUR RESPONSE
https://dos.myflorida.com/sunbiz/
File details come from the government source that posted it. Updated .