Vendor_Information_Request_Form_.pdf
PDF 80 KB Posted
- Attached to
- On-Call Construction Management Services
- Solicitation number
- RFP-TH-0118
- Issued by
- Los Angeles County, California
About this file
This is a Vendor Information Request Form submitted to West Basin Municipal Water District in California for participation in an On-Call Construction Management Services solicitation. The form is dated January 22, 2026, and is designed to collect comprehensive vendor information from qualified construction management consulting firms seeking to provide professional services on an as-needed basis to support the District's Engineering and Operations Departments. The on-call services encompass project management, safety management, contract administration, document control, change management, inspection services, quality assurance and control, schedule management, materials testing, labor compliance, constructability reviews, and cost estimating for various Capital Improvement, Rehabilitation and Replacement, Operations Support, and Customer Development Projects.
The form requests vendor information across multiple categories including company details, business certifications (Small Business Enterprise and Local Business Enterprise status), accounts receivable information, payment terms (Net 30 days), and documentation of signatory authority for contract execution. Vendors must provide proof of business licensing and relevant certifications, including SBE and LBE certifications where applicable. The form also inquires about compliance with the Build America, Buy America Act, requiring that product components be 65 percent domestically sourced if applicable. Additionally, vendors are required to authorize West Basin to verify all information provided and submit supporting documentation such as Articles of Incorporation, corporate resolutions, or written consent demonstrating authority to execute contracts on behalf of the organization.
View the file
Other files
Show all 21
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
VENDOR INFORMATION REQUEST - West Basin Municipal Water District
Yes No
Yes No
Yes No
Entered By: Date: Yes No W-9 Received: Yes No
Email:
Title:
Address 2 (suite, unit, etc.):
Vendor Number:
Verified
SBE & LBE:
FOR PURCHASING ONLY
Email:
List the representative(s) from your organization that would like to receive a copy of the executed agreement:
Title: Print Name:
Print Name:
Email:
COMPANY INFORMATION
Complete Legal Name:
Address 1: Contact Phone:
Which Public Agency are you Certified With?
Certification Number:
Are you a Certified Small Business Enterprise (SBE)? If yes, Small Business certification must be submitted.
ACCOUNTS RECEIVABLE (remittance name and address)
City/State/Zip:
Contact Fax:
Remittance name: Contact Name:
Are you a Local Business Enterprise (LBE)?
If yes, please provide a copy of your business license.
Business License Number:
Address - Same as above
Address 1: Contact Phone:
ADDITIONAL INFORMATION
CONTRACTS/AGREEMENTS INFORMATION
Payment Discounts:
(West Basin terms: Net 30) Contact Email:
List the representative(s) from your organization that will be signing the agreement and attach proof of signature authority. Documentation should state that the representative has the authority to execute contracts—examples of proof: Articles of Incorporation, corporate resolution, written consent, etc.
Title: Print Name:
Title: Print Name:
Email:
Print Name:
Length of time at this address? Contact Email:
By signing, you authorize West Basin to verify the information stated on this form. Signature:
If applicable, do your company's products comply with the Build America, Buy America (BABA) Act?
(Product components are 65% domestically sourced.)
Address 2: Contact Fax:
City/State/Zip:
Title:
1-22-2026
| Complete Legal Name: |
| Length of time at this address: |
| Business License Number: |
| Remittance name: |
| Entered By: |
| Title: |
| Certification Number: |
| Which Public Agency are you Certified With: |
| Address 1: |
| Address 2: |
| Contact Fax: |
| Contact Phone: |
| City/State/Zip: |
| Contact Email: |
| Contact Name: |
| Print Name: |
| Email: |
| Vendor Number: |
| Payment Discounts: [NET 30 Days] |
| Contact Fax 2: |
| Address 3: |
| Address 4: |
| Contact Phone 2: |
| Contact Email 2: |
| City/State/Zip Code: |
| Title 1: |
| Title 2: |
| Title 3: |
| Title 4: |
| Print Name 2: |
| Print Name 3: |
| Print Name 4: |
| Email 2: |
| Email 3: |
| Email 4: |
| Print Name 1: |
| Date1_af_date: |
| Group5: Off |
| Check Box8: Off |
File details come from the government source that posted it. Updated .