VENDORS_INFORMATION_FORM.pdf

PDF 97 KB Posted

Attached to
Solid Waste Industrial Waste Treatment Facility (IWTF) Intake Pump Station (IPS) PID: 002423A
Solicitation number
23-0273-ITB-CP
Issued by
Pinellas County, Florida

About this file

This document is a Vendor Information Form issued by the Pinellas County Board of County Commissioners for a solicitation related to the Solid Waste Industrial Waste Treatment Facility Intake Pump Station project. The form requires vendors to provide comprehensive company details, including legal business name, mailing address, contact information, federal tax identification number, and payment terms. Vendors are explicitly cautioned that the county's policy is to accept the lowest responsive and responsible submittal meeting specifications, with no consideration given to pricing errors after the solicitation opening date.

The form emphasizes the importance of proper corporate identity registration with the Florida Division of Corporations and mandates that vendors return a completed W-9 form with their quote. Payment terms are set at net 45 days per Florida Statute 218.73, and vendors must agree to all solicitation conditions, including insurance requirements. By signing the form, the vendor's authorized representative certifies their understanding of these terms and attests to their ability to fulfill the contract requirements. The document serves as a critical standardized submission template for potential contractors bidding on the county's industrial water treatment facility pump station improvement project.

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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 .