Attachment_1_Foreign_Vendor_Information_Sheet.pdf

109 KB Posted

Attached to
African Lion Base Life Support (BLS)
Solicitation number
W56PFY19Q0013
Issued by

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ATTACHMENT 1 - FOREIGN VENDOR INFORMATION SHEET

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FOREIGN VENDOR INFORMATION SHEET 50K>

1. Legal Business Name:

Also known as:

Incorporated in (Country):

Incorporated on (Date):

Performing contract/services in (Country/Countries):

2. ID Numbers

DUNS:

CAGE/NCAGE:

3. Mailing Address

Street Address:

City, State/Province, Zip/Postal Code:

Country:

4. Physical Business Address (if different from mailing address)

Street Address:

City, State/Province, Zip/Postal Code:

Country:

5. Number of Employees:

6. Annual Revenue:

7. Electronic Funds Transfer (EFT) or Cash:

Account Number:

Routing Number:

Bank Name:

Bank Address:

8. Company Contact Information

Phone:

Fax:

Email:

Website:

9. Owner(s) name:

Phone:

Email:

10. Parent Company (if applicable):

Street Address:

City, State/Province, Zip/Postal Code:

Country:

11. Subsidiaries (if applicable):

Street Address:

City, State/Province, Zip/Postal Code:

Country:

12. Formerly Operated as (if applicable):

Street Address:

City, State/Province, Zip/Postal Code:

Country:

13. Manager’s Name:

Phone:

Email:

14. Other Primary Point(s) of Contact:

Phone:

Email:

Please attach copies of the contract proposal, licenses, certificates, registrations, and forms of identification if possible.

Business Name:
Also known as:
Date:
Performing services in countries:
DUNS:
street address:
Country:
Mailing address:
physical business address:
City /State / Postal Code:
City /State / Postal Code 2:
Country2:
CAGE:
# of employees:
Annual revenue:
ID numbers:
Account #:
Routing #:
Bank name:
Bank address:
email:
website:
fax:
owner name:
phone:
phone number:
POC:
email2:
parent company:
street address2:
city / posta code:
country 3:
subsidiaries:
street address 3:
city 4:
country 4:
formerly operated as:
street address 5:
city 5:
manager name:
phone5:
email5:
country 5:
other POC:
phone6:
email6:

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