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Request for Vendor Information
VENDOR INFORMATION FORM
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* Indicates required question
Email
*
Your email
COMPANY NAME:
*
Your answer
MAILING ADDRESS FOR BIDS/PROPOSALS
STREET ADDRESS/PO BOX
*
Your answer
City
*
Your answer
State
*
Your answer
Zip
*
Your answer
TELEPHONE:
*
Your answer
FAX:
*
Your answer
DUNS NUMBER:
*
Your answer
CAGE NUMBER:
*
Your answer
TYPE OF ORGANIZATION
CHECK ALL THAT APPLY
INDIVIDUAL
PARTNERSHIP
CORPORATION
NON-PROFIT CORPORATION
IS THIS A BUSINESS (CHECK ALL THAT APPLY)
MINORITY BUSINESS ENTERPRISE
*
YES
NO
SMALL BUSINESS ENTERPRISE
*
YES
NO
WOMEN BUSINESS ENTERPRISE
*
YES
NO
LABOR SURPLUS FIRM
*
YES
NO
SPECIFIC CLASS OF MATERIALS/SERVICES YOU SEEK TO FURNISH
SELECT ALL THAT APPLY
*
CONSTRUCTION MONITORING AND PROJECT INSPECTION
POLES AND/OR MATERIALS
PERMANENT REPAIR (LINE CONSTRUCTION)
FIELD DESIGN AND STAKING
ARCHAEOLOGICAL FIELD MONITORING
Required
No Director or employee may solicit or receive gifts, gratuities, entertainment or anything else of significant value given for the purpose of influencing the action of NWEC or of the recipient
PRINTED NAME OF PERSON SIGNING FORM
*
Your answer
TITLE
Your answer
DATE
*
MM
/
DD
/
YYYY
If proposal is not received within 1 business day, please contact NWEC at (580) 256-7425
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