Certification of Compliance with Item Specifications and ITB Terms and Attachment E Conditions, Completed, Initialed and Signed Amendment Signature Pages, Signed (If applicable) ATTACHMENT A VENDOR INFORMATION SHEET FOR ITB 8459 – Vendor Must: Provide all requested information in the space(s) provided next to each numbered question; Type or legibly print responses; and Include this Vendor Information Sheet with the ITB package. V1 Company Name V2 Contact Name V3 Street Address V4 City, State, ZIP Telephone Number V5 Area Code: Number: Extension: Facsimile Number V6 Area Code: Number: Extension: V7 Email Address: Preferred Method for Receiving Documents? (Check One) V8 Email: Fax: Name of Individual Authorized to Bind the Organization V9 Name: Title:
Attachment E Certification of Compliance with Item Specifications and ITB Terms and Conditions, Completed, Initialed and Signed Amendment Signature Pages, Signed (If applicable) ATTACHMENT A – VENDOR INFORMATION SHEET FOR ITB 8459 Vendor Must: Provide all requested information in the space(s) provided next to each numbered question; Type or legibly print responses; and Include this Vendor Information Sheet with the ITB package. V1 Company Name V2 Contact Name V3 Street Address V4 City, State, ZIP V5 Telephone Number Area Code: Number: Extension: V6 Facsimile Number Area Code: Number: Extension: V7 Email Address: V8 Preferred Method for Receiving Documents? (Check One) Email: Fax: V9 Name of Individual Authorized to Bind the Organization Name: Title: