Modern Digital Imaging, Inc
|
Ordering Instructions (EXHIBIT D) |
|||
|
Modern Digital Imaging Quick Copy Services |
|||
|
VENDOR/COMPANY NAME: |
Modern Digital Imaging |
||
|
SPURS VENDOR NUMBER(FEIN/FEID): |
|||
|
eQuote/Agreement Administration |
|||
|
Please identify the person who shall be responsible for administering the Agreement on your behalf if award is made, and include an emergency contact phone number: |
|||
|
Name: |
Thomas B. Perrin |
||
|
Title: |
Vice President/Secretary |
||
|
Street Address, City, State, Zip: |
519 North Monroe Street, Tallahassee, FL 32301 |
||
|
Email Address: |
|||
|
Phone Number(s): |
850-222-7514 |
||
|
Fax Number: |
850-222-2050 |
||
|
If the person responsible for answering questions about the eQuote is different from the person identified above, please provide the same information for that person. |
|||
|
Direct Orders |
|||
|
Please provide the following information about where the Customers should direct orders. You must provide a regular mailing address. If equipped to receive purchase orders electronically, you may also provide an Internet address. |
|||
|
Street Address or P.O. Box: |
519 North Monroe Street |
||
|
City, State, Zip: |
Tallahassee, FL 32301 |
||
|
Phone Number: |
850-222-7514 |
||
|
Toll Free Number: |
|||
|
Ordering Fax Number: |
850-222-2050 |
||
|
Internet Address: |
|||
|
Federal ID Number: |
|||
|
Remit Address: |
519 North Monroe Street |
||
|
City, State, Zip: |
Tallahassee, FL 32301 |
||
|
Email Address: |
|||
|
Yes No |
WILL ACCEPT THE STATE OF FLORIDA PURCHASING CARD (VISA) |
||
|
Circle one |
|||
|
Attach additional addresses for all locations in Florida authorized to perform services under this Agreement. All locations must be registered in MyFloridaMarketPlace. |
|||
|
VENDOR COMPANY NAME: |
Modern Digital Imaging |
|
AUTHORIZED DEALERS/DISTRIBUTORS AND/OR SERVICE REPRESENTATIVES LOCATIONS: |
|
|
(EXHIBIT E) |
|
|
Quick Copy Services |
|
|
LIST BELOW CONTACT INFORMATION FOR ONE OR MORE FLORIDA REPRESENTATIVES, INCLUDING MAILING AND EMAIL ADDRESSES, AND TELEPHONE NUMBERS. |
|
|
COMPANY NAME & FEID/FEIN |
US POSTAL & EMAIL ADDRESSES, & TELEPHONE # |
|
Modern Digital Imaging, Inc. |
519 North Monroe Street |
|
Tallahassee, FL 32301 |
|
|
850-222-7514 phone |
|
|
850-222-2052 fax |
|
|
EMERGENCY SITUATIONS (EXHIBIT F) |
|
|
Modern Digital Imaging Quick Copy Services |
|
|
Emergency situations, resulting from events such as natural disasters, may require immediate supply of commodities and services to various government entities. |
|
|
If your firm is capable and willing to supply item(s) offered in this solicitation during an emergency, please complete the following: |
|
|
The above information will be used by this office should the State of Florida determine an emergency situation exists. |
|
