RFA #34347-04326 Application

Applicant Information Form

Applicants must answer all questions completely.

1. Legal Name of Applicant as it appears on corporate charter: *This question is required.

2. Federal Tax ID Number: *This question is required.

3. Is your organization a registered vendor with the State of Tennessee: *This question is required.

4. Edison Vendor Number: *This question is required.

4. Organization Contact Information *This question is required.

5. Primary Contact Person *This question is required.

6. Secondary Contact Person

7. If awarded a grant, who will be the authorized signor of the resulting contract? *This question is required.

8. Do you propose to use subcontractors for any portions of the scope of services? *This question is required.

9. If yes, please provide the name and address of each subcontractor and what specific services each will perform: *This question is required.

9. Please check ONE of the following as it applies to this application:
*This question is required.

10. Please upload document stating requested changes. *This question is required.

10. Please upload your signed Competitive Requirements document here: