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DocuSign Envelope ID: 103DC81A-DA34-4DDA-AAF4-6AAAB065D71F <br /> Specifications <br /> Table 1: Proposer Identity&Authorized Representatives <br /> General Instructions (applies to all Tables) Sourcewell prefers a brief but thorough response to each question. Do not merely attach <br /> additional documents to your response without also providing a substantive response. Do not leave answers blank; respond "N/A" if the <br /> question does not apply to you (preferably with an explanation). <br /> Line Question Response* <br /> Item <br /> 1 Proposer Legal Name (one legal entity only): Mansfield Oil Company of Gainesville, Inc. <br /> (In the event of award, will execute the <br /> resulting contract as "Supplier") Mansfield of Canada ULC information provided separately. See Documents. <br /> 2 Identify all subsidiary entities of the Proposer No subsidiary entities of the Proposer are included with this Proposal. <br /> whose equipment, products, or services are <br /> included in the Proposal and, if applicable, <br /> supply the US DOT number of each such <br /> subsidiary. <br /> 3 Identify all applicable assumed names or DBA Mansfield does not have any assumed names or DBA names to identify. <br /> names of the Proposer or Proposer's <br /> subsidiaries in Line 1 or Line 2 above. <br /> 4 Provide your CAGE code or Unique Entity 2Y744 <br /> Identifier (SAM): <br /> 5 Proposer Physical Address: 1025 Airport Parkway SW <br /> Gainesville, GA 30501-6813 <br /> 6 Proposer website address (or addresses): https:Hmansfiield.energy/ <br /> 7 Proposer's Authorized Representative (name, Dan Luther <br /> title, address, email address & phone) (The Vice President, Government Sales <br /> representative must have authority to sign 1025 Airport Parkway SW <br /> the "Proposer's Assurance of Compliance" on Gainesville, GA 30501-6813 <br /> behalf of the Proposer and, in the event of <br /> award, will be expected to execute the Email: dluther@mansfieldoil.com <br /> resulting contract): Phone: 678-617-8530 <br /> 8 Proposer's primary contact for this proposal Dan Luther <br /> (name, title, address, email address & phone): Vice President, Government Sales <br /> 1025 Airport Parkway SW <br /> Gainesville, GA 30501-6813 <br /> Email: dluther@mansfieldoil.com <br /> Phone: 678-617-8530 <br /> 9 Proposer's other contacts for this proposal, if Matthew Peck <br /> any (name, title, address, email address & Business Development Manager II <br /> phone): 1025 Airport Parkway SW <br /> Gainesville, GA 30501-6813 <br /> Email: mpeck@mansfieldoil.com; mocbids@mansfieldoil.com <br /> Phone: 678-450-2146 <br /> Tom DeFeo <br /> Strategic Account Executive III <br /> 1025 Airport Parkway SW <br /> Gainesville, GA 30501-6813 <br /> Email: tdefeo@mansfieldoil.com; mocbids@mansfieldoil.com <br /> Phone: 678-450-2125 <br /> Table 2: Company Information and Financial Strength <br /> Line Question Response* <br /> Item <br /> Bid Number: RFP 121522 Vendor Name: Mansfield Oil of Gainesville <br />