0174-K.docx.pdf

Invitation for Bid 0174-K

Camp Guernsey Pesticides

Wyoming Military Department

STATE OF WYOMING

DEPARTMENT OF ADMINISTRATION & INFORMATION

PURCHASING SECTION

February 26, 2025 INVITATION FOR BID Buyer: Jordan Tompkins

The Department of Administration and Information, Purchasing Section, will receive bids through the Public Purchase On-Line

Bidding System on this form, until 2:00:00 p.m. on March 25, 2025, delivered to Guernsey, Wyoming. TRANSPORTATION

CHARGES PREPAID. All in accordance with bidding conditions, specifications and/or special p rovisions attached.

(For: Wyoming Military Department) Bid Number: 0174-K

Plainview SC (US EPA Registration Number 432-1606) – 2.5 Gallon Containers

$_______________/gal X Qty 105 gallons = $_________/Total

Delivery of 105 gallons of Plainview SC – 2.5 Gallon Containers to Guernsey = $____________/Total

Showdown (US EPA Registration Number 71368-25-5905) – 2.5 Gallon Containers

$_______________/gal X Qty 195 gallons = $_________/Total

Delivery of 195 gallons of Showdown – 2.5 Gallon Containers to Guernsey = $____________/Total

Cornbelt 4 lb Lovol Ester (US EPA Registration Number 11773-3) – 2.5 Gallon Containers

$_______________/gal X Qty 15 gallons = $_________/Total

Delivery of 15 gallons of Cornbelt 4 lb Lovol Ester – 2.5 Gallon Containers to Guernsey = $____________/Total

$___________________________________/Lump Sum for all costs

Questions shall be submitted individually through Public Purchase by 2:00 p.m. (Mountain Time), on March 11, 2025.

Questions submitted after the deadline may not be considered.

FOB Guernsey, WY

The award of this bid is contingent upon the availability of federal funding. No substitutions allowed.

Compliance with Federal Requirements

Build America, Buy America Act

This project is partially funded with federal funds and the successful bidder must manage the project in compliance with all Build America, Buy America requirements.

The award of this bid is contingent upon the availability of federal funding. Bids shall be valid through May 31, 2025.

_______________________ All Awards contingent upon verification of Resident Certification Number (if applicable)

(Resident Certification #)

Please contact the Department of Workforce Services, Division of Labor Standards at (307) 777-7261 for assistance in obtaining a Resident Certification Number.

Invitation for Bid 0174-K

Wyoming Military Department

(FILL IN THIS FORM COMPLETELY) Date: _______________________________________

In compliance with the above, and subject to all the conditions hereof, the undersigned offers and agrees to furnish all items upon which prices are quoted, at the price set opposite each item; if this bid is accepted within __________ days from the date of opening.

The undersigned also agrees to make delivery, or render the service, within _________ days after receipt of the order.

The undersigned certifies that no Federal, State, County or Municipal tax is included in the above quoted prices and that non e will be added.

(Company Name and Address)

(Company E-Mail Address) (Telephone Number)

(Company Representative - typed or printed) (Signature of Company Representative)

Sign bid and upload onto the Public Purchase site

VENDOR VERIFICATION

I certify under penalty of perjury, that I am a responsible official (as identified above) for the business entity described above as the bidder, that I have personally examined and am familiar with the information submitted in this disclosure and all attachments, and that the information is true, accurate and complete. I may be charged significant penalties for submitting false information, including criminal sanctions, which can lead to fines and/or imprisonment.

Signature Date

Name Title

REMAINDER OF PAGE INTENTIONALLY LEFT BLANK