04 COSTARS Program Contractor Election to Participate.docx

DOCX document 28 KB Posted

Attached to
Courier Services
Solicitation number
4400028185
Issued by
Pennsylvania

About this file

The document is the COSTARS Program Election to Participate form. This form is for contractors who have been awarded a COSTARS contract and agree to sell the awarded items/services to registered COSTARS Members at the same prices and/or discounts, and in accordance with the contractual terms and conditions. Contractors also agree to pay the applicable Administrative Fee ($1500, or $500 for a Department of General Services Self-Certified Small Business, or $166 for a Department of General Services-verified Small Diverse Business) at the beginning of each contract year and upon each contract renewal date.

The related state and local contract opportunity is for Courier Services in the Commonwealth of Pennsylvania. The purpose of this Courier Services ITQ Contract is to qualify responsible and responsive Contractors to perform pre-defined, as-needed, and emergency (on-demand) courier services by picking-up and delivering shipments for Commonwealth of Pennsylvania agencies and users of this Contract. Services are needed in all 67 counties of Pennsylvania, and Contractors will be required to identify which of the 67 counties they can provide service.

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Text version

REVISED 01-17-2017

COSTARS PROGRAM ELECTION TO PARTICIPATE

If awarded a Contract, our firm agrees to sell the awarded items/services at the same prices and/or discounts, and in accordance with the contractual terms and conditions, to registered COSTARS Members who elect to participate in the contract. Our firm also agrees to pay the applicable Administrative Fee ($1500, or $500 for a Department of General Services Self-Certified Small Business, or $166 for a Department of General Services-verified Small Diverse Business) at the beginning of each contract year and upon each contract renewal date.

If you are a Department of General Services Self-Certified Small Business or Department of General Services-verified Small Diverse Business, you must submit a copy of your active Small Business Contracting Program certificate with your bid response.

Corporate or Legal Entity Name

Signature/Date

Printed Name/Title

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