08 COSTARS Program Election to Participate Form New Vendors.pdf

PDF 242 KB Posted

Attached to
Furniture Equipment Contract
Solicitation number
6100066798
Issued by
Dauphin County, Harveys Lake Borough, Pennsylvania

About this file

This document is a COSTARS Program Election to Participate Form for new vendors seeking to participate in a Furniture Equipment Contract in Pennsylvania. The form requires vendors who are awarded a contract to agree to sell awarded items and services at the same prices, discounts, and contractual terms to registered COSTARS Members who elect to participate in the contract. Vendors must complete the form by providing their corporate or legal entity name, signature, date, and contract description.

Participating vendors are required to pay an annual administrative fee at the beginning of each contract year and upon each contract renewal date, with the fee amount determined by business classification: $166 for Department of General Services-verified Small Diverse Business or Small, Veteran Business Enterprise entities; $500 for Department of General Services Self-Certified Small Businesses; and $1,500 for all other businesses. Vendors classified as Department of General Services Self-Certified Small Businesses or Department of General Services-verified Small Diverse Businesses must submit a copy of their active Small Business Contracting Program certificate with their bid response.

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Text version

COSTARS PROGRAM

ELECTION TO PARTICIPATE FORM

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 at the beginning of each contract year and/or upon each contract renewal date:

$166 for a Department of General Services-verified Small Diverse Business or

Small, Veteran Business Enterprise

$500 for a Department of General Services Self-Certified Small Business

$1,500 for all other businesses

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.

Rev. 09-21-2022

Corporate or Legal Entity Name:

Signature:

Date:

Contract Description:

File details come from the government source that posted it. Updated .