09-COSTARS Program Election to Participate Form (1).pdf

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Attached to
Bagged De-Icing Materials (50 lb. bags)-Supplement
Solicitation number
6100066641
Issued by
Harveys Lake Borough, Pennsylvania

About this file

This is a COSTARS Program Election to Participate Form applicable to the Commonwealth of Pennsylvania's supplemental solicitation for Bagged De-Icing Materials in 50-pound bags, which serves as a supplement to three existing contracts (IFB 6100060797, 6100061430, and 6100066274). The de-icing materials will be distributed to various state agencies for use as a snow and ice melting agent during winter weather events. The form establishes the framework for contractor participation in the COSTARS cooperative purchasing program, which allows registered COSTARS members to purchase awarded items and services at the same prices and discounts offered through the primary contract.

Contractors awarded under this contract must commit to offering their products to COSTARS members at identical pricing and contractual terms while paying an annual administrative fee to participate in the program. The administrative fee structure is tiered based on business classification: $166 annually for Department of General Services-verified Small Diverse Businesses or Small Veteran Business Enterprises; $500 for Department of General Services Self-Certified Small Businesses; and $1,500 for all other businesses. Contractors claiming small business status must provide documentation of active Small Business Contracting Program certification with their bid response. The administrative fee is due at the beginning of each contract year and upon each contract renewal date.

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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 .