1-Chemicals Vendor Acknowledgement.pdf

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Attached to
Chemical Products
Solicitation number
RFQ # 27-SNS-003
Issued by
Olmsted County, Minnesota

About this file

This is a Vendor Acknowledgment form for Rochester Public Schools, ISD 535 Student Nutrition Services, required for submission in response to RFQ #27-SNS-003 for Chemical Products. The form serves as the attachment required with all quotations and must be completed in its entirety, signed by an authorized representative, and uploaded to the Euna eProcurement system. The solicitation seeks quotations from qualified vendors for the supply and delivery of cleaning, sanitation, warewashing, and related chemical products for school nutrition kitchens and food service operations throughout the district for the 2026-2027 school year.

The form establishes mandatory vendor certifications and compliance requirements that bidders must acknowledge. Vendors must provide complete information regarding their legal company name, authorized representative details, and identify any non-domestic products requiring exception justification under Buy American provisions (7 CFR 210.21). All vendors must certify current active registration in SAM.gov with no debarment or suspension status, agreement to all RFQ terms and conditions, development of quotes independently without collusion, non-disclosure of pricing to competitors, compliance with federal lobbying restrictions, and accuracy of all submitted information. Failure to submit a completed and signed acknowledgment form will result in the proposal being deemed non-responsive. Vendors must submit all questions exclusively through the Euna eProcurement Q&A module.

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Rochester Public Schools | ISD 535 Student Nutrition Services

Attachment A | Vendor Acknowledgment | RFQ # 27-SNS-003 Page 1 of 2

ATTACHMENT A — VENDOR ACKNOWLEDGMENT

Chemical Products

RFQ # 27-SNS-003 | Rochester Public Schools, ISD 535 | Student Nutrition Services

How to Submit This Form

Complete all fields, sign Section 4, and upload this document to Euna eProcurement with your quote.

This form is required at submission — missing or unsigned forms will be deemed non-responsive. Submit all questions through the Euna eProcurement Q&A module only.

Section 1 — Vendor Information

Legal Company Name

DBA / Trade Name (if applicable)

Street Address

City, State, ZIP

Authorized Representative Name

Title Phone Number

Email Address

Section 2 — Buy American (7 CFR 210.21)

All proposed products must comply with the Buy American provision. If any item is non-domestic, identify it below and provide a justification. All exceptions require written District approval before delivery.

If no exceptions apply, leave the table blank and proceed to Section 3.

Item # Product Description Country of Origin Reason Exception is Required

Rochester Public Schools | ISD 535 Student Nutrition Services

Attachment A | Vendor Acknowledgment | RFQ # 27-SNS-003 Page 2 of 2

Section 3 — Certifications

By signing this form, the authorized representative certifies that all of the following are true:

A. SAM.gov Registration & Debarment

The vendor is currently registered and active in SAM.gov and will remain registered throughout any resulting contract period. The vendor and its principals are not debarred, suspended, proposed for debarment, declared ineligible, or otherwise excluded from participation in federally funded programs (2 CFR Part 180 and 200.214).

B. Agreement to Terms

The vendor has read and agrees to comply with all terms, conditions, specifications, and requirements of RFQ # 27-SNS-003, including all applicable federal, state, and local procurement laws and regulations.

C. Non-Collusion

This quote was developed independently and without prior understanding, agreement, or connection with any other vendor submitting a quote for the same products. The quote is submitted in good faith, is fair, and is free of collusion or fraud.

D. Quote Confidentiality

The vendor has not shared and will not share its pricing, documentation, or any other submission content with competing vendors during the solicitation period.

E. Lobbying

No federally appropriated funds have been paid or will be paid to any person to influence a federal employee or member of Congress in connection with this procurement. If applicable, the vendor will disclose lobbying activities using non-federal funds as required by 31 U.S.C. §1352.

F. Accuracy

All information provided in this form and in the quote submission is true, accurate, and complete. The vendor understands that any misrepresentation may result in disqualification, contract termination, or referral for legal action.

Section 4 — Authorized Signature

The individual signing below is authorized to legally bind the vendor to all statements in this form. Wet ink or legally recognized electronic signatures are accepted.

Printed Name Title

Signature Date

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