1_CONTRACTUAL SERVICES FORM_Motorola Solutions_File 1 of 1.pdf
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- Solicitation number
- NSP7149 Z1
- Issued by
- Blaine County, Nebraska
About this file
This document is a Request for Proposal (RFP) for Contractual Services Form from the State of Nebraska, specifically Page 44 of a RFP Boilerplate dated 03292023. The form is completed by Motorola Solutions, Inc., a bidder proposing services, with a submission date of July 18, 2024. The document requires the bidder to certify compliance with state procurement procedures, maintain a drug-free workplace, and attest that they are not owned by the Chinese Communist Party.
The form includes a Nebraska Contractor Affidavit, which requires the bidder to have maintained a bona fide place of business with at least one employee in Nebraska for six months preceding the solicitation posting date. The document also provides options for preference considerations, such as for resident disabled veterans, businesses in designated enterprise zones, or blind persons licensed by the Commission for the Blind & Visually Impaired. The form must be signed manually in ink or by DocuSign, and is part of Nebraska's Transparency in Government Procurement Act, which collects statistical information about contracts awarded to Nebraska Contractors.
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Text version
RFP Boilerplate | 03292023
_____ I hereby certify that I am a Resident disabled veteran or business located in a designated enterprise zone in accordance with Neb. Rev. Stat. § 73-107 and wish to have preference, if applicable, considered in the award of this contract.
REQUEST FOR PROPOSAL FOR CONTRACTUAL SERVICES FORM
By signing this Request for Proposal for Contractual Services form, the bidder guarantees compliance with the procedures stated in this Request for Proposal and agrees to the terms and conditions unless otherwise indicated in writing, certifies that contractor maintains a drug free workplace, and certifies that bidder is not owned by the Chinese Communist Party.
Per Nebraska’s Transparency in Government Procurement Act, Neb. Rev Stat § 73-603 DAS is required to collect statistical information regarding the number of contracts awarded to Nebraska Contractors. This information is for statistical purposes only and will not be considered for contract award purposes.
__X___ NEBRASKA CONTRACTOR AFFIDAVIT: Bidder hereby attests that bidder is a Nebraska Contractor.
“Nebraska Contractor” shall mean any bidder who has maintained a bona fide place of business and at least one employee within this state for at least the six (6) months immediately preceding the posting date of this Solicitation.
FORM MUST BE SIGNED MANUALLY IN INK OR BY DOCUSIGN
BIDDER:
COMPLETE ADDRESS:
TELEPHONE NUMBER:
FAX NUMBER:
DATE:
SIGNATURE:
TYPED NAME & TITLE OF
SIGNER:
BIDDER MUST COMPLETE THE FOLLOWING
_____ I hereby certify that I am a blind person licensed by the Commission for the Blind & Visually Impaired in accordance with Neb. Rev. Stat. § 71-8611 and wish to have preference considered in the award of this contract.
Motorola Solutions, Inc.
500 W. Monroe Street; 43rd Floor; Chicago, IL 60661
(847) 576-5000
N/A
July 18, 2024
Ken Rey, MSSSI Vice President & Director Sales
File details come from the government source that posted it. Updated .