1-RFQ Solicitation Offer and Award Form.pdf

SOLICITATION, OFFER AND AWARD FORM

SOLICITATION

1. Request for Quotes (RFQ) 2. Issued Date:

3. Bid Title and No.:

4. Submit Offer to: Instructions provided in Volume 2 "Bid Submittal Instructions”.

5. Bid Deadline: (please advise if additional time is needed to submit a bid):

6. Submit with Offer: Forms and documents listed in Volume 2 “Bid Submittal Instructions”.

7. Offers will not be publicly opened and read out loud.

8. Firm Offer Period: Offers submitted shall remain firm for a period of calendar days from the final due date for bids.

9. NOTE: “Offer” and “offeror” mean “bid” and “bidder”.

10. This solicitation and any resulting contract, respectively, consists of this Form, the Table of Contents volumes, sections, attachments, and exhibits listed on page 2, solicitation addenda (if any), and any contract modifications.

11. Deadline for questions and variance requests: At close of business day on

OFFER

(to be completed by Bidder)

12. Bidder/Contractor Name:

13. Mailing Address: 14. Telephone Number:

15. City - State - Zip 16. Fax Number:

17. Organization is: (check one)

Corporation Sole Proprietorship Partnership Quasi-Public Agency

Public Agency Joint Venture

LLC

Other, specify_______________

18. Bidder’s annual gross receipts:

Less than $500,000 $500,000 - $1,000,000 $1,000,000 – $2,000,000 $2,000,000 – $5,000,000 More than $5,000,000

19. Number of people employed on a regular basis:

20. Number of years in business

21. SAM.gov unique entity

ID

22. Dun and Bradstreet # (DUNS)

23. Is the bidder presently certified as a Disadvantaged Business Enterprise (DBE) by the Illinois Unified Certification Program (UCP) according to the type of work/services called for in this solicitation? YES NO

24. Bidder acknowledges receipt of the following addenda to the solicitation:

Addendum # and Date of Issue Addendum # and Date of Issue

25. The undersigned agrees, if this offer is accepted by the Agency for Community Transit, to furnish any or all items and provide the services upon which a price is offered, and to deliver the items, perform the services, and complete the work within the time specified.

26. Total Bid Price:

Do not enter price here. Use the Bid

Price Form (electronic bid table).

27. Reserved 28. Reserved 29. Reserved

30. E-Mail Address of Bid Contact Person:

31. Name of Authorized Signer: (Type or print) 32. Title:

33. Signature of Authorized Representative: 34. Date:

AWARD

(to be completed by Agency for Community Transit)

35. Accepted as to:

36. By: Steven J. Morrison, Executive Director 37. Date

Agency for Community Transit ACT Media Buying Services No. 26-2-13304

TABLE OF CONTENTS

Volume 0 Volume 1 Volume 2

Volume 3

Volume 4

Volume 5

Volume 6

Volume 7

Volume 8

Solicitation Offer and Award Form (2 Pages)

Instructions to Bidders (5 Pages)

Bid Submittal Instructions (2 Pages)

Evaluation and Selection Procedures (2 Pages)

Owner’s Additional Provisions (2 Pages)

State of Illinois Provisions (6 Pages)

Owner's General Terms and Conditions (4 Pages)

Scope of Work (4 Pages)

Bid Submittal Forms ( Pages)

Attachment A - Bidder’s Technical Response

TABLE OF CONTENTS