10TCA-S4032 - Vendor-Information-Response.pdf
PDF 97 KB Posted
- Attached to
- HVAC Maintenance Service
- Solicitation number
- 10TCA-S4032
- Issued by
- Clark County, Fish Springs CDP, Nevada
About this file
This is a Vendor Information Response form revised in April 2021 used for state and local contract opportunities with the State of Nevada, specifically for HVAC Maintenance Services at the Nevada State Museum located at 309 S. Valley View Boulevard in Las Vegas, Nevada. The form is required to be completed and returned by all vendors submitting proposals, and must also be completed for each subcontractor if the proposal includes subcontractors. The form does not specify response dates, due dates, site visits, bidder meetings, award dates, or contract term information.
The Vendor Information Response form requires vendors to provide company contact information, including company name, street address, city, state, zip code, telephone number, toll-free number, and email address, as well as designated contact person information for questions and contract negotiations. Vendors must also provide an overall company profile, disclose any State of Nevada licensing requirements, detail any prior experience with State of Nevada agencies, identify any current or former State of Nevada employees, and disclose any significant prior or ongoing contractual issues, contract breaches, or civil or criminal litigation within the past six years that may adversely affect performance. The form includes sections for payment authorization for procurement card use and requires signature of the individual authorized to bind the vendor organization. The document does not contain information regarding pricing terms, set-asides, incumbents, funding sources, or amounts.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Terms-and-conditions-for-services~13.pdf | ||
| Standard-form-contract~11.docx | DOCX document | |
| 10TCA-S4032 - request-for-proposals~1.docx | DOCX document | |
| Certification-regarding-lobbying~12.pdf | ||
| 10TCA-S4032 - reference-questionnaire.docx | DOCX document | |
| 10TCA-S4032 - Insurance Schedule.docx | DOCX document | |
| 10TCA-S4032 - Cost Schedule~1.docx | DOCX document | |
| Quote Instructions.pdf |
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Text version
VENDOR INFORMATION RESPONSE
Revised: April 2021 Page 1 of 1
Vendors shall complete and return this form in their proposal.
If the proposal includes subcontractors, form must be completed for each subcontractor as well.
1. VENDOR CONTACT INFORMATION
COMPANY NAME AND CONTACT INFORMATION:
The information provided in the table below shall be used for development of the contract, if awarded.
Requested Information Response
Company Name:
Company Street Address:
City, State, Zip Code:
Telephone Number, including area code:
Toll Free Number, including area code:
Email Address:
CONTACT PERSON FOR QUESTIONS/CONTRACT NEGOTIATIONS
Requested Information Response
Name:
Title:
Address:
City, State, Zip Code:
Email Address:
Telephone Number, including area code:
Toll Free Number, including area code:
| Confidentiality and Certification of Indemnification |
| Certification Regarding Lobbying |
| Vendor Information Response |
| 1. VENDOR CONTACT INFORMATION |
| 1.1 COMPANY NAME AND CONTACT INFORMATION: |
| 1.2 CONTACT PERSON FOR QUESTIONS/CONTRACT NEGOTIATIONS |
| 2. VENDOR INFORMATION |
| 2.1 Vendors shall provide an overall company profile in the following table: |
| 2.2 VENDOR LICENSING |
| 2.2.1 Please be advised: Pursuant to NRS 80.010, a corporation organized pursuant to the laws of another state shall register with the State of Nevada, Secretary of State’s Office as a foreign corporation before a contract can be executed between the ... |
| 2.2.2 The selected vendor, prior to doing business in the State of Nevada, shall be appropriately licensed by the State of Nevada, Secretary of State’s Office pursuant to NRS 76. Information regarding the Nevada Business License can be located at htt... |
| 2.3 STATE OF NEVADA EXPERIENCE |
| 2.3.1 If ‘Yes’, complete the following table for each State agency for whom the work was performed. |
| 2.3.2 Table can be duplicated for each contract being identified. |
| 2.4 CURRENT OR FORMER EMPLOYEE |
| 2.4.1 If you employ (a) any person who is a current employee of an agency of the State of Nevada, or (b) any person who has been an employee of an agency of the State of Nevada within the past two (2) years, and if such person shall be performing or p... |
| 2.5 PRIOR OR ONGOING CONTRACTUAL ISSUES |
| 2.5.1 Disclosure of any significant prior or ongoing contract failures, contract breaches, civil or criminal litigation in which the vendor has been alleged to be liable or held liable in a matter involving a contract with the State of Nevada or any o... |
| 2.5.2 Any pending claim or litigation occurring within the past six (6) years which may adversely affect the vendor’s ability to perform or fulfill its obligations if a contract is awarded as a result of this RFP shall also be disclosed. |
| 2.5.3 If ‘Yes’, please provide the information in the table below. |
| 2.5.4 Table can be duplicated for each issue being identified. |
| 3. PAYMENT AUTHORIZATION FOR USE OF PROCUREMENT CARD |
| 4. NAME OF INDIVIDUAL AUTHORIZED TO BIND THE ORGANIZATION |
| 4.1 SIGNATURE OF INDIVIDUAL AUTHORIZED TO BIND THE VENDOR |
| Company Name: |
| Company Email Address: |
| Contact Person Name: |
| Contact Person Title: |
| Contact Person Address: |
| Contact Person City, State, Zip Code: |
| Contact Person Email: |
| Contact Person Telephone: |
| Contact Person Toll Free (if applicable): |
| Company Address: |
| Company City State Zip Code: |
| Company Telephone: |
| Company Toll Free: |
File details come from the government source that posted it. Updated .