2-26950 Appendix D.xlsx

XLSX spreadsheet 29 KB Posted

Attached to
Used Oil and Fluid Waste Services
Solicitation number
GSS26950-WASTE_SVC
Issued by
Delaware

About this file

This file contains the appendix and supplementary forms required for bid submission to the State of Delaware, Office of Management and Budget, Government Support Services, in response to a solicitation for Used Oil and Fluid Waste Services (GovTribe ID: 2-26950). The solicitation seeks qualified vendors to provide statewide collection, transportation, recycling, and proper disposal of used oil, fuels, antifreeze, oily water, and related shop fluids generated by State maintenance facilities or emergency response needs. Services include furnishing equipment, scheduling pick-ups, ensuring compliance with all applicable environmental regulations, and providing required reporting on recycling and diversion activity. The appendix does not specify response dates, due dates, site visits, bidder's meetings, award dates, or contract terms within the provided content.

The submission requirements include completion of a notarized Non-Collusion Statement certifying that the vendor has not engaged in collusion or restrained free competitive bidding, along with a Vendor Information Sheet requesting company details, diverse vendor certifications, designated contacts, and a business capability statement. Vendors must provide a minimum of three business references of similar size and scope and, if subcontractors are identified, three references for each subcontractor. The forms also include provisions for vendors to designate confidential or proprietary information under Delaware's Freedom of Information Act, to submit minor exceptions to solicitation terms and conditions, and to identify any proposed subcontractors with required authorizations from both parties. The file contains no information regarding pricing terms, set-asides, incumbents, funding sources, or contract amounts.

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1-26950 Appendix C (locked).docx DOCX document
3-26950 Appendix B.xlsx XLSX spreadsheet
4-26950 RFP (locked).docx DOCX document

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Non-Collusion Statement

Non-Collusion Statement
This is to certify that the undersigned Vendor has neither directly nor indirectly, entered into any agreement, participated in any collusion or otherwise taken any action in restraint of free competitive bidding in connection with this solicitation, and further certifies that it is not a sub-contractor to another Vendor who also submitted a bid/proposal as a primary Vendor in response to this solicitation submitted this date to the State of Delaware, Office of Management and Budget, Government Support Services.
It is agreed by the undersigned Vendor that the signed submission of this bid/proposal represents, subject to any express exceptions set forth on the Exception form, the Vendor’s acceptance of the terms and conditions of this solicitation including all specifications and special provisions.
NOTE: Signature of the authorized representative MUST be of an individual who legally may enter his/her organization into a formal contract with the State of Delaware, Office of Management and Budget, Government Support Services.
Company Name
DBA (if applicable)
Name of Authorized Representative
Title
Phone Number
Email Address
Company Address
Phone Number
Email Address
Tax ID Number
AFFIRMATION: Within the past five (5) years, has your firm, any affiliate, any predecessor company or entity, owner, Director, officer, partner or proprietor been the subject of a Federal, State, Local government suspension or debarment?
If yes, explain
THIS PAGE SHALL BE SIGNED AND NOTARIZED (NOTARY SEAL MUST BE VISIBLE) FOR YOUR BID/PROPOSAL TO BE CONSIDERED.
Authorized RepresentativeNotary

Vendor Information Sheet

Vendor Information Sheet
Company Name
DBA (if applicable)
Purchase Order Address
Website
Diverse Vendor Self-Identification
State CertifiedIf yes, which State(s):
Federal Certified
Desginated ContactsPrimarySecondary
Contact Name
Role/Title
Phone Number
Email
Business Capability Statement
(Provide a short capability statement about your business and its capabilities and skills to advertise who you are and what you do.)

Business References

Business References
List a minimum of three business references of similar size and scope. Please do not list any State Employee(s) as a business reference. If Subcontractors are identified, a minimum of three business references must also be provided for each subcontractor.
Reference One
Contact Name
Contact Title
Business Name
Address
Email
Phone
Current Vendor?
Work Performed
Reference Two
Contact Name
Contact Title
Business Name
Address
Email
Phone
Current Vendor?
Work Performed
Reference Three
Contact Name
Contact Title
Business Name
Address
Email
Phone
Current Vendor?
Work Performed

Confidentiality Form

Confidentiality Form
Responding vendor may elect to designate sections of their proposal as confidential, intellectual property, trade secrets, and other confidential business information. Vendor shall explain below how the redacted information is not “public record” as defined by 29 Del. C. § 10002. The State shall independently determine the validity of any vendor designation as set forth in this section. Any vendor submitting a bid/proposal herein expressly accepts the State’s absolute right and duty to independently assess the legal and factual validity of any information designated as confidential business information.
Confidential Information
Confidentiality and Proprietary Information

Exceptions Form

Exceptions Form
Responding Vendors may elect to take minor exceptions to the terms and conditions of this solicitation. All exceptions must be submitted below. Exceptions found elsewhere in the solicitation response will not be considered. Government Support Services maintains sole discretion to reject any exceptions.
Exceptions
Paragraph & Page #Current LanguageProposed AlternativeJustification

Subcontractor Form

Subcontractor Form
Are you proposing the use of any subcontractors in the fulfillment of the requirements as outlined in the solicitation?
If yes, complete this form.
Responding Vendor Information
Company Name
DBA (if applicable)
Company Address
Subcontractor Information
Company Name
DBA (if applicable)
Company Address
Diverse Vendor Self-Identification
State CertifiedIf yes, which State(s):
Federal Certified
Description of Work by Subcontractor
Once completed, this form must be signed by both vendors.
Proposing VendorSubcontractor
Authorized Signature:Authorized Signature:
Name:Name:
Title:Title:
Date:Date:

DropDowns

YES
NO
YES - Vendor is providing any information they declare to be confidential or proprietary for the purpose of production under 29 Del. C. Ch. 100, Delaware Freedom of Information Act.
NO - Vendor is not providing any information they declare to be confidential or proprietary for the purpose of production under 29 Del. C. Ch. 100, Delaware Freedom of Information Act.
YES - Vendor is submitting exceptions for consideration.
NO - Vendor is not submitting any exceptions to the specifications, terms, or conditions found in this solicitation.

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