2-APPENDIX B- Vendor Certification Acknowledgement Form.pdf
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- Solicitation number
- Bid# 051426
- Issued by
- Olmsted County, Minnesota
About this file
This is a Vendor Certification and Acknowledgment Form for Rochester Public Schools' sealed bid solicitation (IFB #050726) for paper products supply to support the Student Nutrition Services program. The District seeks a prime vendor to provide disposable paper products including trays, containers, napkins, and plasticware to multiple school locations in Rochester, Minnesota. The contract term runs from July 1, 2026, through June 30, 2027, with three optional one-year renewals available. Questions and requests for alternate product approval must be submitted by April 23, 2026, at 4:00 PM CST, with sealed bids due electronically via Bonfire on May 14, 2026, at 11:00 AM CST. The District will award the contract to the lowest responsive and responsible bidder.
Pricing must be submitted as firm, fixed unit prices on an F.O.B. Destination basis with all freight and handling included, and no minimum order requirements will be imposed. Vendors submitting bids must certify compliance with multiple conditions, including authorization to conduct business in Minnesota, non-debarment status, independent price determination and non-collusion, compliance with applicable federal civil rights laws, adherence to Buy American requirements under the National School Lunch Program, and absence of conflicts of interest involving District employees or agents. Any exceptions to the certification requirements must be documented by the bidder at the time of submission.
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Rochester Public Schools | Bid #050726 | Paper Products Supply Student Nutrition Services
APPENDIX B
VENDOR CERTIFICATION AND ACKNOWLEDGMENT FORM
By signing below, the authorized representative of the vendor certifies on behalf of the company that, to the best of its knowledge and belief, all of the following statements are true and accurate:
1. The undersigned has read and agrees to all terms, conditions, and specifications contained in IFB #050726 and is authorized to submit this bid on behalf of the named company.
2. The vendor is a legally organized business entity authorized to conduct business in the State of Minnesota and possesses all required licenses and permits applicable to this contract.
3. The vendor is NOT presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in federal or state programs under Executive Order 12549 or 2 CFR Part 180.
4. No federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any federal agency in connection with the award of this contract (31 U.S.C. 1352).
5. Independent Price Determination / Non-Collusion: The prices submitted in this bid have been arrived at independently, without consultation, communication, or agreement with any other bidder or competitor.
The vendor has not engaged in collusion or any attempt to restrict competition.
6. The vendor will comply with all applicable federal civil rights laws, including Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act, the Age Discrimination Act of 1975, Title IX of the Education Amendments of 1972, and the Americans with Disabilities Act.
7. Buy American Certification (If Applicable): The Vendor acknowledges that the District participates in the National School Lunch Program (NSLP) and is subject to Buy American requirements in accordance with 7 CFR 210.21(d).
8. The vendor certifies that no conflict of interest exists and that no employee, officer, or agent of the District has a financial or other interest in the vendor’s business.
Exception items (if none, write "None"):
Authorized Signature Date
Printed Name and Title
Company Name
Address
Email Phone
| APPENDIX B |
| VENDOR CERTIFICATION AND ACKNOWLEDGMENT FORM |
| Authorized Signature Date |
| Printed Name and Title |
| Company Name |
| Address |
| Exception items if none write None: |
| Date: |
| Printed Name and Title: |
| Company Name: |
| Address: |
| Email: |
| Phone: |
| Signature1_es_:signer:signature: |
File details come from the government source that posted it. Updated .