26-00007 Appendix D - Bidder Profile (005).pdf
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- Solicitation number
- 26-00007
About this file
This is a Bidder Profile form (Exhibit D) for Request for Quotations and Qualifications (RFQQ) No. 26-00007 issued by the Washington Department of Fish and Wildlife for the Samish River Unit Tree and Shrub Planting Project. The project involves establishing native trees, shrubs, and willow whips within designated planting areas to meet Wildlife Restoration Program easement objectives and restore the site to native conditions. Bidders are required to procure and supply the specified native trees, shrubs, and willow whips from local tree and plant nurseries. The form requests comprehensive company information including the authorized representative, authorized signatory, and point of contact, along with federal tax identification numbers and Washington Department of Revenue registration numbers.
The Bidder Profile form requires submission of a minimum of three commercial or government references demonstrating similar work experience. Bidders must disclose any subcontractors who will perform services under the contract, including their federal tax identification numbers and Minority/Women-Owned Business Enterprise certification numbers if applicable. The form also requires bidders to indicate their business classification status, including minority/women-owned business certification, veteran-owned business status, and small business status as defined under RCW 39.26.010. Acceptable payment methods must be specified, including whether the bidder accepts purchasing cards such as Visa, MasterCard, American Express, or Discover. The contractor assumes complete responsibility and liability for all actions of subcontractors, which are subject to WDFW approval.
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Page 1 of 2 Washington Department of Fish and Wildlife RFQ No. 26-00007 – Bidder Profile (Exhibit B)
Request for Quotations and Qualifications (RFQQ) No. 26-00007
Samish River Unit Tree and Shrub Planing Project
Exhibit D – Bidder Profile
COMPANY INFORMATION (for Contract administration purposes)
Company Name & Address: Authorized Representative: Name and Title:
Phone:
Email:
Authorized Signatory:
Name:
Title:
Email:
Point of Contact (if different from Authorized Representative):
Name:
Title:
Email:
Federal Tax Identification Number (https://sam.gov)
WA Dept. of Revenue Registration Number (https://dor.wa.gov)
Statewide Vendor Payment Number (https://ofm.wa.gov/tech-support/statewide-vendor-payee-services/)
REFERENCES
Provide a minimum of three (3) commercial or government references for which Bidder has delivered goods and/or services similar in scope as described in the RFQ.
1. Customer:
Contact:
Phone:
Email:
2. Customer:
Contact:
Phone:
Email:
3. Customer:
Contact:
Phone:
Email:
https://sam.gov/ https://dor.wa.gov/ https://ofm.wa.gov/tech-support/statewide-vendor-payee-services/ https://ofm.wa.gov/tech-support/statewide-vendor-payee-services/
Page 2 of 2 Washington Department of Fish and Wildlife RFQ No. 26-00007 – Bidder Profile (Exhibit B)
SUBCONTRACTORS
If applicable, on a separate sheet, identify any subcontractors who will perform services in fulfillment of contract requirements; the nature of services to be performed and include federal tax identification (TIN) number for each subcontractor. If a subcontractor is a minority or women owned business please include their OMWBE
Certification Number (if certified). If necessary, attach additional sheets (please stamp or mark each page with a company name, mark, or initial). Do not include any Social Security Numbers.
The contractor, by including subcontractor(s) as part of your signed bid is your agreement to take complete responsibility, contract obligations, and liability for all actions of such subcontractors. All subcontractors are subject to WDFW approval. WDFW reserves the right to approve or disapprove any subcontractor.
SALES/CUSTOMER SERVICE
Purchasing Cards Accepted:
Visa Master Card American Express Discover Other:
MINORITY/WOMEN OWNED BUSINESS STATUS
Is your firm a Minority/Women Owned Business? Yes No
Office of Minority and Women-Owned Business Enterprises MWBE certification #
VETERAN OWNED BUSINESS STATUS
Is your firm a Veteran Owned Business? Yes No
Washington State Department of Veterans Affairs certification #
SMALL BUSINESS STATUS
Does your firm meet the definition of a small business in RCW 39.26.010(22)? Yes No
RCW 39.26.010:
(22) "Small business" means an in-state business, including a sole proprietorship, corporation, partnership, or other legal entity, that:
(a) Certifies, under penalty of perjury, that it is owned and operated independently from all other businesses and has either:
(i) Fifty or fewer employees; or
(ii) A gross revenue of less than $7,000,000 annually as reported on its federal income tax return or its return filed with the department of revenue over the previous three consecutive years; or
(b) Is certified with the office of women and minority business enterprises under chapter 39.19 RCW.
File details come from the government source that posted it. Updated .