3-APPENDIX D - Vendor Forms.xlsx

XLSX spreadsheet 24 KB Posted

Attached to
Mulch, Sand, Other Ground Surfacing
Solicitation number
GSS26583-MULCH
Issued by
Delaware

About this file

This is a vendor forms appendix for a State of Delaware, Office of Management and Budget, Government Support Services solicitation for multiple vendors to provide mulch, sand, and other ground surfacing materials. The document contains standardized forms that all responding vendors must complete as part of their bid submission, including a non-collusion statement, vendor information sheet, business references, confidentiality designation form, exceptions form, and subcontractor disclosure form. The non-collusion statement must be signed by an authorized representative and notarized, with the notary seal visible, to certify that the vendor has not engaged in collusive or anti-competitive practices related to this solicitation. Vendors must also declare whether their firm, affiliates, predecessors, or key personnel have been subject to federal, state, or local government suspension or debarment within the past five years.

The vendor information sheet requires submission of company details, purchase order address, website, diverse vendor certification status (state and federal), designated primary and secondary contacts, and a business capability statement. All responding vendors must provide a minimum of three business references of similar size and scope, with contact information and details of work performed; if subcontractors are utilized, each subcontractor must also provide three references. Vendors may designate portions of their proposal as confidential, intellectual property, or trade secrets by completing the confidentiality form and explaining how the redacted information qualifies for exemption under Delaware Code Title 29, Chapter 100. The exceptions form allows vendors to submit minor exceptions to the solicitation terms and conditions, with all exceptions subject to Government Support Services' discretion for approval or rejection. Any vendor proposing subcontractors must complete and obtain signatures from both the primary vendor and subcontractor on the subcontractor form, which includes descriptions of work to be performed.

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File Type Posted
1-APPENDIX B - Pricing (BT-78GQ).xlsx XLSX spreadsheet
4-GSS26583-MULCH RFP.pdf PDF
2-APPENDIX C - Online Bid Submission Portal Instructions.pdf PDF

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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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