3-Form H - Respondent Information Form.pdf

PDF 142 KB Posted

Attached to
Handheld Conducted Energy Weapon: Axon Taser 10
Solicitation number
302-26-03025
Issued by
Texas

About this file

This is a Respondent Information Form associated with an Invitation for Bid issued by the Texas Office of the Attorney General for the Criminal Investigation Division (CID) to establish a 5-year blanket contract for the Axon Taser 10 Certification Pro Plan. The procurement seeks the Axon Taser 10 handheld conducted energy weapon, associated accessories, training certifications, and extended warranties to support the establishment of a comprehensive Conducted Energy Weapon Program. The issuing office notes that the requested items may be proprietary to one vendor under Section 2155.067 of the Texas Government Code but encourages qualified offers from all respondents capable of providing the specified items. Only bids conforming exactly to the specified brand name, make, and model number will be considered for award.

The Respondent Information Form requires bidders to provide complete organizational details including the respondent name, Texas or Federal Employer Identification Number, mailing and physical addresses, and contact information for three organizational representatives: an Executive representative, a Program/Project Manager, and a contact person authorized to answer questions and represent the organization in negotiations. All associated charges related to the procurement must be provided on the form, and submission of respondent letterhead with the pricing bid proposal is required.

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Text version

FORM H

RESPONDENT INFORMATION FORM

Form H – Respondent Information Form Page 1 of 1

Revised March 27, 2014

Complete this section with the requested information about your organization.

Respondent Name Texas or Federal Employer Identification Number

Mailing Address, including City/State/Zip

Physical Address, including City/State/Zip

Complete this section with contact information for an Executive representative of your organization.

Name Title

Phone E-Mail

Complete this section with contact information for a Program/Project Manager of your organization.

Name Title

Phone E-Mail

Complete this section with contact information for a person who can answer questions regarding this response and represent your organization in negotiations.

Name Title

Phone E-mail

Mailing Address, including City/State/Zip (if different than above)

Respondent Name:
Mailing Address including CityStateZip:
Physical Address including CityStateZip:
Name:
Title:
Phone:
EMail:
Name_2:
Title_2:
Phone_2:
EMail_2:
Name_3:
Title_3:
Phone_3:
Email:
Mailing Address including CityStateZip if different than above:
Texas or Federal Employer ID Number:

File details come from the government source that posted it. Updated .