3-T0438 Vendor Bidder Data Sheet 100617.docx

DOCX document 242 KB Posted

Attached to
T0438-Battery Charges, Industrial Lifts, and Pallet Trucks Maintenance and Repair - Statewide
Solicitation number
18DPP00175
Issued by
Mercer County, New Jersey

About this file

This document is a Bidder Data Sheet for a State of New Jersey Department of the Treasury, Division of Purchase and Property bid solicitation (Bid Solicitation #18DPP00175). The purpose of this form is to assess the qualifications and capability of vendors/bidders to perform the scope of work required by the bid solicitation. The form requires vendors/bidders to list prior contracts of similar size and scope as evidence of their ability to successfully complete the required work. Additionally, vendors/bidders must disclose any contracts that were terminated for cause within the last five years.

The related state and local contract opportunity is for Battery Charges, Industrial Lifts, and Pallet Trucks Maintenance and Repair services on a statewide basis in New Jersey, involving the jurisdictions of Mercer County and Trenton City. The contract term and any renewal options are not specified in the provided information.

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Text version

STATE OF NEW JERSEY

DEPARTMENT OF THE TREASURY

DIVISION OF PURCHASE AND PROPERTY

33 WEST STATE STREET, P.O. BOX 230

TRENTON, NEW JERSEY 08625-0230

BIDDER DATA SHEET

BID SOLICITATION #:
18DPP00175
VENDOR/BIDDER:

THIS FORM WILL BE USED IN ASSESSING A VENDOR’S/BIDDERS’S QUALIFICATIONS

AND CAPABILITY TO PERFORM THE CONTRACT SCOPE OF WORK.

PART I - CONTRACTS OF SIMILAR SIZE AND SCOPE

List prior contracts performed by the Vendor/Bidder. Emphasis should be placed on contracts that are similar in size and scope to the work required by this Bid Solicitation as evidence of the Vendor’s/Bidder’s ability to successfully complete the scope of work required by this Bid Solicitation. If the Vendor/Bidder has not had any prior contracts enter “None” below.

Contracting Agency / Entity:

Contract/Project Name:

Contract Number:

Contract Term:

Summary of Contract Scope of Work:

Contact Name:

Contact Phone No.:

Contact Email:

Contracting Agency / Entity:

Contract/Project Name:

Contract Number:

Contract Term:

Summary of Contract

Contact Name:

Contact Phone No.:

Contact Email:

Contracting Agency / Entity:

Contract/Project Name:

Contract Number:

Contract Term:

Summary of Contract

Contact Name:

Contact Phone No.:

Contact Email:

Contracting Agency / Entity:

Contract/Project Name:

Contract Number:

Contract Term:

Summary of Contract

Contact Name:

Contact Phone No.:

Contact Email:

Attach additional sheets if necessary.

PART II - CONTRACTS TERMINATED FOR CAUSE

Provide a list of all contracts terminated for cause within the last five (5) years prior to the normal contract expiration date. The Vendor/Bidder should provide a summary of any negative action, including negative audit findings, taken on any contract of a similar size and scope. The disclosure should include, but is not limited to, receipt of letters of potential default, default, notice(s) to cure, termination of services for cause, or other similar notifications/processes. Additionally, the Vendor/Bidder should provide details, including any negative audits, reports, or findings by any governmental agency for which the Vendor/Bidder is/was the Vendor/Contractor on any Contract of similar scope. If no contracts were terminated for cause during the last five (5) years, enter “None” below.

Contracting Agency / Entity:

Contract/Project Name:

Contract Number:

Contract Term:

Summary of Termination:

Contact Name:

Contact Phone No.:

Contact Email:

Contracting Agency / Entity:

Contract/Project Name:

Contract Number:

Contract Term:

Summary of Termination:

Contact Name:

Contact Phone No.:

Contact Email:

Contracting Agency / Entity:

Contract/Project Name:

Contract Number:

Contract Term:

Summary of Termination:

Contact Name:

Contact Phone No.:

Contact Email:

Contracting Agency / Entity:

Contract/Project Name:

Contract Number:

Contract Term:

Summary of Termination:

Contact Name:

Contact Phone No.:

Contact Email:

Attach additional sheets if necessary.

DPP Rev. 7.25.17
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