4 - COSTARSProgramContractorElectiontoParticipate.pdf

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Attached to
Port Toilet/Hand Wash Equip & Septic Waste Removal
Solicitation number
4400024955
Issued by
Pennsylvania

About this file

The document is a COSTARS Program Election to Participate form related to a Commonwealth of Pennsylvania (COPA), Department of General Services (DGS) Invitation to Qualify (ITQ) contract for Portable Toilet/Hand Washing Equipment and Septic Waste Removal Services. This ITQ is open to all COPA agencies, as well as Local Public Procurement Units, as defined by the Commonwealth Procurement Code, who may use the contract through the COSTARS Provision. The ITQ seeks to qualify responsible and responsive Contractors to provide rental or sales of portable toilets and hand washing equipment, and septic waste removal services.

The document outlines the administrative fee requirements for awarded Contractors, which is $1,500 per contract year, or $500 for a DGS Self-Certified Small Business, or $166 for a DGS-verified Small Diverse Business. Contractors must submit a copy of their active Small Business Contracting Program certificate if they are a DGS Self-Certified Small Business or DGS-verified Small Diverse Business.

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REVISED 01-17-2017

COSTARS PROGRAM ELECTION TO PARTICIPATE

If awarded a Contract, our firm agrees to sell the awarded items/services at the same prices and/or discounts, and in accordance with the contractual terms and conditions, to registered COSTARS Members who elect to participate in the contract. Our firm also agrees to pay the applicable Administrative Fee ($1500, or $500 for a Department of General Services Self-Certified Small Business, or $166 for a Department of General Services-verified Small Diverse Business) at the beginning of each contract year and upon each contract renewal date.

If you are a Department of General Services Self-Certified Small Business or Department of General Services-verified Small Diverse Business, you must submit a copy of your active Small Business Contracting Program certificate with your bid response.

Corporate or Legal Entity Name

Signature/Date

Printed Name/Title

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