6-Offeror Information Form.pdf
PDF 402 KB Posted
- Solicitation number
- 26-111325-45-P-AW
- Issued by
- Fulton County, Georgia
About this file
This is an Offeror Information Form for the Atlanta Public Schools, a Georgia school district seeking qualified contractors for the pool infrastructure replacement project at Martin Luther King, Jr. Middle School located at 545 Hill Street, SE, Atlanta, GA 30312. The form requires offerors to provide comprehensive company information including legal entity name, business address, and designated points of contact for solicitation matters, contract administration, and purchase order delivery. Offerors must specify their state of incorporation, taxpayer identification number, and DUNS number, and indicate whether they are independently owned or operate as an affiliate or division of another entity. The form does not specify project scope details, quantities, response deadlines, site visit requirements, bidders' conferences, award dates, or contract term within its content, as it functions solely as a data collection instrument for contractor qualification and eligibility verification.
The form requires offerors to disclose critical business qualifications and compliance status, including certification as a Minority/Women Owned Business Enterprise (MWBE), implementation of Affirmative Action Plans for Equal Employment Opportunity, and Americans with Disabilities Act compliance programs. Offerors must confirm their current vendor registration status with both Atlanta Public Schools and the State of Georgia, acknowledge whether they accept credit card payments, and provide proof of insurance if awarded. Additionally, offerors must certify they are not debarred from federal, state, or local business, have not defaulted on previous contracts, and have no conditions or restrictions that would render their proposal non-responsive. The form does not address pricing terms, set-asides, incumbent contractors, funding sources, or budget amounts within its provisions.
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Text version
Offeror Information Form updated 9/2020
OFFEROR INFORMATION FORM
(This form must be completed and returned with your response)
Full Company Legal Name:
Street Address:
City, State, Zip Code:
Contact Name for Solicitation: Title:
Telephone: ( ) Fax: ( ) E-mail:
Contact Name for Contract: Title:
Contact Name for Purchase Order’s: Title:
Purchase orders may be delivered via e-mail or fax. Please indicate your preferred delivery method and provide an e-mail address or fax number where they should be sent.
E-mail Fax ( )
Company Web Site: State of Incorporation:
Taxpayer ID Number: Duns #:
Check one of the following: Independently owned and operated: An Affiliate or Division of:
Company Name:
Address:
Is your company a certified Minority/Women Owned Business Enterprise (MWBE)? Yes No If YES, please indicate what certification you possess and through which agency you are certified: _________________________________________________________
Does the company utilize an Affirmative Action Plan for Equal Employment Yes No Opportunity?
Has the company implemented a compliance program in accordance with the Yes No Americans with Disabilities Act?
Have any conditions or restrictions been placed on this proposal by the company Yes No that would cause it to be declared non-responsive?
If recommended for award will company provide proof of insurance as required? Yes No
Is the company currently debarred from doing business with any federal, state or Yes No local agency? If YES, please provide details and submit on a separate sheet.
Has the company ever defaulted on a contract or been denied a contract due to Yes No non-ability to perform? If YES, please provide details on a separate sheet.
Does the company accept payment by credit card? Yes No
Is the company registered as a vendor with Atlanta Public Schools? Yes No If YES, please provide APD vendor number:
Is the company registered as a vendor with the State of Georgia? Yes No If YES, please attach a copy of your state of Georgia business license.
File details come from the government source that posted it. Updated .