Appendix B-2b Solicitation & Participation Form.pdf
PDF 168 KB Posted
- Solicitation number
- 21261030092711
- Issued by
- Philadelphia County, Philadelphia City, Pennsylvania
About this file
This document is a Solicitation and Participation Form (Appendix B-2b) issued by the Philadelphia Water Department (PWD) in Pennsylvania for the procurement of Maximo expertise services in a public water or wastewater setting. The solicitation seeks an experienced vendor with demonstrated familiarity in Maximo maintenance and inventory management systems specific to water utility operations. The form establishes the framework for vendor participation and submission requirements, though specific quantities, response dates, due dates, site visit schedules, bidders' meetings, award dates, and contract term details are not delineated within this appendix alone and would be found in the primary solicitation documents.
The form functions as a standardized participation document requiring vendor certification and acknowledgment of solicitation terms. Pricing terms, set-asides, incumbent contractor information, current operational environment details, funding sources, and contract amounts are not specified within this particular appendix and would be addressed in the comprehensive solicitation package. Vendors completing this form are attesting to their qualifications and agreeing to the conditions of participation as outlined in the primary solicitation materials.
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Text version
CITY OF PHILADELPHIA
CONTRACTOR INFORMATION DATA FORM
(MANDATORY FORM TO BE FILLED OUT ENTIRELY FOR PRIMES AND ALL SUBCONTRACTORS)
City of Philadelphia Contract No: __________________ Project Name: ____________________ Prime Contractor Name: ______________________________________________________________ Address:_____________________________________________________________________________
Complete information below for each PRIME AND SUBCONTRACTOR that was solicited for the Project
PRIME AND SUBCONTRACTOR INFORMATION
Federal Tax ID #/ SSN #: Primary Industry NAICS Code:
Full Company Name:
Owner:
Address:
City: Zip Code:
County: Phone Number:
E-Mail:
Date Established: Date Certified:
Demographic*:
Gender:
Certification Status:
No Certification | SBE | LBE | MBE | MWBE | DBE | WBE | Other
Outreach Method:
Dollar Committed to Subcontractor:
Annual Gross Receipts: _______ *indicate the letter that applies
A. $1M or Less C. $23.5M or Less
B. $5M or Less D. $47M or Less
*Demographic: (A) African-American; (B) American Indian or Alaskan Native; (C) Asian-American; (D) Hispanic or Latino American; (E) Native Hawaiian or Other Pacific Islander; (F) White; (G) Other
Untitled
| City of Philadelphia Contract No: |
| Project Name: |
| Prime Contractor Name: |
| Address: |
| Federal Tax ID SSN: |
| Primary Industry NAICS Code: |
| Full Company Name: |
| Owner: |
| Address_2: |
| City: |
| Zip Code: |
| County: |
| Phone Number: |
| EMail: |
| Date Established: |
| fill_14: |
| Ethnicity: |
| Gender: |
| fill_23: |
| Outreach Method: |
| Dollar Committed to Subcontractor: |
| Annual Gross Receipts: |
File details come from the government source that posted it. Updated .