Appendix D - Bidder Profile.pdf
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- Solicitation number
- 26-00012
About this file
This document is a Bidder Profile form (Exhibit D) for Request for Quotations and Qualifications (RFQQ) No. 26-00012 issued by the Washington Department of Fish and Wildlife for the Samish River Unit Tree and Shrub Planting Project. The form serves as a standardized submission document for contractors interested in establishing native trees, shrubs, and willow whips to restore designated planting areas to native conditions in accordance with Wildlife Restoration Program easement objectives. Bidders must complete company information sections including authorized representatives, signatories, and points of contact, along with federal tax identification, Washington Department of Revenue registration, and Statewide Vendor Payment numbers. The form requires submission of a minimum of three commercial or government references demonstrating similar project experience.
The Bidder Profile form addresses subcontractor requirements, requiring identification of any subcontractors on separate sheets along with their federal tax identification numbers and relevant minority or women-owned business enterprise certification numbers if applicable. The form includes sections for bidders to declare their business status, including whether they qualify as minority or women-owned businesses, veteran-owned businesses, or small businesses as defined under RCW 39.26.010(22). Bidders must also indicate accepted payment methods such as purchasing cards. The contractor assumes complete responsibility, contract obligations, and liability for all subcontractor actions, with all subcontractors subject to Washington Department of Fish and Wildlife approval or disapproval.
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Page 1 of 2 Washington Department of Fish and Wildlife RFQ No. 26-00012 – Bidder Profile (Exhibit D)
Request for Quotations and Qualifications (RFQQ) No. 26-00012
Samish River Unit Tree and Shrub Planing Project
Exhibit D – Bidder Profile
COMPANY INFORMATION (for Contract administration purposes)
Company Name & Address: Authorized Representative: Name and Title:
Phone:
Email:
Authorized Signatory:
Name:
Title:
Email:
Point of Contact (if different from Authorized Representative):
Name:
Title:
Email:
Federal Tax Identification Number (https://sam.gov)
WA Dept. of Revenue Registration Number (https://dor.wa.gov)
Statewide Vendor Payment Number (https://ofm.wa.gov/tech-support/statewide-vendor-payee-services/)
REFERENCES
Provide a minimum of three (3) commercial or government references for which Bidder has delivered goods and/or services similar in scope as described in the RFQ.
1. Customer:
Contact:
Phone:
Email:
2. Customer:
Contact:
Phone:
Email:
3. Customer:
Contact:
Phone:
Email:
https://sam.gov/ https://dor.wa.gov/ https://ofm.wa.gov/tech-support/statewide-vendor-payee-services/ https://ofm.wa.gov/tech-support/statewide-vendor-payee-services/
Page 2 of 2 Washington Department of Fish and Wildlife RFQ No. 26-00012 – Bidder Profile (Exhibit D)
SUBCONTRACTORS
If applicable, on a separate sheet, identify any subcontractors who will perform services in fulfillment of contract requirements; the nature of services to be performed and include federal tax identification (TIN) number for each subcontractor. If a subcontractor is a minority or women owned business please include their OMWBE
Certification Number (if certified). If necessary, attach additional sheets (please stamp or mark each page with a company name, mark, or initial). Do not include any Social Security Numbers.
The contractor, by including subcontractor(s) as part of your signed bid is your agreement to take complete responsibility, contract obligations, and liability for all actions of such subcontractors. All subcontractors are subject to WDFW approval. WDFW reserves the right to approve or disapprove any subcontractor.
SALES/CUSTOMER SERVICE
Purchasing Cards Accepted:
Visa Master Card American Express Discover Other:
MINORITY/WOMEN OWNED BUSINESS STATUS
Is your firm a Minority/Women Owned Business? Yes No
Office of Minority and Women-Owned Business Enterprises MWBE certification #
VETERAN OWNED BUSINESS STATUS
Is your firm a Veteran Owned Business? Yes No
Washington State Department of Veterans Affairs certification #
SMALL BUSINESS STATUS
Does your firm meet the definition of a small business in RCW 39.26.010(22)? Yes No
RCW 39.26.010:
(22) "Small business" means an in-state business, including a sole proprietorship, corporation, partnership, or other legal entity, that:
(a) Certifies, under penalty of perjury, that it is owned and operated independently from all other businesses and has either:
(i) Fifty or fewer employees; or
(ii) A gross revenue of less than $7,000,000 annually as reported on its federal income tax return or its return filed with the department of revenue over the previous three consecutive years; or
(b) Is certified with the office of women and minority business enterprises under chapter 39.19 RCW.
File details come from the government source that posted it. Updated .