Appendix E - Bidder Profile.docx
DOCX document 71 KB Posted
- Attached to
- Fleet Card Products and Services
- Solicitation number
- 26-00009
- Issued by
- Adams County, Asotin County, Benton County, Chelan County, Clallam County, Clark County, Columbia County, Cowlitz County, Douglas County, Ferry County, Franklin County, Garfield County, Grant County, Grays Harbor County, Island County, Jefferson County, King County, Kitsap County, Kittitas County, Klickitat County, Lewis County, Lincoln County, Mason County, Okanogan County, Pacific County, Pend Oreille County, Pierce County, San Juan County, Skagit County, Skamania County, Snohomish County, Spokane County, Stevens County, Thurston County, Wahkiakum County, Walla Walla County, Whatcom County, Whitman County, Yakima County, Asotin City, Clarkston City, Clarkston Heights-Vineland CDP, West Clarkston-Highland CDP, Benton City, Chelan City, Chelan Falls CDP, Clallam Bay CDP, Lewisville CDP, Rock Island City, Pacific Beach CDP, Whidbey Island Station CDP, Mercer Island City, Pacific City, Bainbridge Island City, Kingston CDP, Kitsap Lake CDP, Kittitas City, Klickitat CDP, Okanogan City, Anderson Island CDP, Fort Lewis CDP, Fox Island CDP, Herron Island CDP, Ketron Island CDP, North Fort Lewis CDP, Raft Island CDP, Stevenson City, Hat Island CDP, Lake Stevens City, Snohomish City, Spokane City, Spokane Valley City, Puget Island CDP, Garfield Town, Yakima City, Washington
About this file
This is a Bidder Profile form (Appendix E) for Invitation for Bids (IFB) No. 25-00016 issued by the Washington State Department of Fish and Wildlife (WDFW) for fleet card products and services. The solicitation seeks bids for fleet card solutions to facilitate purchasing of fuel (gasoline, diesel, biodiesel, marine, and aviation fuels, and propane), vehicle maintenance, roadside assistance, and electric vehicle charging. Bidders are required to complete this profile form providing company information, including authorized representatives, signatories, and points of contact, along with federal tax identification numbers and Washington Department of Revenue registration details. The form mandates submission of a minimum of three commercial or government references demonstrating comparable experience delivering similar goods and services.
The Bidder Profile form requests disclosure of all subcontractors, including their tax identification numbers and relevant certifications, with explicit language that bidders assume complete responsibility and liability for subcontractor performance subject to WDFW approval. Bidders must indicate accepted purchasing card types (Visa, MasterCard, American Express, Discover, or other) and provide certification information if the firm qualifies as a minority or women-owned business, veteran-owned business, or small business under Washington State law. Small businesses are defined as in-state entities with fifty or fewer employees, gross annual revenue below $7,000,000 over the previous three consecutive years, or certification through the Office of Minority and Women-Owned Business Enterprises.
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Other files
| File | Type | Posted |
|---|---|---|
| Appendix C - SAMPLE Contract.pdf | ||
| Appendix F - Bidder Questionnaire.xlsx | XLSX spreadsheet | |
| Appendix B - Complaint-Debrief-Protest Process.pdf | ||
| 26-00009 - Fleet Card RFP.docx | DOCX document | |
| Appendix D - Certifications and Assurances.docx | DOCX document | |
| Appendix I - Fleet Vendor List.xlsx | XLSX spreadsheet | |
| Appendix A - Competitive Procurement Standards.pdf | ||
| Appendix H - Map of WDFW Regions.docx | DOCX document | |
| Appendix G - Cost Response.docx | DOCX document |
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Text version
Invitation For Bids (IFB) No. 25-00016 Fleet Card Products and Services
Appendix 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 |
| WA Dept. of Revenue Registration Number |
| Statewide Vendor Payment Number |
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 IFB.
1. Customer:
Contact:
Phone:
Email:
2. Customer:
Contact:
Phone:
Email:
3. Customer:
Contact:
Phone:
Email:
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 DES approval. DES 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.
Washington State Department of Fish and Wildlife Page 1 of 2 IFB No. 25-00016 – Bidder Profile (Appendix D) Washington State Department of Fish and Wildlife Page 2 of 2 IFB No. 25-00016 – Bidder Profile (Appendix D) image1.jpeg
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