Appendix2-Bidder_OfferorInformationSheet.pdf

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Attached to
DBM Specimens Collection Contract
Solicitation number
BPM036960
Issued by
Maryland

About this file

This document is an Appendix 2 - Bidder/Offeror Information Sheet related to a state and local contract opportunity from the Department of Budget and Management (DBM) in the state of Maryland. The contract is for the collection of specimens from applicants and employees to test for the illegal use of drugs. The specifications are provided to request bids for administering a centralized drug testing program (urine specimen collection only) for State of Maryland applicants and employees.

The document requests information about the bidder/offeror company, including their business name, address, federal employer identification number, eMM ID number, SBE/MBE/VSBE certification details, and contact information for the primary contact and authorized bid/proposal signatory. The related state and local contract opportunity is for a Statewide Contract for the collection of specimens for drug testing of State of Maryland applicants and employees.

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Appendix 2 – Bidder/Offeror Information Sheet Page A2-1 effective date: May 1, 2018

Appendix 2. – Bidder/Offeror Information Sheet

Bidder/Offeror

Company Name

Street Address

City, State, Zip Code

Contractor Federal Employer Identification Number

(FEIN)

Contractor eMM ID Number As of the Bid/Proposal submission date, are you registered to do business with the state of Maryland?

SBE / MBE/ VSBE Certification

SBE Number:

Expiration Date:

VSBE Number:

Expiration Date:

MBE Number:

Expiration Date:

Categories to be applied to this solicitation (dual certified firms must choose only one category).

Bidder/Offeror Primary Contact

Name

Title

Office Telephone Number (with area code)

Cell Telephone Number (with area code)

E-mail Address

Authorized Bid/Proposal Signatory

Name

Title

Office Telephone Number (with area code)

Cell Telephone Number (with area code)

E-mail Address

Appendix 2. – Bidder/Offeror Information Sheet

File details come from the government source that posted it. Updated .