Attachment 01_Offer and Acceptance.docx
DOCX document 40 KB Posted
- Attached to
- Statewide Mobile Diagnostic Imaging Services
- Solicitation number
- BPM007086
- Issued by
- Arizona
About this file
This is an Offer and Acceptance Form for a Request for Proposal issued by the Arizona Department of Administration State Procurement Office for Statewide Mobile Diagnostic Imaging Services (Solicitation No. BPM007086). The solicitation establishes one or more statewide contracts to provide mobile diagnostic imaging services, including X-Ray, Ultrasound, and Echocardiogram technologies, to all state agencies, universities, boards, commissions, and participating purchase cooperative members. The solicitation was posted on August 25, 2025, with a proposal submission deadline of October 3, 2025, providing approximately six weeks for vendors to prepare and submit offers. The contract will be awarded to qualified vendors capable of delivering comprehensive mobile diagnostic imaging services across Arizona. Offerors are required to submit firm offers valid for 180 days following the solicitation due date, and contractors are cautioned not to commence any billable work until receiving a purchase order from the state.
The Offer and Acceptance Form establishes the binding contractual framework upon execution by both the offeror and the State of Arizona Statewide Procurement Manager. Offerors must certify compliance with multiple statutory requirements, including non-discrimination provisions under Federal Executive Order 11246 and Arizona State Executive Orders, prohibitions on boycotts of Israel (A.R.S. 35-393 et seq.) and forced labor of ethnic Uyghurs (A.R.S. 35-394), anti-collusion standards, and verification that they are not debarred from government contracting. Small businesses, sole proprietorships with fewer than ten employees, and non-profit organizations are exempt from certain forced labor and boycott certification requirements. The document does not specify budget amounts, pricing structures, or set-aside designations, though statewide contracts of this nature typically represent substantial annual procurement values.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| BPM007086_Solicitation_Instructions_to_Offerors.pdf | ||
| Attachment 09_References.docx | DOCX document | |
| Attachment 04_Key Personnel.docx | DOCX document | |
| Attachment 06_Organization Profile.docx | DOCX document | |
| Attachment 10_Method of Approach.docx | DOCX document | |
| Solicitation_Amendment__1.pdf | ||
| Attachment 08_Experience and Capacity Questionnaire.docx | DOCX document | |
| Attachment 05_Letter of Insurability.docx | DOCX document | |
| Attachment 11_Business Associates Addendum (HIPAA).docx | DOCX document | |
| BPM007086_Solicitation_Requirements.pdf | ||
| Exhibit_A_Utilization_Report.xlsx | XLSX spreadsheet | |
| Attachment 02_Confidential Info Designation.docx | DOCX document | |
| Attachment 12_Pricing.xlsx | XLSX spreadsheet | |
| Attachment 07_Proposed Subcontractors.docx | DOCX document | |
| Attachment 03_Conformance Statements.xlsx | XLSX spreadsheet |
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Text version
Attachment 01 – Offer and Acceptance Form
Request for Proposal
Solicitation No. BPM007086
Statewide Mobile Diagnostic Imaging Services Arizona Department of Administration State Procurement Office
SUBMISSION OF OFFER: The undersigned hereby offers and agrees to provide Statewide Mobile Diagnostic Imaging Services in compliance with all terms, conditions, specifications, and amendments in the Solicitation and any written exceptions in the Offer indicated by the latest dated version below Solicitation Attachment – Offer and Acceptance | Revision No. 7 | Revised 07-25
Offeror company name
Signature of person authorized to sign Offer Date
Address
Printed name and Title
City, State, ZIP
Contact name and Title
☐ By checking this box, Offeror is certifying that it is exempt from the requirements regarding the forced labor of ethnic Uyghurs and boycott of Israel because of one of the following: Contractor is a Sole proprietorship, has fewer than ten (10) employees; or is a non-profit organization.
| Contact email address |
| Contact phone number |
Revised Offers:
| Date |
| Signature |
| Date |
| Signature |
Best and Final Offer:
| Date |
| Signature |
CERTIFICATION: By signature in the above, Offeror certifies that it:
1. Will not discriminate against any employee or applicant for employment in violation of Federal Executive Order 11246, [Arizona] State Executive Orders 2023-09, 2023-01, 2009-09 or A.R.S. §§ 41-1461 through 41-1465;
2. Has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or Service to a public servant in connection with the submitted offer. Failure to provide a valid signature affirming the stipulations required by this clause will result in rejection of the Offer. Signing the Offer with a false statement will void the Offer, any resulting contract, and may be subject to legal penalties under law;
3. Complies with A.R.S. § 18-132 when offering electronics or information technology products, Services, or maintenance;
4. Has submitted this Offer as a firm offer for 180 days following the Solicitation due date and time per the Instructions to Offers. Any extensions to the Offer Acceptance Period shall be made in accordance with the A.A.C. R2-7-C310;
5. Did not and will not involve collusion or other anti-competitive practices; and
6. Is not debarred from, or otherwise prohibited from, participating in any contract awarded by federal, state, or local government.
7. Does not participate in, and agrees not to participate in during the term of the contract, a boycott of Israel in accordance with A.R.S. § 35-393 et seq. (Unless exempt)
8. Does not participate in the use of forced labor of ethnic Uyghurs as described in A.R.S. § 35-394. (Unless exempt)
ACCEPTANCE OF OFFER
The offer is hereby accepted.
The Contractor is now bound to sell the Materials or Services listed by the attached Contract and based upon the Solicitation, including all terms, conditions, specifications, amendments, etc., and the Contractor’s Offer as accepted by the State.
The Contract shall henceforth be referred to as Contract No.
The effective date of the Contract is
The Contractor is cautioned not to commence any billable work or to provide any Material or Service under this Contract until Contractor receives a purchase order.
State of Arizona Awarded this day of
Francine Whittington Statewide Procurement Manager image1.jpg
File details come from the government source that posted it. Updated .