Attachment 1 - Bid Commitment Form FINAL1.pdf

ATTACHMENT #1

IFB # 1165

NYS Office of Children and Family Services Commission for the Blind

Business Enterprise Program

Bid Location(s) Included:

NOTE: See Appendix D for the complete address(es) of each location.

NYS DOT Rest Areas I-88 Otsego County, NY

BID COMMITMENT

Please indicate the percentage of Net Sales (Net Sales being defined as Total Sales minus bottle deposit minus sales tax) per month you will pay for IFB # 1165 Automatic Vending Machine Services, and sign below:

_________% per month for 60 months (must be 20% or greater)

(REQUIRED)

NOTE: The award of a contract pursuant to this IFB will be made to an eligible, responsive, and responsible bidder based on the highest bid amount as outlined in Section IV “Selection Criteria / Award of Contract” which meets or exceeds the minimum acceptable bid rate. See IFB Section I “Information for Prospective Bidders” subsection #3 entitled “Minimum Bid Requirement and Eligibility Criteria” for additional information regarding the minimum acceptable bid percentage.

Name Title

Company Name Email

Address Phone #

Address Fax #

Non-Collusive Bidding Certification:

By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and in the case of a joint bid each party thereto certifies as to its own organization, under penalty of perjury, that to the best of his/her knowledge and belief:

(1) The monthly percentage amount in this bid has been arrived at independently without collusion, consultation, communication or agreement, for the purpose of restricting competition, as to any matter relating to such percentage amount with any other bidder or with any competitor;

(2) Unless otherwise required by law, the monthly percentage amount quoted in this bid has not been knowingly disclosed by the bidder and will not knowingly be disclosed by the bidder prior to opening, directly or indirectly, to any other bidder or to any competitor;

(3) No attempt has been made or will be made by the bidder to induce any other person, partnership, or corporation to submit or not to submit a bid for the purpose of restricting competition.

Policy on Sexual Harassment Prevention/Training Certification:

By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and in the case of a joint bid each party thereto certifies its own organization, under penalty of perjury, that the bidder has and has implemented a written policy addressing sexual harassment prevention in the workplace and provides annual sexual harassment prevention training to all of its employees. Such policy shall, at a minimum, meet the requirements of section two hundred one-g of the labor law. Please note that a bid will not be considered for award, nor will any award be made to a bidder who is not able to make this certification in compliance with State Finance Law section 139-l; provided, however, that if the bidder cannot make the foregoing certification, such bidder shall so state and shall furnish with the bid a signed statement which sets forth in detail the reasons therein.

Signature of Individual authorized to bind the Bidder contractually Date

Note: This sheet must be completed, signed, dated, and returned with your bid proposal.

BID PROPOSALS MUST BE RECEIVED NO LATER THAN

THE DATE/TIME SET FORTH IN THE CALENDAR OF EVENTS.

ALL BIDS MUST MEET OR EXCEED THE MINIMAL ACCEPTABLE BID RATE.

OFFERERS ASSUME ALL RISKS FOR TIMELY, PROPERLY SUBMITTED BIDS.

PLEASE REMEMBER TO INCLUDE YOUR REFERENCES IN YOUR SUBMISSION.

BID COMMITMENT