Attachment 1 Bidder Form.docx

DOCX document 24 KB Posted

Attached to
12th and 13th Floor Carpet Tile Replacement
Solicitation number
B27000484
Issued by
Honolulu County, Hawaii

About this file

This is a Bidder Form attachment for a competitive sealed bid solicitation issued by the State of Hawaii, Department of Human Resources Development (DHRD), for construction services to replace existing carpeting on the 12th and 13th floors of the Leiopapa a Kamehameha Building (LAK Building) with modular carpet tile. The form serves as the official submission document for contractors interested in bidding on this project and requires bidders to provide company information, certification of qualifications, and acknowledgment of all bid documents and addenda. The form establishes the framework for bidders to formally declare their intent to submit a competitive sealed bid in accordance with Hawaii Revised Statutes Chapter 103D.

The Bidder Form requires contractors to certify their eligibility, experience, and compliance with state regulations prior to bid submission. Bidders must acknowledge receipt of all solicitation documents and any addenda issued during the bid period, ensuring they are pricing based on current project specifications. The form also requires authorized signatures and contact information, creating an official record of bidder participation and commitment to the procurement process. Contractors should complete this form with accurate information as it becomes part of their bid package and is evaluated as part of the competitive sealed bid process.

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Text version

STATE OF HAWAIʻI

DEPARTMENT OF HUMAN RESOURCES DEVELOPMENT

BIDDER FORM

DHRD IFB NO. 27-02-ASO

To: DHRD Procurement Officer

The undersigned has carefully read and understands the terms and conditions specified in this Invitation for Bid (IFB), including General Conditions and related documents attached hereto, and hereby submits the following bid to perform the work specified herein, all in accordance with the true intent and meaning thereof. The undersigned further understands and agrees that by submitting this bid, 1) he/she is declaring his/her bid is not in violation of Chapter 84, Hawaii Revised Statutes, concerning prohibited State contracts, and 2) he/she is certifying that the price(s) submitted was (were) independently arrived at without collusion.

The Bidder hereby submits the following information as a part of its bid.

Legal Name of Company*:

Address:

Telephone Number:

*Furnish the exact legal name of the corporation under which the awarded contract will be executed and payment for services made. If Offeror is a “dba” or a “division” of a corporation, provide full details.

The undersigned represents the bidder is: (Check only one) ☐ A Hawaii business incorporated or organized under the laws of the State of Hawaii; OR ☐ A Compliant Non-Hawaii business not incorporated or organized under the laws of the State of Hawaii, but registered with the State of Hawaii, Department of Commerce and Consumer Affairs Business Registration Division to do business in the state of Hawaii.

State of Incorporation:

Bidder is:

☐ Sole Proprietor ☐ Partnership ☐ Corporation ☐ Joint Venture ☐ Other Federal I.D. No.:

Hawaii General Excise Tax ID:

Office and Service Facility Location Address:

Telephone Number:

Point of Contact Name:

Telephone:

FAX No.:

Cell Phone:

E-mail:

Emergency Point of Contact (During and after work hours) Name:

Cell Phone:

By signing below, the undersigned warrants that they are duly authorized to bind the company for this bid.

_________________________
Signature

Printed Name

_________________________
Title
_________________________
Date

OFFER FORM A OFA-1 CSD-26-026-O

OFFER FORM A OFA-1 CSD-26-026-O

BIDDER FORMDHRD IFB No. 27-02-ASO
2026-09-29

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