attachment-2-rfp-2026-dot-02-app-b.pdf

PDF 187 KB Posted

Attached to
New Hampshire Rural Intercity Bus Program Services
Solicitation number
RFP DOT 2026-02
Issued by
Carroll County, New Hampshire

About this file

This is a Proposer Information Form (Attachment B) for RFP 2026-DOT-02 issued by the State of New Hampshire Department of Transportation for the New Hampshire Rural Intercity Bus Program Services. The form serves as the application document for vendors seeking to provide operations and maintenance services for vehicles under this program. Proposers are required to submit comprehensive company information including legal business name, contact details, mailing and physical addresses, federal employer identification numbers, tax identification numbers, SAM.Gov registration details, and certifications such as Disadvantaged Business Enterprise (DBE) status if applicable. Additionally, vendors must identify key personnel including the agency head, authorizing official responsible for signing contract documents, primary project contact, and secondary project contact, with each requiring name, title, email, and phone number.

The form requires proposers to disclose information for any subcontractors directly involved in the operations and maintenance of vehicles, including their legal names, addresses, federal and tax identification numbers, SAM.Gov registration status, and contact information for primary and secondary representatives. Vendors must confirm New Hampshire Secretary of State Good Standing status and provide their State of New Hampshire Vendor number. The form also requests indirect cost rate and cost allocation plan information where applicable. This standardized proposer information gathering document is designed to establish vendor eligibility, operational capacity, and compliance with state requirements prior to contract execution, with all requested information required to be completed before contract award.

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Text version

Proposer Information Form

COMPANY INFORMATION (Please provide all available info; all info will be required prior to contract) Company’s legal name*: Click or tap here to enter text.

Main Telephone Line: Click or tap here to enter text. Main Fax: Click or tap here to enter text.

Company website URL: Click or tap here to enter text.

Social Media Presence: ☐ Facebook ☐ Twitter ☐ Instagram ☐ Other, please list: Click or tap here to enter text.

Mailing Address Street #1: Click or tap here to enter text. Street #2/P.O. Box: Click or tap here to enter text.

City: Click or tap here to enter text. State: Click or tap here to enter text.

Zip Code: Click or tap here to enter text.

Company Location Street #1: Click or tap here to enter text. Street #2: Click or tap here to enter text.

City: Click or tap here to enter text. State: Zip Code:

Federal Employer Identification Number (FEID): Click or tap here to enter text.

Tax Identification Number (TIN): Click or tap here to enter text.

SAM.Gov Identification Number: Click or tap here to enter text.

SAM.Gov Expiration Date:Click or tap to enter a date.

Disadvantaged Business Enterprise (DBE) Certification # (if applicable): Click or tap here to enter text.

DBE Expiration Date (if applicable):Click or tap to enter a date.

NH Secretary of State Good Standing: ☐ Yes ☐ No Date: Click or tap to enter a date.

State of NH Vendor #: Click or tap here to enter text.

Indirect Cost Rate (if applicable): Click or tap here to enter text.

Cost Allocation Plan: ☐ Yes ☐ No

*Exactly as registered with the State of New Hampshire (i.e., LLC, Inc., P.A., etc.)

CONTACT INFORMATION

Agency Head Name: Click or tap here to enter text. Title: Click or tap here to enter text.

Email: Click or tap here to enter text. Primary Phone #: Click or tap here to enter text.

Type: Choose an item.

Authorizing Official* (If different from Agency Head) Name: Click or tap here to enter text. Title: Click or tap here to enter text.

Email: Click or tap here to enter text. Primary Phone #: Click or tap here to enter text.

Type: Choose an item.

Primary Project Contact Name: Click or tap here to enter text. Title: Click or tap here to enter text.

Email: Click or tap here to enter text. Primary Phone #: Click or tap here to enter text.

Type: Choose an item.

Secondary Project Contact Name: Click or tap here to enter text. Title: Click or tap here to enter text.

Email: Click or tap here to enter text. Primary Phone #: Click or tap here to enter text.

Type: Choose an item.

*Person responsible for signing applications and contract documents.

Proposer Information Form

For any subcontractor directly involved in the operations and maintenance of the vehicles to be used in providing the services listed in this RFP, provide the following information. Add additional sheets as necessary.

SUBCONTRACTOR #1 INFORMATION

Legal Company Name: Click or tap here to enter text.

Mailing Address Street #1: Click or tap here to enter text. Street #2/P.O. Box: Click or tap here to enter text.

City: Click or tap here to enter text. State: Click or tap here to enter text.

Zip Code: Click or tap here to enter text.

Services provided: Click or tap here to enter text.

Federal Employer Identification Number (FEID): Click or tap here to enter text.

Tax Identification Number (TIN): Click or tap here to enter text.

SAM.Gov Identification Number: Click or tap here to enter text.

SAM.Gov Expiration Date: Click or tap to enter a date.

Contact Information Name: Click or tap here to enter text. Title: Click or tap here to enter text.

Email: Click or tap here to enter text. Primary Phone #: Click or tap here to enter text.

Type: Choose an item.

Secondary Contact Information Name: Click or tap here to enter text. Title: Click or tap here to enter text.

Email: Click or tap here to enter text. Primary Phone #: Click or tap here to enter text.

Type: Choose an item.

SUBCONTRACTOR #2 INFORMATION

Legal Company Name: Click or tap here to enter text.

Mailing Address Street #1: Click or tap here to enter text. Street #2/P.O. Box: Click or tap here to enter text.

City: Click or tap here to enter text. State: Click or tap here to enter text.

Zip Code: Click or tap here to enter text.

Services provided: Click or tap here to enter text.

Federal Employer Identification Number (FEID): Click or tap here to enter text.

Tax Identification Number (TIN): Click or tap here to enter text.

SAM.Gov Identification Number: Click or tap here to enter text.

SAM.Gov Expiration Date:Click or tap to enter a date.

Contact Information Name: Click or tap here to enter text. Title: Click or tap here to enter text.

Email: Click or tap here to enter text. Primary Phone #: Click or tap here to enter text.

Type: Choose an item.

Secondary Contact Information Name: Click or tap here to enter text. Title: Click or tap here to enter text.

Email: Click or tap here to enter text. Primary Phone #: Type: Choose an item.

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