Attachment #2 - Subcontractor Disclosure Form.docx
DOCX document 94 KB Posted
- Attached to
- IDR Mail Modernization
- Solicitation number
- RFP-185-2525-2026
- Issued by
- Polk County, Des Moines City, Iowa
About this file
This is a Subcontractor Disclosure Form for Solicitation No. 185-2525-2026, the IDR Mail Modernization project issued by the Iowa Department of Management on behalf of the Iowa Department of Revenue. The procurement seeks a comprehensive incoming mailroom modernization system with integrated hardware, software, and services to replace aging infrastructure and manual processes. The optional pre-proposal conference and facilities tour is scheduled for April 22, 2026, at 10:00 AM at the Hoover State Office Building in Des Moines. Written questions for clarification must be submitted by 3:00 PM on April 28, 2026, and proposals are due by 3:00 PM on June 8, 2026. The anticipated contract term runs from February 1, 2027, through January 31, 2032, with an agency option to renew for up to ten additional annual extensions. The resulting contract will be made available to state and local governments and nonprofit organizations as permissible under applicable law.
Any responding vendor intending to use subcontractors must complete a form for each proposed subcontractor detailing the subcontractor's legal name, business entity type, state of incorporation, primary and local addresses, number of employees, years in business, federal tax ID, percentage of total work to be performed, and scope of work and qualifications. The subcontractor must certify agreement to perform the work, acknowledge that all contract restrictions and obligations apply to the subcontractor, agree to register to do business in Iowa if required by law, and comply with Davis-Bacon requirements if applicable. Respondents must provide accessibility conformance reports upon delivery and for any material changes to deliverables. The successful vendor must comply with all applicable policies issued by the Iowa Department of Management, pay a 1.00 percent administrative fee quarterly on all sales made under the contract, and submit detailed quarterly sales reports in Microsoft Excel format. Payment terms allow the state sixty days for invoice payment, with shipping required to be FOB Destination, Freight Prepaid.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 1367890-event.pdf | ||
| RFP-185-2525-2026_Attachment #6 Requirements Traceability Matrix.xlsx | XLSX spreadsheet | |
| Attachment #7 - Resource Usage Template.xlsx | XLSX spreadsheet | |
| Attachment #8 - Exceptions Template.docx | DOCX document | |
| RFP-185-2525-2026_Attachment #4 - Cost Proposal Workbook.xlsx | XLSX spreadsheet | |
| Attachment #1 - Respondent Information Form (2).docx | DOCX document | |
| Attachment #5 - Sample Contract.docx | DOCX document | |
| RFP-185-2525-2026 IDR Incoming Mail Modernization.pdf |
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Text version
Solicitation No. 185-2525-2026
Title: IDR Mail Modernization
Attachment #3: Subcontractor Disclosure Form
(Submit this completed form with your proposal submission. Fully complete a form for each proposed subcontractor. If a section does not apply, label it “not applicable.” If the Respondent does not intend to use subcontractor(s), this form does not need to be returned.)
Primary Respondent (“Primary Respondent”):
Subcontractor Contact Information (individual who can address issues re: this RFP)
Name:
Address:
Tel:
Fax:
E-mail:
Subcontractor Detail
Subcontractor Legal Name (“Subcontractor”):
“Doing Business As” names, assumed names, or other operating names:
Form of Business Entity (i.e., corp., partnership, LLC, etc.)
State of Incorporation/organization:
Primary Address:
Tel:
Fax:
Local Address (if any):
Addresses of Major Offices and other facilities that may contribute to performance under this RFP/Contract:
Number of Employees:
Number of Years in Business:
Primary Focus of Business:
Federal Tax ID:
Subcontractor’s Accounting Firm:
If Subcontractor is currently registered to do business in Iowa, provide the Date of Registration:
Percentage of Total Work to be performed by this Subcontractor pursuant to this RFP/Contract.
General Scope of Work to be performed by this Subcontractor
Detail the Subcontractor’s qualifications for performing this scope of work
By signing below, Subcontractor agrees to the following:
1. Subcontractor has reviewed the RFP, and Subcontractor agrees to perform the work indicated in this submitted Proposal if the Primary Respondent is selected as the winning Respondent in this procurement;
2. Subcontractor recognizes and agrees that if the Primary Respondent enters into a contract with the Agency as a result of this RFP, all restrictions, obligations, and responsibilities of the contractor under the contract shall also apply to the subcontractor;
3. Subcontractor agrees that it will register to do business in Iowa before performing any services pursuant to this contract, if required to do so by Iowa law; and,
4. Subcontractor certifies that it will comply with Davis-Bacon requirements if applicable to the resulting contract.
The person signing this Subcontractor Disclosure Form certifies that he/she is the person in the Subcontractor’s organization responsible for or authorized to make decisions.
I hereby certify that the contents of the Subcontractor Disclosure Form are true and accurate and that the Subcontractor has not made any knowingly false statements in the Form.
Signature for Subcontractor:
Printed Name/Title:
Date:
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