Attachment 3 Offer Form IFB OHSM 2026 0819pdf.pdf
PDF 205 KB Posted
- Attached to
- PURCHASE AND INSTALL STORAGE SHELVING FOR OHSM
- Solicitation number
- B27000261
- Issued by
- Honolulu County, Hawaii
About this file
This is an Offer Form for an Invitation for Bid (IFB) issued by the State of Hawaii Department of Health, Office of Health Status Monitoring, for the purchase and installation of storage shelving. The project involves acquiring SAFCO 4-Post Exact Shelving Systems on Mobile 1000 and Kwik-Track platforms, or a comparable system, for the Vital Records storage collection. The form requires bidders to submit their pricing in accordance with the attached Specifications, Special Provisions, and General Conditions, with detailed position prices to be included in Attachment 4.
Bidders must submit their complete offer, including the total dollar amount, exact legal name, contact information, and proper authorization signatures. The form requires bidders to certify that their offer complies with Hawaii Revised Statutes Chapter 84 regarding prohibited state contracts and that any awarded services will comply with HRS 103-55. Bidders must provide their tax identification or Social Security number, business entity type, and state of incorporation. The Department of Health reserves the right to accept or reject any or all bids and will reject any conditional bids or counter proposals.
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Text version
State of Hawaii Department of Health Office of Health Status Monitoring 1250 Punchbowl Street, Room 250 Honolulu, Hawaii 96813
This bid is made for moving services in the State of Hawaii, to be priced as indicated in the Price Quotation Form, and in accordance with the Specifications attached hereto and made a part hereof.
This bid is made on behalf of:
and no others. Evidence of authority to submit this bid is herewith furnished. This bid is made without collusion on the part of any person, firm, or corporation mentioned above, and no official or employee of the government is directly or indirectly interested in this bid or in the supplies of work to which it relates or in any portion of the profits herein.
OFFER FORM
FOR THE PURCHASE AND INSTALLATION OF SHELVING
I
Attachment 3
OHSM-2026-0819
For the sum of: $_____________________________________________________ DOLLARS
Total position prices are detailed in Attachment 4, attached hereto.
The undersigned states that the undersigned has carefully read and understands the terms and conditions specified in the Special Provisions, Specifications, and General Conditions, attached hereto, and by reference made a part hereof and available upon request; and hereby submits the following offer to perform the work specified herein, all in accordance with the true intent and meaning hereof.
The undersigned further understand and agrees that by submitting this offer, the undersigned is declaring their offer is not in violation of Chapter 84, Hawaii Revised Statuses, concerning prohibited state contracts; and if awarded the Contract, any services performed will be in accordance with §103-55, HRS.
It is expressly understood that the Department of Health reserves the right to accept or reject any of all bids for any or all items of the Bid. It is further understood that any Bid which constitutes a conditional bid, or a counter proposal will be rejected.
Respectfully submitted, Date Exact Legal Name of Bidder
Telephone No. Authorized Signature
Fax No. Title
Street Address
The following bid is hereby submitted:
Payment Address, if different
Hawaii General Excise Tax I.D. No. ___________________________________
Social Security of Federal Identification No. _____________________________
If Bidder shown above is a “dba” or a “division” of a corporation, furnish the exact legal name of the corporation under which the contract, if awarded, will be executed:
Bidder is: __Individual __Partnership __Corporation __Joint Venture __LLC
State of incorporation: __Hawaii ____________________*Other
*If “other,” is corporate seal available in Hawaii? __Yes __No
City, State, Zip Code
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