ATTACHMENT 4 Bid Proposal Submittal Form.docx

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Attached to
PRE-QUALIFY VENDORS WHO CAN PROVIDE TELECOMMUNICATIONS OUTSIDE PLANT SERVICES IN SELECTED ZONES
Solicitation number
26-023
Issued by
Polk County, Iowa

About this file

This is a Bid Proposal Submittal Form (Attachment 4) for RFP 26-023 issued by the State of Iowa. The form requires vendors to submit comprehensive company information including legal name, all operating names, business address, contact details, and phone and fax numbers. Vendors must identify their form of business entity, state of incorporation or formation, and number of employees. The form also requests local office information if different from the primary address and requires identification of the vendor's accounting firm. Additionally, vendors must confirm their registration status to do business in Iowa or affirm their commitment to register if awarded the contract.

The form designates two primary contacts: one person responsible for bid proposal matters and another for scheduling and project arrangements. Each contact must provide complete contact information including address, phone, fax, and email. The contract is being awarded as a convenience to the State for potential future needs and does not guarantee any minimum amount of work to the successful vendor or vendors. All sections of this attachment must be completed and submitted as part of the bid proposal for RFP 26-023.

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ATTACHMENT 4

BID PROPOSAL SUBMITTAL FORM

RFP 26-023

Vendor providing a bid proposal must complete and submit each section of this Attachment as part of its bid proposal. Issuance of a Contract does not guarantee any minimum amount of work to the successful Vendor(s) but is being awarded as a convenience to the State for potential future needs.

Vendor Name (including all d/b/a or assumed names or other operating names of the Vendor): Click or tap here to enter text.

Vendor Address: Click or tap here to enter text.

Vendor Phone: Click or tap here to enter text.

Vendor Fax: Click or tap here to enter text.

Vendor Email: Click or tap here to enter text.

Form of business entity, i.e., corporation, partnership, proprietorship, limited liability company:Click or tap here to enter text.

State of incorporation (if a corporation): Click or tap here to enter text.

State of formation (if a limited liability company or a limited partnership): Click or tap here to enter text.

Number of employees: Click or tap here to enter text.

Local Office Information (if different from above):

Local Office Address: Click or tap here to enter text.

Local Office Phone: Click or tap here to enter text.

Local Office Fax: Click or tap here to enter text.

Local Office Email: Click or tap here to enter text.

Identify of the Vendor’s Accounting Firm: Click or tap here to enter text.

The successful Vendor will be required to register to do business in Iowa. If already registered, provide the date of the Vendor’s registration to do business in Iowa. If not registered, Vendor must affirm that it will register if awarded the Agreement. Click or tap here to enter text.

Person to Contact Regarding This Bid Proposal: Click or tap here to enter text.

Person to Contact Address: Click or tap here to enter text.

Person to Contact Phone: Click or tap here to enter text.

Person to Contact Fax: Click or tap here to enter text.

Person to Contact Email: Click or tap here to enter text.

Person to Contact Regarding Scheduling and Other Project Arrangements:

Scheduling Address: Click or tap here to enter text.

Scheduling Phone: Click or tap here to enter text.

Scheduling Fax: Click or tap here to enter text.

Scheduling Email: Click or tap here to enter text.

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