Attachment 6 Form SPO 081 Hawaii Bidder_Offeror Preference Certification Form.pdf
PDF 132 KB Posted
- Attached to
- Coarse Paper Products
- Solicitation number
- B27000408
- Issued by
- Hawaii
About this file
This is a Hawaii Bidder/Offeror Preference Certification Form (Form SPO-081) related to the State of Hawaii's Coarse Paper Products Invitation for Bid (IFB), which will result in awards incorporated into the existing State Procurement Office Price List Contract No. 25-15. The solicitation covers the furnishing and delivery of coarse paper products to be ordered by participating agencies on an as-needed basis during the applicable contract term. The form serves as certification documentation for bidders seeking to qualify for Hawaii's bidder preference program under Hawaii Revised Statutes (HRS) 103D-1001.
The certification form requires bidders to attest to four primary qualifications: maintaining a valid commercial place of business in Hawaii that has been staffed for at least two consecutive years immediately prior to bid opening; submitting the bid under the authorized business name registered in Hawaii; performing at least 51 percent of total direct labor hours within the state; and, if applicable, ensuring all joint venture partners meet these same requirements. Bidders must certify under penalty of perjury that these conditions are met and agree to maintain compliance throughout contract performance. Failure to sustain these qualifications triggers a price adjustment equivalent to the preference value applied and may result in debarment under HRS 103D-702. Any changes in eligibility status must be reported immediately to the contract administrator or purchasing agency contact.
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Text version
STATE OF HAWAII
Hawaii Bidder/Offeror
Preference Certification Form (As Defined in HRS103D-1001)
I, ______________________________________, ___________________________________ of (Authorized Officer’s Name) (Office or Position Held)
_________________________________________, certify the following:
(Name of Bidder/Offeror)
(1) That the Bidder/Offeror holds a valid commercial place of business located in the State of Hawaii at the following address:
and that the above-named office was opened on the following date: ______________, and has been staffed by the Bidder/Offeror or an employee of the Bidder/Offeror for not less than two (2) consecutive years immediately preceding the time and date set for the opening of bids or receipt of proposals;
(2) That the bid or proposal in response to IFB/RFP No. ___________________, is submitted under the name under which the Bidder/Offeror is authorized to do business in the State;
(3) That not less than fifty-one percent (51%) of the total direct labor hours required for performance of the contract will be performed within the State; and
(4) If the Bidder/Offeror is a joint venture, the Bidder/Offeror is composed entirely of parties meeting the requirements of paragraphs (1), (2), and (3).
I certify under penalty of perjury that the above statements are true. I agree to maintain the above qualifications throughout contract performance; any changes in eligibility shall be reported to the Contract Administrator or purchasing agency's contact person identified in the RFP/IFB. I acknowledge that failure to maintain the above qualifications triggers a price adjustment equal to the value of the preference applied and may constitute cause for debarment under HRS §103D-702.
Signature of Authorized Officer
Print Name and Title
Date
Form SPO-081 (Rev. 07/01/2026)
| 2026-09-11T21:03:00+0000 | |
| Certified by Adobe Acrobat Sign |
File details come from the government source that posted it. Updated .