ATTACHMENT A.doc

DOC document 31 KB Posted

Attached to
Emergency Notification System
Solicitation number
BD-19-1025-DOCFS-FISCM-39290
Issued by
Worcester County, New Bedford City, Massachusetts

About this file

This document is an Attachment A Bid Response Sheet for a Request for Response (RFR) for an Emergency Telephone Notification Service issued by the Massachusetts Department of Corrections (DOC). The RFR seeks responses from vendors qualified to provide an emergency notification system that can perform planned activations, testing, and unplanned emergency notifications. The RFR requires vendors to provide pricing information for various service components including annual fees, set-up charges, ongoing fees, SMS texting, and other charges. Respondents must indicate if they are a Minority Business Enterprise (MBE) or Women Business Enterprise (WBE) and provide any applicable certification numbers. The related state and local contract opportunity is for an Emergency Notification System in the state of Massachusetts.

The bid response sheet requests vendors to offer a prompt pay discount if the invoice is paid within a specified number of days. Pricing details are provided in a table format for annual fees, set-up charges, ongoing fees, planned activations, testing, unplanned activations, emergency line use charges, SMS texting, and other charges. Respondents must sign and print their name and title on the form.

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Text version

REQUEST FOR RESPONSE

Emergency Telephone Notification Service

RFR# 19-DOC-1000-EmergencyNotification

ATTACHMENT A

Bid Response Sheet

Date: __________________________Federal ID #:____________________________

Company Name: _________________________________________________________

D/B/A: __________________________________________________________________

Address: _______________________________________________________________

City: ________________________ State: __________ Zip Code: ______________

Contact Person: _________________________ Title: ___________________________

Email*: __________________________________________________________________

*an email address is a mandatory requirement.

Phone: ________________________ Fax: ____________________________________

I am qualified to submit a response in accordance with the specifications in RFR#19-DOC-1000-EMERGENCYNOTIFICATION. Therefore I submit the following response:

I offer a Prompt pay discount of_______% if invoice is paid within _____days.

Company is MBE or WBE: YES____ NO____.

If yes, provide certification number_______________.

RATES

Annual Fee
Set-up Charge
On-going Fees
Planned Activations

Testing Unplanned Activations

Emergency

Line Use Charges
SMS Texting
Other Charges

(define)

SIGNATURE TITLE

PRINT NAME

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