ATTACHMENT B - BID FORM - Washable Nursing Pads.pdf
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- Attached to
- Washable Nursing Pads
- Solicitation number
- BPM059383
- Issued by
- Maryland
About this file
This is a Bid Form attachment for the Maryland Department of Health's Women, Infants, and Children (WIC) Program solicitation (BPM059383) for washable nursing pads. The procurement supports the WIC Program's breastfeeding promotion initiative by providing participants with washable nursing pads designed to absorb breast milk leakage between breastfeeding sessions. The bid form specifies the required quantities as 3,250 units each of natural and white washable nursing pads supplied in 4-pack configurations. Bidders must complete the form exactly as provided without amendments, alterations, or blank items, with failure to comply resulting in bid rejection. The form requires vendors to provide company information, contact details, FEIN, eMMA number, and SBR number with expiration date.
All bids must be all-inclusive and include delivery costs, with the total bid cost not to exceed $30,000. Vendors must submit a current, signed W-9 form with accurate payee address information along with the completed bid form. The authorized representative must sign and date the form, certifying that all price submissions are accurate and that the vendor agrees to perform all services as stated in the Invitation for Bid Solicitation if awarded the contract.
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Text version
ATTACHMENT B – BID FORM
Washable Nursing Pads
SOLICITATION NUMBER – BPM059383
The Bid shall contain all price information in the format specified on these pages. Complete the Bid Form only as provided in the Bid Form format. Do not amend, alter or leave any items blank on the Bid Form. Failure to adhere to any of these instructions may result in the bid being determined non-responsive and rejected by the Department.
QUANITY
(Each)
PRICE SUB TOTAL
Washable Nursing
Pads
3,250 Natural
(4 Per Pack) 3,250 White (4 Per Pack)
X
TOTAL BID COST
BIDS MUST BE ALL INCLUSIVE AND INCLUDE COST OF DELIVERY
All Inclusive Total Bid Cost must not exceed $30,000
Printed Name and Title: __________________________________________________________________________________________________
Company Name: ___________________________________________________________________________________________________________
Company Address: _________________________________________________________________________________________________________
Location(s) from which services will be performed (City/State): _______________________________________________________
FEIN: _______________________________________________________________________________________________________________________ eMMA #: ___________________________________________________________________________________________________________________
SBR #: ___________________________________________________ Exp. Date_______________________________________________________
Telephone: (_____) _________-- __________________________
Fax: (_______) ________--____________________________
E-mail: _____________________________________________________________________________________________________________________
A current, signed W-9 reflecting the accurate payee address must be submitted with this Bid Form.
Submitted By - Authorized Signature: _____________________________________________________ Date: _______________________________________
With this signature, the vendor certifies that all price submissions are accurate. If awarded this bid, the vendor agrees to perform all services stated in the Invitation for Bid Solicitation.
ATTACHMENT B – BID FORM
File details come from the government source that posted it. Updated .