ATTACHMENT C - DHS Small Procurement Bid Form .doc

DOC document 30 KB Posted

Attached to
SSC Data Center Maintenance Service
Solicitation number
BPM031720
Issued by
Maryland

About this file

This document is an Attachment C - Bid Form for the Maryland Department of Human Services (DHS), Office of Technology for Human Services (OTHS) for maintenance services. The solicitation number is BPM031720 and the release date is September 28, 2022. The vendor responding must provide their company information, total contract amount, and indicate if they are a Minority Business Enterprise (MBE), Small Business Reserve (SBR), or Veteran-Owned Small Business Enterprise (VSBE). The related state and local contract opportunity is for SSC Data Center Maintenance Service, where the Maryland Department of Human Services intends to acquire services for data center preventive maintenance on thermal units and the UPS system.

The total contract amount is to be provided by the vendor. The document indicates preference for MBE, SBR, and VSBE vendors, with the vendor required to provide their respective certification numbers. No other pricing terms, incumbent information, funding sources, or additional details are included in the provided documents.

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Text version

STATE OF MARYLAND

DEPARTMENT OF HUMAN SERVICES

ATTACHMENT C - BID FORM

(1)

AGENCY:

Department of Human Services (DHS), Office of Technology for Human Services (OTHS) (2)

ADDRESS:

311 W. Saratoga Street – Baltimore, MD 21201 (3) SERVICE OR ITEM REQUIRED: Maintenance Services (4)

SOLICITATION #: BPM031720

(5) SOLICITATION RELEASE DATE: September 28, 2022 (6)

VENDOR RESPONDING:

ADDRESS:

PHONE NO.:

FEDERAL TAX I.D. #: ___________________________________________________

(7)

TOTAL CONTRACT AMOUNT:

(8) Are you a Minority Business Enterprise (MBE) Vendor:

Yes FORMCHECKBOX

No FORMCHECKBOX

If yes, state MDOT State Certified Number: _____________________

(9) Are you a Small Business Reserve (SBR) Vendor:

If yes, state eMM Small Business Reserve Number: ____________________

(10) Are you a Veteran-Owned Small Business Enterprise (VSBE) Vendor:

If yes, state DUNS Number: __________________________ (11)

(COMPANY REPRESENTATIVE SIGNATURE TO BIND SERVICES & BID)

(NAME PRINTED or TYPED)

(DATE)

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