ATTACHMENT C - DHS Small Procurement Bid Form OTHS23.028-S.doc

DOC document 30 KB Posted

Attached to
SSC Data Center Maintenance
Solicitation number
BPM032195
Issued by
Maryland

About this file

This document is an Attachment C - Bid Form from the Maryland Department of Human Services (DHS), Office of Technology for Human Services (OTHS), for a Small Procurement contract solicitation (BPM032195) released on October 17, 2022. The contract is for Maintenance Services for the SSC Data Center, which includes preventive maintenance for the thermal units and UPS system. The form requires vendors to 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 contract will be awarded to the responsive and responsible bidder with the lowest price.

The Attachment C - Bid Form is part of a larger state and local contract opportunity issued by the Maryland DHS for SSC Data Center Maintenance services. The contract will be awarded to the vendor who can provide the required preventive maintenance services for the data center's thermal units and UPS system.

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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 #: BPM032195

(5) SOLICITATION RELEASE DATE: October 17, 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 .