Attachment E Application Checklist.docx
DOCX document 23 KB Posted
- Attached to
- Building Cleaning and Sanitizing Services
- Solicitation number
- 99SWC-S1117
- Issued by
- Nevada
About this file
This document is an Application Checklist for RFQ 99SWC-1117 issued by the State of Nevada. The checklist outlines the mandatory information and documentation that must be submitted as part of the application, including the applicant's name, area of expertise, region/location of services, state certifications/licenses, insurance requirements, and a valid Nevada Secretary of State business license. Applicants must also provide a T# from the State of Nevada Controller's Office to facilitate payment processing. By signing the application, applicants acknowledge that they have read and accept the non-negotiable Contract Form and Insurance Schedule.
The related state and local contract opportunity is for Building Cleaning and Sanitizing Services in the state of Nevada. The application checklist and associated documentation are required to be submitted as part of the response to this opportunity.
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Other files
| File | Type | Posted |
|---|---|---|
| Attachment A Confidentiality and Cert.docx | DOCX document | |
| 99SWC-S1117 Building Cleaning and Sanitizing Services~2.docx | DOCX document | |
| NOA 4-16-2020 S1117.pdf | ||
| Quote Instructions.pdf | ||
| Statement of Work Form SOW.xlsb | XLSB spreadsheet | |
| Attachment F Insurance Requirements.docx | DOCX document | |
| Attachment B Vendor Certifications.docx | DOCX document | |
| Attachment C Standard Form Contract~2.docx | DOCX document | |
| Attachment D Certification Regarding Lobbying.pdf |
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Text version
RFQ 99SWC-1117
Attachment D
Application Checklist IT IS MANDATORY to Complete and return this form as part of your submission along with all applicable documentation below:
Applicant
☐ Applicant Name:
☐ Area of Expertise:
☐ Region / Location of Services:
☐ Application Submission Letter:
☐ State Certification/ License and any applicable license for the RFQ (Please list all below and attach documentation as proof of certification/licensure.)
a.____________________________________ b.____________________________________ c.____________________________________ d.____________________________________ e.____________________________________ f.____________________________________
□ ☐ Insurance Requirements (Attach COI insurance documents listed on Insurance Schedule.)
☐ Nevada Secretary of State Business License (Attach most recent and valid copy.)
Or Enter SoS Business License number here:
☐ State of Nevada Controller’s Office T# required:
*if T# is unknown please visit the link below to register with Controller for payment of services. http://controller.nv.gov/Buttons/ElectronicVendorReg/ (copy and paste into your browser window) T# is required for the ability to remit payment.
Signature: __________________________________ Date: ________________
By signing this application, you are acknowledging that the you have read the attached Contract Form and Insurance Schedule, and that both forms are non-negotiable and must be accepted as written in order to be granted a contract with the State of Nevada. By signing this application, you also agree to complete this application in its entirety and that failure to do so may disqualify you or your organization from consideration under this RFQ.
File details come from the government source that posted it. Updated .