Attachment-F.-Bidder-Offeror-Information-Sheet (3).pdf
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- Solicitation number
- BPM058729
- Issued by
- Baltimore City, Maryland
About this file
This is a Bidder/Offeror Information Sheet form (effective July 2024) associated with the Maryland Department of Juvenile Services' Invitation for Bids to procure dental services for the Baltimore City Juvenile Justice Center. The form serves as the required submission document for prospective bidders and collects essential organizational and contact information from bidding entities. The sheet requests company identification details including the bidder's legal name, street address, Federal Employer Identification Number (FEIN), and eMM ID Number, along with confirmation of current business registration status with the State of Maryland.
The form requires bidders to identify any Small Business Enterprise (SBE), Minority Business Enterprise (MBE), or Veteran-Owned Small Business Enterprise (VSBE) certifications, including certification numbers and expiration dates, with dual-certified firms required to designate a single primary category for the solicitation. Additionally, the form mandates submission of primary contact information and authorized bid signatory information, including names, titles, telephone numbers (office and cell), and email addresses for both contacts, concluding with a signature line for the authorized representative to commit the bidder to its proposal submission.
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Text version
Attachment F. Bidder/Offeror Information Sheet effective date: July 2024
Bidder/Offeror
Company Name
Street Address
City, State, Zip Code
Contractor Federal Employer Identification Number
(FEIN)
Contractor eMM ID Number As of the Bid/Proposal submission date, are you registered to do business with the State of Maryland?
SBE / MBE/ VSBE Certification
SBE Number:
Expiration Date:
VSBE Number:
Expiration Date:
MBE Number:
Expiration Date:
Categories to be applied to this solicitation (dual certified firms must choose only one category).
Bidder/Offeror Primary Contact
Name
Title
Office Telephone Number (with area code)
Cell Telephone Number (with area code)
E-mail Address
Authorized Bid/Proposal Signatory
Name
Title
Office Telephone Number (with area code)
Cell Telephone Number (with area code)
E-mail Address
Signature to authorized commit of the Bidder/Offeror to its Bid/Proposal
Attachment F. Bidder/Offeror Information Sheet
Attachment F. Bidder/Offeror Information Sheet effective date: July 2024
File details come from the government source that posted it. Updated .