Attachment-F.-Bidder-Offeror-Information-Sheet.pdf

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Attached to
R00B7600039 - Vehicle Equipment Adaptation Prescription Agreement (VEAPA) for DORS Client (CS #26-13)
Solicitation number
BPM058715
Issued by
Maryland

About this file

Summary of Attachment F: Bidder-Offeror Information Sheet

This is a Bidder-Offeror Information Sheet prepared by the Maryland Division of Rehabilitation Services (DORS) for contract opportunity R00B7600039, a Vehicle Equipment Adaptation Prescription Agreement (VEAPA) for a DORS client. The document requests detailed information from bidders seeking to provide vehicle adaptation services, including the furnishing and installation of adaptive equipment designed to assist an individual with functional limitations due to disabilities. The form collects essential bidder identification and organizational data to establish contractor qualifications and eligibility for award consideration.

The information sheet functions as a standardized form requiring bidders to provide company name, address, contact information, business structure (such as sole proprietorship, corporation, or partnership), ownership details, and relevant certifications or licenses. This documentation enables DORS to verify bidder credentials, confirm compliance with state requirements, and maintain accurate records for contract administration purposes. The sheet serves as a preliminary qualification mechanism to ensure only capable and authorized contractors submit formal bids for the vehicle adaptation services needed by the designated DORS client.

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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 .