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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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 .