Attachment-F.-Bidder-Offeror-Information-Sheet.pdf
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- Attached to
- R00B7600035 - Vehicle Equipment Adaptation Prescription Agreement (VEAPA) for DORS Client (CS #26-09)
- Solicitation number
- BPM058342
- Issued by
- Maryland
About this file
This is a Bidder/Offeror Information Sheet for the State of Maryland, Division of Rehabilitation Services (DORS), related to solicitation R00B7600035 for Vehicle Equipment Adaptation Prescription Agreement (VEAPA) services. The form requires bidders to provide comprehensive company information including legal entity name, street address, city, state, and zip code, along with Federal Employer Identification Number (FEIN) and eMM ID Number. Bidders must confirm their current registration status to conduct business with the State of Maryland and provide documentation of any Small Business Enterprise (SBE), Minority Business Enterprise (MBE), or Veteran Service-Disabled Business Enterprise (VSBE) certifications, including certification numbers and expiration dates. Dual-certified firms are required to select only one category for application to this solicitation.
The form mandates identification of a primary contact person and an authorized bid signatory, each with complete contact information including office and cell telephone numbers and email addresses. Both representatives must be clearly identified by name and title to facilitate communication and ensure authorized commitment of the bidding entity to its proposal submission. The form became effective in July 2024 and serves as a standardized collection instrument for vendor qualification and administrative data required by the State of Maryland for competitive procurement processes.
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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 .