Attachment-F.-Bidder-Offeror-Information-Sheet.pdf
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- Attached to
- (REBID) 26-MULTI-FS-MS-007 Laboratory Services
- Solicitation number
- BPM057836
- Issued by
- Maryland
About this file
This is a Bidder/Offeror Information Sheet form for a rebid invitation issued by the State of Maryland, Department of Juvenile Services, for medical laboratory services at six facilities. The form is effective as of July 2024 and serves as the standardized submission document for all bidders responding to solicitation 26-MULTI-FS-MS-007. Bidders must complete all required fields including company information, Federal Employer Identification Number, eMM ID number, business registration status with the State of Maryland, and contact information for both a primary contact and authorized bid signatory.
The form requires bidders to disclose any Small Business Enterprise (SBE), Minority Business Enterprise (MBE), or Veteran-Owned Small Business Enterprise (VSBE) certifications, including certification numbers and expiration dates. For firms holding multiple certifications, the form mandates selection of only one category for application to this solicitation. All bidders must provide complete contact details for authorized representatives who can commit the company to the bid submission, including office and cell telephone numbers and email addresses for both the primary contact and authorized signatory.
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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 .