Attachment-F.-Bidder-Offeror-Information-Sheet.pdf
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- Attached to
- R00B6600195 - Vehicle Equipment Adaptation Prescription Agreement (VEAPA) for DORS Client (CS #26-05)
- Solicitation number
- BPM057623
- Issued by
- Maryland
About this file
This is a Bidder-Offeror Information Sheet form for the Maryland Division of Rehabilitation Services (DORS) Vehicle Equipment Adaptation Prescription Agreement (VEAPA) procurement (R00B6600195) for a DORS client with case number CS #26-05. The form serves as a standardized document for bidders to provide company and organizational information during the bidding process for vehicle adaptation services. The procurement seeks qualified contractors to furnish and install all necessary adaptive equipment to assist an individual with functional limitations due to disabilities, enabling improved vehicle accessibility and operational capability.
The information sheet requires bidders to complete and submit detailed organizational data, including company identification, business structure, ownership information, financial details, and relevant certifications or qualifications. This form is a procedural requirement for all interested contractors to ensure compliance with state procurement standards and to establish the administrative foundation for proposal evaluation. Bidders must complete and return this form according to the contract opportunity's specified submission requirements and timelines to be considered for the adaptive vehicle equipment installation contract.
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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 .