Attachment-F.-Bidder-Offeror-Information-Sheet.pdf
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- Solicitation number
- BPM053561
- Issued by
- Maryland
About this file
This is a Bidder/Offeror Information Sheet for the Department of Juvenile Services (DJS) of Maryland, effective July 2024, associated with an Invitation for Bids (IFB) for Community-Based Behavioral Health Evaluations for Multiple Regions. The form requires bidders to provide company identification information, including legal business name, street address, Federal Employer Identification Number (FEIN), and eMM ID Number, along with confirmation of business registration status with the State of Maryland. Bidders must also identify primary and authorized signatory contacts with complete telephone and email information, and both contacts must be authorized to commit the organization to its bid submission.
The form requires bidders to document any Small Business Enterprise (SBE), Minority Business Enterprise (MBE), or Veteran Small Business Enterprise (VSBE) certifications, including certification numbers and expiration dates. For firms holding dual certifications, only one category may be selected for application to this solicitation. This standard form serves as a required submission document for all bidders responding to the DJS behavioral health evaluations procurement and must be completed, signed, and submitted with the bid proposal.
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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 .