Attachment-F.-Bidder-Offeror-Information-Sheet.pdf

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Attached to
Vehicle Equipment Adaptation Prescription Agreement (VEAPA) for DORS Client (CS #26-06)
Solicitation number
BPM057724
Issued by
Maryland

About this file

This is a Bidder/Offeror Information Sheet (Attachment F, effective July 2024) for the Maryland State Department of Education (MSDE) Division of Rehabilitation Services (DORS) solicitation for Vehicle Equipment Adaptation Prescription Agreement (VEAPA) services. The procurement requires a qualified contractor to furnish and install adaptive equipment modifications to a 2026 Toyota Sienna XSE to accommodate a consumer with functional limitations due to disabilities. The modifications must comply with specifications outlined in the VEAPA and meet all applicable regulatory and safety requirements to ensure the vehicle is safely and effectively modified to enhance accessibility and promote independence for the client.

The form requires bidders to provide company information, Federal Employer Identification Number (FEIN), eMM ID Number, and documentation of Maryland business registration status. Bidders must disclose any Small Business Enterprise (SBE), Minority Business Enterprise (MBE), and Veteran Small Business Enterprise (VSBE) certifications with corresponding certification numbers and expiration dates. Dual-certified firms must select a single category for application to this solicitation. The form also requires designation of a primary contact and an authorized bid signatory, including their respective names, titles, telephone numbers, and email addresses, with the authorized representative's signature committing the bidder to the proposal submission.

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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 .