Attachment-F.-Bidder-Offeror-Information-Sheet.pdf
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- Solicitation number
- BPM054398
- Issued by
- Baltimore City, Maryland
About this file
This is a Bidder/Offeror Information Sheet form for the Maryland Department of Juvenile Services, effective July 2024. The form is required for submission with bids and proposals for the Dental Assistant position at Baltimore City Juvenile Justice Center and Cheltenham Youth Detention Center. The procurement seeks qualified dental assistant services for a nine-month contract period beginning January 1, 2026, and ending September 30, 2026. Bidders must complete all required fields on the form to be considered responsive to the solicitation.
The form requires bidders to provide company information, federal employer identification number (FEIN), and eMM ID number, along with verification of Maryland business registration status. Bidders must also disclose any Small Business Enterprise (SBE), Minority Business Enterprise (MBE), or Veteran-Owned Small Business Enterprise (VSBE) certifications with their respective certification numbers and expiration dates. Dual-certified firms must select only one category for application to this solicitation. Primary contact and authorized signatory information, including names, titles, telephone numbers, and email addresses, must be provided. The authorized representative must sign the form to commit the bidder to the proposal submission.
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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 .