Attachment H-Notification Form_ITB S-DASOBO-00004975.docx
DOCX document 26 KB Posted
- Solicitation number
- S-DASOBO-00004975
- Issued by
- Marion County, Oregon
About this file
This document is the "ATTACHMENT H - NOTIFICATION OF INTENT TO PARTICIPATE FORM" for Invitation to Bid (ITB) # S-DASOBO-00004975 issued by the State of Oregon Department of Administrative Services (DAS) for the Heat-Transfer Cigarette Tax Stamp Manufacturing and Distribution project. The ITB involves a two-step process, with Step One requiring bidders to submit a Notification of Intent to Participate form and Step Three involving the submission of bids. Eligible bidders must submit the required product samples and submittal requirements by the respective due dates, which are considered pass/fail criteria. The project covers the manufacturing and distribution of heat-transfer cigarette tax stamps for the state of Oregon, specifically for Marion County and the City of Salem.
The pricing terms, set-asides, incumbents, funding requirements, and other salient information are not provided in this document. The document focuses on the administrative requirements for the bidding process, including the submission of the Notification of Intent to Participate form, product samples, and submittal requirements, as well as the evaluation and testing criteria.
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ITB # S-DASOBO-00004975 – Heat Transfer Cigarette Tax Stamp Manufacturing and Distribution Attachments H
ATTACHMENT H –
NOTIFICATION OF INTENT TO PARTICIPATE FORM
Step 1 - Required form
To: Single Point of Contact The undersigned on behalf of _________________ hereby advises DAS PS that ___________ intends to participate in Solicitation ITB # S-DASOBO-00004975 including Step Two (Product Sample Submission, Evaluation, and Testing) of the Heat-Transfer Cigarette Tax Stamp Manufacturing and Distribution ITB.
Bidder must complete this Form (Attachment – H) and email it to the SPC by the Email Notification Due date listed in the Schedule of Events (Section 1.3) of the ITB.
The undersigned on behalf of ________________ states:
I am an authorized representative of the Bidder, I have knowledge of the Invitation To Bid referenced herein, and I have full authority from the Bidder to submit this Notification of Intent to Participate Form and to submit the required Product Samples and Submittal Requirements.
I am aware that I must submit this Notification of Intent to Participate Form by the Email Notification Due date listed in the Schedule of Events (Section 1.3) of the ITB.
I intend to submit Product Samples and Submittal Requirements as detailed in the ITB and Attachment H-1 (Product Samples and Submittal Requirements). I understand that the Product Samples and Submittal Requirements submitted will be evaluated and tested in accordance with the criteria defined in the ITB and Attachment H-2 (Evaluation and Testing).
I am aware that the Due Dates listed in the Section 3.1 (Schedule of Events) of the ITB are pass/fail dates. Bidders who do not submit the Notification of Intent to Participate Form and the Product Samples and Submittal Requirements by the respective due dates will not be eligible to submit a Bid or be able to participate in Step Three (Bid Submittal) of this ITB.
BIDDER, Authorized Representative
Signature: _________________________________________________ Date: ______________________________________
Print Name and Title: ___________________________________________________________________________
Email: _____________________________________________________________________________________________
Telephone Number: (______) ____________________________________________________________________ This form must be completed and submitted to the SPC, Kim O’Neill: Kim.R.ONeill@DAS.Oregon.gov
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