ATTACHMENTs Aerial Spray.docx
DOCX document 22 KB Posted
- Solicitation number
- BD-16-1102-SRB00-001-00000008713
- Issued by
- Plymouth County, Massachusetts
About this file
This document is a Request for Response (RFR) for the aerial and/or ground application of insecticides for mosquito control services issued by the State of Massachusetts. The RFR seeks bids for the provision of various insecticide products and application services to control mosquito populations. Bidders must submit a completed Attachment Checklist along with other required attachments such as Bidder Information, Pricing Page, Vendor Information, Business References, and Statement of Qualifications. The contract term is unspecified, but may include renewal options. Bids are due on a specific date, and a pre-bid conference may be held.
The RFR provides a pricing sheet for bidders to list unit prices, discounts, and final prices for a variety of insecticide products. The contract does not appear to have any set-aside requirements, and the current incumbent(s) are not identified. Funding details are not provided, but the RFR indicates the state is procuring these services.
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Other files
| File | Type | Posted |
|---|---|---|
| FINAL SRB- AERIAL RFR COMMONWEALTH OF MASSACHUSETTS-1.docx | DOCX document |
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Text version
ATTACHMENT A
SUBMISSION CHECKLIST
This form is designed to ensure that respondents include all components necessary to evaluate their response.
Bidders must fill out this form and return it with their response.
Mandatory Attachments I have completed and included in my response, the following Attachments:
|_|Attachment A – Submission Checklist |_|Attachment B – Bidder Information |_|Attachment C – Pricing Page |_|Attachment D – Vendor Information |_|Attachment E – Business Reference Form |_|Attachment F– Statement of Qualification
I, have read the entire contents of the SRB AERIAL AND/OR GROUND SPRAY-16, and understand that I am obligated to comply with all terms, conditions and requirements of this RFR.
Authorized Signature: Date:
Title of Signatory
ATTACHMENT B
BIDDER’S INFORMATION SHEET
All Bidders must complete and return this Attachment with their response.
1. BIDDER CONTACT INFORMATION
Company Name:
Company Address:
Telephone (toll free): Phone (other): Fax:
Contract Manager for this contract:
Contract Manager Email Address:
Contact Information for price quotes or service requests (if different):
Company Web Page Address (if applicable):
| Yes | No |
| The above company is a certified woman owned business | |
| The above company is a certified minority owned business |
Attachment C-Cost Sheet
| Price |
| Bulk Price |
| Item # |
| Brand/Product Name |
| Description (include Manufacturer, EPA #, % ingredients & formulation |
| Per Container |
| (Emergency Purchase) |
| % Discount |
| Final Price |
ATTACHMENT D
VENDOR INFORMATION
ATTACHMENT D
VENDOR INFORMATION
| VENDOR NAME |
| ADDRESS |
| POINT OF CONTACT |
| PHONE |
| FAX |
| FEDERAL ID |
ATTACHMENT E
BUSINESS REFERENCE FORM
Bidder: _______________________________________________________________ RFR Name/Title: _______________________________________________________ RFR Number: # __________________ _________________________ The Bidder must provide (indicate number) __3__ business references.
| Reference Name: ____________________________________ | Contact: __________________ |
| Address: __________________________________________ | Phone: # ( ) _______________ |
Fax/Internet address:____________________________________________________________ Description and date(s) of commodities and services provided: ____________________________
| Reference Name: ____________________________________ | Contact: __________________ |
| Address: ___________________________________________ | Phone # ( )_______________ |
Fax/Internet address: _____________________________________________________________ Description and date(s) of commodities and services provided: ____________________________
| Reference Name: ____________________________________ | Contact: __________________ |
| Address: __________________________________________ | Phone: # ( ) _______________ |
Fax/Internet address:____________________________________________________________ Description and date(s) of commodities and services provided: ____________________________
References will be contacted to confirm the Bidder’s abilities and qualifications as stated in the Bidder’s Response. References from the Procuring Department shall not be accepted for references. The Department may deem the Bidder’s Response un-responsive if a reference is not obtainable from a listed reference after reasonable attempts.
ATTACHMENT F
STATEMENT OF QUALIFICATION
This statement is to certify that _______________________________ has been in the business (Company name of _________________________________________________________________________ (Service(s) provided) for a period of _______ years. We, ________________________________, have the ability to (Company name) perform the type, magnitude and quality of work within the scope of RFR for the commodities we offer (add any comments below). This company ____ has ____ has not been involved in any bankruptcy proceedings within the last five years. (If the company has been involved in bankruptcy proceedings, please give a detailed description below.) This company ___ has ____ has not undergone a name change within the last five years. (If the company name has changed, please provide a detailed description below.)
Contractor Ability/Description:
Bankruptcy proceedings:
Name change information:
I certify to the best of my knowledge that all information above is true and correct.
| _______________________________ | ____________________________ | ___________ | ||
| Authorized Signature | Position in Company | Date |
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