BAFO ERG Offer and Acceptance Form.docx

Attachment 1 – Offer and Acceptance Form

Request for Proposal

Solicitation No. BPM006379

Capacity Development/Technical Assistance to Small Public Drinking Water Systems Arizona Department of Environmental Quality (ADEQ) 1110 W. Washington Street Phoenix, AZ 85007

SUBMISSION OF OFFER: The undersigned hereby offers and agrees to provide Capacity Development/Technical Assistance to Small Public Drinking Water Systems in compliance with all terms, conditions, specifications, and amendments in the Solicitation and any written exceptions in the Offer indicated by the latest dated version below Solicitation Attachment – Offer and Acceptance | Revision No. 6 | Revised 03-24

Eastern Research Group, Inc.

09/04/2024

Offeror company name

Signature of person authorized to sign Offer Date

561 Virginia Road, Bldg. 4 – Suite 300

Martha K. Williams, Contracts Manager

Address

Printed name and Title

Concord, MA 01742

Martha K. Williams, Contracts Manager

City, State, ZIP

Contact name and Title

Revised Offers:

CERTIFICATION: By signature in the above, Offeror certifies that it:

1. Will not discriminate against any employee or applicant for employment in violation of Federal Executive Order 11246, [Arizona] State Executive Orders 2023-09, 2023-01, 2009-09 or A.R.S. §§ 41-1461 through 41-1465;

2. Has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or Service to a public servant in connection with the submitted offer. Failure to provide a valid signature affirming the stipulations required by this clause will result in rejection of the Offer. Signing the Offer with a false statement will void the Offer, any resulting contract, and may be subject to legal penalties under law;

3. Complies with A.R.S. § 18-132 when offering electronics or information technology products, Services, or maintenance;

4. Has submitted this Offer as a firm offer for 180 days following the Solicitation due date and time per the Instructions to Offers. Any extensions to the Offer Acceptance Period shall be made in accordance with the A.A.C. R2-7-C310;

5. Did not and will not involve collusion or other anti-competitive practices; and

6. Is not debarred from, or otherwise prohibited from, participating in any contract awarded by federal, state, or local government.

ACCEPTANCE OF OFFER

The offer is hereby accepted.

The Contractor is now bound to sell the Materials or Services listed by the attached Contract and based upon the Solicitation, including all terms, conditions, specifications, amendments, etc., and the Contractor’s Offer as accepted by the State.

The Contract shall henceforth be referred to as Contract No.

The effective date of the Contract is

The Contractor is cautioned not to commence any billable work or to provide any Material or Service under this Contract until Contractor receives purchase order or written notice to proceed.

State of Arizona Awarded this day of

Chief Procurement Signature

__ ___Louis Anaya, MPA, C.P.M., CPPB_____ Chief Procurement Officer Name image2.png image3.png image1.jpg