Bid Response Packet~2.pdf

BID RESPONSE PACKET

SP-21-0064

Bid Response Packet SP-21-0064 Page 2 of 5

BID CHECKLIST

The following items must be submitted with the Prospective Contractor’s bid proposal:

Completed and Signed Bid Signature Page Yes No

Official Solicitation Price Sheet

Yes No

Exceptions Form, if applicable Yes N/A

The following should be included in the Prospective Contractor’s proposal:

EO 98-04 Disclosure Form Yes No

Equal Opportunity Policy Yes No

Proposed Subcontractors Form Yes No

Signed addenda, if applicable Yes N/A

Insurance Requirements per Section 1.7 Yes No

Bid Response Packet SP-21-0064 Page 3 of 5

EXCEPTIONS FORM

Prospective Contractor should document all exceptions related to terms in the “Standard Contract” and “Solicitation Terms and Conditions.”

ITEM

REFERENCE

(SECTION,

PAGE,

PARAGRAPH)

DESCRIPTION PROPOSED LANGUAGE

1.

2.

3.

Bid Response Packet SP-21-0064 Page 4 of 5

BID SIGNATURE PAGE

Type or Print the following information.

PROSPECTIVE CONTRACTOR’S INFORMATION

Company:

Address:

City: State: Zip Code:

Business Designation:

☐ Individual ☐ Sole Proprietorship ☐ Public Service Corp

☐ Partnership ☐ Corporation ☐ Nonprofit

Minority and Women-Owned Designation*:

☐ Not Applicable ☐ American Indian ☐ Service Disabled Veteran

☐ African American ☐ Hispanic American ☐ Women-Owned

☐ Asian American ☐ Pacific Islander American

AR Certification #: __________________ * See Minority and Women-Owned Business Policy in Solicitation Terms and Conditions

PROSPECTIVE CONTRACTOR CONTACT INFORMATION

Provide contact information to be used for bid solicitation-related matters.

Contact Person: Title:

Phone: Alternate Phone:

Email:

CONFIRMATION OF REDACTED COPY

☐ YES, a redacted copy of submission documents is enclosed.

☐ NO, a redacted copy of submission documents is not enclosed. I understand a full copy of non-redacted submission documents will be released if requested.

Note: If a redacted copy of the submission documents is not provided with Prospective Contractor’s response packet, and neither box is checked, a copy of the non-redacted documents, with the exception of financial data (other than pricing), will be released in response to any request made under the Arkansas Freedom of Information Act (FOIA). See Solicitation Terms and Conditions for additional information.

ILLEGAL IMMIGRANT CONFIRMATION

By signing and submitting a response to this Bid Solicitation, Prospective Contractor agrees and certifies that they do not employ or contract with illegal immigrants and shall not employ or contract with illegal immigrants during the term of a contract awarded as a result of this bid solicitation.

ISRAEL BOYCOTT RESTRICTION CONFIRMATION

By checking the box below, Prospective Contractor agrees and certifies that they do not boycott Israel and shall not during the aggregate term of a contract awarded as a result of this bid solicitation.

☐ Prospective Contractor does not and shall not boycott Israel.

An official authorized to legally bind the Prospective Contractor must sign below.

The signature below signifies agreement that any exception that conflicts with a Requirement of this Bid Solicitation may cause the Prospective Contractor’s proposal to be rejected.

Authorized Signature: Title:

Use Ink Only.

Printed/Typed Name: Date:

Bid Response Packet SP-21-0064 Page 5 of 5

PROPOSED SUBCONTRACTORS FORM

• Do not include additional information relating to subcontractors on this form or as an attachment to this form.

PROSPECTIVE CONTRACTOR PROPOSES TO USE THE FOLLOWING SUBCONTRACTOR(S)

TO PROVIDE SERVICES.

Type or Print the following information

Subcontractor’s Company Name Street Address City, State, ZIP

☐ PROSPECTIVE CONTRACTOR DOES NOT PROPOSE TO USE

SUBCONTRACTORS TO PERFORM SERVICES.