Bid Response Packet~4.docx

BID RESPONSE PACKET

S000000098

BID SUBMISSION CHECKLIST

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

Completed and Signed Bid Signature Page

Yes No

Completed Bid Response Packet

Yes No

Pricing submitted in ARBuy

Yes No

Exceptions Form, if applicable

Yes N/A

Proposed Subcontractors Form, if applicable

Yes N/A

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

References

Yes No

Product data specification sheets

Yes No

EO 98-04 Disclosure Form

Yes No

Equal Opportunity Policy

Yes No

CONTRACTOR RESPONSIBILITIES AND REQUIREMENTS

Per Section 1.5 in the IFB Solicitation Document, the Contractor should list the brand and model they are bidding on and provide the product data specification sheets, with their bid response.

Brand & Model: _____________________________________________________________

DELIVERY REQUIREMENTS: FOB DESTINATION, FREIGHT/SHIPPING PAID

Per Section 1.7 in the IFB Solicitation Document, if the Contractor cannot meet the thirty (30) Business Day delivery requirements, the Contractor shall state the alternate number of Business Days required to place the equipment in the Agency’s designated location.

Alternate Delivery _________ Business Days after approval receipt of order.

BID SIGNATURE PAGE

Type or Print the following information.

PROSPECTIVE CONTRACTOR’S INFORMATION

Company:

Address:

City:

State:

Zip Code:

Minority and Women-Owned Designation*:

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.

EXCEPTIONS FORM

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

1.

2.

3.

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

☐ PROSPECTIVE CONTRACTOR DOES NOT PROPOSE TO USE SUBCONTRACTORS TO PERFORM SERVICES.

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