Bidder Response Form A_Vending~1.doc

DOC document 56 KB Posted

Attached to
2017-DOC-Vending Machines
Solicitation number
BD-17-1025-DOCFS-FISCM-15167
Issued by
Suffolk County, Massachusetts

About this file

This document is a Bidder Response Form A for Request for Response (RFR) # 2017-DOC-VENDING MACHINES issued by the Commonwealth of Massachusetts. The RFR solicits bids for the provision of vending machine services. Bidders must complete and return this form, along with various other required documents, in order to be considered for the contract. The RFR has a COMMBUYS Bid # of BD-17-1025-DOCFS-FISCM-15167. The contract term is not explicitly stated.

The Bidder Response Form A requires bidders to provide company information, a checklist of required documentation, and a Commission Rate Sheet. The required documentation includes the Commonwealth Terms & Conditions, Standard Contract Form, Contractor Authorized Signatory Listing, W-9 form, Authorization for Electronic Funds Transfer, Business Reference Form, Environmentally Preferable Product Information, Supplier Diversity Plan, and PREA Acknowledgement Form. The Commission Rate Sheet must be completed and returned as applicable.

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Text version

Response Form A - Bid Response Sheet

RFR # 2017-DOC-VENDING MACHINES

COMMBUYS BID # BD-17-1025-DOCFS-FISCM-15167

Before submitting this and all other forms associated with this solicitation, all Bidders are advised to check the solicitation record on www.commbuys.com for the final versions of all forms.

All Bidders must complete and return this Attachment with their response in order to be considered responsive. Completing every section of this document fully is mandatory unless instructions for specific questions state otherwise.

Section 1. Contact Information

Company Information
Use this column for the answer

Company name

Street address, city, state, zip

Main phone number

Toll-free phone number

Fax number

Website

Contract Manager
Use this column for the answer

Name, Title

Phone number

Fax

Email

Contact for Placing Orders (if different)
Use this column for the answer

Name, Title

Phone number (working hours)

Phone number (non-working hours)

Fax

Email

Section 2. Checklist of Required Documentation

Omission of required information or documentation may be grounds for Bidder disqualification.

Required Document
Instructions
Mark with “X”

Response Form A (this document) Complete and Return

All Bidders: Commonwealth Terms & Conditions
Complete, Sign, and Return
All Bidders: Standard Contract Form
Complete, Sign, and Return
All Bidders: Contractor Authorized Signatory
Complete, Sign, and Return
All Bidders: Request for Taxpayer ID – W-9 form
Complete, Sign, and Return
All Bidders: Authorization EFT
Complete and Return
All Bidders: Business Reference Form
Complete and Return
All Bidders: Environmentally Preferable Product Information
Complete and Return
All Bidders: Supplier Diversity Plan. Forms 1 and 2.
Complete and Return
All Bidders: PREA Acknowledgement Form
Complete and Return
Attachment A - Commission Rate Sheet
Complete and Return as applicable

File details come from the government source that posted it. Updated .