BPM004715_Attachment_1_Offer_and_Acceptance_Form.docx
DOCX document 61 KB Posted
- Attached to
- Ballot Drop Boxes and Surveillance
- Solicitation number
- BPM004715
- Issued by
- Cochise County, Arizona
About this file
This is an Offer and Acceptance Form (Attachment 1, BPM004715) used by the Arizona Department of Administration (ADOA) for the Ballot Drop Boxes and Surveillance solicitation serving Cochise, Pinal, and Yuma counties. The form establishes the formal mechanism for vendors to submit offers and for the State to accept them, binding the selected contractor to perform work outlined in the attached contract. Offerors may submit an initial offer, revised offers, or a best and final offer, with each submission requiring authorization and signature by a company representative. The document does not specify item quantities, response dates, or contract term details; however, it establishes that once the State accepts an offer by the latest dated submission, the contractor becomes bound to execute the work and must await written notice to proceed from the Procurement Officer before commencing any billable work or providing materials or services.
The form incorporates several mandatory certifications that offerors must affirm through signature, including non-discrimination compliance with Federal Executive Order 11246 and Arizona State Executive Order 2009-9, confirmation that no improper economic benefits or gifts have been offered to public servants, compliance with Arizona Revised Statutes 41-3532 for electronics or information technology products and services, and verification that the offeror is not debarred from federal, state, or local government contracts. The document includes designated spaces for the State's contract number, effective date, contract award date, and Procurement Officer signature, though these fields remain blank in the template. No pricing terms, set-asides, incumbent information, or budget amounts are detailed in this form, as it serves as a standardized acceptance mechanism rather than a pricing or requirements document.
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| File | Type | Posted |
|---|---|---|
| BPM004715_Attachment_7_Key_Personnel.docx | DOCX document | |
| BPM004715_Solicitation_Instructions.docx | DOCX document | |
| BPM004715_Attachment_11_Requirements.xlsx | XLSX spreadsheet | |
| BPM004715_Solicitation_Requirements.pdf | ||
| Attachment_12_-_Arizona_Baseline_Security_Controls_Pre-Requisite.xls | XLS spreadsheet | |
| BPM004715_Attachment_6_Experience_References.docx | DOCX document | |
| BPM004715_Attachment_8_Organization_Profile.docx | DOCX document | |
| BPM004715_Attachment_4B_-_Conformance_Statements_Supplement.xlsx | XLSX spreadsheet | |
| BPM004715_Attachment_9_Subcontractors_and_Partners.docx | DOCX document | |
| BPM004715_Attachment_2_Boycott_of_Israel_Disclosure.docx | DOCX document | |
| BPM004715_Attachment_3_Confidential_Information_Designation.docx | DOCX document | |
| BPM004715_Attachment_4A_Conformance_Statements.docx | DOCX document | |
| BPM004715_Attachment_13__AZRamp_Offeror_Affirmative_Statement.docx | DOCX document | |
| BPM004715_Pricing_Attachment.xlsx | XLSX spreadsheet |
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Text version
Attachment 1 Offer and Acceptance Form
BPM004715
PART 3 of the Solicitation Documents Template version 6.0 (18-NOV-2019) SECTION 3-B: Offer Forms
Available online at: APP.AZ.gov
SUBMISSION OF OFFER: Undersigned hereby offers and agrees to provide Ballot Drop Boxes and Surveillance in compliance with the Solicitation indicated above and our Offer indicated by the latest dated version below:
Initial Offer:
x x
| Date |
| initial |
Revised Offers:
| x | x |
| x | x |
| x | x |
| date #1 |
| initial |
| date #1 |
| initial |
| date #1 |
| initial |
| x | x |
| x | x |
| x | x |
| date #4 |
| initial |
| date #5 |
| initial |
| date #6 |
| initial |
Best and Final Offer:
x x
| Date |
| initial |
x x Offeror company name
Signature of person authorized to sign Offer
| x |
| x |
| Address |
Printed name and title
| x |
| x |
| City | State | ZIP |
Contact name and title
| x | |
| x | x |
| Federal tax identifier (EIN or SSN) |
| Contact Email Address |
| Contact phone number |
CERTIFICATION: By signature in the above, Offeror certifies that it:
will not discriminate against any employee or applicant for employment in violation of Federal Executive Order 11246, [Arizona] State Executive Order 2009-9 or A.R.S. §§ 41−1461 through 1465;
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;
complies with A.R.S. § 41-3532 when offering electronics or information technology products, services, or maintenance; and is not debarred from, or otherwise prohibited from participating in any contract awarded by federal, state, or local government.
ACCEPTANCE OF OFFER: State hereby accepts the initial Offer, Revised Offer, or Best and Final Offer identified by the latest date and number at the top of this form (the Accepted Offer). Offeror is now bound (as Contractor) to carry out the Work under the attached Contract, of which the Accepted Offer forms a part. Contractor is cautioned not to commence any billable work or to provide any material or perform any service under the Contract until Contractor receives the applicable Order or written notice to proceed from Procurement Officer.
PART 3 of the Solicitation Documents Template version 7.0 (28-JAN-2020) SECTION 3-B: Offer Forms
Available online at: APP.AZ.gov
| State’s Contract No. is: ____________ The effective date of the Contract is: ______________ | Contract awarded: _____________ | |
| Date | Date | |
| _____________________________________________________ |
Procurement Officer Signature
Procurement Officer Printed Name
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