BREATH-ALCOHOL TESTING INSTRUMENTS ATTACHMENT B- SUBMITTER INFORMATION SHEET.DOC
DOC document 58 KB Posted
- Attached to
- RFI- BREATH-ALCOHOL TESTING INSTRUMENTS
- Solicitation number
- S-25700-00004083
- Issued by
- Marion County, Oregon
About this file
This document is an Attachment B - Submitter Information Sheet for a Request for Information (RFI) issued by the State of Oregon for Breath-Alcohol Testing Instruments. The RFI is open to Marion County, Salem City, and potentially other jurisdictions in Oregon. The RFI is seeking information from qualified submitters on breath-alcohol testing instruments, but is not a solicitation and no information will be accepted once the RFI is closed. Submitters must provide their legal name, address, state of incorporation, entity type, contact information, and certify that their response was prepared independently and without collusion.
The key details of the related state and local contract opportunity indicate that this is an RFI, not a solicitation, and no further information will be accepted once the RFI is closed. The jurisdictions involved are Marion County and the City of Salem. No other pricing, set-aside, incumbent, funding, or contract term details are provided in the given information.
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Text version
S-25700-000004083 – RFI-BREATH-ALCOHOL TESTING INSTRUMENTS
Att B
ATTACHMENT B — SUBMITTER INFORMATION SHEET
Legal Name of Submitter: ___________________________________________
Address: ______________________________________________________________ City, State, Zip: ____________________________________________
State of Incorporation: ____________________________________________ Entity Type: ________________________________________________
Contact Name:__________________________________________ Telephone: _________________________ Email: ____________________________
Any individual signing below hereby certifies they are an authorized representative of Submitter and that:
1. Submitter certifies that all contents of the Response (including any other forms or documentation, if required under this RFI) and this Submitter Information Sheet, are truthful and accurate and have been prepared independently from all other Submitters, and without collusion, fraud, or other dishonesty.
Authorized Signature
Date (Print Name and Title) Version 1.0 - November 19, 2014 DAS Procurement Services, Version 2.0 – December 9, 2016
File details come from the government source that posted it. Updated .