COSTARS Program Election to Participate Form.pdf

PDF 242 KB Posted

Attached to
Passenger Vehicles Supplement State and local contract opportunity
Solicitation number
6100064373
Issued by
Dauphin County, Harveys Lake Borough, Pennsylvania

About this file

This document is an Election to Participate Form for the COSTARS (Cooperative State and Local Government Purchasing Program) in Pennsylvania. The form allows businesses to agree to sell awarded items/services at consistent prices and terms to registered COSTARS Members who choose to participate in the contract.

The form outlines a tiered administrative fee structure based on business classification: $166 for Department of General Services-verified Small Diverse Businesses or Small/Veteran Business Enterprises, $500 for Self-Certified Small Businesses, and $1,500 for all other businesses. Businesses classified as Self-Certified Small Businesses or verified Small Diverse Businesses must submit an active Small Business Contracting Program certificate with their bid response. The form provides blank fields for corporate/legal entity name, signature, date, and contract description, with a revision date of 09-21-2022.

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Text version

COSTARS PROGRAM

ELECTION TO PARTICIPATE FORM

If awarded a Contract, our firm agrees to sell the awarded items/services at the same prices and/or discounts, and in accordance with the contractual terms and conditions, to registered COSTARS Members who elect to participate in the contract.

Our firm also agrees to pay the applicable Administrative Fee at the beginning of each contract year and/or upon each contract renewal date:

$166 for a Department of General Services-verified Small Diverse Business or

Small, Veteran Business Enterprise

$500 for a Department of General Services Self-Certified Small Business

$1,500 for all other businesses

If you are a Department of General Services Self-Certified Small Business or

Department of General Services-verified Small Diverse Business, you must submit a copy of your active Small Business Contracting Program certificate with your bid response.

Rev. 09-21-2022

Corporate or Legal Entity Name:

Signature:

Date:

Contract Description:

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