COSTARS Program Election to Participate Form.pdf

PDF 242 KB Posted

Attached to
Bagged De-Icing Materials (50lb bags) - Supplement
Solicitation number
6100066274
Issued by
Pennsylvania

About this file

This is a COSTARS Program Election to Participate Form related to a Pennsylvania supplemental solicitation for bagged de-icing materials in 50-pound bags to be used by various state agencies for snow and ice melting during winter events. The supplemental solicitation supplements existing contracts IFB 6100060797 and 6100061430. The form establishes the contractual framework whereby awarded vendors agree to sell items and services at the same prices and discounts to registered COSTARS Members who elect to participate in the contract.

Vendors must pay an applicable administrative fee at the beginning of each contract year and upon each contract renewal date, with fees varying by business classification: $166 for Department of General Services-verified Small Diverse Businesses or Small Veteran Business Enterprises; $500 for Department of General Services Self-Certified Small Businesses; and $1,500 for all other businesses. Vendors classified as Department of General Services Self-Certified Small Businesses or Department of General Services-verified Small Diverse Businesses must submit a copy of their active Small Business Contracting Program certificate with their bid response. The form requires signature, date, and corporate or legal entity name from bidding firms.

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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 .