DHS_Small_Procurement_Bid_Form_rev._07.2017.doc

This is a bid form from the State of Maryland Department of Human Services (DHS) for use in small procurements. The form is designed to capture vendor information and qualifications for state and local contract opportunities, specifically related to the HOW/SER/27-017 Drug Screening contract. This contract establishes services with DHS/Health Care and Disability Services (HCDSS) for the provision of drug testing services intended to ensure compliance with drug-free workplace policies, applicable laws and regulations, and to support DHS/HCDSS drug-free programs.

The bid form requires vendors to provide standard procurement information including the agency name, service or item required, solicitation number and release date, vendor contact information, federal tax identification number, and total contract amount. Vendors must indicate whether they qualify as a Minority Business Enterprise (MBE), Small Business Reserve (SBR), or Veteran-Owned Small Business Enterprise (VSBE) vendor and provide corresponding certification numbers if applicable. The form requires a company representative's signature to bind the services and bid terms. No specific pricing terms, renewal options, contract duration, response dates, or site visit information are detailed within this bid form itself; these details would be contained in the related solicitation documents.