DOA-3477 Vendor Information DS060617.doc

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Attached to
Request for Bid (RFB): UNIFORM DWELLING CODE (UDC) ENFORCEMENT SERVICES – SAUK COUNTY, WI
Solicitation number
DS060617
Issued by
Sauk County, Wisconsin

About this file

This is a Vendor Information Form (DOA-3477) issued by the State of Wisconsin Department of Administration Division of Enterprise Operations in conjunction with a Request for Bid for Uniform Dwelling Code (UDC) Enforcement Services for Sauk County. The Wisconsin Department of Safety and Professional Services solicited bids for UDC enforcement services covering five municipalities: Town of Ironton, Town of Washington, Town of Winfield, Village of LaValle, and Village of Rock Springs. The contract term is six months, commencing on or near July 1, 2017, through December 31, 2017, with an option to renew for one additional one-year period, subject to mutual written agreement. Bids were required to be submitted no later than June 20, 2017, at 2:00 PM Central Time.

The form requests standard vendor information including company name, contact person details, and mailing address for purchase orders. For vendors awarded contracts exceeding $50,000, submission of affirmative action information is mandatory, requiring designation of a personnel or human resources contact responsible for the company's affirmative action plan. The form also requires identification of the CEO/President and a primary contact for questions regarding the bid. The procurement follows simplified bidding procedures, applicable when the estimated contract cost is $50,000 or less. Any bidders identifying significant ambiguities, errors, conflicts, or deficiencies in the RFB were instructed to notify the purchasing agent in writing requesting modification or clarification.

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Text version

State of Wisconsin

Department of Administration

Division of Enterprise Operations

Bureau of Procurement

s. 16.765, Wis. Stats.

DOA-3477 (R02/15)

Bid / Proposal #
DS060617
Commodity / Service
UDC Inspt.- Sauk County

Vendor Information

1.
BIDDING / PROPOSING COMPANY NAME
Phone
( )
Toll Free Phone
( )
FAX
( )
E-Mail Address
Address
City
State
Zip + 4
2.
Name the person to contact for questions concerning this bid / proposal.
Name
Title
Phone
( )
Toll Free Phone
( )
FAX
( )
E-Mail Address
Address
City
State
Zip + 4
3.
Any vendor awarded over $50,000 on this contract must submit affirmative action information to the department. Please name the Personnel / Human Resource and Development or other person responsible for affirmative action in the company to contact about this plan.
Name
Title
Phone
( )
Toll Free Phone
( )
FAX
( )
E-Mail Address
Address
City
State
Zip + 4
4.
Mailing address to which state purchase orders are mailed and person the department may contact concerning orders and billings.
Name
Title
Phone
( )
Toll Free Phone
( )
FAX
( )
E-Mail Address
Address
City
State
Zip + 4
5.
CEO / President Name

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