DOC-24-109 Attachment A Bid Form Janitorial Services P&P District 24 Farmville.docx

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Attached to
DOC-24-109 Janitorial Services Probation & Parole District 24 Farmville
Solicitation number
67111
Issued by
Prince Edward County, Fancy Gap CDP, Virginia

About this file

This document is an Attachment A: Bid Form for a Janitorial Services contract solicitation (DOC-24-109) issued by the Department of Corrections (DOC) for Probation and Parole District #24 in Farmville, Virginia. The contract requires monthly, quarterly, and annual janitorial services, as well as an initial deep cleaning, at the Probation and Parole District #24 facility. Vendors must provide pricing for each service type and are required to attend a mandatory site visit. The contract term is not specified.

The bid form requires vendors to provide contact information, company details, and references for similar work. Vendors must acknowledge any addenda issued and indicate if they accept payment via credit card. Pricing must be provided for each service item, and the bid form must be signed. The solicitation is open to vendors located within Prince Edward County and Fancy Gap CDP, Virginia.

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ATTACHMENT A: BID FORM

Failure to complete and provide this Bid Form may result in rejection of your bid.

Failure to schedule and attend the mandatory site visit will result in rejection of your bid.

1. VENDOR’S PRIMARY CONTACT FOR THIS SOLICITATION:

Name:

Phone:

Email:

2. VENDOR INFORMATION:

Company Name:

Phone Number:

Fax Number:

Address:

eVA Vendor ID or DUNS Number

Years in Business: Indicate the length of time the Company has been in business providing this type of good or service: ______ Years Months

3. CURRENT OR RECENT ACCOUNTS:

Indicate below a minimum of two (2) current or recent accounts, either governmental or commercial for which your company has provided goods and/or services similar in nature to the Scope of Work/Description of Items (Specifications) in the Quick Quote solicitation. Include the length of service and the name, address, and telephone number of the point of contact.

A.
Company:
Contact:
Phone:
( )
Fax:
( )
E-mail:
Project:
Dates of Service:
$ Value:
B.
Company:
Contact:
Phone:
( )
Fax:
( )
E-mail:
Project:
Dates of Service:
$ Value:

4. PRICE SCHEDULE:

Item
Description of Service
Qty.
Unit
Unit Price
Total
1
Monthly Janitorial Services,

Per the Scope of Work, Section I. B.1

12
MONTH
$_______
$________
2
Quarterly Janitorial Services

Per the Scope of Work, Section I. B.2

4
EACH
$_______
$________
3
Annual Janitorial Services,

Per the Scope of Work, Section II. B.3

1
EACH
$_______
$________
4
Initial Deep Cleaning Janitorial Services, Per the Scope of Work, Section II. B.4
1
EACH
$_______
$________
5
Additional Janitorial Services, Per the Scope of Work, Section I. D
4

(estimated)

HOUR
$_______
$________

GRAND TOTAL

Bidders are required to enter a price for each item listed above. Any bidder who leaves a price blank shall be considered nonresponsive.

5. ADDENDUM ACKNOWLEDGMENT: I/we acknowledge receipt of the following addenda:

Addendum No.:
Dated:
Addendum No.:
Dated:
Addendum No.:
Dated:

6. SMALL PURCHASE CHARGE CARD PROGRAM: Are you currently a VISA vendor and will you accept VISA credit cards for payment of goods and services on this contract.

|_| Yes |_| No

In compliance with this Quick Quote (QQ) and to all the conditions imposed herein, the undersigned agrees to furnish the services in accordance with this QQ and the signed Bid Form and certifies that all information provided herein is true, correct, and complete.

Company Name:

(Print)

Signature:

Name (Print):

Title (Print):

Date:

NOTE: Failure to sign the bid in the space provided above may result in the rejection of your bid. Failure to accept all of the terms in the IFB or altering any of the terms and conditions or altering the Price Schedule will result in the rejection of your bid.

Bidders also must complete & submit Attachment A (Bid Form), and Attachment C (State Corporation Commission).

DOC-24-109 Janitorial Services Probation & Parole District 24 Farmville

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