ESBD_474660_1767973507164_Form 1- Execution of Response.docx
DOCX document 30 KB Posted
- Attached to
- Fort Worth 1st Floor Restroom Renovation
- Solicitation number
- 3202600095
- Issued by
- Tarrant County, Texas
About this file
This is a Form 1 - Execution of Response document for the Texas Workforce Commission (TWC) used to submit responses to a Request for Proposal (RFP). The form serves as the official submission document through which respondents acknowledge receipt of all TWC terms and conditions, confirm their agreement to provide the items and services described in the RFP, and commit to abiding by all specified terms and conditions in both the RFP and any resulting contract. Respondents must complete all required information including company details, contact information, Employer Identification Number (EIN), and Texas Identification Number, then sign and return the form with their proposal submission. Any exceptions to the stated terms and conditions must be identified in detail at the time of submission, with respondents required to specify the solicitation section, the language in question, the basis for the exception, and their proposed alternative language, along with a statement indicating whether they wish to remain under consideration if their exception is denied.
The form includes provisions for respondents to claim Texas purchasing preferences under 34 TAC 20.38, including options for service-disabled veteran-owned businesses, Texas-produced goods and services, agricultural products, environmentally sensitive materials, energy-efficient products, and items produced by persons with disabilities or from economically depressed areas. All companies and individuals must obtain an EIN prior to contract award to mitigate identity theft risks, and respondents must provide either an Employer Identification Number or complete the necessary application through the Texas Comptroller of Public Accounts if their Texas Identification Number is unknown. The form allows for sole proprietorships and partnerships to indicate their business structure and claim applicable state procurement preferences.
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Text version
FORM 1 – EXECUTION OF RESPONSE
Respondent must complete the following information, sign, and return this page. By signing below, Respondent acknowledges receipt of all TWC terms and conditions in the RFP—including Attachment 1, agrees to provide the items/services described in this RFP, and agrees to abide by all TWC Terms and Conditions as specified in this RFP and in any Contract resulting from an award.
Any exceptions taken to the Terms and Conditions as set forth in this document must be identified in detail and accompany your response. Any exceptions not identified in detail at the time your response is submitted will not be considered. Please complete the following:
⬜ No exceptions taken OR ⬜ Yes, exception taken due to (state your reason(s)):
| Solicitation Document |
| Solicitation Section |
| Solicitation Language to which Exception is Taken |
| Basis of Exception |
| Respondent's Proposed Language |
| Still Want to be Considered for Contract Award if Exception is Denied? (State "Yes" |
or "No")
Please attach additional forms if additional space is needed. Please label any relevant pages with Form 1, and the RFP Number.
Signature of person authorized to make this agreement Date Signed
Printed name of person signing above
RESPONDENT INFORMATION
Name of Respondent:
Mailing Address:
Billing Address (if different from above):
City, State & Zip Code:
Phone No./Fax No.:
E-Mail Address:
Employer Identification No.:
Texas Identification No.:
In an effort to minimize identity theft, every company/individual MUST have an Employer Identification Number (EIN), also known as a federal tax identification number prior to award of a contract. For information on obtaining your EIN, you may call 800-829-4933 or visit the following website: https://www.irs.gov/businesses/small-businesses-self-employed/employer-id-numbers The Texas Identification Number is the payee identification number assigned and used by the Texas Comptroller of Public Accounts to process payment for goods/services. Enter this number in the space provided above if number is not pre-printed. If this number is not known, please visit http://www.window.state.tx.us/taxinfo/taxforms/ap-152.pdf to set up a Texas Identification Number.
⬜ Check here if you are a sole ownership or partnership Check below to claim a preference under 34 TAC § 20.38:
| ⬜ | Goods produced or offered by a Texas bidder that is owned by a Texas resident service-disabled veteran. |
| ⬜ | Goods produced in Texas or offered by a Texas bidder that is not owned by a Texas resident service-disabled veteran. |
| ⬜ | Agricultural products grown in Texas |
| ⬜ | Agricultural products offered by Texas bidder |
| ⬜ | Services offered by a Texas bidder that is owned by a Texas resident service-disabled veteran |
| ⬜ | Services offered by a Texas bidder that is not owned by a Texas resident service-disabled veteran |
| ⬜ | Texas Vegetation Native to the Region |
| ⬜ | USA produced supplies, materials or equipment |
| ⬜ | Products of persons with mental or physical disabilities |
| ⬜ | Products made of recycled, remanufactured, or environmentally sensitive materials including recycled steel |
| ⬜ | Energy Efficient Products |
| ⬜ | Rubberized asphalt paving material |
| ⬜ | Recycled motor oil and lubricants |
| ⬜ | Products produced at facilities located on formerly contaminated property |
| ⬜ | Products and services from economically depressed or blighted areas |
| ⬜ | Vendors that meet or exceed air quality standards |
| ⬜ | Recycled or Reused Computer Equipment of Other Manufacturers |
| ⬜ | Foods of Higher Nutritional Value |
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