ESBD_509599_1776890162732_Form 1 Execution of Bid.pdf

IFB No. 3202600146 Page 1 of 4 Form 1: Execution of Bid Feb 2026 v.1

Invitation for Bid (IFB) Form 1 – Execution of Bid

3202600146 Rehabilitation Supplies for Vocational Rehabilitation Customers

Bidder must complete the following information, sign, and return this page.

By signing below, Bidder acknowledges receipt of all TWC Terms and Conditions in the Invitation for Bid (IFB) —including all Attachments, agrees to provide the items/services described in this IFB, and agrees to abide by all TWC Terms and Conditions as specified in this IFB, its Attachments, and in any Contract resulting from an award.

Signature of person authorized to contractually bind the organization and enter into a Contract with TWC affirms that:

(1) if awarded a Contract under this Solicitation, Bidder affirms its obligations regarding Subcontractors, as identified in IFB Form 3 VetHUB Subcontracting Plan (HSP).

Bidder will notify TWC of a change in its financial condition prior to the award or if there is a substantial change in its financial condition during the term of the Contract and any renewal thereof, TWC must be notified of the change in writing at the time the change occurs but no later than ten (10) days after its occurrence.

The Successful Bidder shall notify TWC in writing of any substantial change in the ownership or control of the Successful Bidder as soon as possible, but no later than thirty (30) days prior to its occurrence. Examples of a substantial change in financial condition are events such as insolvency, bankruptcy, or receivership.

The Successful Bidder shall provide thirty (30) days’ notice to TWC’s Contract Manager of any pending litigation, investigations or adverse actions that may materially impact their ability to perform under this Contract. Such notice shall include: the date of initiation, the nature of the litigation or adverse action, and the parties involved in the action, and when resolved, the resolution.

IFB No. 3202600146 Page 2 of 4

Signature: ____________________________________

Date Signed: ______________

Printed name of person signing above: ______________________________

BIDDER INFORMATION

Name of Bidder:

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.:

BIDDER POINT OF CONTACT FOR BID

Name of Contact:

Mailing Address:

Billing Address (if different from above):

City, State & Zip Code:

Phone No./Fax No.:

IFB No. 3202600146 Page 3 of 4

E-Mail Address:

BIDDER POINT OF CONTACT FOR CONTRACT

Bidder Legal Name:

Other business names used:

Mailing Address:

Billing Address (if different from above):

City, State & Zip Code:

Phone No./Fax No.:

E-Mail Address:

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/apply-for-an-employer-identification-number-ein-online

The Texas Identification Number (TIN) 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 https://mycpa.cpa.state.tx.us/coa/. To obtain a TIN, please visit https://fmx.cpa.texas.gov/fm/pubs/payment/payee_setup/?s=forms_payee _maint&p=app_tin.

https://www.irs.gov/businesses/small-businesses-self-employed/apply-for-an-employer-identification-number-ein-online https://www.irs.gov/businesses/small-businesses-self-employed/apply-for-an-employer-identification-number-ein-online https://mycpa.cpa.state.tx.us/coa/ https://fmx.cpa.texas.gov/fm/pubs/payment/payee_setup/?s=forms_payee_maint&p=app_tin https://fmx.cpa.texas.gov/fm/pubs/payment/payee_setup/?s=forms_payee_maint&p=app_tin

IFB No. 3202600146 Page 4 of 4

Check here if you are a sole ownership or partnership.

Check below to claim a preference under Statute:

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.