ESBD_531302_1782400684644_Exhibit D - Vendor Information Evaluation Preferences 03.07.2024.docx
DOCX document 34 KB Posted
- Attached to
- Summer Media Campaign
- Solicitation number
- 5510001089
- Issued by
- Travis County, Austin City, Texas
About this file
This is an Exhibit D Vendor Information and Evaluation Preferences form from the Texas Department of Agriculture for a Summer Media Campaign contract opportunity. The document serves as the respondent information and evaluation criteria template for vendors interested in bidding on this state contract. The form requires vendors to provide comprehensive business registration information, including entity name, type of business structure, Federal Employee Identification Number, and Texas Identification Number for sole proprietors. Additionally, vendors must designate a primary contact person authorized to enter into legal agreements on behalf of the business and a secondary contact for day-to-day operational inquiries, along with associated contact details for each.
The evaluation preferences section allows vendors to claim preference status under Texas Administrative Code Title 34, Part 1, Chapter 20, Subchapter C, Rules 20.306-20.307, covering a wide range of criteria including products produced or grown in Texas, agricultural products and services offered by Texas bidders, service-disabled veteran-owned businesses, USA-produced supplies and materials, products from persons with disabilities, environmentally sensitive or recycled materials, energy-efficient products, recycled motor oil and lubricants, products from economically depressed areas, air quality standard compliance, and foods of higher nutritional value. The form concludes with an attestation section requiring the vendor's signature and dated certification that all provided information is accurate and complete.
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Text version
Texas Department of Agriculture – Exhibit D
Exhibit D Vendor Information and Evaluation Preferences
SECTION 1 – RESPONDENT INFORMATION
Entity Name:
D.B.A. Name (if applicable)
| Respondent’s Social Media links, if any | ||
| Web | ||
| Other: |
Type of Business (check one):
|_| Corporation |_| Limited Liability Co. |_| Limited Partnership |_| General Partnership |_| Sole Proprietor |_| Cooperative |_| Other (specify)
Federal Employee Identification Number (must be nine (9) digits and match W-9)
| Texas Identification Number (if sole proprietor) |
| - - |
SECTION 2A. PRIMARY CONTACT – List the full legal name (no aliases or nicknames) of the primary person (Partner, Manager or Owner) responsible for the business and can enter into legal agreements on behalf of the business.
First Name Last Name |_| Mr. |_| Dr.
|_| Ms. |_| Other
Mailing Address City State Zip County
| Business Phone ( ) - |
| Cell Phone ( ) - |
| E-mail Address |
| Title |
| Respondent’s Website |
SECTION 2B. SECONDARY CONTACT INFORMATION – This person can answer day-to-day questions about the organization.
| First Name |
| Last Name |
| |_| Mr. |_| Dr. |
|_| Ms. |_| Other
Contact phone number Contact E-mail Address
Title
SECTION 3. BUSINESS PRODUCTS
Check below if preference in the evaluation process is claimed under Texas Administrative Code, Title 34, Part 1, Chapter 20, Subchapter C, Rule 20.306-.307.
(__) Supplies, materials, or equipment: Produced in Texas/offered by Texas bidders (__) Agricultural products produced or grown in Texas (__) Agricultural products and services offered by Texas bidders (__) Products offered by Texas Bidder owned by a Texas resident service-disabled veteran (__) USA Produced supplies, materials, or equipment (__) Products of persons with mental or physical disabilities (__) Products made of recycled, re-manufactured, or environ-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
SIGNATURE AND DATE
I hereby attest that all information provided is complete and accurate to the best of my knowledge.
| Vendor Signature |
| Date |
| Printed Name |
| Company Represented |
Exhibit D – rev. 03/07/2024 Page 1 of 18
File details come from the government source that posted it. Updated .