ESBD_538127_1784575138520_Exhibit D - Vendor Information Evaluation Preferences 03.07.2024.docx
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- Attached to
- Background Checks
- Solicitation number
- 5510000630
- Issued by
- Texas
About this file
This is a Vendor Information and Evaluation Preferences form (Exhibit D) issued by the Texas Department of Agriculture for a Background Checks contract opportunity. The form serves as the standardized submission document for respondents to provide organizational and contact information required for evaluation purposes. Respondents must supply their legal entity name, business structure type, Federal Employee Identification Number, and Texas Identification Number if applicable. The form requires designation of a primary contact person authorized to execute legal agreements on behalf of the business, along with complete mailing address and communication details. A secondary contact person who can address day-to-day operational questions must also be identified with corresponding contact information.
The evaluation preferences section allows vendors to claim preferences under Texas Administrative Code provisions, including but not limited to products produced in Texas, agricultural products, service-disabled veteran-owned businesses, USA-produced supplies, products from persons with disabilities, environmentally sensitive or recycled materials, energy-efficient products, and foods of higher nutritional value. Respondents must certify the accuracy and completeness of all submitted information by signature and date. The form was last revised on March 7, 2024, and serves as a critical component of the vendor qualification and evaluation process, enabling the Texas Department of Agriculture to assess respondents' eligibility for applicable state procurement preferences and preferences and to maintain accurate vendor contact and operational information throughout the contracting process.
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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 .