ESBD_558661_1789075368802_Attachment D Execution of Proposal.pdf
PDF 166 KB Posted
- Solicitation number
- 781-7-CB-35
- Issued by
- Texas
About this file
This is an Execution of Proposal form (Attachment D) for RFP No. 781-7-CB-35 issued by the State of Texas for the Advise TX Hybrid Program: College Advising GRACE Services and Case Management contract opportunity. The form is a mandatory submission document that must be completed, signed, and submitted with all proposals. Respondents are required to provide standard business information including Federal Employer ID, Texas Tax ID, entity name, address, telephone, facsimile, and website URL, along with designated points of contact for the executive representative, proposal receipt, and contract administration. The form does not specify response deadlines, site visit requirements, or bidders' conference details within this document.
The form establishes compliance requirements and certifications that respondents must acknowledge, including Texas Family Code §231.006(c) regarding disclosure of ownership interests of 25 percent or greater, and Texas Government Code §669.003 concerning employment of former state agency executives. Respondents must identify applicable state procurement preferences under Texas Government Code §2155.441-2155.452, which cover products and services from disadvantaged populations, environmentally sensitive materials, and recycled goods. The document includes a section for respondents to identify any exceptions to terms and conditions, and requires a signature certifying that all responses are true and accurate and that the respondent meets Texas Resident Bidder qualification standards if claiming a Texas address. Failure to complete and sign this form may result in proposal disqualification.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTACHMENT D – EXECUTION OF PROPOSAL
RFP No. 781-7-CB-35
(It is mandatory to complete, sign, and submit this form with the proposal.)
1. RESPONDENT INFORMATION
Federal Employer ID No.: _____________ Texas Tax ID No.: _____________
Entity Name: ________________________________________________
Street Address: ________________________________________________
City/State/Zip Code: _________________________________________
Telephone No.: _________________ Facsimile No.: _________________
Website URL: ________________________________________________
EXECUTIVE REPRESENTATIVE
Name: _____________________________________________________
Title: _____________________________________________________
Telephone No.: ________________________________________________
Email Address: ________________________________________________
POINT OF CONTACT FOR PROPOSAL
Name: _____________________________________________________
Title: _____________________________________________________
Telephone No.: ________________________________________________
Email Address: ________________________________________________
POINT OF CONTACT FOR RECEIPT OF CONTRACT
Name: _____________________________________________________
Title: _____________________________________________________
Telephone No.: ________________________________________________
Email Address: ________________________________________________
2. TEXAS FAMILY CODE § 231.006(c)
Pursuant to Texas Family Code § 231.006(c), Respondents are required to include the name and social security number of each person with at least a 25 percent ownership interest of the business entity submitting the Proposal.
Respondents meeting the ownership criteria shall provide the names only with their Proposal.
Social security numbers will be required only from the Respondent selected for the award prior to the award of the resulting contract. Failure to provide the required information will result in disqualification of the Proposal and/or contract award.
Name: _____________________________________________________
Name: _____________________________________________________
Name: _____________________________________________________
Name: _____________________________________________________
3. TEXAS GOVERNMENT CODE § 669.003
Under the Texas Government Code § 669.003, a state agency may not enter into a contract with a Respondent that employs a former executive head of the state agency unless certain statutory conditions are met. By signing the acknowledgment below, the Respondent certifies that it is in compliance with § 669.003. If §669.003 applies, the Respondent shall complete the following information in order for its Proposal to be evaluated:
Name of Former Executive: _________________________________________
Name of State Agency: _____________________________________________
Date of Separation from State Agency: __________________________________
Date of Employment with Respondent: _________________________________
4. PREFERENCES
See Texas Comptroller of Public Accounts, Statewide Procurement Division, State of Texas Procurement and Contract Management Guide, APPENDIX 21 (Version 1.3).
Identify the preferences for which you qualify:
☐ Preference for Products of Persons with Mental Retardation or Physical Disabilities. Tex. Gov’t Code § 2155.441.
☐ Preference for Energy Efficient Products. Tex. Gov’t Code § 2155.442.
☐ Preference for Rubberized Asphalt Paving. Tex. Gov’t Code § 2155.443.
☐ Preference to Texas and United States Products and Texas Services. Tex. Gov’t Code § 2155.444.
☐ Preference Under Service Contracts. Tex. Gov’t Code § 2155.4441.
☐ Preference for Recycled, Remanufactured, or Environmentally Sensitive Products. Tex. Gov’t Code § 2155.445.
☐ Purchase of Recycled Oil. Tex. Gov’t Code § 2155.447.
☐ Preference to Products and Services from Economically Depressed or Blighted Area. Tex.
Gov’t Code § 2155.449.
☐ Preference for Products of Facilities on Formerly Contaminated Property. Tex. Gov’t Code § 2155.450.
☐ Vendors that Meet or Exceed Air Quality Standards. Tex. Gov’t Code § 2155.451.
☐ Preference for Contractors Providing Foods of Higher Nutritional Value. Tex. Gov’t Code § 2155.452.
5. EXCEPTIONS TO TERMS AND CONDITIONS
☐ No exceptions.
☐ Yes, please provide list of exceptions below
Section Exception
6. RESPONDENT ACKNOWLEDGMENT
Respondent hereby acknowledges that it can meet all requirements as stated and also acknowledges the receipt, review, and acceptance of the Request for Proposals identified in its proposal. Any exceptions to the statement of work, terms, requirements, and conditions have been explicitly set forth in the Respondent’s proposal. Failure to sign and submit this form with its proposal may disqualify Respondent’s proposal.
7. SIGNATURE
By signing this Execution of Proposal, Respondent certifies that the responses are true and accurate and that if a Texas address is shown as the address of the Respondent, the Respondent qualifies as a Texas Resident Bidder as defined in Texas Government § 2252.001(4).
Signature: ____________________________________________________
Printed Name: _________________________________________________
Date: __________________________
File details come from the government source that posted it. Updated .