ESBD_File_282058_HHS0011961-2 Exhibit_C_Bid_Execution_Page.pdf
PDF 120 KB Posted
- Attached to
- Custom Window Envelopes
- Solicitation number
- HHS0011961-2
- Issued by
- Texas
About this file
This is a Bid Execution Page (Exhibit C) for a solicitation issued by the Texas Health and Human Services Commission under solicitation number HHS0011961-2 for Custom Window Envelopes. The solicitation was posted on April 21, 2022, with a response due date of May 5, 2022, at 10:30 A.M. Respondents must complete all required fields on the execution page, including authorized signature, vendor identification information, business name, street address, city-state-zip code, telephone number, fax number, and email address. Additionally, bidders must provide a minimum of two 24-hour emergency contacts with names, phone numbers, and email addresses. By signing the bid, the authorized representative certifies that they are authorized to bind the respondent under any resulting contract and agrees to comply with all Contract Affirmations, Data Use Agreements, and Uniform Terms and Conditions.
The document includes multiple preference options available under Texas Administrative Code Title 34, Part 1, Chapter 20, which allow bidders to claim preferences for goods or services produced or offered by Texas bidders, service-disabled veteran-owned businesses, agricultural products, recycled materials, energy-efficient products, and other environmentally sensitive or socially beneficial products and services. Bidders claiming a Texas address must certify that they qualify as a Texas Bidder as defined in Texas Government Code Section 2155.444(c)(2). No specific pricing terms, set-asides, incumbents, funding amounts, or contract term information is detailed in this execution page document.
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Text version
Exhibit C – Bid Execution Page 03/14/2022
Exhibit C – Bid Execution Page
TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Solicitation No.: Solicitation Post Date: Response Due Date: Response Due Time:
HHS0011961-2 April 21, 2022 May 5, 2022 10:30 A.M.
By submitting the Response, Respondent represents and warrants that the individual submitting this document and the documents made part of this Response is authorized to sign such documents on behalf of the Respondent and to bind the Respondent under any contract that may result from the submission of the Response. Respondent agrees to comply with all Contract Affirmations, Data Use Agreement, and Uniform Terms and Conditions – Vendor which are attached and incorporated into this document.
Check below if preference claimed under Texas Administrative Code (TAC), Title 34, Part 1, Chapter 20, Subchapter D, Division 2, Rule §20.306:
□ 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 a 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.
RESPONDENT MUST COMPLETE ALL ITEMS:
X Signature of Vendor or Authorized Representative (Must be signed; failure to sign may disqualify response.)
Print Name:
Texas Vendor ID No. (or Federal Employer’s ID):
Name of Business:
Street Address:
City-State-Zip Code:
Telephone Number:
Fax Number:
E-Mail Address:
24-Hour Contacts – Must list a minimum of 2:
Contact 1 Name Phone Email Contact 2 Name Phone Email
By signing this bid, bidder certifies that if a Texas address is shown as the address of the bidder, bidder qualifies as a Texas Bidder as defined in Tex. Gov’t Code § 2155.444(c)(2)
Exhibit C – Bid Execution Page
File details come from the government source that posted it. Updated .