ESBD_File_330832_Exhibit C Bid Execution HHS0013721v2.docx
DOCX document 31 KB Posted
- Attached to
- HHS0013721 v2 Food Products Brenham SSLC
- Solicitation number
- HHS0013721v2
- Issued by
- Texas
About this file
This document is an Exhibit C - Bid Execution Page for the Texas Health and Human Services Commission Solicitation No. HHS0013721v2. The solicitation is for an unspecified contract opportunity, with a response due date of 8/10/2023 at 10:30 A.M. The document requires the respondent to represent and warrant that the individual submitting the response is authorized to do so on behalf of the respondent and to bind the respondent to any resulting contract. The respondent must also agree to comply with all Contract Affirmations and Uniform Terms and Conditions - Vendor. The document provides a checklist for the respondent to indicate any applicable preferences claimed under the Texas Administrative Code, including goods produced by Texas bidders, agricultural products, services offered by Texas bidders, recycled materials, energy-efficient products, and others.
The document requires the respondent to provide various contact information, including a Texas Vendor ID number, business name and address, phone and fax numbers, and email address. It also requires the respondent to provide 24-hour emergency contact information. By signing the bid, the respondent certifies that it qualifies as a Texas bidder as defined in the Texas Government Code.
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Text version
Exhibit C – Bid Execution Page
TEXAS HEALTH AND HUMAN SERVICES COMMISSION
| Solicitation No.: |
| Solicitation Post Date: |
| Response Due Date: |
| Response Due Time: |
| HHS0013721v2 |
| 7/20/2023 |
| 8/10/2023 |
| 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, 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 03/14/2022
File details come from the government source that posted it. Updated .