ESBD_File_332637_HHS0013348_Exhibit_C_Bid_Execution_Page.pdf
PDF 120 KB Posted
- Attached to
- IV Infusion Pump Machine Rental
- Solicitation number
- HHS0013348
- Issued by
- Travis County, Austin City, Texas
About this file
This document is an Exhibit C - Bid Execution Page for Solicitation No. HHS0013348 issued by the Texas Health and Human Services Commission. The solicitation is for IV Infusion Pump Machine Rental, with a response due date of August 28, 2023 at 10:30 A.M. Central Time. The anticipated contract start date is the date of award. The solicitation is open to Texas bidders, including those that qualify for various preferences outlined in the document.
The document requires the bidder to provide contact information, including a 24-hour emergency contact, and to certify that the individual signing the bid is authorized to do so on behalf of the bidder. Bidders must also agree to comply with the Contract Affirmations and Uniform Terms and Conditions - Vendor, which are attached to the 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:
HHS0013348 August 14, 2023 August 28, 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
File details come from the government source that posted it. Updated .