ESBD_File_343783_Exhibit C Bid Execution.pdf
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- Solicitation number
- HHS0014091
- Issued by
- Texas
About this file
This document is the Exhibit C - Bid Execution page for a contract solicitation issued by the Texas Health and Human Services Commission (HHSC). The solicitation is for Laundry and Linen services as needed for the Kerrville State Hospital. The solicitation number is HHS0014091, with a post date of November 30, 2023 and a response due date of December 21, 2023 by 10:30 A.M. The contract is for the state of Texas, specifically the jurisdictions of Kerr County and Killeen City. Respondents must complete the bid execution form, provide contact information, and certify that they qualify as a Texas bidder.
The bid execution form allows respondents to claim various preferences under the Texas Administrative Code, including for goods produced in Texas, services offered by Texas bidders, and environmentally-sensitive materials. Pricing terms, set-asides, incumbent information, and funding details are not provided in this document. The contract term length and any renewal options are also not specified.
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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:
HHS0014091 November 30, 2023 December 21, 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, 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 .