ESBD_File_347957_HHS0014151A Exhibit C Bid Execution Page.pdf
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- Solicitation number
- HHS0014151A
- Issued by
- Cherokee County, Round Rock City, Texas
About this file
This document is an Exhibit C - Bid Execution Page for a solicitation issued by the Texas Health and Human Services Commission (HHSC) for as-needed rental services for continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BiPAP) machines and accessories. The solicitation number is HHS0014151A, with a posting date of January 17, 2024 and a response due date of February 7, 2024 at 10:30 A.M. The contract will be awarded to provide these services to the Rusk State Hospital, located in jurisdictions that include Cherokee County and the cities of Round Rock.
The document outlines various preferences that bidders can claim, such as goods produced by Texas bidders, agricultural products grown in Texas, and recycled or environmentally-sensitive materials. Bidders must provide their contact information, including a 24-hour emergency contact. By signing the bid, the bidder 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 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:
HHS0014151A January 17, 2024 February 7, 2024 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 .