ESBD_File_348009_HHS0014382_Exhibit_C_Bid_Execution_Page.pdf
PDF 116 KB Posted
- Attached to
- Cargo Trailer
- Solicitation number
- HHS0014382
- Issued by
- Washington County, Texas
About this file
This document is an Exhibit C - Bid Execution Page for Solicitation No. HHS0014382 issued by the Texas Health and Human Services Commission. The solicitation is for 2024 Cargo Trailers for the Brenham State Supported Living Center in Brenham, Texas, with a response due date of February 2, 2024, by 10:30 AM. The solicitation is open to Texas bidders, and respondents can claim various preferences including for goods produced in Texas, services offered by Texas service-disabled veteran-owned businesses, and environmentally-friendly products.
The document outlines the required information to be provided by the respondent, including contact information, vendor ID, and signature of an authorized representative. Respondents must complete all items on the form. The contract opportunity is limited to the jurisdiction of Washington County, Texas.
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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:
HHS0014382 01-19-2024 02-02-2024 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
Contact 2
Name
Phone
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)
File details come from the government source that posted it. Updated .