ESBD_File_352462_Exhibit_C_Bid_Execution_Page_Formal_IFB.docx

DOCX document 31 KB Posted

Attached to
Door Maintenance at Terrell State Hospital
Solicitation number
HHS0014422
Issued by
Kaufman County, Texarkana 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. The solicitation is for rekeying services and facility door maintenance and hardware in compliance with CMS & Joint Commission NFPA standards at Terrell State Hospital, located in Kaufman County and Texarkana City, Texas. The solicitation number is HHS0014422, with a posting date of March 4, 2024 and a response due date of March 26, 2024 at 10:30 A.M. The document outlines the requirements for the respondent to submit their bid, including certifying that the individual submitting the response is authorized to do so, and agreeing to comply with the contract affirmations and terms and conditions.

The document also provides a list of preferences that the respondent can claim, such as goods produced or offered by a Texas bidder, agricultural products grown in Texas, services offered by a Texas bidder, and various other preferences. The respondent must complete all items on the form, including providing their Texas Vendor ID number or Federal Employer's ID, business name and address, contact information, and 24-hour contacts.

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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:
HHS0014422
March 4, 2024
March 26, 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 03/14/2022

File details come from the government source that posted it. Updated .