Exhibit A-2-Bidders Profile.docx

402 KB Posted

Attached to
Acoustic Hailing Device
Solicitation number
AW232344
Issued by
Thurston County, Washington

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This document is a Bidder's Profile form for a competitive solicitation issued by the Washington State Patrol (WSP) to procure one acoustic hailing device. The solicitation number is AW232344, and it is open to all interested bidders, including minority/women-owned businesses, self-certified small businesses, and certified veteran-owned businesses in Washington state. The form requires bidders to provide their legal business name, address, tax ID, MWBE/small business/veteran-owned status, and contact information for contract management and ordering/sales. Bidders must also provide at least two commercial or government references for similar goods/services. The solicitation is for a one-time purchase, and the award date is not specified.

The related state and local contract opportunity indicates that this procurement is being conducted pursuant to RCW 39.26 in the state of Washington, specifically within Thurston County. The total quantity to be purchased is one acoustic hailing device, but the pricing terms, funding sources, and other financial details are not provided in the given information.

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Other files

File Type Posted
Amendment #1.pdf PDF
Appendix A WSP Competitive Terms & Conditions.pdf PDF
Exhibit B - Performance Requirements.docx DOCX document
Exhibit C - Bid Price.xlsx XLSX spreadsheet
IFB AW232344 - Acoustic Hailing Device.pdf PDF
Exhibit A-1-Bidders Certification.docx DOCX document
Exhibit D - PO#232344.pdf PDF
Exhibit E Diverse Business Inclusion Plan.docx DOCX document

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Supply Section 8543 Armstrong Road SW, Tumwater, WA 89512

EXHIBIT A-2 – BIDDER’S PROFILE

Competitive Solicitation:
No. AW232344 – Acoustic Hailing Device
Bidder:
___________________________

Type/print full legal name of Bidder

BIDDER INFORMATION

Legal name of Bidder:

Address of Bidder:

Note: This information must match the information from Bidder’s Business License.

Business Name Address City, State, Zip Code

Bidder’s Washington State Department of Revenue Registration Number/Unified Business Identifier (UBI) Number:

Note: A nine digit UBI number is assigned to each registered businesses in Washington.

Taxpayer Identification No. (TIN):

Note: Your TIN will be either a number issued by the IRS (e.g., Employer Identification Number, Federal Tax Identification Number) or a number issued by the Social Security Administration (i.e., your Social Security Number). Do Not provide a Social Security Number.

Is your firm certified as a minority or woman owned business with the Washington State Office of Minority & Women’s Business Enterprises (OMWBE)?
Yes |_| No |_|

If yes, provide Bidder’s MWBE certification no.: ____________

Is your firm a self-certified Washington State Small Business?

Note: See Exhibit A-1 – Bidder’s Certification for criteria to qualify as a Washington State Small Business.

Note: Regardless of size, a qualifying business must be owned and operated independently from all other businesses. In regard to size, the gross revenue thresholds, as reported on Bidder’s tax returns, are as follows:

· Microbusiness: Annual gross revenue of less than one million dollars.

· Minibusiness: Annual gross revenue of more than one million dollars, but less than three million dollars.

· Small Business: Annual gross revenue of less than seven million dollars over each of the three prior consecutive years.

Yes |_| No |_| If yes, provide the location for Bidder’s principal place of business:

Street Address City, State, Zip Code If yes, what is your business size (based on annual gross revenue)?

Microbusiness|_|
Minibusiness|_|
Small Business|_|

Is your firm certified as a Veteran-Owned Business with the Washington State Department of Veteran Affairs?

Note: See Exhibit A-1 – Bidder’s Certification for criteria to qualify as a Certified Veteran-Owned Business.

Yes |_| No |_| If yes, provide Bidder’s WDVA certification no.: _____________

CONTRACT MANAGEMENT POINTS OF CONTACT FOR BIDDER

Authorized Representative Name:

Email:

Phone:

Contract Administrator Name:

Email:

Phone:

Address for Enterprise Services to send legal notices:

Company name:

Attn:

Address:

City/State/Zip:

Signature Authority (if awarded a contract) Name:

Title:

ORDERING/SALES POINTS OF CONTACT (expand as necessary)

Name
Phone Number
E-mail
Area of Responsibility

REFERENCES

Provide a minimum of two (2) commercial or government references for which bidder has delivered goods and/or services similar in scope as described in the Competitive Solicitation.

REFERENCE 1

Company Name:

Contact:

Phone:

Email:

REFERENCE 2

Company Name:

Contact:

Phone:

Email:

Return this Bidder’s Profile to Procurement Coordinator at:

Andrew.Westerfield@wsp.wa.gov

EXHIBIT A-2 – BIDDER’S PROFILE: AW232344 PAGE 1

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