Exhibit A-2-Bidders Profile.docx

DOCX document 402 KB Posted

Attached to
Crime Lab Shelving, Weapons Storage, and Worktable
Solicitation number
ST232643
Issued by
Clark County, Pierce County, Clarkston City, Clarkston Heights-Vineland CDP, West Clarkston-Highland CDP, Vancouver City, Tacoma City, Washington

About this file

This document is a bidder's profile for a competitive solicitation issued by the Washington State Patrol (WSP) for the procurement of moveable and modular shelving/storage for weapons, weapon accessories, and ammunition for two crime labs located in Tacoma and Vancouver, Washington. The solicitation number is ST232643. The bidder's profile requests information such as the bidder's legal name, address, UBI number, taxpayer ID, MWBE and veteran-owned business certifications, small business status, and contact information for the authorized representative, contract administrator, and ordering/sales points of contact. The solicitation is open to commercial and government references for similar goods and services provided by the bidder.

The contract opportunity is for the state of Washington, specifically involving the jurisdictions of Clark County, Pierce County, Tacoma City, Vancouver City, Clarkston Heights-Vineland CDP, West Clarkston-Highland CDP, and Clarkston City. The contract will be awarded to the successful bidder, but the document does not provide details on pricing terms, set asides, incumbent contractors, funding requirements, or other salient information.

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Text version

Supply Section 8543 Armstrong Road SW, Tumwater, WA 89512

EXHIBIT A-2 – BIDDER’S PROFILE

Competitive Solicitation:
No. ST232643
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:

Stephen.tran@wsp.wa.gov

EXHIBIT A-2 – BIDDER’S PROFILE: NO. ST232643- SHELVING, WEAPON STORAGE, AND WORKBENCH PAGE 1 (Rev 2023-05-15) image1.png image2.jpeg

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