Exhibit A-2-Bidders Profile.docx
DOCX document 402 KB Posted
- Attached to
- Night Vision Devices
- Solicitation number
- AW235449
- Issued by
- Thurston County, Washington
About this file
This is a Bidder's Profile form (Exhibit A-2) for Washington State Patrol competitive solicitation No. AW235449 for Night Vision and Thermal Optics. The form requests bidders to provide their complete business information, including legal name, address, Washington State UBI number, and taxpayer identification number.
The form includes sections for identifying minority, women-owned, small business, and veteran-owned business certifications, with specific criteria for small business qualification based on annual revenue thresholds. It requires contact information for contract management, including authorized representative and contract administrator details, legal notice address, and ordering/sales points of contact. Bidders must also provide a minimum of two commercial or government references for similar scope deliveries. The completed form must be returned to the Procurement Coordinator, Andrew Westerfield, at Washington State Patrol.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Exhibit A-1-Bidders Certification.docx | DOCX document | |
| IFB - AW235449 - NVG.pdf | ||
| Amendment 1.pdf | ||
| Exhibit E Diverse Business Inclusion Plan.docx.crdownload | CRDOWNLOAD file | |
| Appendix A WSP Competitive Terms & Conditions.pdf | ||
| Exhibit B - Performance Requirements.docx | DOCX document | |
| Exhibit C - Bid Price.xlsx | XLSX spreadsheet | |
| Exhibit D - Contract.pdf | ||
| Exhibit E Diverse Business Inclusion Plan.docx | DOCX document |
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Text version
Supply Section 8543 Armstrong Road SW, Tumwater, WA 89512
EXHIBIT A-2 – BIDDER’S PROFILE
| Competitive Solicitation: |
| No. AW235449 – Night Vision and Thermal Optics |
| 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.
· Mini business: 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 | |_| |
| Mini business | |_| |
| 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 |
| 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: AW235449 PAGE 1
(Rev 2023-05-15) image1.png image2.jpeg
File details come from the government source that posted it. Updated .