Exhibit A-2 - Bidders Profile.docx

DOCX document 402 KB Posted

Attached to
Vancouver Crime Lab Shelving and Storage
Solicitation number
RFP EO235138
Issued by
Clark County, Clarkston City, Clarkston Heights-Vineland CDP, West Clarkston-Highland CDP, Washington

About this file

This is a Bidder's Profile form (Exhibit A-2) for Washington State Patrol (WSP) Competitive Solicitation No. WSP EO235138 for shelving, weapon storage, and workbench equipment at the Vancouver Crime Lab. The form is designed to collect essential business information from potential bidders, including legal business details, contact information, and references for similar projects.

The form includes sections for Washington State business certifications, including OMWBE (minority and women-owned business) certification, Washington State Small Business self-certification with specific revenue thresholds (Microbusiness: under $1M, Minibusiness: $1M-$3M, Small Business: under $7M for three consecutive years), and Veteran-Owned Business certification. Bidders must provide two commercial or government references demonstrating experience with similar scope projects and must include comprehensive contact information for contract management, legal notices, and ordering/sales purposes.

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Text version

Supply Section 8543 Armstrong Road SW, Tumwater, WA 89512

EXHIBIT A-2 – BIDDER’S PROFILE

Competitive Solicitation:
No. WSP EO235138
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:

erica.oswalt@wsp.wa.gov

EXHIBIT A-2 – BIDDER’S PROFILE: NO. WSP EO235138 - SHELVING, WEAPON STORAGE, AND WORKBENCH PAGE 1 (Rev 2023-05-15) image1.png image2.jpeg

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