Exhibit A-2-Bidders Profile.docx
DOCX document 401 KB Posted
- Attached to
- Scale Parts
- Solicitation number
- TB236033
- Issued by
- Thurston County, Washington
About this file
This is a Bidder's Profile form (Exhibit A-2) for Washington State Patrol's (WSP) competitive solicitation TB236033 for Scale Parts. The document is a standard form requesting detailed information from potential bidders who wish to supply Rice Lake Scale components.
The form requires bidders to provide their legal business information, Washington State UBI number, tax identification number, and certification status for minority/women-owned businesses (MWBE), Washington State small businesses, and veteran-owned businesses. It also requests contact information for contract management, including authorized representative and contract administrator details, legal notice address, and ordering/sales points of contact. Bidders must provide two commercial or government references demonstrating experience in delivering similar goods or services. The form defines three categories of small businesses based on annual gross revenue: microbusinesses (less than $1 million), minibusinesses ($1-3 million), and small businesses (less than $7 million for three consecutive years).
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Exhibit E Diverse Business Inclusion Plan.docx | DOCX document | |
| Appendix A WSP Competitive Terms & Conditions.pdf | ||
| Exhibit B - Performance Requirements.docx | DOCX document | |
| Exhibit C - Bid Price.xlsx | XLSX spreadsheet | |
| Exhibit D - PO#236066.pdf | ||
| IFB TB236033 Scale Parts.pdf | ||
| Exhibit A-1-Bidders Certification.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Supply Section 8543 Armstrong Road SW, Tumwater, WA 89512
EXHIBIT A-2 – BIDDER’S PROFILE
| Competitive Solicitation: |
| No. TB236033 – Scale Parts |
| 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 |
| 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:
Timothy.Bagan@wsp.wa.gov
EXHIBIT A-2 – BIDDER’S PROFILE: TB236033 PAGE 1
(Rev 2023-05-15) image1.png image2.jpeg
File details come from the government source that posted it. Updated .