Exhibit A-2-Bidders Profile.docx
DOCX document 401 KB Posted
- Solicitation number
- WSP EO237455
- Issued by
- Thurston County, Washington
About this file
This document is Exhibit A-2, a Bidder's Profile form for the Washington State Patrol (WSP) competitive solicitation numbered EO237455, related to a procurement for Stop Stick Kits, Training Kits, and Replacement Parts. The solicitation seeks to establish an agency contract to support traffic enforcement operations, with bidders required to complete a comprehensive profile detailing their business information, certifications, and points of contact.
The profile includes sections for businesses to provide their legal name, address, Washington State Department of Revenue registration number, and taxpayer identification number. Bidders can self-identify as minority or woman-owned businesses, Washington State small businesses (categorized as micro, mini, or small based on annual gross revenue), and veteran-owned businesses. The document requires detailed contact information for contract management, authorized representatives, and ordering/sales personnel. Respondents must submit the completed profile to the procurement coordinator via email, with the goal of supporting WSP's traffic enforcement equipment procurement needs.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Exhibit C - Bid Price.xlsx | XLSX spreadsheet | |
| Exhibit E Diverse Business Inclusion Plan.docx | DOCX document | |
| Exhibit B - Performance Requirements.docx | DOCX document | |
| Exhibit A-1-Bidders Certification.docx | DOCX document | |
| IFB WSP EO237455.pdf.crdownload | CRDOWNLOAD file | |
| Exhibit D - Purchase Order.pdf | ||
| Appendix A WSP Competitive Terms & Conditions.doc | DOC 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. _WSP EO237455_ |
| 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 |
Return this Bidder’s Profile to Procurement Coordinator at:
erica.oswalt@wsp.wa.gov
EXHIBIT A-2 – BIDDER’S PROFILE: IFB WSP EO237455 PAGE 1
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