Exhibit A-2-BiddersProfile.docx
DOCX document 286 KB Posted
- Attached to
- Digital Jackpot Signs
- Solicitation number
- 52014
- Issued by
- Washington
About this file
This document is an Exhibit A-2 - Bidder's Profile for a Competitive Solicitation No. RFP173 for Digital Jackpot Signs issued by the Washington Lottery. The solicitation seeks bidders to provide signage at retail locations to advertise current jackpots and draw days for Lottery games. Bidders must have at least 5 years of experience providing products of the same nature as those identified. The Bidder's Profile collects information about the bidder, including legal name, address, Washington state business registration, minority/woman-owned or veteran-owned status, and small business certification. It also requires the bidder to provide contact information for authorized representatives and references for similar projects.
The related state and local contract opportunity is for the Washington Lottery to procure digital jackpot signs for retail locations. The signs must interact with the Lottery's gaming vendor to update jackpot and draw day information. Bidders must meet the minimum 5-year experience requirement to be considered. The solicitation does not provide details on pricing, set-asides, incumbent contractors, funding sources, or other commercial terms.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit B-SpecificationsRequirements-Amended.xlsx | XLSX spreadsheet | |
| Exhibit B-SpecificatnsRequirements-Amendedv2.xlsx | XLSX spreadsheet | |
| Exhibit C-Price Proposal.docx | DOCX document | |
| Exhibit E - DiverseBusInclPlan-Subs.docx | DOCX document | |
| RFP173_Attachment-DJS Pictures.pdf | ||
| Exhibit A-1-Bidders Certification.docx | DOCX document | |
| RFP173 CompetitiveSolicitation.docx | DOCX document | |
| Exhibit B - ProductSpecificationsRequirements.xlsx | XLSX spreadsheet | |
| Exhibit D-1 - Contract.docx | DOCX document | |
| Exhibit D-2 - Contract Issues List.docx | DOCX document | |
| RFP173 QA1.pdf | ||
| RFP173 QA2.pdf |
Show all 12
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Text version
EXHIBIT A-2 – BIDDER’S PROFILE
| Competitive Solicitation: |
| No. RFP173 Digital Jackpot Signs |
Bidder:
Type/print full legal name of Bidder
BIDDER INFORMATION
Legal name of Bidder:
Address of Bidder:
Note: This must match information from Bidder’s Washington 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). If your TIN is a SSN, state that fact, but do NOT provide the SSN.
| 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 Small Business?
Note: See Exhibit A-1 – Bidder’s Certification for criteria to qualify as a Washington 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:
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
Authorized Representative Name:
Email:
Phone:
Contract Administrator Name:
Email:
Phone:
Complete if using sub-contractors as indicated in Exhibit A-1
SUB CONTACTOR
| Legal Name and TIN# |
| Address |
| Phone and E-mail |
| Services/Role |
REFERENCES
Provide a minimum of three (3) 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:
REFERENCE 3
Company Name:
Contact:
Phone:
Email:
Return this Bidder’s Profile to Procurement Coordinator at:
jenna.johnson@walottery.com
EXHIBIT A-2 – BIDDER’S PROFILE PAGE 1
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File details come from the government source that posted it. Updated .