EXHIBIT C - PRE-AWARD EVALUATION DATA 2026.docx
DOCX document 377 KB Posted
- Attached to
- Transit-ADA Compliant Van Procurement
- Solicitation number
- BD-27-1030-0T100-0T100-132631
- Issued by
- Massachusetts
About this file
This is a Pre-Award Evaluation Data form for the Massachusetts Department of Transportation (MassDOT) Rail and Transit Division soliciting proposals for the manufacture and delivery of new ADA-compliant vans up to 29 feet in length. The vehicles must comply with 49 CFR Part 38, ADA Accessibility Specifications for Transportation Vehicles, and all applicable federal requirements. The resulting contracts will permit MassDOT RTD and other Eligible Entities to issue purchase orders in accordance with the Request for Proposal. Proposers are required to complete the form and submit it as the first page of their proposal, providing comprehensive information about their firm including legal entity type, date of organization, state of incorporation, officer and partner names, business history, and the designated Responsible Individual with complete contact information.
The form requires proposers to certify the accuracy of all information submitted and confirm their ability to furnish the equipment and services as specified in the proposal. A duly authorized representative of the proposing firm must execute the form with signature and date. The completed form serves as a confidential pre-award evaluation document and will not be divulged to unauthorized personnel. Proposers may submit additional pages if required to complete all sections. For joint ventures, a separate form must be submitted for each member of the venture.
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EXHIBIT C – PRE-AWARD EVALUATION DATA
This form is to be completed and included as the first page of the Proposal. Attach additional pages if required. If the Contractor or Subcontractor is a joint venture, submit one form for each member of the joint venture.
1. Name of firm:
2. Address:
3. □ Individual □ Partnership □ Corporation □ Joint Venture
4. Date organized:
5. State in which incorporated:
6. Names of officers or partners:
7. How long has your firm been in business under its present name?
8. Has your firm conducted business under another name? If yes, list all prior names, years doing business under those names, and a brief description of business operations under those names.
9. Name of firm Responsible Individual (RI):
10. RI Business Address:
11. RI Phone Number:
12. RI Fax Number (if applicable):
13. RI Email Address:
The above information is confidential and will not be divulged to any unauthorized personnel.
By execution below by duly authorized representative(s) of the Proposer, the Proposer hereby certifies the accuracy of all information in this Proposal and offers to furnish equipment and services as specified in its Proposal submitted to MassDOT in response to Request for Proposal No. [RFP number] in its entirety.
Name and Title: ___________________________________________________________________ Authorized signature __________________________________________ Date _________________
Ten Park Plaza, Suite 3720, Boston, MA 02116 www.mass.gov/massdot image1.jpg
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