Exhibit D - Vendor Information Evaluation Preferences 03.07.2024.docx

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Attached to
Qualitative Respirator Fit Tests
Solicitation number
5510000951
Issued by
Texas

About this file

This is a Vendor Information Evaluation Preferences form issued by the Texas Department of Agriculture as Exhibit D for a state contract opportunity. The form serves as the primary documentation mechanism for collecting respondent information and identifying any applicable vendor preferences claimed under Texas Administrative Code, Title 34, Part 1, Chapter 20, Subchapter C, Rules 20.306-20.307. The document requires vendors to provide complete entity information including business type classification, federal and state identification numbers, primary and secondary contact details with full legal names and contact information, and relevant business websites and social media links. Vendors must attest that all provided information is complete and accurate through a signature and date certification.

The form includes multiple vendor preference categories that respondents may claim, encompassing products and services produced or offered in Texas, agricultural products and services, service-disabled veteran-owned businesses, USA-produced supplies and materials, products from persons with disabilities, environmentally sensitive materials, energy-efficient products, recycled materials and equipment, products from economically depressed areas, air quality compliant vendors, and foods of higher nutritional value. The document was revised on March 7, 2024, and represents a standardized evaluation framework allowing the Texas Department of Agriculture to systematically assess vendor eligibility and applicable preference considerations during the procurement process.

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Text version

Texas Department of Agriculture – Exhibit D

Exhibit D Vendor Information and Evaluation Preferences

SECTION 1 – RESPONDENT INFORMATION

Entity Name:

D.B.A. Name (if applicable)

Respondent’s Social Media links, if any
WebFacebook
LinkedInOther:

Twitter

Type of Business (check one):

|_| Corporation |_| Limited Liability Co. |_| Limited Partnership |_| General Partnership |_| Sole Proprietor |_| Cooperative |_| Other (specify)

Federal Employee Identification Number (must be nine (9) digits and match W-9)

Texas Identification Number (if sole proprietor)
- -

SECTION 2A. PRIMARY CONTACT – List the full legal name (no aliases or nicknames) of the primary person (Partner, Manager or Owner) responsible for the business and can enter into legal agreements on behalf of the business.

First Name Last Name |_| Mr. |_| Dr.

|_| Ms. |_| Other

Mailing Address City State Zip County

Business Phone ( ) -
Cell Phone ( ) -
E-mail Address
Title
Respondent’s Website

SECTION 2B. SECONDARY CONTACT INFORMATION – This person can answer day-to-day questions about the organization.

First Name
Last Name
|_| Mr. |_| Dr.

|_| Ms. |_| Other

Contact phone number Contact E-mail Address

Title

SECTION 3. BUSINESS PRODUCTS

Check below if preference in the evaluation process is claimed under Texas Administrative Code, Title 34, Part 1, Chapter 20, Subchapter C, Rule 20.306-.307.

(__) Supplies, materials, or equipment: Produced in Texas/offered by Texas bidders (__) Agricultural products produced or grown in Texas (__) Agricultural products and services offered by Texas bidders (__) Products offered by Texas Bidder owned by a Texas resident service-disabled veteran (__) USA Produced supplies, materials, or equipment (__) Products of persons with mental or physical disabilities (__) Products made of recycled, re-manufactured, or environ-sensitive materials including recycled steel (__) Energy efficient products (__) Rubberized asphalt paving material (__) Recycled motor oil and lubricants (__) Products produced at facilities located on formerly contaminated property (__) Products and services from economically depressed or blighted areas (__) Vendors that meet or exceed air quality standards (__) Recycled or Reused Computer Equipment of Other Manufacturers (__) Foods of Higher Nutritional Value

SIGNATURE AND DATE

I hereby attest that all information provided is complete and accurate to the best of my knowledge.

Vendor Signature
Date
Printed Name
Company Represented

Exhibit D – rev. 03/07/2024 Page 1 of 18

File details come from the government source that posted it. Updated .