Exhibit D - Vendor Information Evaluation Preferences 03.07.2024.docx
DOCX document 34 KB Posted
- Attached to
- Texas Farm Fresh Strategic Plan
- Solicitation number
- 5510000628
- Issued by
- Texas
About this file
This is a Vendor Information and Evaluation Preferences form issued by the Texas Department of Agriculture for the Texas Farm Fresh Strategic Plan contract opportunity. The form serves as the respondent information document and establishes the framework for vendor evaluation preferences in accordance with Texas Administrative Code, Title 34, Part 1, Chapter 20, Subchapter C, Rules 20.306-20.307. The document requires vendors to provide entity information, business type classification, Federal Employee Identification Numbers, and details for primary and secondary contacts authorized to represent the business and respond to operational inquiries.
The form includes a comprehensive checklist of business product preferences that may qualify vendors for evaluation consideration, including supplies and materials produced in Texas or offered by Texas bidders, agricultural products grown or produced in Texas, products from service-disabled veteran-owned businesses, USA-produced goods, products from persons with disabilities, recycled or environmentally sensitive materials, energy-efficient products, rubberized asphalt paving material, recycled motor oil and lubricants, products from facilities on formerly contaminated property, goods from economically depressed or blighted areas, air quality compliant vendors, recycled or reused computer equipment, and foods of higher nutritional value. Vendors must attest to the accuracy and completeness of all information provided and certify their responses with a signature and date.
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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 | ||
| Web | ||
| Other: |
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 .