Exhibit Two Bidder Performance Form.docx
DOCX document 18 KB Posted
- Solicitation number
- SRC0000026650
- Issued by
- Butler County, Erie County, Ohio
About this file
This is a Bidder Performance Form (Exhibit Two) required by the Department of Administrative Services (DAS) Office of Procurement Services. The form must be submitted either with the bid response or within 7 calendar days of request by the Office of Procurement Services. Failure to provide the requested form within the specified timeframe will result in the bidder being deemed non-responsive.
The form requires bidders to disclose information from the past seven years regarding contract terminations, penalties over $5,000, governmental actions limiting business rights, stock trading suspensions, bankruptcy filings, and felony convictions. Additionally, bidders must disclose any instances from the past three years where they were unable to meet payroll obligations. The State reserves the right to reject bid submittals based on affirmative responses to these questions, with decisions made based on the seriousness of disclosed matters and potential impact on project performance.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit One Prior Projects Form.docx | DOCX document | |
| ITB025747_Contract.pdf |
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EXHIBIT TWO
BIDDER PERFORMANCE FORM
The Bidder may be required to submit Bidder Performance Form, Exhibit Two. If requested, the form will be used in the evaluation process to determine the lowest responsive and responsible bidder. If not provided as part of the bid response, the Bidder must provide said form within seven (7) calendar days after request/notification by the Office of Procurement Services to do so. Failure of the bidder to furnish the requested form either as part of their bid response or within the time specified herein will deem the bidder not responsive If requested by DAS, the Bidder must provide the following information for this section for the past seven (7) years. Please indicate yes or no in each column.
| Yes/No |
| Description |
The Bidder has had a contract terminated for default or cause. If so, the Bidder must submit full details, including the other party's name, address, and telephone number.
The Bidder has been assessed any penalties in excess of five thousand dollars ($5,000), including liquidated damages, under any of its existing or past contracts with any organization (including any governmental entity). If so, the Bidder must provide complete details, including the name of the other organization, the reason for the penalty, and the penalty amount for each incident.
The Bidder was the subject of any governmental action limiting the right of the Bidder to do business with that entity or any other governmental entity.
Has trading in the stock of the company ever been suspended? If so, provide the date(s) and explanation(s).
The Bidder, any officer of the Bidder, or any owner of a twenty percent (20%) interest or greater in the Bidder has filed for bankruptcy, reorganization, a debt arrangement, moratorium, or any proceeding under any bankruptcy or insolvency law, or any dissolution or liquidation proceeding.
The Bidder, any officer of the Bidder, or any owner with a twenty percent (20%) interest or greater in the Bidder has been convicted of a felony or is currently under indictment on any felony charge.
The Bidder must provide the following information for this section for the past three (3) years. Please indicate yes or no in each column.
| Yes/No |
| Description |
The Bidder was unable to pay one or more of its employees for work performed in a payroll period, e.g., there were insufficient funds available for any paychecks issued. If so, the Bidder must submit full details of this occurrence.
If the answer to any item above is affirmative, the Bidder must provide complete details about the matter. While an affirmative answer to any of these items will not automatically disqualify a Bidder from consideration, at the sole discretion of the State, such an answer and a review of the background details may result in a rejection of the Bidder’s bid submittal. The State will make this decision based on its determination of the seriousness of the matter, the matter’s possible impact on the Bidder’s performance on the project, and the best interests of the State.
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