Form 1 - Vendor Acknowledgement.pdf
PDF 85 KB Posted
- Attached to
- ITB-DEM-25-26-020 - WebEOC
- Solicitation number
- ITB-15570
- Issued by
- Leon County, Florida
About this file
Form 1 is a Vendor Acknowledgement template required for the Florida Division of Emergency Management's Invitation to Bid ITB-DEM-25-26-020 for WebEOC software solutions. This form serves as the vendor's certification of compliance with the solicitation's terms and conditions and must be completed by an authorized company representative with binding authority. The form requires submission of comprehensive vendor identification information including legal business name, mailing address, DUNS and FEID numbers, and business entity type. Bidders must also designate primary and secondary contacts with complete contact details including name, title, address, phone, fax, and email to facilitate communication regarding the solicitation schedule and any required meetings. The bid submission deadline is April 28, 2026, at 5:00 PM Eastern Time, with public bid opening scheduled for April 29, 2026, at 9:00 AM, and the anticipated Notice of Intent to Award on May 13, 2026. The contract term spans five years with renewal options available for up to three additional years.
All bidders must submit one hard copy and one electronic copy via USB flash drive of all required materials, including the completed Vendor Acknowledgement Form. This form is mandatory for all respondents regardless of business size or certification status. The solicitation requires bidders to provide comprehensive pricing for all listed products across both initial contract years and renewal periods with all-inclusive pricing covering travel, packaging, handling, freight, and delivery. Bidders must also complete multiple mandatory compliance forms including the Vendor Certification Form, Foreign Countries of Concern Attestation, Forced Labor attestations, Drug-Free Workplace Certification, and Addendum Acknowledgement Form. All attestations must be executed under penalties of perjury by authorized company representatives. Performance bonds may be required for contracts exceeding $10,000, and all contracts are subject to annual legislative appropriations and compliance with federal funding requirements per 2 CFR Part 200.
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Text version
FORM 1
Vendor Acknowledgement
Vendor Name:
If a Fictitious Name is used include registered name (i.e. XYZ, Inc.
D/B/A ABC)
*Authorized Signature (Manual)
Vendor Mailing Address:
City, State, Zip: *Authorized Signature (Typed), Title
Phone Number:
*This individual must have the authority to bind the Respondent.
By signature on the Reply, Respondent certifies that it complies with the Terms &
Conditions of the RFQ.
Toll Free Number:
Email Address:
DUNS Number:
FEID Number:
Type of Business Entity (Corporation, LLC, partnership, etc.):
VENDOR CONTACTS: Provide the name, title, address, telephone number, and email address of the official contact and an alternate, if available. These individuals shall be available to be contacted by telephone or attend meetings as may be appropriate regarding the solicitation schedule.
Primary Contact:
Contact Name, Title:
Address:
Phone Number:
Fax Number:
Email Address:
Secondary Contact:
Contact Name, Title:
Address:
Phone Number:
Fax Number:
Email Address:
| Vendor Name: |
| Authorized Signature ManualVendor Mailing Address: |
| City State Zip: |
| Authorized Signature Typed Title: |
| Phone Number: |
| Toll Free Number: |
| Email Address: |
| DUNS Number: |
| FEID Number: |
| Type of Business Entity Corporation LLC partnership etc: |
| Primary Contact: |
| Contact Name Title: |
| Address: |
| Phone Number_2: |
| Fax Number: |
| Email Address_2: |
| Secondary Contact: |
| Contact Name Title_2: |
| Address_2: |
| Phone Number_3: |
| Fax Number_2: |
| Email Address_3: |
File details come from the government source that posted it. Updated .