GSS25637-K9_SECUR-appD.pdf
PDF 372 KB Posted
- Attached to
- K-9 Security, Detection and Tracking Dogs
- Solicitation number
- GSS25637-K9_SECUR
- Issued by
- Delaware
About this file
This file contains standard bid submission forms for a K-9 Security, Detection and Tracking Dogs contract (GSS25637-K9_SECUR) with the State of Delaware Office of Management and Budget, Government Support Services. The forms include a Non-Collusion Statement, Vendor Information Sheet, Business References Form, Confidentiality Form, Exceptions Form, and Subcontractor Information Form. The forms require vendors to provide company details, contact information, business references, and declare any confidential information or exceptions to contract terms.
The forms include fields for diverse vendor self-identification (WBE, MBE, VBE, SDVBE, IWDBE) and state/federal certification status. Vendors must provide three business references of similar size and scope, excluding state employees. The forms require notarization of the Non-Collusion Statement and include provisions for vendors to identify any subcontractors that will be used. Each form requires authorized representative signatures and company information. No specific pricing terms, set-asides, or funding requirements are detailed in these standard bid submission forms.
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Other files
| File | Type | Posted |
|---|---|---|
| GSS25637-K9_SECUR-rfp.pdf | ||
| GSS25637-K9_SECUR-appC.pdf | ||
| GSS25637-K9_SECUR-appE.xlsx | XLSX spreadsheet | |
| GSS25637-K9_SECUR-appB.xlsx | XLSX spreadsheet |
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Text version
NON-COLLUSION STATEMENT
This is to certify that the undersigned Vendor has neither directly nor indirectly, entered into any agreement, participated in any collusion or otherwise taken any action in restraint of free competitive bidding in connection with this solicitation, and further certifies that it is not a sub-contractor to another Vendor who also submitted a bid/proposal as a primary Vendor in response to this solicitation submitted this date to the State of Delaware, Office of Management and Budget, Government Support Services.
It is agreed by the undersigned Vendor that the signed submission of this bid/proposal represents, subject to any express exceptions set forth on the Exception form, the Vendor’s acceptance of the terms and conditions of this solicitation including all specifications and special provisions.
NOTE: Signature of the authorized representative MUST be of an individual who legally may enter his/her organization into a formal contract with the State of Delaware, Office of Management and Budget, Government Support Services.
COMPANY NAME _________________________________________________________________________________________________________
NAME OF AUTHORIZED REPRESENTATIVE ____________________________________________________________
SIGNATURE TITLE
COMPANY ADDRESS
PHONE NUMBER FAX NUMBER
EMAIL ADDRESS _______________________________________________________________________________
FEDERAL E.I. NUMBER _____________________________________________________________________________
AFFIRMATION: Within the past five (5) years, has your firm, any affiliate, any predecessor company or entity, owner, Director, officer, partner or proprietor been the subject of a Federal, State, Local government suspension or debarment?
YES NO if yes, please explain:
THIS PAGE SHALL BE SIGNED AND NOTARIZED (NOTARY SEAL MUST BE VISIBLE) FOR YOUR
BID/PROPOSAL TO BE CONSIDERED.
SWORN TO AND SUBSCRIBED BEFORE ME this ________ day of , 20 __________
Notary Public: My commission expires:
City of: County of : State of :
VENDOR INFORMATION SHEET
COMPANY NAME: ________________________________________________________________________
DBA (if applicable): ________________________________________________________________________
Purchase Order Address: _____________________________________________________________________
Website: __________________________________________________________________________________
Diverse Vendor Self-Identification:
WBE MBE
VBE SDVBE IWDBE Other: ____________
State Certified: Yes No If yes, which State(s): _____________________________
Federal Certified: Yes No
Primary Contact Secondary Contact Contact Name Contact Type Phone Number/Ext.
Email Fax Number
Business Capability Statement:
(Provide a short capability statement about your business and its capabilities and skills to advertise who you are and what you do.)
BUSINESS REFERENCES
List a minimum of three business references of similar size and scope. Please do not list any State Employee(s) as a business reference. If Subcontractors are identified, a minimum of three business references must also be provided for each subcontractor.
REFERENCE ONE
Contact Name:
Contact Title:
Business Name:
Address:
Email:
Phone #:
Current Vendor (YES or NO):
Years Associated & Type of association:
Work Performed:
REFERENCE TWO
Contact Name:
Contact Title:
Business Name:
Address:
Email:
Phone #:
Current Vendor (YES or NO):
Years Associated & Type of association:
Work Performed:
REFERENCE THREE
Contact Name:
Contact Title:
Business Name:
Address:
Email:
Phone #:
Current Vendor (YES or NO):
Years Associated & Type of association:
Work Performed:
Contract No.: _______________________
Contract Title: ________________________________________________
CONFIDENTIALITY FORM
Responding vendor may elect to designate sections of their proposal as confidential, intellectual property, trade secrets, and other confidential business information. Vendor shall explain below how the redacted information is not “public record” as defined by 29 Del. C. § 10002. The State shall independently determine the validity of any vendor designation as set forth in this section. Any vendor submitting a bid/proposal herein expressly accepts the State’s absolute right and duty to independently assess the legal and factual validity of any information designated as confidential business information.
If your bid/proposal submission contains no redactions check the box below.
By checking this box, the Vendor acknowledges that they are not providing any information they declare to be confidential or proprietary for the purpose of production under 29 Del. C. Ch. 100, Delaware Freedom of Information Act.
Confidentiality and Proprietary Information
EXCEPTIONS FORM
Responding Vendors may elect to take minor exceptions to the terms and conditions of this solicitation. All exceptions must be submitted below.
Exceptions found elsewhere in the solicitation response will not be considered. __________________________________ maintains sole discretion to reject any exceptions.
If your submission contains no exceptions check the box below.
By checking this box, the responding vendor acknowledges that they take no exceptions to the specifications, terms or conditions found in this solicitation.
Paragraph # and Page #
Current Language Proposed Alternative Justification
Note: Use additional pages as necessary, but the format shall be the same as provided above.
SUBCONTRACTOR INFORMATION
By checking this box, the responding vendor acknowledges that no subcontractors will be used to fulfill the requirements of this solicitation.
PROPOSING VENDOR INFORMATION
Contract Number:
Proposing Vendor Name:
Mailing Address:
SUBCONTRACTOR INFORMATION
Subcontractor Name:
Mailing Address:
Diverse Vendor Self-Identification:
WBE MBE VBE SDVBE IWDBE Other
State Certified: Yes No If yes, which State(s):
Federal Certified: Yes No
DESCRIPTION OF WORK BY SUBCONTRACTOR
Name of the person signing (Proposing Vendor):
Title of the person signing:
Signature: ________________________________________ Date:
ACKNOWLEDGEMENT BY SUBCONTRACTOR
Name of the person signing:
Title of the person signing:
Signature: ________________________________________ Date:
| Non-Collusion - Accessible.pdf |
| NON-COLLUSION STATEMENT |
| Company Name: |
| Representative Name: |
| Title: |
| Company Address: |
| Phone Number: |
| Fax Number: |
| FEI Number: |
| Explanation: |
| Affirmation: Off |
| Notary Date: |
| Notary Month: |
| Notary Year: |
| Notary Expiration: |
| Notary City: |
| Notary County: |
| Notary State: |
| COMPANY NAME: |
| DBA if applicable: |
| Purchase Order Address 1: |
| Purchase Order Address 2: |
| Website: |
| IWDBE: Off |
| Federal Certified: Off |
| Primary Contact Name: |
| Primary Contact Type: [Choose Best Option] |
| Primary Phone: |
| Primary Email: |
| Primary Fax: |
| Secondary Contact Name: |
| Secondary Contact Type: [Choose Best Option] |
| Secondary Phone: |
| Secondary Email: |
| Secondary Fax: |
| State Certified: Off |
| Business Capability Statement: |
| Contact Name: |
| Business Name: |
| AddressRow1a: |
| AddressRow1b: |
| Email: |
| Phone: |
| Current Vendor YES or NO: |
| Years Associated Type of association: |
| Work Performed: |
| Contact Name_2: |
| Business Name_2: |
| AddressRow_2a: |
| AddressRow_2b: |
| Email_2: |
| Phone_2: |
| Current Vendor YES or NO_2: |
| Years Associated Type of association_2: |
| Work Performed_2: |
| Contact Name_3: |
| Business Name_3: |
| AddressRow_3a: |
| AddressRow_3b: |
| Email_3: |
| Phone_3: |
| Current Vendor YES or NO_3: |
| Years Associated Type of association_3: |
| Work Performed_3: |
| Contract Title: K-9 Security, Detection and Tracking Dogs |
| Check Box1: Off |
| Confidentiality and Proprietary InformationRow1: |
| Attachment: |
| Vendor Name: Government Support Services |
| Paragraph and Page Row1: |
| Current LanguageRow1: |
| Proposed AlternativeRow1: |
| JustificationRow1: |
| Paragraph and Page Row2: |
| Current LanguageRow2: |
| Proposed AlternativeRow2: |
| JustificationRow2: |
| Paragraph and Page Row3: |
| Current LanguageRow3: |
| Proposed AlternativeRow3: |
| JustificationRow3: |
| Vendor Acknowledgement: Off |
| Contract Number: GSS25637-K9_SECUR |
| Proposing Vendor Name: |
| Mailing Address: |
| Subcontractor Name: |
| Mailing Address_2: |
| WBE: Off |
| MBE: Off |
| VBE: Off |
| SDVBE: Off |
| IWVBE: Off |
| Other: Off |
| Other Certification: |
| StateCertified: Off |
| If yes which States: |
| FederalCertified: Off |
| Description of Work_1: |
| Description of Work_2: |
| Description of Work_3: |
| Description of Work_4: |
| Description of Work_5: |
| Name of the person signing Proposing Vendor: |
| Title of the person signing: |
| Date: |
| Name of the person signing: |
| Title of the person signing_2: |
| Date_2: |
| Contact Title: |
| Contact Title_2: |
| Contact Title_3: |
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