GSS27626-ERVEH_WARN_appB.xlsx
XLSX spreadsheet 23 KB Posted
- Attached to
- Emergency Vehicle Warning Systems and Equipment State and local contract opportunity
- Solicitation number
- GSS27626-ERVEH_WARN
- Issued by
- Delaware
About this file
This is a vendor submission forms package for a state contract opportunity with the State of Delaware, Office of Management and Budget, Government Support Services, identified as solicitation GSS27626-ERVEH_WARN. The package contains standardized forms that responding vendors must complete as part of their bid or proposal submission, including a Non-Collusion Statement, Vendor Information Sheet, Business References form, Confidentiality Form, Exceptions Form, and Subcontractor Form. Vendors are required to provide company information, authorized representative details, tax identification numbers, and certifications regarding suspension or debarment status within the past five years. The Non-Collusion Statement must be signed and notarized, with the notary seal visible on the submission for the bid or proposal to be considered. Vendors must also identify themselves as Minority Business Enterprises (MBE), Women Business Enterprises (WBE), Veteran-Owned Business Enterprises (VOBE), Service-Disabled Veteran-Owned Businesses (SDVOBE), or Socially and Economically Disadvantaged Business Enterprises (IWDBE), and provide state or federal certifications if applicable.
Additional submission requirements include providing a business capability statement describing the vendor's qualifications and skills, three business references of similar size and scope (excluding state employees), and contact information for primary and secondary designated contacts. Vendors may designate sections of their proposal as confidential, intellectual property, or trade secrets if they can demonstrate the information is not public record under Delaware Code Chapter 10002, though the State retains absolute discretion to independently assess the validity of such designations. Vendors may also submit minor exceptions to the solicitation terms and conditions using the provided Exceptions Form, though Government Support Services maintains sole discretion to reject any exceptions. If subcontractors are proposed, vendors must complete the Subcontractor Form with company information and a description of work to be performed, and provide three business references for each subcontractor as well.
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Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| GSS27626-ERVEH_WARN_appA.xlsx | XLSX spreadsheet | |
| GSS27626-ERVEH_WARN_appA1.xlsx | XLSX spreadsheet | |
| GSS27626-ERVEH_WARN_itb.pdf | ||
| GSS27626-ERVEH_WARN_appA2.xlsx | XLSX spreadsheet |
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Text version
Non-Collusion Statement
| 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 |
| DBA (if applicable) |
| Name of Authorized Representative |
| Title |
| Phone Number |
| Email Address |
| Company Address |
| Phone Number |
| Email Address |
| Tax ID 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? |
| If yes, explain | |
| THIS PAGE SHALL BE SIGNED AND NOTARIZED (NOTARY SEAL MUST BE VISIBLE) FOR YOUR BID/PROPOSAL TO BE CONSIDERED. | |
| Authorized Representative | Notary |
Vendor Information Sheet
| Vendor Information Sheet | ||
| Company Name | ||
| DBA (if applicable) | ||
| Purchase Order Address | ||
| Website | ||
| Diverse Self-Identification - MBE | ||
| Diverse Self-Identification - WBE | ||
| Diverse Self-Identification - VOBE | ||
| Diverse Self-Identification - SDVOBE | ||
| Diverse Self-Identification - IWDBE | ||
| Small Business Enterprise | ||
| State Certified | If yes, which State(s): | |
| Federal Certified | ||
| Desginated Contacts | Primary | Secondary |
| Contact Name | ||
| Role/Title | ||
| Phone 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
| Business References |
| List three business references of similar size and scope. Please do not list any State Employee(s) as a business reference. If Subcontractors are identified, three business references must also be provided for each subcontractor. DO NOT MODIFY TEMPLATE. |
| Reference One |
| Contact Name |
| Contact Title |
| Business Name |
| Address |
| Phone |
| Current Vendor? |
| Work Performed |
| Reference Two |
| Contact Name |
| Contact Title |
| Business Name |
| Address |
| Phone |
| Current Vendor? |
| Work Performed |
| Reference Three |
| Contact Name |
| Contact Title |
| Business Name |
| Address |
| Phone |
| Current Vendor? |
| Work Performed |
Confidentiality Form
| 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. |
| Confidential Information |
| Confidentiality and Proprietary Information |
Exceptions Form
| 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. Government Support Services maintains sole discretion to reject any exceptions. | |||
| Exceptions | |||
| Paragraph & Page # | Current Language | Proposed Alternative | Justification |
Subcontractor Form
| Subcontractor Form | |
| Are you proposing the use of any subcontractors in the fulfillment of the requirements as outlined in the solicitation? | |
| If yes, complete this form. | |
| Responding Vendor Information | |
| Company Name | |
| DBA (if applicable) | |
| Company Address | |
| Subcontractor Information | |
| Company Name | |
| DBA (if applicable) | |
| Company Address | |
| Diverse Vendor Self-Identification | |
| State Certified | If yes, which State(s): |
| Federal Certified | |
| Description of Work by Subcontractor |
| Once completed, this form must be signed by both vendors. | |
| Proposing Vendor | Subcontractor |
| Authorized Signature: | Authorized Signature: |
| Name: | Name: |
| Title: | Title: |
| Date: | Date: |
DropDowns
| YES |
| NO |
| YES - Vendor is 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. |
| NO - Vendor is 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. |
| YES - Vendor is submitting exceptions for consideration. |
| NO - Vendor is not submitting any exceptions to the specifications, terms, or conditions found in this solicitation. |
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