HSS27012-MKTRTSVY_appC.xlsx

XLSX spreadsheet 40 KB Posted

Attached to
Local Child Care Market Rate Survey and Cost of Care Analysis
Solicitation number
HSS27012-MKTRTSVY
Issued by
Delaware

About this file

This file is a vendor information and compliance forms attachment for a Delaware state procurement solicitation administered by the Office of Management and Budget, Government Support Services. The document comprises multiple standardized forms that responding vendors must complete as part of their proposal submission process.

The attachment includes seven primary sections: a Vendor Information Sheet requiring company details, website information, and diverse vendor certifications at state and federal levels; a Non-Collusion Statement affirming that the vendor has not engaged in anticompetitive behavior and certifying the authorized representative's authority to bind the organization; an Exceptions Form allowing vendors to propose minor exceptions to solicitation terms and conditions; a Confidentiality Form permitting vendors to designate proprietary information and trade secrets with legal justification; a Business References section requiring a minimum of three references of similar size and scope; and a Subcontractor Form for vendors proposing to use subcontractors, which must be signed by both the primary vendor and subcontractor. All forms require specific dropdown selections, electronic or manual signatures from authorized representatives, and detailed contact information. The submission process requires vendors to address suspension or debarment history affirmatively, provide business capability statements, and comply with Delaware Freedom of Information Act requirements regarding document designation and production.

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Other files

File Type Posted
HSS27012-MKTRTSVY_appD.docx DOCX document
HSS27012-MKTRTSVY_rfp.pdf PDF
HSS27012-MKTRTSVY_appE.xlsx XLSX spreadsheet

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Text version

Athmt2 Vendor Information Sheet

Vendor Information Sheet
Company Name
DBA (if applicable)
Purchase Order Address
Website
Diverse Vendor Self-Identification
State Certified

tc={B2C2CF43-B014-7241-88B8-559DBC63FF35}: [Threaded comment]

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Comment:

Please select "Yes" or "No" in the drop down optionIf yes, which State(s):
Federal Certified

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Comment:

Please select "Yes" or "No" in the drop down option tc={43ED5A80-B261-1848-B2FA-ADCC29D047C8}: [Threaded comment]

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Comment:

Please enter the StateDesginated ContactsPrimarySecondary
Contact Name
Role/Title
Phone Number
Email
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.)

Please select "Yes" or "No" in the drop down option

Please enter the State

Please select "Yes" or "No" in the drop down option

Athmt3 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?

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Comment:

Please select "Yes" or "No" in the drop down optionIf yes, explain
THIS PAGE SHALL BE SIGNED FOR YOUR BID/PROPOSAL TO BE CONSIDERED.
Signature of Authorized Representative

REQUIRED

Note:

Signature of Authorized Representative Please sign electronically or If signed manually (NOT electronically), complete the form, print so it can be signed manually and upload as a .PDF file under "Manually Signed Non-Collusion Statement" Please select "Yes" or "No" in the drop down option

Athmt4 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.
In Cell B5, please click into cell and select "yes" or "no" on the drop down.
Exceptions
Paragraph & Page #Current LanguageProposed AlternativeJustification

Athmt5 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.
Note: Per RFP document IV.B.11
Vendor(s) may submit portions of a proposal considered to be confidential business information in separate file(s) identified as “Confidential Business Information” and include the specific RFP number. The file must contain a letter from the vendor’s legal counsel describing the documents in the file, representing in good faith that the information in each document is not “public record” as defined by 29 Del. C. § 10002, and briefly stating the reasons that each document meets the said definitions.
(Please click in cell B5 and select "yes" or "no" )
Confidential Information

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Comment:

Please select the reply for "Yes" or "No" in the drop down menu Confidentiality and Proprietary Information (please list item in column A and detail in column B) Please provide an unredacted and a redacted version of the document(s) noted within Bonfire.

Please select the reply for "Yes" or "No" in the drop down menu

Athmt6 Business References

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?
Work Performed
Reference Two
Contact Name
Contact Title
Business Name
Address
Email
Phone
Current Vendor?
Work Performed
Reference Three
Contact Name
Contact Title
Business Name
Address
Email
Phone
Current Vendor?
Work Performed
Note: If you have more than 3 references, please make a copy of the above template and paste below starting in Row 38 of this Workbook to include the additional references.

Athmt7 Subcontractor Form

Subcontractor Form
Are you proposing the use of any subcontractors in the fulfillment of the requirements as outlined in the solicitation?Please click in cell D2 and using the drop down menu and select "Yes" or "No"
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 CertifiedIf yes, which State(s):
Federal Certified
Description of Work by Subcontractor
Once completed, this form must be signed by both vendors.
Proposing VendorSubcontractor
Authorized Signature:Authorized Signature:Note:

Sign electronically or If not signed electronically, complete form, print and signed manually; then upload as a .PDF file under "Signed Subcontractor Form(s)"

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.

File details come from the government source that posted it. Updated .