IFB D25 068 Additional Offer Page.pdf

OFFER PAGE

IFB D25-068 OF-1

PROVIDE CLASSROOM CLEANING SERVICES FOR THE HAWAII STATE DEPARTMENT OF

EDUCATION AT LEIHOKU ELEMENTARY SCHOOL

IFB D25-068

OFFER PAGE OF-1

Exact Legal Name of Offeror, including “dba” or “division” of a corporation (furnish the exact legal name of the entity under which an awarded contract, if any, will be executed):

Address:

Principal Place of Business

(may not be a P.O. Box):

Mailing Address (only if different):

Payment Address (only if different)

Offeror’s Primary Contact Person:

Name

Title

Telephone Number Fax Number

Email Address

Federal Tax Identification Number:

State of Hawaii General Excise Tax License Number:

Type of Business Entity (check one):

Sole Proprietor Partnership Corporation Joint Venture Limited Liability Company Other

If other than a Sole Proprietorship:

Offeror is either:

A Hawaii business incorporated or organized under the laws of the State of Hawaii; OR

A Compliant Non-Hawaii business incorporated or organized under the laws of the State of on (date) _____________, and, if applicable, registered with the State of Hawaii Department of Commerce and Consumer Affairs Business Registration Division to do business in the State of Hawaii.

Names of all Offeror’s parent, affiliate and subsidiary organizations:

The undersigned has carefully read and understands the terms and conditions specified herein and hereby submits the following offer to provide the goods and/or perform the work specified herein, all in accordance with the true intent and meaning thereof, and further that the Offeror shall comply with all terms, conditions and requirements of the solicitation. The undersigned further understands and agrees that by submitting this offer, 1) the undersigned is declaring the undersigned’s offer is not in violation of Chapter 84, Hawaii Revised Statutes, concerning prohibited State contracts, and 2) the undersigned is certifying that the price(s) submitted was (were) independently arrived at without collusion.

Authorized (Original in ink) Signature Name (printed)

Title Date

Offeror:

EXHIBIT A

IFB D25-068 EX A-1

OFFEROR INFORMATION

Offeror shall provide the Exhibit A, including attachments if applicable, within three (3) working days from STATE’s request.

A. Office Location

At the time of bid opening and throughout the life of the contract, the Offeror must have a permanent business on the island of Oahu from where the Offeror conducts business and must be accessible to telephone calls, complaints or emergency service requests requiring immediate attention (answering machine or service is not acceptable) and from where the service personnel are dispatched to perform the work specified in this contract.

Point-of-Contact Name:

Street Address (on Oahu):

Email Address:

Office Telephone Number*:

Cellular Telephone Number*:

Facsimile Number:

* Answering service or machine is not acceptable

B. Work Experience

Offeror shall have a minimum of two (2) consecutive years of experience (immediately prior to the bid opening date) in the business of cleaning services. Offeror must be able to produce documentation to substantiate their claim of experience in this area (e.g. Contact Names and Phone, Contracts, Work Orders, Invoices) if requested.

Number of consecutive years of experience (immediately prior to bid opening date) in cleaning services:

Years**

**Offeror may be asked to produce documentation for verification purposes.

Offeror:

IFB D25-068 EX A-2

C. References:

Offeror shall provide the names of at least three (3) companies or government agencies with whom Offeror was or is providing cleaning services that are similar in scope and price to the services specified in this solicitation, and who can attest to the quality level and reliability of all aspects of Offeror’s services and personnel. The STATE reserves the right to contact these references to inquire about Offeror’s quality level and reliability.

Reference 1:

Name of Company

POC Name

Address Line 1

Address Line 2

Business Phone Number

Email Address

Reference 2:

Name of Company

POC Name

Address Line 1

Address Line 2

Business Phone Number

Email Address

Reference 3:

Name of Company

POC Name

Address Line 1

Address Line 2

Business Phone Number

Email Address