IFB D26 157 Additional Offer Pages.pdf

FURNISH AND DELIVER A FORKLIFT FOR THE HAWAII STATE DEPARTMENT OF EDUCATION

WAIALUA HIGH AND INTERMEDIATE SCHOOL

IFB D26-157

IFB D26-157 OF-1

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

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

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.

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 D26-157 EX A-1

OFFEROR INFORMATION

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

A. AUTHORIZED DISTRIBUTOR OR RESELLER

At the time of bidding, Offeror shall be a manufacturer or authorized distributor or reseller of the forklift offered. As evidence of this, Offeror may be requested to provide supporting documentation from the manufacturer, which verifies Offeror’s status as an authorized distributor or reseller.

Documentation attached: Yes

B.

OFFICE LOCATION

At the time of bidding and throughout the Contract and warranty period, Offeror shall have an office in the State of Hawaii from where business is conducted and from where the company is accessible to telephone calls for complaints or requests that need immediate attention. An answering service is not acceptable.

Office Location is in the State of Hawaii: Yes

Address Line 1

Address Line 2

Office Telephone Number

Other Telephone Number

C. AUTHORIZED SERVICE FACILITY

At the time of bidding and throughout the Contract and warranty period, Offeror shall have service and repair facility on the island of Oahu and have at least one (1) manufacturer-trained technician, able to service and repair the forklift. Offeror must have access to an inventory of parts for the repair and maintenance of the forklift.

If Offeror does not have servicing and repair capabilities, Offeror shall arrange with a third-party provider of said services to provide the STATE with maintenance and repair services.

This third-party provider must have trained personnel based on the island of Oahu where business is conducted and must have access to an inventory of parts for the repair and maintenance of the forklift offered.

Offeror:

IFB D26-157 EX A-2

The STATE reserves the right to inspect and evaluate the Offeror’s service facility or the service facility of Offeror’s chosen third-party service provider to determine acceptability under this requirement.

Service Facility is on the island of Oahu: Yes

Company Name

Address Line 1

Address Line 2

Office Telephone Number

Other Telephone Number

D.

PERSONNEL

Offeror shall designate at least one (1) employee as the STATE point of contact (POC) for this Contract. This individual shall be based in the State of Hawaii and available during regular business hours, Monday through Friday excluding State of Hawaii holidays, and shall be capable of answering questions, resolving problems, and providing sales, ordering, and follow-up assistance.

POC Based in the State of Hawaii Yes

POC Name

POC Telephone Number

POC Cell Phone Number

POC Email Address