ITB Submittal form.docx
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- Solicitation number
- Not on record
- Issued by
- North Slope Borough, Alaska
About this file
This document is an Invitation to Bid (ITB) submittal form for a project titled "Stratton Library Building Sale" with ITB number 2025-0500-0046. The bidder is required to provide contact information, acknowledge any addenda, and certify various criteria related to financial strength, compliance with laws and regulations, and lack of conflicts of interest or governmental actions against the organization. The bid amount must be provided, and the form must be signed by a company officer empowered to bind the company.
The project involves the sale of the Stratton Library Building. No other details about the project or sale are provided in this document. The bid submission deadline, evaluation criteria, and other pertinent details are not included in this form.
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Text version
Bid Submission Form
PROJECT INFORMATION
| ITB NUMBER: |
| 2025-0500-0046 |
| PROJECT NAME: |
| Stratton Library Building Sale |
BIDDER INFORMATION
Company Name:
Address:
Tax ID:
| Alaska Business License #: |
| N/A |
CONTACT INFORMATION
Provide contact information for the individual that can be contacted for clarification regarding this bid:
Name
Title
Address
Telephone
Procurement Officer Note: REVISE OR DELETE AS REQUIRED.
ADDENDA ACKNOWLEDGEMENT
The bidder acknowledges receipt of the following amendments and has incorporated the requirements of such amendments into their bid. Failure to identify and sign for all amendments may subject the bidder to disqualification. The bidder must list all amendments (by number), then initial and date to confirm that you have received and incorporated them into your bid (add more rows as necessary).
| Number |
| Initials & Date |
| Number |
| Initials & Date |
| Number |
| Initials & Date |
CERTIFICATIONS
| No |
| Criteria |
| Response* |
| 1 |
| The bidder confirms that it has the financial strength to provide and/or perform and maintain the services required under this ITB. |
| |_| YES |_| NO |
| 2 |
| The bidder accepts the terms and conditions set out in the ITB and agrees not to restrict the rights of the state. |
| |_| YES |_| NO |
| 3 |
| The bidder complies with the American with Disabilities Act of 1990 and the regulations issued thereunder by the federal government. |
| |_| YES |_| NO |
| 4 |
| The bidder complies with the Equal Employment Opportunity Act and the regulations issued thereunder by the federal government. |
| |_| YES |_| NO |
| 5 |
| The bidder complies with the applicable portion of the Federal Civil Rights Act of 1964. |
| |_| YES |_| NO |
| 6 |
| The bidder can provide (if requested) financial records for the organization for the past three years. |
| |_| YES |_| NO |
| 7 |
| The offeror certifies that they will not support or participate in a boycott of Israel. Failure to comply with this requirement may cause the state to reject the proposal as non-responsive or cancel the contract. |
| |_| YES |_| NO |
| 8 |
| The bidder certifies that they do not have any governmental or regulatory action against their organization that might have a bearing on their ability to provide products and/or services to the State. |
| |_| YES |_| NO |
| 9 |
| The bidder certifies, within the last five years, they have not been convicted or had judgment rendered against them for: fraud, embezzlement, theft, forgery, bribery, falsification or destruction of records, false statements, or tax evasion. |
| |_| YES |_| NO |
| 10 |
| The bidder does not have any judgments, claims, arbitrations or suits pending/outstanding against your company in which an adverse outcome would be material to the company. |
| |_| YES |_| NO |
| 11 |
| The bidder certifies they comply with the laws of the State of Alaska. |
| |_| YES |_| NO |
| 12 |
| The bidder confirms their bid will remain valid and open for at least 90 days. |
| |_| YES |_| NO |
* Failure to answer or answering “False” may be grounds for disqualification. For any “False” responses, provide clarification (up to 250 word maximum for each “False” clarification) below (add rows as necessary).
| Number |
| Clarification |
CONFLICT OF INTEREST STATEMENT
Indicate below whether or not the firm or any individuals that will work on the contract has a possible conflict of interest and, if so, the nature of that conflict. The procurement officer reserves the right to consider a bid non-responsive and reject it or cancel the award if any interest disclosed from any source could either give the appearance of a conflict or cause speculation as to the objectivity services to be provided by the bidder.
| Does the bidder, or any individuals that will work on this contract, have a possible conflict of interest? |
| |_| YES |_| NO |
* Failure to answer may be grounds for disqualification.
If “Yes”, please provide additional information regarding the nature of that conflict:
BID INFORMATION
ITB NUMBER:
2025-0500-0046
| PROJECT NAME: |
| Stratton Library Building Sale |
| BID AMOUNT: |
| $ |
SIGNATURE
This bid must be signed by a company officer empowered to bind the company.
Printed Name
Title
Date
Signature
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