STATE OF IDAHO

DEPARTMENT OF HEALTH AND WELFARE

Invitation to Bid (ITB) ITB1215

IVD Test System Lease

Date of Issuance: 2/9/2026

TABLE OF CONTENTS

ITB ADMINISTRATIVE INFORMATION

1 PURPOSE

2 GENERAL INFORMATION, SOLICITATION INSTRUCTIONS AND STANDARD TERMS AND CONDITIONS2

3 INQUIRIES

4 BACKGROUND

5 SPECIFICATIONS

6 COST

7 BILLING PROCEDURE

8 SUBMISSION REQUIREMENTS

9 AWARD

10 INSTALLATION AND ACCEPTANCE

11 TRAINING

12 WARRANTY, SERVICE AND SUPPORT, MAINTENANCE, ETC

13 CONTRACT MONITORING

14 DELIVERY

15 SUBCONTRACTORS

16 WEBSITE/ORDERING REQUIREMENTS

17 ADDITIONS TO CONTRACT

18 COMPLIANCE WITH

19 PRICE ADJUSTMENT CLAUSE

20 INSURANCE REQUIREMENTS

21 RECORDS MAINTENANCE

22 AUDIT RIGHTS

23 OWNERSHIP OF INFORMATION

ATTACHMENT 1 - SPECIFICATIONS

ATTACHMENT 2 - MODIFICATION AND EXCEPTION FORM

ATTACHMENT 3 - BIDDER QUESTIONS

ATTACHMENT 4 - COVER FORM

ITB1215 IVD Test System Lease Page 1

ITB ADMINISTRATIVE INFORMATION

ITB Title: IVD Test System Lease

ITB Project Description: IVD Test System Lease for the Idaho Bureau of Laboratories

ITB Lead:

JP Brady Purchasing Agent JP.Brady@dhw.idaho.gov

Deadline To Receive Questions: Tuesday, 2/17/2026 11:59:59 p.m. Mountain Time

ITB Closing Date: Thursday, 3/5/2026, 5:00 p.m. Mountain Time

ITB Opening Date: Friday, 3/6/2026, 9:00 a.m. Mountain Time By Conference Call Only

The Department is conducting Virtual Electronic Bid Openings instead of in-person Public Bid Openings.

Initial Term of Contract and Renewals: The initial contract term is anticipated to be one

(1) year. The total Contract term, including all extensions, is not anticipated to exceed five years (5) years.

mailto:JP.Brady@dhw.idaho.gov

ITB1215 IVD Test System Lease Page 2

1 PURPOSE

The State of Idaho, Department of Health and Welfare (Department), Idaho Bureau of Laboratories (IBL) is requesting Bids from qualified Vendors for the purchase of a Food & Drug Administration (FDA) In-Vitro Diagnostic (IVD) approved test system lease in accordance with the specifications provided below.

2 GENERAL INFORMATION, SOLICITATION INSTRUCTIONS AND STANDARD TERMS AND

CONDITIONS

The ITB Lead is the only contact for this Solicitation. All correspondence regarding this ITB must be in writing. In the event that it becomes necessary to revise any part of this ITB, amendments will be posted at IPRO. It is the responsibility of the Bidder to monitor IPRO for any updates or amendments. Any oral interpretations or clarifications of this ITB must not be relied upon. All changes to this ITB must be in writing and posted at IPRO to be valid. Alternate/Multiple Bids are not allowed.

3 INQUIRIES

Questions must be submitted using the Bidder Questions Form for non-terms and conditions related questions, and the Modification and Exception form for all questions related to the contract terms and conditions. Both forms are in the ITB document as well as uploaded separately in the Attachments section. Once all questions have been answered, the ITB Lead will post the form(s) with answers and upload as an amendment in the Attachments section of IPRO. QUESTIONS MUST BE RECEIVED BY 11:59:59 P.M. Mountain Time ON THE DATE LISTED IN THE ITB ADMINISTRATIVE INFORMATION section. Official answers to all questions will be posted on the Attachment section on IPRO as an amendment to this ITB.

Any requests for modifications regarding the State of Idaho Standard Contract Terms and Conditions must be submitted in writing, using Attachment 2, Modification and Exception, and uploaded in IPRO on the Supplier Attachment page by the deadline identified in the ITB Administrative Information section. The State will not consider proposed modifications to these requirements after the date and time set for receiving questions.

Proposed modifications and exceptions to requirements, terms or conditions must contain the following:

1. The rationale for the specific requirement being unacceptable to the party submitting the question (define the deficiency).

2. Recommended verbiage for the State’s consideration that is consistent in content, context, and form with the State’s requirement that is being questioned.

3. Explanation of how the State’s acceptance of the recommended verbiage is fair and equitable to both the State and to the party submitting the question.

The State has sole discretion to determine if the modifications or exceptions submitted by a Bidder would result in a material change or otherwise threaten the integrity of the procurement process. Pursuant to IDAPA 38.05.01.084, the State may only negotiate non-material modifications or exceptions. Modifications or exceptions which the State determines to be material, or which otherwise threaten the integrity of the procurement process, will not be accepted or negotiated. In the event that the Bidder has conditioned its Bid on the State’s acceptance or negotiation of its proposed modifications or exceptions, and the modifications or exceptions are deemed material, the Bidder will be given the opportunity to retract the proposed modifications or exceptions from its Bid. Failure to do so will result in the Bidder’s Bid being found non-responsive, after which it will receive no further consideration.

Non-material modifications or exceptions may be negotiated with the apparent successful Bidder, at the discretion of the State; however, the State must have the right to reject any and all such modifications and or exceptions, and to instruct the Bidder to amend its Bid and remove the modifications and or exceptions. Failure to do so may result in the State finding the Bid non-responsive.

Except as otherwise provided in the solicitation document, including the State of Idaho Standard Contract Terms and Conditions (updated July 2024), the State will not consider modifications or exceptions to the requirements, terms, or conditions which are proposed after the Closing Date.

ITB1215 IVD Test System Lease Page 3

4 BACKGROUND

IBL is seeking to establish a reagent lease agreement (contract) to acquire an FDA IVD approved test system for clinical testing that can test multiple pathogens simultaneously. A Reagent lease agreement is a contract to purchase testing consumables where the vendor provides the necessary testing instrumentation, instrument service, and equipment with the understanding that IBL commits to purchasing a minimum annual volume of the necessary consumables.

5 SPECIFICATIONS

See SPECIFICATIONS (Attachment 1)

6 COST

Provide your fully burdened Total Cost on the Items page in IPRO.

7 BILLING PROCEDURE

The Contractor must provide an invoice upon Agency acceptance of product or service. The invoice must be submitted no later thirty (30) calendar days after acceptance of goods/services were provided.

The Contractor must provide the following information with each invoice:

1 IPRO Contract number (and name of project/product, if appropriate) and Agency PO number 2 Identification of billing period 3 Total amount billed for the billing period 4 Detailed description of services/products provided and associated # of hours/$ amounts, as appropriate 5 Name of authorized individual and contact information for Contractor

8 SUBMISSION REQUIREMENTS

8.1 Bid Submission Method

Bids must be submitted electronically through IPRO. The Department will not accept hardcopy (manual) submissions. Supporting documents can be uploaded in IPRO on the Supplier Attachment page.

All Bidders participating in a Solicitation issued through IPRO must establish an account in the IPRO system as it is necessary in order to process and award the resulting Contract(s). It is free to establish an account and only takes a few minutes.

Enter your Total Cost on the Items page in IPRO. It must be entered prior to the deadline established in the ITB ADMINISTRATIVE INFORMATION section above.

8.2 Signature Page

Bids must be accompanied by a signed State of Idaho Signature Page. This page is attached in the IPRO Attachments page.

8.3 Trade Secrets

If your Bid contains trade secret information which you have identified, you must also submit a redacted copy of the Bid (in electronic format, with the word “redacted” in the file name) with all trade secret information removed or blacked out; as well as a separate document containing a complete list (per the instructions in the three (3) paragraphs directly below) of all trade secret information which was removed or blacked out in the redacted copy. Redacted file must be submitted in IPRO on the Supplier Attachment page.

Paragraph 28 of the Solicitation Instructions to Vendors describes trade secrets to “include a formula, pattern, compilation, program, computer program, device, method, technique or process that derives economic value, actual or potential, from not being generally known to, and not being readily ascertainable by proper means by other persons and is subject to the efforts that are reasonable under the circumstances to maintain its secrecy.” In addition to marking each page of the document with a

ITB1215 IVD Test System Lease Page 4 trade secret notation (as applicable; and as provided in Paragraph 28 of the Solicitation Instructions to Vendors), Bidders must also:

Identify with particularity the precise text, illustration, or other information contained within each page marked “trade secret” (it is not sufficient to simply mark the entire page). The specific information you deem “trade secret” within each noted page must be highlighted, italicized, identified by asterisks, contained within a text border, or otherwise clearly delineated from other text/information and specifically identified as a “trade secret.”

Provide a separate document entitled “List of Redacted Trade Secret Information” which provides a succinct list of all trade secret information noted in your Bid; listed in the order it appears in your submittal documents, identified by Page #, Section #/Paragraph #, Title of Section/Paragraph, specific portions of text/illustrations; or in a manner otherwise sufficient to allow the State’s procurement personnel to determine the precise text/material subject to the notation. Additionally, this list must identify with each notation the specific basis for your position that the material be treated as exempt from disclosure.

9 AWARD

Award will be made to the responsive responsible Bidder with the lowest Total Cost.

Award will be “All or None” to the responsive, responsible bidder with the lowest one-year Total Cost meeting all of the requirements of the ITB. Bidders that do not bid on all items will not be considered for award. The Department will award the contract, but it is not an order for immediate shipment, rather the Department will place orders throughout the year. Multiple or alternate bids will not be accepted. Bidders that include multiple or alternate bids may be found non-responsive.

10 INSTALLATION AND ACCEPTANCE

The Contractor must complete installation with qualified factory-trained service personnel, including uncrating the shipment and installation of any software; provide documentation for the instrument, as well as a current operator’s manual, at the time of delivery, in printed and electronic form. The instrument must be brought to full working order meeting the testing requirements for FDA approval before the Department will accept.

11 TRAINING

The Contractor must, immediately after completion of installation, provide on-site training up to eight (8) hours and sufficient for the Contractor to certify Department staff as trained to properly use the fully functioning system in accordance with manufacturer specifications. If further training is needed, the parties will mutually agree to the cost by an amendment to this contract.

• The Contractor must be responsible for all costs required to perform the training tasks, including staffing, meals, lodging, hardware, software, printing and distribution of all training materials and correspondence.

• The Contractor must ensure all training material reflects the latest version of the software solutions.

• The Contractor must ensure that all training materials address the specific job functions of the persons being trained.

12 WARRANTY, SERVICE AND SUPPORT, MAINTENANCE, ETC.

The Contractor must include a full factory warranty for the instrument included in the price of the bid. The warranty must include parts and labor to ensure the product is operating as intended and within the original parameters. As part of the reagent lease, the manufacturer must provide support for any preventative maintenance that is required and not done by the end user. Additionally, as part of the contract the manufacturer is required to provide support and service in the event of any test system failures including replacement of the test system if necessary.

ITB1215 IVD Test System Lease Page 5

13 CONTRACT MONITORING

If the Contractor fails to perform as required, the Contractor will be given written notice to remedy any performance issues. If the Contractor fails to perform as required, the Contract may be cancelled, and the Contractor may be disqualified from participating in the solicitation or the subsequent Contract that supersedes the failed Contract.

14 DELIVERY

The instrument must be shipped F.O.B. Destination, Pre-paid and Allowed to the location listed below. The cost of the delivery must be included in the Total Bid price.

Idaho Bureau of Laboratories Attn: Name to be provided at award 2220 Old Penitentiary Rd.

Boise, ID 83712

15 SUBCONTRACTORS

15.1 The Contractor may subcontract as needed.

15.2 The Contractor must be responsible for any work or product that is produced and delivered to the Department under this Contract whether produced solely or in part by the Contractor or Subcontractor.

15.3 Subcontractor relationships, performance and compliance with the terms of the Contract are solely the responsibility of the Contractor. The Bidder must provide an overview of any Subcontractor relationships that will be reflected in the total proposed solution. The above information must be included for any planned subcontractors, if any exist. Additionally, the bidder must provide:

15.3.1 A description of the nature of the subcontractor agreement(s) (if any);

15.3.2 Its reliance on the subcontractor with respect to fulfilling any of the ITB requirements.

15.3.3 The Bidder must disclose the information requested above for the parent company if the Bidder is a subsidiary of a parent company that owns more than five percent (5%) of the Bidders’ company.

15.3.4 The Bidder must disclose the detail information requested above for any subsidiary in which the Vendor is more than a five percent (5%) owner.

15.3.5 The Contractor must be the sole point of contact regarding any and all contractual matters. The Department will only pay the Contractor and will not pay Subcontractors directly.

16 WEBSITE/ORDERING REQUIREMENTS

Department personnel must be able to place orders via telephone, email, and vendor website.

17 ADDITIONS TO CONTRACT

The Department reserves the right to purchase additional products not specifically detailed in this ITB, but within the scope of the subsequent contract. This may include accessories, replacement parts or related products that directly support the project. The prices will be negotiated between the Contractor and Department prior to purchase.

18 COMPLIANCE WITH

Instrument must be FDA approved for IVD testing.

19 PRICE ADJUSTMENT CLAUSE

The Department may consider rate changes upon renewal. The Department or Contractor must request potential rate changes (either increases or decreases) at least sixty (60) calendar days prior to the Contract renewal date

ITB1215 IVD Test System Lease Page 6 and provide written justification for the request for a rate change. No rate change will be effective until accepted in writing by the Department.

20 INSURANCE REQUIREMENTS

For the term of the Contract and until all services specified in the Contract are completed, the Contractor must maintain in force, at its own expense, the following insurance.

• Commercial General Liability Insurance and, if necessary, Commercial Umbrella Liability Insurance with a limit of not less than one million dollars ($1,000,000) each occurrence and two million dollars ($2,000,000) in general aggregate. Insurance required by this section must name the State of Idaho, Department of Health and Welfare as an additional insured.

• Commercial Automobile Liability Insurance and, if necessary, Commercial Umbrella Liability Insurance with a limit of not less than one million dollars ($1,000,000) each accident. Such insurance must cover liability arising out of any auto incident (including owned, hired, and non-owned autos). Insurance required by this section must name the State of Idaho, Department of Health and Welfare as an additional insured. (Required when product is delivered using owned, leased, hired, non-owned and employee-owned vehicles. Not required when shipped via FedEx/UPS vs using their own vehicle for delivery.)

• Workers Compensation Insurance and Employer's Liability. The Contractor must maintain Workers

Compensation and Employer's Liability. The Employer's Liability must have limits not less than one million dollars ($1,000,000) each accident for bodily insurance by accident, one million dollars ($1,000,000) disease policy limit, and one million dollars ($1,000,000) disease, each employee.

The Contractor must provide either a certificate of workers compensation insurance issued by a surety licensed to write Workers Compensation Insurance in the State of Idaho, as evidence that the Contractor has in effect a current Idaho workers compensation insurance policy, or an extraterritorial certificate approved by the Idaho Industrial Commission from a state that has a current reciprocity agreement with the Idaho Industrial Commission.

If coverage is not available on an occurrence basis, coverage must be provided on a claims-made basis. For claims made policies the retroactive date must be shown and must be before the date of the Contract or the beginning of Contract work; insurance must be maintained and evidence of insurance must be provided for at least five (5) years after completion of the Contract of work; if coverage is canceled or non-renewed, and not replaced with another claims-made policy form with a retroactive date prior to the contract effective date, the Contractor must purchase “extended reporting” coverage for a minimum of five (5) years after completion of Contract work.

State of Idaho as Additional Insured: The liability insurance coverage required for performance of the Contract shall include the State of Idaho, the (agency) and its divisions, officers and employees as additional insured, but only with respect to the Contractor's activities to be performed under this Contract.

The Contractor must provide proof of the State of Idaho, the (agency) and its divisions, officers and employees being additional insured by providing endorsements to the liability insurance policies showing the State of Idaho, the (agency) and its divisions, officers and employees as additional insured. The endorsements must also show the policy numbers and the policy effective dates.

If a liability insurance policy provides for automatically endorsing additional insured when required by Contract, then, in that case, the Contractor must provide proof of the State of Idaho, the (agency) and its divisions, officers and employees being additionally insured by providing copies of the policy pages that clearly identify the blanket endorsement.

Notice of Cancellation or Change: Contractor shall ensure that should any of the above described policies be cancelled before the expiration date thereof, or if there is a material change, potential exhaustion of aggregate

ITB1215 IVD Test System Lease Page 7 limits or intent not to renew insurance coverage(s), that written notice will be delivered to the Division of Purchasing (if the Contract was issued by the Division) or to the Purchasing Activity (contracting state agency) in accordance with the policy provisions.

Contractor shall request that all policies of insurance are endorsed to read that any failure to comply with the reporting provisions of this insurance, except for the potential exhaustion of aggregate limits, shall not affect the coverage(s) provided to the State of Idaho, and its divisions, officers and employees.

Acceptable Insurers and Deductibles: Insurance coverage required under the Contract shall be obtained from insurers rated A-VII or better in the latest Bests Rating Guide and in good standing and authorized to transact business in Idaho. The Contractor shall be financially responsible for all deductibles, self-insured retention's and/or self-insurance included hereunder. The coverage provided by such policy will be primary to any coverage of the State on or related to the contract and shall provide that the insurance afforded applies separately to each insured against whom a claim is made, except with respect to the limitation of liability.

Waiver of Subrogation: All policies shall contain waivers of subrogation. The Contractor waives all rights against the State and its officers, employees, and agents for recovery of damages to the extent these damages are covered by the required policies. Policies may contain deductibles, but such deductibles will not be deducted from any damages due to the State.

Prior to performing any services, the Contractor must provide certificates of insurance to the Department. The Contractor is also required to maintain current certificates on file with the Department and to provide updated certificates upon request. Failure to provide the required certificates of insurance shall constitute a default under this Contract and upon such failure the Department may, at its option, terminate the Contract. Insurance required by this section must be policies or contracts of insurance issued by insurers approved by the Department. Should any of above-described policies be cancelled before the expiration date thereof, notice must be delivered in accordance with the policy provision.

Email updated certificates to: DHWInsurance@dhw.idaho.gov

Additional Insured name and address:

State of Idaho, Department of Health and Welfare Contracting & Procurement Services Unit -- 9th Floor 450 West State Street Boise, ID 83702

21 RECORDS MAINTENANCE

The Contractor must maintain or supervise the maintenance of all records necessary to properly account for all payments made to the Contractor pursuant to the Contract. These records must be retained by the Contractor for at least three (3) years after the Contract terminates, or until all audits initiated within the three (3) years have been completed, whichever is later.

22 AUDIT RIGHTS

The Contractor agrees to allow State and Federal auditors and State purchasing staff access to all the records relating to this Contract, for audit, inspection, and monitoring of services or performance. Such access will be during normal business hours or by appointment.

23 OWNERSHIP OF INFORMATION

The Department and the United States Department of Health and Human Services must have unlimited rights to own, possess, use, disclose, transfer, or duplicate all information and data, copyrighted or otherwise, developed, derived, documented or furnished by the Contractor under the Contract.

mailto:DHWInsurance@dhw.idaho.gov

ITB1215 IVD Test System Lease Page 8

ITB1215 IVD Test System Lease

ATTACHMENT 1 - SPECIFICATIONS

GENERAL REQUIREMENTS

• Size/weight requirements/restrictions: Instrument must be able to fit onto a benchtop/desk and not take up more than six (6) square feet of bench space. The Instrument must be able to run off of standard 110 voltage.

• The test system (e.g., instrumentation, associated reagents, consumables, and kits) must be capable of simultaneously testing a minimum of fifteen (15) targets per panel, not including assay controls, using nucleic acid amplification in clinical samples.

• The test system must include, at a minimum, both a respiratory and gastrointestinal disease panel.

The respiratory panel must, at a minimum, be able to detect and differentiate Bordetella pertussis, Mycoplasma pneumoniae, Severe Acute Respiratory Syndrome Coronavirus (SARS-CoV-2), Influenza A, Influenza B, Influenza A H1, Influenza A H1N1 pdm09, Influenza A H3, Adenovirus, Respiratory syncytial virus, Human metapneumovirus, Human Rhinovirus/Enterovirus, Parainfluenza virus 1, Parainfluenza virus 2, Parainfluenza virus 3, Parainfluenza virus 4, Human Coronavirus 229E, Human Coronavirus HKU1, Human Coronavirus NL63, Human Coronavirus OC43 and Chlamydophila pneumoniae from nasopharyngeal swabs. The gastrointestinal panel must, at a minimum, be able to detect and differentiate Campylobacter spp., Shigella spp./Enteroinvasive Escherichia coli (EIEC), Enteropathogenic Escherichia coli (EPEC), Enterotoxigenic Escherichia coli (ETEC), Shiga-like toxin producing Escherichia coli (STEC), Salmonella spp., Yersinia enterocolitica, Adenovirus F40/41, Astrovirus, Norovirus, Rotavirus A, Cryptosporidium, Cyclospora cayetanensis, Entamoeba histolytica, and Giardia lamblia (also known as Giardia intestinalis or Giardia duodenalis) from preserved stool samples in modified Carey-Blair (e.g., Para-Pak C&S).

• Total expected test volume for both panels is expected to be no more than two hundred (200) tests per year. Additionally, the test system reagents, consumables, and kits must be capable of room temperature storage. To avoid unnecessary waste due to expired supplies, individual tests must not be bundled/packaged more than ten (10) tests per unit (i.e. “kit”) purchased.

• Test system must be modular with the capability to expand testing capacity if needed.

• Test system must be capable of directly testing and reporting results from clinical specimens with minimal intervention, or processing, (i.e., fully automated) by laboratory staff.

• The testing panels must have full FDA approval (i.e., 510k or Pre-Market Approval (PMA)) for IVD testing.

• To maximize efficiency and minimize the types of specimen collection supplies stocked at IBL, test systems must be compatible with specific specimen types. Acceptable specimens for the respiratory panel must include, at a minimum, nasopharyngeal, or nasal swabs transported in either Viral Transport Medium (VTM) or Universal Transport Medium (UTM). Test systems with a gastrointestinal panel must accept, at a minimum, stool samples preserved in modified Cary-Blair Medium, or equivalent.

• The estimated annual quantity for the Respiratory panel is one hundred fifty (150) each tests.

• The estimated annual quantity for the Gastrointestinal panel is fifty (50) each tests.

ITB1215 IVD Test System Lease Page 9

ATTACHMENT 2 - MODIFICATION AND EXCEPTION FORM

Instructions: Complete this form and include with your ITB submittal if you are proposing modifications or exceptions to any of the requirements, terms, or conditions included in the ITB, including any documents incorporated by reference (Standard Contract Terms and Conditions). See ITB Section 3 for a full explanation of the process surrounding Bidder-proposed modifications and exceptions.

Bidders must specifically address any and all proposed modifications and exceptions. Blanket requests to negotiate requirements, terms, or conditions will not be considered. Bidders must provide an explanation as to why the requirement, term, or condition should be considered non-material. Bidder must also provide a reason for the proposed modification or alternative language, specifically addressing the issues itemized in ITB Section 3.

The determination of materiality will be made at the State’s sole discretion. Non-material modifications or exceptions may be negotiated with the apparent successful Bidder, at the discretion of the State, and as otherwise provided in ITB Section 3.

ITB

Section

ITB Requirement, Term, or Condition

Reason Requirement, Term, or Condition Should b Considered Non-Material

Proposed Modification, Alternative, or Exception

Reason for Proposed Modification, Alternative, or Exception

ITB1215 IVD Test System Lease Page 10

ATTACHMENT 3 - BIDDER QUESTIONS

PLEASE DO NOT IDENTIFY YOUR NAME OR YOUR COMPANY’S NAME OR PRODUCT NAMES OF

INTELLECTUAL PROPERTY IN YOUR QUESTIONS. See Section 3 of this ITB for instructions.

ADD ROWS BY HITTING THE TAB KEY WHILE WITHIN THE TABLE AND WITHIN THE FINAL ROW.

The following instructions must be followed when submitting questions using the question format on the following page.

1. DO NOT CHANGE THE FORMAT OR FONT. Do not bold your questions or change the color of the font.

2. Enter the ITB section number that the question is for in the “ITB Section” field (column 2). If the question is a general question not related to a specific ITB section, enter “General” in column 2. If the question is in regard to a State Term or Condition, state the clause number in column 2. If the question is in regard to an attachment, enter the attachment identifier (example “Attachment A”) in the “ITB Section” (column 2), and the attachment page number in the “ITB page” field (column 3).

3. Do not enter text in the “Response” field (column 5). This is for the State’s use only.

4. Once completed, this form is to be e-mailed per the instructions in the ITB. The e-mail subject line is to state the ITB number followed by “Questions.”

ITB1215 IVD Test System Lease Page 11

ITB1215 IVD Test System Lease Question Form

ITB

Section

ITB

Page

Question Response

ITB1215 IVD Test System Lease Page 12

ATTACHMENT 4 - COVER FORM

Attachment 4, Cover Form must be completed, signed, and uploaded to the Questions page in IPRO. Failure to complete and submit this form may result in your Bid being deemed non-responsive.

Instructions: The Bid must include a signed copy of this cover form. Copy and paste this form onto your company letterhead, or include the following information: Bidder’s company name, mailing address, phone number, fax number, e-mail address, and name of Bidder’s authorized signer. The Cover Form must include the ITB Number and Title and must be signed by an individual authorized to commit the Bidder to the contents of the Bid.

Requirement Response Bidder’s corporate or other legal entity status ☐ Corporation

☐ Limited Liability Corporation (LLC) ☐ Limited Liability Partnership ☐Sole Proprietorship ☐ Other (specify)

Bidder’s Tax Identification Number

EIN:

Bidder’s DUNS Number

DUNS:

Is Bidder a legal entity with the legal right to Contract?

☐ Yes ☐ No

Other than modifications/exceptions identified on Attachment 2, in compliance with Section 3 of this ITB, does Bidder accept, and is Bidder willing to comply with, the requirements of this

ITB?

Is Bidder in compliance with applicable equal employment regulations?

Does Bidder understand and agree that for breach or violation of the above term, the State has the right to annul the Contract without liability or, in its discretion, to deduct from the offered price the amount of any such fee, commission, percentage, brokerage fee, gifts, or contingencies?

Firm(s) and/or staff responsible for writing the Bid?

Names:

Does Bidder affirm that it is not currently suspended, debarred, or otherwise excluded from federal or state procurement and non-procurement programs?

Note: vendor information is available at https://sam.gov.

Does the Bidder affirm that the Bid will be firm and binding for ninety (90) calendar days from the Bid opening date?

Does Bidder warrant that it does not knowingly and willfully employ persons who cannot lega work in this country; and that Bidder takes steps to verify that it does not hire persons w have entered our nation illegally or cannot legally work in the United States; and that a misrepresentation in this regard or any employment of persons who have entered our nat illegally or cannot legally work in the United States constitutes a material breach and will cause for the imposition of monetary penalties up to five percent (5%) of the Bid price, p violation, and/or termination of the Contract?

https://sam.gov/

ITB1215 IVD Test System Lease Page 13

Signed By:

Printed Name:

Date: