ITN Vendor Questions Worksheet_Safety Boots.docx
DOCX document 48 KB Posted
- Attached to
- Youth Safety Boots for Summer Student Program
- Solicitation number
- ITN 591 180000000063 2
- Issued by
- Michigan
About this file
This is an Invitation to Negotiate (ITN) Vendor Questions Worksheet issued by the State of Michigan for the procurement of safety boots. The document serves as a standardized questionnaire that bidders must complete to demonstrate their qualifications, business standing, and compliance with state requirements. The solicitation requires vendors to provide steel toe boots at a price not to exceed $80.00 per pair and specifies that bidders must be capable of providing a mobile boot solution whereby their truck travels to designated Michigan Department of Transportation (MDOT) locations for on-site sizing and boot purchase services. The worksheet does not specify quantities, response dates, due dates, site visit requirements, bidders' meetings, award dates, or contract term details within its content.
The pricing requirement mandates a maximum cost of $80.00 per pair for steel toe boots. The document requires bidders to affirm compliance with multiple state certifications and regulations, including Michigan Business Tax filings under Public Act 431 of 1984, Iran-Linked Business restrictions under Public Act 517 of 2012, Environmental Protection Act compliance, convict labor policies, and State of Michigan tax payment obligations. Bidders must also certify they will not furnish deliverables produced by forced labor, forced or indentured child labor, or indentured servitude. The worksheet includes inquiries regarding debarment status, litigation history, contract defaults or terminations within the past five years, qualified disabled veteran status, and any participation in ITN development or evaluation that would render the bidder ineligible for award. No information regarding funding sources, set-asides, incumbent vendors, or renewal options is provided in this document.
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| File | Type | Posted |
|---|---|---|
| Safety Boots_SIGMA.docx | DOCX document |
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Text version
STATE OF MICHIGAN
ITN VENDOR QUESTIONS WORKSHEET
Provide a detailed response to each question. “You” and “company” refers to the bidder.
| Information Sought |
| Bidder Response |
1. Contact Information
Bidder’s sole contact person during the ITN process. Include name, title, address, email, and phone number.
Person authorized to receive and sign a resulting contract. Include name, title, address, email, and phone number.
2. Company Background Information
Legal business name and address. Include business entity designation, e.g., sole proprietor, Inc., LLC, or LLP.
What state was the company formed in?
Phone number
Website address
Legal business name and address of parent company, if any
Has bidder ever been debarred, suspended, or disqualified from bidding or contracting with any entity, including the State of Michigan? If yes, provide the date, the entity, and details about the situation.
Has your company been a party to litigation against the State of Michigan? If the answer is yes, then state the date of initial filing, case name and court number, and jurisdiction.
Within the last 5 years, has your company or any of its related business entities defaulted on a contract or had a contract terminated for cause? If yes, provide the date, contracting entity, type of contract, and details about the termination or default.
Describe partnerships and strategic relationships you think will bring significant value to the State.
State the physical address of the place of business that would have primary responsibility for this account if bidder is awarded a contract under this ITN.
3. Qualified Disabled Veteran
| Under MCL 18.1261, a “qualified disabled veteran” means a business entity that is 51% or more owned by 1 or more veterans with a service-connected disability. A “service-connected disability” means a disability incurred or aggravated in the line of duty in the active military, naval, or air service as described in 38 USC 101(16). Are you a qualified disabled veteran? |
| Enter YES or NO. |
To demonstrate qualification as a qualified disabled veteran, you must provide:
(a) Proof of service and conditions of discharge (DD214 or equivalent);
(b) Proof of service-connected disability (DD214 if the disability was documented at discharge or Veterans Administration Rating Decision Letter or equivalent if the disability was documented after discharge); and
(c) Legal documents setting forth the ownership of the business entity.
In lieu of the documentation identified above, you may provide proof of certification by the National Veterans Business Development Council.
Enter the names of documents submitted with your proposal to demonstrate status as a qualified disabled veteran.
4. Participation in ITN Development or Evaluation
| Did your company, an employee, agent, or representative of your company, or any affiliated entity participate in developing any component of this solicitation? For purposes of this question, business concerns, organizations, or individuals are affiliates of each other if, directly or indirectly: (1) either one controls or has power to control the other or (2) a third party controls or has the power to control both. Indicia of control include, but are not limited to, interlocking management or ownership, identity of interests among family members, shared facilities or equipment, and common use of employees. |
| If you entered “YES”, you are not eligible for contract award or to work as a subcontractor for the awarded vendor. |
| Will your company, or an employee, agent, or representative of your company, participate in the evaluation of the proposals received in response to this ITN? |
| If you entered “YES”, you are not eligible for contract award or to work as a subcontractor for the awarded vendor. |
5. Standard Contract Terms
Bidder must affirm agreement with the attached Contract Terms. If not in agreement, written exceptions in accordance with Section 8 Evaluation Process must be provided with Bidder’s proposal.
6. Other
| Abusive Labor Practices. The Contractor certifies that it will not furnish any Deliverable that was produced fully or partially by forced labor, forced or indentured child labor, or indentured servitude. |
| Enter YES or NO. |
| Certification of Michigan Business- Public Act 431 of 1984, Sec. 268. I certify that the company has, pursuant to the provisions of Sec 268 of Public Act 431 of 1984, filed a Michigan Business Tax Corporate Income Tax Return. I certify that the company has, pursuant to the provisions of Sec 268 of Public Act 431 of 1984, filed a Michigan Income Tax return showing income generated in, or attributed to the State of Michigan. I certify that the company has, pursuant to the provisions of Sec 268 of Public Act 431 of 1984, withheld Michigan Income Tax from compensation paid to the company’s owners and remitted the tax to the Michigan Department of Treasury. |
| Enter YES or NO. |
| Iran Linked Business- Public Act 517 of 2012. I certify that the Company is not an Iran-Linked business as defined by Public Act 517 of 2012. |
| Enter YES or NO. |
| Clean Corporate Citizen. I certify that the Company is a Clean Corporate Citizen as defined by the Environmental Protection Act, 1994 PA 451. |
| Enter YES or NO. |
| Convict Labor. The Contractor certifies that if using convict labor, it is complying with all applicable state and federal laws and policies. |
| Enter YES or NO. |
| SOM Debt/Tax Payment. All SOM tax/debts. I certify that all applicable State of Michigan taxes are paid, and that no outstanding debt is owed to the State of Michigan. |
| Enter YES or NO. |
| Authorization to Verify Information provided by Vendor. I authorize the State to verify that all information provided in this registration, in bidding and contracting documents, and any attachments or supplement documents and processes are accurate. |
| Enter YES or NO. |
Can you company provide MDOT a mobile boot solution that will include your truck going to specific MDOT locations with boots for sizing and purchase on-site?
Can your company provide MDOT with steel toe boots for a price no more than $80.00 per pair?
Version 1: 4/4/2018 Version 1: 4/4/2018
File details come from the government source that posted it. Updated .