K6367 Exhibit A-2-Bidders Profile.docx
DOCX document 304 KB Posted
- Solicitation number
- K6367
- Issued by
- Adams County, Asotin County, Benton County, Chelan County, Clallam County, Clark County, Columbia County, Cowlitz County, Douglas County, Ferry County, Franklin County, Garfield County, Grant County, Grays Harbor County, Island County, Jefferson County, King County, Kitsap County, Kittitas County, Klickitat County, Lewis County, Lincoln County, Mason County, Okanogan County, Pacific County, Pend Oreille County, Pierce County, San Juan County, Skagit County, Skamania County, Snohomish County, Spokane County, Stevens County, Thurston County, Wahkiakum County, Walla Walla County, Whatcom County, Whitman County, Yakima County, Asotin City, Clarkston City, Clarkston Heights-Vineland CDP, West Clarkston-Highland CDP, Benton City, Chelan City, Chelan Falls CDP, Clallam Bay CDP, Lewisville CDP, Rock Island City, Pacific Beach CDP, Whidbey Island Station CDP, Mercer Island City, Pacific City, Bainbridge Island City, Kingston CDP, Kitsap Lake CDP, Kittitas City, Klickitat CDP, Okanogan City, Anderson Island CDP, Fort Lewis CDP, Fox Island CDP, Herron Island CDP, Ketron Island CDP, North Fort Lewis CDP, Raft Island CDP, Stevenson City, Hat Island CDP, Lake Stevens City, Snohomish City, Spokane City, Spokane Valley City, Puget Island CDP, Garfield Town, Yakima City, Washington
About this file
This document is an Exhibit A-2 Bidder's Profile for a competitive solicitation (No. K6367) issued by the Washington State Department of Agriculture (WSDA) for Emergency Management Services Training Tools. The solicitation seeks professional services to develop comprehensive training modules, including "just-in-time" training resources, incident management exercise kits, and agriculture-specific training scenarios for various Incident Command System (ICS) classes. The training tools will support hybrid (in-person and virtual) simulation exercises such as drills, workshops, tabletop exercises, and functional exercises.
The bidder profile provides a template for potential vendors to submit detailed information about their business, including legal name, Washington State Department of Revenue registration number, and taxpayer identification. The document includes sections for minority/women-owned business certification, small business status, veteran-owned business certification, contract management points of contact, references, and service locations. Bidders are required to provide a minimum of three commercial or government references demonstrating similar service delivery, and the completed profile must be submitted to AGRProcurement@agr.wa.gov. The solicitation appears to be focused on identifying qualified vendors with expertise in developing specialized emergency management training resources for agricultural sector emergency preparedness.
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Other files
| File | Type | Posted |
|---|---|---|
| K6367 Exhibit B Statement of Work.docx | DOCX document | |
| K6367 Exhibit C Cost Proposal.docx | DOCX document | |
| K6367 Exhibit D Contract Example.docx | DOCX document | |
| K6367 Exhibit A-1 Bidder Certification.docx | DOCX document | |
| K6367 RFP WSDA Emergency Management -.docx | DOCX document |
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Text version
EXHIBIT A-2 – BIDDER’S PROFILE
| Competitive Solicitation: |
| NO. K6367 |
WSDA EMERGENCY MANAGEMENT SERVICES
Bidder:
Type/print full legal name of Bidder
BIDDER INFORMATION
Legal name of Bidder:
Address of Bidder:
Note: This must match information from Bidder’s Washington Business License.
Business Name
Address
City, State, Zip Code
Bidder’s Washington State Department of Revenue Registration Number/Unified Business Identifier (UBI) Number:
Note: A nine digit UBI number is assigned to each registered businesses in Washington.
Taxpayer Identification No. (TIN):
Note: Your TIN will be either a number issued by the IRS (e.g., Employer Identification Number, Federal Tax Identification Number) or a number issued by the Social Security Administration (i.e., your Social Security Number). If your TIN is a SSN, state that fact, but do NOT provide the SSN.
| Is your firm certified as a minority or woman owned business with the Washington State Office of Minority & Women’s Business Enterprises (OMWBE)? |
| Yes |_| No |_| |
If yes, provide Bidder’s MWBE certification no.:
Is your firm a self-certified Washington Small Business?
Note: See Exhibit A-1 – Bidder’s Certification for criteria to qualify as a Washington Small Business Note: Regardless of size, a qualifying business must be owned and operated independently from all other businesses. In regard to size, the gross revenue thresholds, as reported on Bidder’s tax returns, are as follows:
· Microbusiness: Annual gross revenue of less than one million dollars.
· Minibusiness: Annual gross revenue of more than one million dollars, but less than three million dollars.
· Small Business: Annual gross revenue of less than seven million dollars over each of the three prior consecutive years.
Yes |_| No |_| If yes, provide the location for Bidder’s principal place of business:
If yes, what is your business size (based on annual gross revenue)?
| Microbusiness | |_| |
| Minibusiness | |_| |
| Small Business | |_| |
Is your firm certified as a Veteran-Owned Business with the Washington State Department of Veteran Affairs?
Note: See Exhibit A-1 – Bidder’s Certification for criteria to qualify as a Certified Veteran-Owned Business.
Yes |_| No |_| If yes, provide Bidder’s WDVA certification no.
CONTRACT MANAGEMENT POINTS OF CONTACT
Authorized Representative Name:
Email:
Phone:
Contract Administrator Name:
Email:
Phone:
Complete if using sub-contractors as indicated in Exhibit A-1
SUB CONTACTOR
| Legal Name and TIN# |
| Address |
| Phone and E-mail |
| Services/Role |
REFERENCES
Provide a minimum of three (3) commercial or government references for which bidder has delivered goods and/or services similar in scope as described in the Competitive Solicitation.
REFERENCE 1
Company Name:
Contact:
Phone:
Email:
REFERENCE 2
Company Name:
Contact:
Phone:
Email:
REFERENCE 3
Company Name:
Contact:
Phone:
Email:
Identify will call or service locations throughout the state.
| LOCATION |
| POINT OF CONTACT |
| PHONE NUMBER |
| AREA(S) OF RESPONSIBILITY |
Return this Bidder’s Profile to Procurement Coordinator at:
AGRProcurement@agr.wa.gov
COMPETITIVE SOLICITATION NO. K6367 – EXHIBIT A-2 – BIDDER’S PROFILE PAGE 1
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