K6448 ExA-2.docx

DOCX document 274 KB Posted

Attached to
Japanese Beetle Treatment 2026
Solicitation number
K6448
Issued by
Benton County, Franklin County, King County, Yakima County, Benton City, Kingston CDP, Yakima City, Washington

About this file

This is a Bidder's Profile form (Exhibit A-2) for Competitive Solicitation No. K6448 issued by the State of Washington for Japanese Beetle Eradication services in King County and surrounding Yakima and Benton counties areas. The solicitation seeks licensed pesticide applicator firms to apply insecticide to Japanese Beetle infested areas, with particular encouragement for small and veteran-owned businesses to respond. The document requires bidders to provide comprehensive company information including legal business name, address, Washington State Department of Revenue Registration/Unified Business Identifier (UBI) number, and Taxpayer Identification Number (TIN). Additionally, bidders must identify three commercial or government references demonstrating prior delivery of similar goods and services, and designate authorized representatives and contract management points of contact including an authorized signature authority should the firm be awarded the contract.

The form requires bidders to self-certify their business classification status, including eligibility as a minority or woman-owned business (MWBE) certified through the Washington State Office of Minority & Women's Business Enterprises, as a Washington State small business (with classifications for microbusiness, minibusiness, or small business based on annual gross revenue thresholds), or as a veteran-owned business certified through the Washington State Department of Veteran Affairs. Bidders must also provide the address for legal notice service and complete contact information for the contract administrator. The completed Bidder's Profile must be returned to the Procurement Coordinator at aschreib@centurytel.net. The form does not contain specific pricing information, contract term details, or award dates within the document itself.

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Text version

EXHIBIT A-2 – BIDDER’S PROFILE

Competitive Solicitation:
No. K6448

JAPANESE BEETLE ERADICATION

Bidder:
___________________________

Type/print full legal name of Bidder

BIDDER INFORMATION

Legal name of Bidder:

Address of Bidder:

Note: This information must match the information from Bidder’s 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). Do Not provide a Social Security Number.

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 State Small Business?

Note: See Exhibit A-1 – Bidder’s Certification for criteria to qualify as a Washington State 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:

Street Address City, State, Zip Code 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 FOR BIDDER

Authorized Representative Name:

Email:

Phone:

Contract Administrator Name:

Email:

Phone:

Address for Enterprise Services to send legal notices:

Company name:

Attn:

Address:

City/State/Zip:

Signature Authority (if awarded a contract) Name:

Title:

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:

Return this Bidder’s Profile to Procurement Coordinator at:

aschreib@centurytel.net

EXHIBIT A-2 – BIDDER’S PROFILE: K5904 PAGE 1

(Rev 2023-05-15) image1.jpeg

File details come from the government source that posted it. Updated .