Offer Form A.doc
DOC document 41 KB Posted
- Attached to
- Janitorial Equipment
- Solicitation number
- B27000155
- Issued by
- Hawaii
About this file
This is an Offer Form A for a janitorial equipment procurement issued by the State of Hawaii, Department of Accounting and General Services, Central Services Division, under solicitation number CSD-27-002-O. The procurement seeks janitorial equipment and related services, with offerors permitted to submit bids for one or more items listed on the accompanying Offer Form B. The scope includes all costs associated with equipment, supplies, training, shipment, delivery, and applicable taxes. The form requires offerors to declare their business status as either a Hawaii business incorporated under state law or a compliant non-Hawaii business registered to conduct business in Hawaii, and to certify that pricing was independently developed without collusion in compliance with Hawaii Revised Statutes Chapter 84.
Offerors must provide specific information including years of service, a permanent Oahu office location with contact details, the name and contact information of the company providing maintenance and repairs, and hours of operation. The form requires submission of the exact legal name of the company under which the awarded contract will be executed, along with standard business documentation such as Federal I.D. Number and Hawaii General Excise Tax License I.D. Number. The solicitation does not specify detailed pricing terms, award dates, contract duration, or renewal options within this form; these details would be contained in the referenced Invitation for Bids specifications and associated documents.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| AG-008 103D General Conditions (1.10.23).pdf | ||
| Special Provisions.docx | DOCX document | |
| Specifications and Scope of Work.docx | DOCX document | |
| Offer Form B.xlsx | XLSX spreadsheet | |
| Equipment Specifications.pdf | ||
| Offer Form B Revised.xlsx | XLSX spreadsheet | |
| W9 Request for Taxpayer.pdf |
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Text version
OFFER FORM A
JANITORIAL EQUIPMENT
CSD-27-002-O
Procurement Officer State of Hawaii, Department of Accounting and General Services, Central Services Division Honolulu, Hawaii 96819 To Whom It May Concern:
The undersigned has carefully read and understands the terms and conditions specified in the Invitation for Bids, including the Specifications, Special Provisions and General Conditions attached hereto and hereby submits the following offer to perform the work specified herein, all in accordance with the true intent and meaning thereof. The undersigned further understands and agrees that by submitting this offer, 1) he/she is declaring his/her offer is not in violation of Chapter 84, Hawaii Revised Statutes, concerning prohibited State contracts, and 2) he/she is certifying that the price(s) submitted was (were) independently arrived at without collusion.
The undersigned represents:
(Check ( one only)
( A Hawaii business incorporated or organized under the laws of the State of Hawaii; OR
( A Compliant Non-Hawaii business not incorporated or organized under the laws of the State of
Hawaii, but registered at the State of Hawaii, Department of Commerce and Consumer Affairs
Business Registration Division to do business in the state of Hawaii.
State of Incorporation:
Offeror is:
( Sole Proprietor ( Partnership ( *Corporation ( Joint Venture ( Other
Federal I.D. No.: Hawaii General Excise Tax License I.D. No.:
Payment address (other than street address below):
City, State, Zip Code:
Business address (street address):
City, State, Zip Code:
Respectfully submitted:
Date:
(x)
Authorized (Original) Signature
Telephone No.:
Fax No.:
Name and Title (Please Type or Print)
E-mail Address:
Exact Legal Name of Company (Offeror)
**If Offeror is a “dba” or a “division” of a corporation, furnish the exact legal name of the corporation under which the awarded contract will be executed:
OFFEROR SHALL PROVIDE THE FOLLOWING INFORMATION:
1. Number of years of service: ______
2. Permanent Oahu Office Location:
Telephone Number:
3. Point of Contact:
Name:
Telephone Number:
FAX No.:
Cell Phone Number:
E-mail address:
4. Name of Company who will be providing the maintenance and/or repairs: __________________________
Address: ______________________________________________________________________________
Contact Name and Phone Number: _________________________________________________________
Hours of Operation: _____________________________________________________________________
Offeror _______________________________________
Name of Company
OFFER FORM A
CSD-27-002-O
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