Offer Form A.pdf
PDF 105 KB Posted
- Attached to
- CSD Baseyard - Mezzanine Office Remodel
- Solicitation number
- B27000239
- Issued by
- Hawaii
About this file
This is an Offer Form A for Invitation for Bids (IFB) No. CSD-26-033-O issued by the State of Hawaii, Department of Accounting and General Services, Central Services Division, located in Honolulu, Hawaii. The project scope involves providing new modular furniture for the DAGS Central Services office area on the mezzanine floor of Building 1 at the CSD Baseyard, including removal of old built-in partitions and installation of new utility connections for the new office furniture system. The form requires offerors to certify their understanding of all terms, conditions, specifications, special provisions, and general conditions outlined in the invitation for bids.
Offerors must declare their business structure and provide specific company information including Federal I.D. Number, Hawaii General Excise Tax License I.D. Number, business address, and payment address. The form requires submission of insurance coverage details across multiple categories including Commercial General Liability, Automobile Liability, Worker's Compensation, Temporary Disability, Prepaid Health Care, and Unemployment Insurance, along with the State of Hawaii Department of Labor Number and Contractor's License Number. Offerors must also certify that their submitted price was independently arrived at without collusion and that the offer does not violate Chapter 84, Hawaii Revised Statutes concerning prohibited state contracts. The form must be signed by an authorized representative with original signature, including contact information and typed name and title of the signatory.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Qualification Form A.pdf | ||
| Offer Form B.xlsx | XLSX spreadsheet | |
| IRS Form W9.pdf | ||
| Special Provisions.pdf | ||
| AG-008 103D General Conditions (1.10.23).pdf | ||
| Wage Certificate.pdf | ||
| Specifications.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
OFFER FORM A OFA-1 IFB No. CSD-26-033-O
OFFER FORM A
CSD Baseyard - Mezzanine Office Remodel
CSD-26-033-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:
OFFER FORM A OFA-2 IFB No. CSD-26-033-O
OFFEROR SHALL PROVIDE THE FOLLOWING INFORMATION:
Insurance coverage is carried by, if applicable:
Carrier Policy No. Agent Commercial General Liability:
Automobile Liability:
Worker’s Compensation:
Temporary Disability:
Prepaid Health Care:
Unemployment Insurance: State of Hawaii, Dept. of Labor No. _
Contractor’s License Number: __________________
Offeror _______________________________________ Name of Company
OFFER FORM A
File details come from the government source that posted it. Updated .