Offer Form A.pdf
PDF 85 KB Posted
- Solicitation number
- B27000256
- Issued by
- Hawaii
About this file
This is an Offer Form A for a plumbing services contract issued by the State of Hawaii, Department of Accounting and General Services, Central Services Division (CSD), solicitation number CSD-27-004-O. The contract requires the contractor to furnish all labor, materials, parts, tools, equipment, transportation, and supervision necessary to provide plumbing services, including fire sprinkler services, at various state facilities on Oahu on a task-order as-needed basis. The form serves as the official bidding document through which interested contractors submit their offers to perform the specified work in accordance with the invitation for bids, specifications, special provisions, and general conditions.
The offer form requires bidders to provide comprehensive business information, including their legal entity status (Hawaii business or compliant non-Hawaii business registered in Hawaii), federal and state tax identification numbers, business addresses, and authorized signatures. Bidders must also declare their contractor license number for plumbing services and provide detailed insurance coverage information, including commercial general liability, automobile liability, worker's compensation, temporary disability, prepaid health care, and unemployment insurance details. All offerors must certify that their pricing was independently arrived at without collusion and that the offer complies with Hawaii Revised Statutes Chapter 84 regarding prohibited state contracts.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Specifications.pdf | ||
| Wage Certificate.pdf | ||
| AG-008 103D General Conditions (1.10.23).pdf | ||
| Offer Form B.xlsx | XLSX spreadsheet | |
| Qualification Form A.pdf | ||
| IRS W 9.pdf | ||
| Special Provisions.pdf |
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Text version
OFFER FORM A OFA-1 CSD-27-004-O
OFFER FORM A
PLUMBING SERVICES, INCLUDING FIRE SPRINKLER SERVICES, AT VARIOUS
STATE FACILITIES ON OAHU
CSD-27-004-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 CSD-27-004-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 License No. (Plumbing): __________________
Offeror ___________________________________ Name of Company
File details come from the government source that posted it. Updated .