Offeror Form OF1.pdf
PDF 202 KB Posted
- Attached to
- Bathroom Facility
- Solicitation number
- B27000057
- Issued by
- Honolulu County, Hawaii
About this file
This is an Offeror Form OF-1 submitted to the Hawaii State Hospital, a facility under the Department of Health, for a bathroom facility procurement project. The form serves as the official offer submission document for contractors bidding on the project to purchase, install, and set up a standalone restroom facility on the hospital grounds located at 45-710 Kea'ahala Road in Kaneohe, Hawaii. By submitting this form, offerors certify that they have reviewed and understand all terms and conditions specified in the associated specifications and special provisions, and that their offer complies with all applicable requirements.
The form requires offerors to declare their business structure (sole proprietor, partnership, corporation, joint venture, or other), provide their Hawaii General Excise Tax License identification number, and furnish both payment and business addresses. Offerors must certify that their submitted pricing was independently arrived at without collusion and that their offer does not violate Chapter 84 of the Hawaii Revised Statutes regarding prohibited state contracts. The form requires the authorized representative to sign and provide contact information including telephone number, fax number, and email address, as well as the exact legal name of the company submitting the offer, with special notation required if the offeror operates as a "dba" or division of a larger corporation.
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Other files
| File | Type | Posted |
|---|---|---|
| BathroomFacility.docx | DOCX document | |
| Offeror Qualification Form.pdf | ||
| W9 Form to be completed by vendor.pdf | ||
| AG-008 103D General Conditions (1.10.23).pdf | ||
| Insurance Requirements.docx | DOCX document |
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Text version
Procurement Officer Hawaii State Hospital 45-710 Kea’ahala Road Kaneohe, HI 96744
Dear Sir:
The undersigned has carefully read and understands the terms and conditions specified in the Specifications and Special Provisions 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 all conditions listed below have been meet 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, 2) he/she is certifying that the price(s) submitted was (were) independently arrived at without collusion.
Offeror is:
Sole Proprietor Partnership *Corporation Joint Venture
Other ___________________________________
*State of incorporation_____________________________
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 OF-1
File details come from the government source that posted it. Updated .