Offeror Form OF1.pdf

PDF 202 KB Posted

Attached to
MONTHLY HVAC MAINTENANCE AND SERVICE
Solicitation number
B27000292
Issued by
Honolulu County, Hawaii

About this file

This is an Offeror Form OF-1 submitted to the Hawaii Department of Health, Hawaii State Hospital (HSH), located in Kaneohe, Hawaii, for a monthly HVAC maintenance and service contract. The form serves as the official offer submission document for contractors seeking to provide heating, ventilation, and air conditioning system maintenance and servicing for the Hale Ho'ola and lower campus buildings on the HSH grounds. The offeror must certify understanding and compliance with all specifications, special provisions, and terms and conditions outlined in the solicitation materials.

The form requires offerors to declare their business structure (sole proprietor, partnership, corporation, joint venture, or other), provide their Hawaii General Excise Tax License ID number, and furnish both a payment address and primary business address. Offerors must certify that their price submission was independently developed without collusion and confirm compliance with Hawaii Revised Statutes Chapter 84 regarding prohibited state contracts. The form requires an authorized signature, contact information including telephone, fax, and email, and the exact legal name of the company submitting the offer. If the offeror operates as a "dba" or division of a larger corporation, the exact legal name of the parent corporation under which the contract will be executed must be provided.

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W9 Form to be completed by vendor.pdf PDF
HVAC Detailed Specs.docx DOCX document
Offeror Qualification Form.pdf PDF
Wage Certificate.pdf PDF
HVAC MonthlyMaint FY27.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 .