Response Form A~5.doc

DOC document 56 KB Posted

Attached to
17-DOC-1000 USED AUTO PARTS
Solicitation number
BD-17-1025-DOCFS-FISCM-12761
Issued by
Worcester County, New Bedford City, Massachusetts

About this file

This document is a Response Form A related to a Request for Response (RFR) for used auto parts from the Massachusetts Department of Correction (DOC), solicitation #17-DOC-1000. The solicitation is posted on the Commonwealth of Massachusetts online procurement platform, COMMBUYS, with bid number BD-17-1025-DOCFS-FISCM-12761. The solicitation requires bidders to complete and return this Response Form A along with other required documentation such as Commonwealth Terms & Conditions, Standard Contract Form, Contractor Authorized Signatory, W-9 form, Business Reference Form, and Supplier Diversity Plan. The contract term is not specified.

The pricing terms, set-asides, incumbents, funding requirements, and other salient information are not detailed in this document. It focuses primarily on providing contact information and a checklist of required documentation for bidders to submit in order to be considered responsive to the solicitation.

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Text version

Response Form A - Bid Response Sheet

RFR # 17-DOC-1000 USED AUTO PARTS

ENTER COMMBUYS BID # BD-17-1025-DOCFS-FISCM-12761

Before submitting this and all other forms associated with this solicitation, all Bidders are advised to check the solicitation record on www.commbuys.com for the final versions of all forms.

All Bidders must complete and return this Attachment with their response in order to be considered responsive. Completing every section of this document fully is mandatory unless instructions for specific questions state otherwise.

Section 1. Contact Information

Company Information
Use this column for the answer

Company name

Street address, city, state, zip

Main phone number

Toll-free phone number

Fax number

Website

Contract Manager
Use this column for the answer

Name, Title

Phone number

Fax

Email

Contact for Placing Orders (if different)
Use this column for the answer

Name, Title

Phone number (working hours)

Phone number (non-working hours)

Fax

Email

Section 2. Checklist of Required Documentation

Omission of required information or documentation may be grounds for Bidder disqualification.

Required Document
Instructions
Mark with “X”

Response Form A (this document) Complete and Return

All Bidders: Commonwealth Terms & Conditions
Complete, Sign, and Return
All Bidders: Standard Contract Form
Complete, Sign, and Return
All Bidders: Contractor Authorized Signatory
Complete, Sign, and Return
All Bidders: Request for Taxpayer ID – W-9 form
Complete, Sign, and Return
All Bidders: Authorization EFT
Complete and Return
All Bidders: Business Reference Form
Complete and Return
All Bidders: Prompt Payment Reference Form
Complete and Return
All Bidders: Environmentally Preferable Product Information
Complete and Return
All Bidders: Supplier Diversity Plan. Forms 1 and 2.
Complete and Return
All Bidders: PREA Acknowledgement Form
Complete and Return

File details come from the government source that posted it. Updated .