RFP-31223-MaleandFemaleCondoms.pdf

State of Minnesota

MMCAP INFUSE, OFFICE OF STATE

PROCUREMENT

Request for Proposals (RFP) for Male and Female Condoms and Related Products

SPECIAL NOTICE: This is a request for proposal. It does not obligate the State of Minnesota or MMCAP Infuse to award a contract or complete the proposed program, and the State of Minnesota reserves the right to cancel this solicitation if it is considered in its best interest.

Minnesota’s Commitment to Diversity and Inclusion

The State of Minnesota is committed to diversity and inclusion in its public procurement process. The goal is to ensure that those providing goods and services to the State are representative of our Minnesota communities and include businesses owned by minorities, women, veterans, and those with substantial physical disabilities. Creating broader opportunities for historically under-represented groups provides for additional options and greater competition in the marketplace, creates stronger relationships and engagement within our communities, and fosters economic development and equality.

To further this commitment, the Department of Administration operates a program for Minnesota-based small businesses owned by minorities, women, veterans, and those with substantial physical disabilities. For additional information on this program, or to determine eligibility, please call 651-296-2600 or go to www.mn.gov/admin/oep.

http://www.mn.gov/admin/oep

Table of Contents

SECTION 1 – INSTRUCTIONS TO RESPONDERS

SECTION 2 – RFP PROJECT INFORMATION

SECTION 3 – VENDOR RESPONSE

SECTION 4 – COST PROPOSAL

SECTION 5 – RESPONDER CERTIFICATIONS

SECTION 1 – INSTRUCTIONS TO RESPONDERS

Steps for Completing Your Response

Follow the steps below to complete your response to this RFP:

Step 1: Read the solicitation document and ask questions, if any

Step 2: Write your response Step 3: Sign and submit your response

Incomplete Submittals

A proposal must be submitted along with any required additional documents.

Incomplete proposals that materially deviate from the required format and content may be rejected.

STEP 1 – READ THE SOLICITATION DOCUMENT & ASK QUESTIONS, IF ANY

How to Ask Questions

Questions must be emailed to MMCAP_Infuse.HPSRFP@state.mn.us by March 15, 2022, at 4PM Central Time.

Questions will be responded to, via an addendum to this RFP, in batches as they arrive and will not be attributed to the asking entity. Similar questions may be combined with a single answer.

Other personnel are not authorized to answer questions regarding this RFP.

STEP 2 – WRITE YOUR RESPONSE

Request for Proposals

(RFP)

In Section 3, insert your response to the questions as asked or provide content as requested.

By signing this response, your firm is making a legal, binding offer for a contract to provide services to the State of Minnesota.

STEP 3 – SIGN & SUBMIT YOUR RESPONSE

Documents making up a complete proposal

Where to Send Your Response

Vendor Response Form Section 3 Technical Proposal (submitted in Microsoft Word or PDF) Section 3 Cost Proposal (in a separate document from the technical proposal)

(submitted in Microsoft Excel) Section 4 Exhibit A: Exceptions to the MMCAP Infuse Sample Agreement

Terms and Conditions (submitted in Microsoft Word unlocked and unrestricted for editing)

Exhibit B: General Solicitation (Read) Exhibit C Certification Regarding Lobbying (submitted in PDF) Exhibit D Workforce Certificate Form (submitted in PDF) Required business applications or forms to do business with

Responder If applicable, Exhibit E, Veteran Owned Preference (submitted in

PDF)

Email your responses to MMCAP_Infuse.HPSRFP@state.mn.us with “[Company Name] Condom RFP Response” in the Subject line.

If your email is larger than the maximum allowed size, send your response in multiple emails. Use “[Company Name] Condom RFP Response Part [1…N] of [N]” in the Subject line.

Mailed responses cannot be accepted at this time.

Faxed responses will not be accepted.

mailto:MMCAP_Infuse.HPSRFP@state.mn.us http://www.mmd.admin.state.mn.us/pdf/MMCAPInfuse/31223VendorResponseForm.pdf http://www.mmd.admin.state.mn.us/xls/MMCAPInfuse/31223CostProposalCondomProducts.xlsx http://www.mmd.admin.state.mn.us/doc/31223ExhibitA.docx http://www.mmd.admin.state.mn.us/pdf/MMCAPInfuse/31223ExhibitC.pdf http://www.mmd.admin.state.mn.us/pdf/MMCAPInfuse/31223ExhibitD.pdf http://www.mmd.admin.state.mn.us/pdf/MMCAPInfuse/31223ExhibitE.pdf mailto:MMCAP_Infuse.HPSRFP@state.mn.us

Response Submission Deadline

Must be received not later than April 1, 2022, at 4PM Central Time as indicated by email timestamp. Late proposals will not be considered. All costs incurred in responding to this RFP will be borne by the responder.

SECTION 2 – RFP PROJECT INFORMATION

1. Procurement Overview

MMCAP Infuse (MMCAP Infuse) is a governmental cooperative serving thousands of state and local government facilities across the United States. MMCAP Infuse is operated by the State of Minnesota (State) Department of Administration’s Office of State Procurement (OSP) and is governed by Minnesota laws and procurement policies.

MMCAP Infuse Members are state agencies and political subdivisions throughout the United States. For more information on MMCAP Infuse and its membership, visit www.infuse-mn.gov (Members or Membership).

Membership is available to government-operated facilities, and the extent to which a Member participates in the program is voluntary.

MMCAP Infuse seeks responses to this RFP for condom distributors and manufacturers who provide male and female condoms and condom related products. The products may include, but not limited to lubricants, private label condoms, specialty condoms, condoms flavoring, and alternative packaging condoms.

Currently, the Members who primarily purchase these products are (1) public health agencies and clinics and

(2) as well as colleges and university health clinics.

It is anticipated that MMCAP Infuse will enter into agreements for an initial two (2) year term, with an option to extend three (3) additional years in increments determined by MMCAP Infuse.

2. Sample Tasks

Respondents must have the capability to disclose pricing and take direct orders from Members. Additionally, Respondents will need to be able to deliver directly to Members located in all fifty (50) states and the District of Columbia.

Respondents will need to provide MMCAP Infuse with monthly reporting of the Membership sales.

3. Minimum Qualifications Required (Pass/Fail)

• Respondent has the capability to receive orders directly (vs. through a wholesaler) from a Member.

• Respondent has the capability to delivery directly (vs. through a wholesaler) to a Member.

• Provide monthly sale reports to MMCAP Infuse.

4. Response Evaluation

Responses will first be reviewed to confirm compliance with the minimum qualifications identified above.

Responses that meet all the minimum qualifications will be further evaluated in accordance with the following:

Factors Percentage Condoms and Related Products, Pricing Proposal Form

70%

Technical Proposal 30%

Preferences 6% Minnesota Certified Targeted Group/Economically Disadvantaged Preference http://www.infuse-mn.gov/

6% Veteran-owned Preference Minnesota Resident Vendor Preference

Responses will be evaluated by a team of MMCAP Infuse staff, MMCAP Infuse advisory board members, and/or staff from Members. Each evaluator will read all proposals that have passed all the minimum qualifications.

MMCAP Infuse reserves the right to require a demonstration of capabilities and/or ordering systems via in-person meetings, webinar, or other such mechanism.

Any award that may result from this solicitation will be based upon the total accumulated points as established in the solicitation. MMCAP Infuse reserves the right to award this solicitation to a single Responder, or to multiple Responders, whichever is in the best interest of the State and MMCAP Infuse, providing each Responder is in compliance with all terms and conditions of the solicitation. MMCAP Infuse reserves the right to accept all or part of an offer, to reject all offers, to cancel the solicitation, or to re-issue the solicitation, whichever is in the best interest of the State and MMCAP Infuse. If a Responder with an active contract with MMCAP Infuse is an awarded bid as a result of this RFP, MMCAP Infuse reserves the right to amend the active contract to include the scope of this RFP rather than issue a brand-new document.

5. Additional MMCAP Infuse Rights Reserved/Pre-Proposal Meeting/Background Checks/Budget A. reject any and all responses received;

B. waive or modify any informalities, irregularities, or inconsistencies in the responses received;

C. negotiate with the highest scoring Responder[s];

D. terminate negotiations and select the next response providing the best value for the State;

E. Short list the highest scoring Responders;

F. Require Responders to conduct presentations, demonstrations, or submit samples;

G. Award by item (including category, location, etc.), by groups of items, or all items, therefore, the

Responder is encouraged to offer a response for all items H. Award by location I. Interview key personnel or references; and J. Request a best and final offer from one or more Responders.

6. Alterations or Additions to the State’s Agreement

If you wish to take an exception to the State’s Agreement (Exhibit A), please indicate that below and attach any appropriate documentation.

☐None

☐See attached document detailing proposed alterations and/or additions to the State’s General Terms.

By signing, I acknowledge that the above-named responder accepts, without qualification, all terms and conditions stated in this solicitation (including the sample contract) except those clearly outlined as exceptions above.

Signature: ____________________________________________________

Printed Name: _________________________________________________

Title: ________________________________

Date:________________________________

SECTION 3 – VENDOR RESPONSE

INSTRUCTIONS: Fill in the information requested below.

1. Responder’s Contact Information

Company’s Full Legal Name:

Business Address:

Company Website:

Federal Employer Identification Number:

Primary Contact Person’s Name:

Title:

Telephone Number:

E-Mail Address:

Alternate Contact Person:

Title:

Telephone Number:

E-Mail Address:

Admin Fee Contact Person:

Telephone Number:

E-Mail Address:

Membership Contact Person:

Telephone Number:

E-Mail Address:

2. Pass/Fail Criteria

Does Responder comply with each term?

Yes No Term Respondent has the capability to receive orders directly (vs. through a wholesaler) from a Member.

Respondent has the capability to delivery directly (vs. through a wholesaler) to a Member.

Provide monthly sales and administrative fee reports to MMCAP Infuse.

Responders that have not completed each section will not be further considered.

3. Technical Proposal

Experience and Background

A. Provide a detailed description of Responder’s background, including information about the history, current dollar volume of products sold, including its products most similar to those offered in its proposal, and its industry market share.

B. Describe Responder’s experience in providing condom and related products to governmental entities such as those entities governed by a state, county, city, college, university, or other governmental unit.

C. Describe how the Respondent differentiates from its competitors.

D. Disclose any open or closed investigations, lawsuits, assessed fines, or judgments that have been initiated by a government entity against the Responder within the last five (5) years.

E. All condoms and lubricants should be FDA approved or authorized, please identify any products (if any) that you are offering that do not have FDA approval.

F. The manufacturing and quality assurance process utilized by the Respondent to produce the products must adhere to the applicable ISO standards. If you use an alternative standard, please disclose. If you hold an ISO certification, please provide a copy.

G. Explain Respondent’s ability and historical experience with onboarding with an organization such as MMCAP Infuse. Identify any requirements to onboarding requirements the Respondent may have.

Capabilities

A. List the locations Responder is proposing to provide service to Membership. Clearly identify any geographical service region restrictions.

B. Explain the ordering process a Member will have to utilize to obtain products.

C. Does Respondent deliver or utilize third-parties? If third-parties are utilized, please identify them. What are the delivery options available to the Membership?

D. How will the Respondent assist the Membership in identifying ways to save money and increase value by purchasing from the Respondent?

E. Describe your approach to marketing products and plan to market to the Membership.

F. Please describe your supply chain capabilities, specifically identify Respondent’s ability to:

i. identify alternative supply source

ii. notify the Membership of supply issue

iii. identify potential disruptions and remedy the situation.

Customer Service

A. Does the Responder have a dedicated customer service or call center department that can respond to phone calls or inquires during operational hours that cover all U.S. time zones including Alaska and Hawaii? Please provide details of the operations.

B. What is the Responder’s approach to customer service inquiries during non-operational hours?

C. Provide details on the customer service training the Respondent’s implements amongst its employees.

D. Do employees have the authority to resolve issues without involving supervisory levels? Please explain.

E. Does the Responder have the capability and willingness to assign a primary account representative to the

MMCAP Infuse? Would the employee be exclusively assigned to MMCAP Infuse?

F. Please explain how the Responder will address and manage performance issues and potential agreement violations by the Responder.

G. Please provide examples of the types of business reviews the Responder has conducted for its customers.

Provide a sample of the performance dashboards and data format that the Responder proposes as the basis for MMCAP Infuse business reviews.

H. Members may initiate a special price or package size inquiries for Products. What is the Responder’s normal turn-around time to the customer for special price or package size inquiries? Would you keep MMCAP Infuse involved in the process? Please provide any exceptions that would delay the normal response time, and how Responder will deal effectively with those exceptions.

SECTION 4 – COST PROPOSAL

Follow the instructions below when completing your cost proposal. Your cost proposal must be submitted in a separate file in the email. No cost information should be provided in Section 3.

Responder must submit a cost proposal that details the proposed cost structure to Members. The following is the preferred format for cost proposals, but innovative approaches will also be considered:

Please use the Microsoft Excel Spreadsheet provided here: Cost Proposal Worksheet to enter the details of your cost proposal http://www.mmd.admin.state.mn.us/xls/MMCAPInfuse/31223CostProposalCondomProducts.xlsx

SECTION 5 – RESPONDER CERTIFICATIONS

Responder must check each box to certify to the conditions required under this RFP. Please note that some certifications may require the submission of additional information. Sign below to finalize response.

1. Required

☐ I have read and am aware of the State’s General Requirements as attached as Exhibit B.

☐ I have COMPLETED and ATTACHED:

☐ Exhibit C - Certification Regarding Lobbying.

☐ Exhibit D - Workforce Certificate

☐ That I am the Responder (if the Responder is an individual), a partner in the company (if the Responder is a partnership), or an officer or employee of the responding corporation having authority to sign on its behalf (if the Responder is a corporation).

☐ That the proposal submitted in response to the RFP has been arrived at by the Responder independently and has been submitted without collusion with and without any agreement, understanding or planned common course of action with, any other Responder of materials, supplies, equipment, or services described in the RFP, designed to limit fair and open competition.

☐ That the contents of the proposal have not been communicated by the Responder or its employees or agents to any person not an employee or agent of the Responder and will not be communicated to any such persons prior to the official opening of the proposals.

☐That I am fully informed regarding the accuracy of the statements made in the proposal.

2. If Applicable

☐ I am a certified veteran-owned business, in accordance with Minn. Stat. § 16C.16, subd. 6a and § 16C.19 (d). Please Complete Exhibit E

By signing here, I warrant that the information provided in this proposal is true, correct, and reliable for purposes of evaluation for potential contract award. The submission of inaccurate or misleading information may be grounds for disqualification from contract award and may subject me/my company to suspension or debarment proceedings, as well as other remedies available to the State, by law.

Signature Title Date

EXHIBIT B

General Requirements

Conflicts of Interest

Responder must provide a list of all entities with which it has relationships that create, or appear to create, a conflict of interest with the work that is contemplated in this request for proposals. This includes any conflict of interests the Responder may have with a Member. The list should indicate the name of the entity, the relationship, and a discussion of the conflict.

Organizational Conflicts of Interest

To the best of Responder’s knowledge and belief, and except as otherwise disclosed, there are no relevant facts or circumstances which could give rise to organizational conflicts of interest. An organizational conflict of interest exists when, because of existing or planned activities or because of relationships with other persons, A. vendor is unable or potentially unable to render impartial assistance or advice to the State;

B. the vendor’s objectivity in performing the contract work is or might be otherwise impaired; or C. the vendor has an unfair competitive advantage.

If after award, an organizational conflict of interest is discovered, an immediate and full disclosure in writing must be made to the State’s Chief Procurement Officer which must include a description of the action which the contractor has taken or proposes to take to avoid or mitigate such conflicts. If an organization conflict of interest is determined to exist, the State may, at its discretion, cancel the contract. In the event the Contractor was aware of an organizational conflict of interest prior to the award of the contract and did not disclose the conflict to OSP, the State may terminate the contract for default. Organizational conflicts of interest terms apply to any subcontractors for this work.

Proposal Contents The information provided is true, correct, and reliable for purposes of evaluation for potential contract award.

The submission of inaccurate or misleading information may be grounds for disqualification from the award as well as subject the Responder to suspension or debarment proceedings as well as other remedies available by law.

Responses are Nonpublic during Evaluation Process All materials submitted in response to this Solicitation will become property of the State. During the evaluation process, all information concerning the responses submitted will remain private or nonpublic and will not be disclosed to anyone whose official duties do not require such knowledge. Responses are private or nonpublic data until the completion of the evaluation process as defined by Minn. Stat. § 13.591. The completion of the evaluation process is defined as the State having completed negotiating a contract with the selected responder. The State will notify all responders in writing of the evaluation results.

The State will not consider the prices submitted by the Responder to be proprietary or trade secret materials.

Notwithstanding the above, if the State contracting party is part of the judicial branch, the release of data shall be in accordance with the Rules of Public Access to Records of the Judicial Branch promulgated by the Minnesota Supreme Court as the same may be amended from time to time.

Contingency Fees Prohibited Pursuant to Minnesota Statutes Section 10A.06, no person may act as or employ a lobbyist for compensation that is dependent upon the result or outcome of any legislation or administrative action.

Administrative Fee.

In consideration for the administrative support and other services provided by MMCAP Infuse, the Responder agrees to pay an Administrative Fee of three percent (3%) on all purchases of products and services.

Reimbursements Reimbursement for travel and subsistence expenses actually and necessarily incurred by the contractor as a result of the contract will be in no greater amount than provided in the current "Commissioner’s Plan” promulgated by the commissioner of Minnesota Management and Budget will not be made for travel and subsistence expenses incurred outside Minnesota unless it has received the State’s prior written approval for out of state travel. Minnesota will be considered the home state for determining whether travel is out of state.

Targeted Group, Economically Disadvantaged Business, Veteran-Owned and Individual Preference.

Unless a greater preference is applicable and allowed by law, in accordance with Minn. Stat. § 16C.16, businesses that are eligible and certified by the State as targeted group (TG) businesses, economically disadvantaged (ED) businesses, and veteran-owned businesses will receive points equal to 6% percent of the total points available as preference.

For TG/ED/VO certification and eligibility information visit the Office of Equity in Procurement website at https://mn.gov/admin/business/vendor-info/oep/ or call the Division’s Helpline at 651.296.2600.

Work Force Certification For all contracts estimated to be in excess of $100,000, responders are required to complete the attached Affirmative Action Data page and return it with the response. As required by Minnesota Rule 5000.3600, “It is hereby agreed between the parties that Minnesota Statute § 363A.36 and Minnesota Rule 5000.3400 -

5000.3600 are incorporated into any contract between these parties based upon this specification or any modification of it. A copy of Minnesota Statute § 363A.36 and Minnesota Rule 5000.3400 - 5000.3600 are available upon request from the contracting agency.”

Non-Collusion Certification.

A. The Proposal has been arrived at by the Responder independently and has been submitted without collusion and without any agreement, understanding or planned common course of action with any other vendor designed to limit fair or open competition; and

B. The contents of the Response have not been communicated by the Responder or its employees or agents to any person not an employee or agent of the Responder and will not be communicated to any other individual prior to the due date and time of this Solicitation. Any evidence of collusion among Responders in any form designed to defeat competitive responses will be reported to the MMCAP Infuse for investigation and appropriate action.

Certification Regarding Lobbying

For State of Minnesota Contracts and Grants over $100,000, the undersigned certifies, to the best of his or her knowledge and belief that:

A. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

B. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, Disclosure Form to Report Lobbying in accordance with its instructions.

C. The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans and cooperative agreements) and that all sub-recipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into and is a prerequisite for making or entering into this transaction imposed by 31 https://mn.gov/admin/business/vendor-info/oep/

U.S.C. 1352. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

EXHIBIT C

CERTIFICATION REGARDING LOBBYING

The undersigned certifies, to the best of his or her knowledge and belief that:

(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, Disclosure Form to Report Lobbying in accordance with its instructions.

(3) The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans and cooperative agreements) and that all subrecipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31 U.S.C. 1352. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Organization Name

Name and Title of Official Signing for Organization

By:_______________________________________ Signature of Official

Date

EXHIBIT D

STATE OF MINNESOTA – WORKFORCE CERTIFICATE INFORMATION

Information required for ALL bids or proposals that could exceed $100,000

Complete Box A or B of this form, and sign and return it with your bid or proposal. A Workforce Certificate or exemption from the Minnesota Department of Human Rights (MDHR) is required to execute a contract in excess of $100,000 under Minn. Stat. §363A.36.

BOX A – COMPANIES that have employed 40 or more full-time employees in this state or a state where the business has its primary place of business on any single working day during the previous 12 months, check one option below:

Attached is confirmation that MDHR received our application for a Minnesota Workforce Certificate on ☐ (date).

☐ Our company does not yet have a Workforce Certificate, but we acknowledge that a Workforce Certificate is required before a contract in excess of $100,000 can be executed with the State of Minnesota or other covered entities.

☐ Attached is our current Workforce Certificate issued by the Minnesota Department of Human Rights (MDHR).

BOX B – EXEMPT COMPANIES that have not employed 40 or more full-time employees on a single working day in Minnesota or any state where it has its primary place of business during the previous 12 months, check option below if applicable:

We attest to MDHR that we are exempt. If our company is awarded a contract, upon request, we will submit to MDHR within 5 business days after the contract is fully signed, the names of our employees during the previous 12 months, the date of separation, if applicable, and the state in which the persons were employed.

Send to compliance.MDHR@state.mn.us.

Signature By signing this statement, I certify that the information provided is accurate and that I am authorized to sign on behalf of the company.

Name of Company Authorized Signature

Date Printed Name

Phone Number Title

For assistance with this form, contact:

Minnesota Department of Human Rights

Web: http://mn.gov/mdhr/ Toll Free: 1-800-657-3704 Email: compliance.mdhr@state.mn.us MN Relay: 711/ 1-800-627-3529

Rev. 7/21 mailto:compliance.mdhr@state.mn.us http://mn.gov/mdhr mailto:compliance.MDHR@state.mn.us

EXHIBIT E

STATE OF MINNESOTA

VETERAN-OWNED PREFERENCE FORM

Unless a greater preference is applicable and allowed by law, in accordance with Minn. Stat. §16C.16, subd. 6a, the state will award a 6% preference on state procurement to certified small businesses that are majority owned and operated by veterans.

Veteran-Owned Preference Requirements - See Minn. Stat. § 16C.19(d):

1) The business has been certified by the Office of Equity in Procurement as being a veteran-owned or service-disabled veteran-owned small business.

or

2) The principal place of business is in Minnesota AND the United States Department of Veterans Affairs verifies the business as being a veteran-owned or service-disabled veteran-owned small business under Public Law 109-461 and Code of Federal Regulations, title 38, part 74 (Supported By Documentation).

Statutory requirements and appropriate documentation must be met by the solicitation response due date and time to be awarded the veteran-owned preference.

Claim the Preference

By signing below, I confirm that:

My company is claiming the veteran-owned preference afforded by Minn. Stat. § 16C.16, subd. 6a. By making this claim, I verify that:

The business has been certified by the Office of Equity in Procurement as being a veteran-owned or service-disabled veteran-owned small business.

or

My company’s principal place of business is in Minnesota and the United States Department of Veteran’s Affairs verifies my company as being a veteran-owned or service-disabled veteran-owned small business (Supported By Attached Documentation)

Name of Company: _____________________________ Date: _________________________

Authorized Signature: _____________________________ Telephone: ___________________

Printed Name: _____________________________ Title: _______________________

Attach documentation, sign, and return this form with your solicitation response to claim the veteran-owned preference.