RFQ Specs.docx
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- Attached to
- Breast Pumps and Related Accessories
- Solicitation number
- RFQ - 10A - 19011500000000000213
- Issued by
- Maine
About this file
This Request for Quotation (RFQ) is issued by the State of Maine Department of Administrative and Financial Services, Division of Procurement Services, on behalf of the Department of Health and Human Services, in cooperation with the State of Vermont. The RFQ seeks quotations for breast pumps and related accessories to be provided on an as-needed basis to state agencies and participating political subdivisions in both Maine and Vermont. Quotations must be submitted electronically through the AdvantageME Vendor Self Service system no later than 4:00 p.m. Eastern Standard Time on January 29, 2019. The resulting Master Agreement will have an initial period of performance from March 1, 2019, through February 28, 2021, with two optional one-year renewal periods (March 1, 2021 through February 28, 2022, and March 1, 2022 through February 28, 2023), subject to continued funding availability and satisfactory performance. The contract is a cooperative purchasing agreement allowing qualified state agencies, institutions, and political subdivisions to access negotiated pricing throughout the contract term.
Bidders must submit cost responses in Excel format along with required appendices including a Bid Cover Page and Debarment Form, Maine Business and Economic Impact Consideration Form, and Municipality Political Subdivision and School District Participation Certification. Quotations will be evaluated on a best-value basis, considering conformity with specifications, delivery timeframes, and price, with the lowest-priced conforming bid receiving award preference. The State of Maine provides a 10 percent maximum price reduction consideration for bidders demonstrating Maine business and economic impact, calculated based on Maine resident employment percentages and economic contributions including tax payments and payroll. All goods must be quoted with Free on Board (FOB) Destination shipping terms, with the bidder responsible for all shipping costs. The State is exempt from federal, state, and local taxes on items not for resale. The combined estimated annual expenditure for breast pumps and related accessories from Maine and Vermont is $126,801.53. Bidders must commit to accepting orders from political subdivisions and school districts in Maine at quoted prices and must notify the lead state of new or discontinued products in a timely manner.
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| File | Type | Posted |
|---|---|---|
| Attachment A Cost Response Sheet.xlsx | XLSX spreadsheet | |
| HowtoSearchBidsandRespond_VSS3.9.pdf | ||
| ATTACHMENT C - Vermont.pdf |
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Text version
STATE OF MAINE
DEPARTMENT OF ADMINISTRATIVE AND FINANCIAL SERVICES
BUREAU OF BUSINESS MANAGEMENT
DIVISION OF PROCUREMENT SERVICES
RFQ # 10A 19011500000000000213
Breast Pumps and Related Accessories
Quotations/Responses Due: 1/29/2019 not later than 4:00 p.m. local time
Note: All questions and responses must be provided via the State of Maine’s e-Procurement system: AdvantageME / Vendor Self Service (VSS).
General Instructions on Bidder Questions It is the responsibility of each Bidder to examine the entire RFQ and to seek clarification by submitting questions through the Q & A List tab on the Solicitation page. Any answers to questions will appear there as well. It is the vendor's responsibility to log in to view all questions and answers posted. Additional information obtained any other way will not be valid.
In the event that you must contact us for any other reasons than the Q & A previously mentioned, only the Buyer listed on the Solicitation page may be contacted from the time this RFQ is issued until award notification is made. No other person/State employee is empowered to make binding statements regarding this RFQ. Violation of this provision may lead to disqualification from the bidding process, at the State’s discretion.
Summary For this competitive Request for Quotations (RFQ) process, the State of Maine Division of Procurement Services (“Division”) is acting on behalf of Department of Health and Human Services (“Requesting Department”). The Division and the Requesting Department seek quotations (also referred to as “bids” or “responses” herein) to provide the goods/services listed above. This document provides instructions and descriptions of requirements for this competitive process.
RFQ REQUIREMENTS
1. Description of Requirements
The following is a description of the goods and/or services sought by the State of Maine under this RFQ.
· Please see Attachment A price sheet
· Please see Appendix B
· Please see Attachment C Vermont’s standard state provisions for contracts and grants
2. Bid Contents Requirements
In addition to the cost, delivery, and other information required in VSS, all bids should contain the following information as attachments, in the Appendices listed below:
· Appendix A: Bid Cover Page and Debarment Form
· Appendix D: Maine Business and Economic Impact Consideration Form
· Appendix E: Municipality Political Subdivision and School District Participation Certification
· Cost Response Sheet, Excel Format: Attachment A
3. Master Agreement Term
In addition to any mutually agreed upon delivery dates for purchases of goods, the contract resulting from this RFQ will have a term, or “Period of Performance”, during which the contract is considered to be in effect. The anticipated contract term is defined in the table below. Please note that the dates below are estimated and may be adjusted as necessary in order to comply with all procedural requirements associated with this RFQ and the contracting process. The actual contract start date will be established by the completed and approved contract.
Contract Renewal: Following the initial term of the contract, the Division may opt to renew the contract for two renewal periods of one year each, subject to continued availability of funding and satisfactory delivery/performance.
The term of the anticipated contract, resulting from this RFQ, is defined as follows:
| Period |
| Start Date |
| End Date |
| Initial Period of Performance |
| 3/1/2019 |
| 2/28/2021 |
| Renewal Period #1 |
| 3/1/2021 |
| 2/28/2022 |
| Renewal Period #2 |
| 3/1/2022 |
| 2/28/2023 |
4. Submitting a Quotation
a. Quotations Due: Quotations must be received no later than 4:00 p.m. Eastern Standard Time (EST), on the date listed in VSS. Quotations received after the 4:00 p.m. deadline will not be accepted.
b. Submission Instructions: Bidders must submit their bids in the State of Maine’s electronic procurement system: Advantage “Vendor Self Service” (VSS). More information on this system can be found at the following internet link: http://www.maine.gov/purchases/venbid/rfq.shtml.
c. Multiple Quotations: Unless specifically prohibited in Section 1 of this RFQ, Bidders are permitted to submit multiple quotations for this RFQ, offering alternative items or pricing for the State of Maine to consider in its best value determination.
d. Withdrawal of a Quotation: Bidders are permitted to withdraw their own quotations up until the due date and time for receipt of quotations. To do so, a Bidder must enter the VSS system (as referenced above), identify and open their submitted quotation located in the Solicitation Responses tab, and click the “Withdraw” button found at the bottom of the screen. Quotations cannot be withdrawn after the due date and time for receipt of quotations.
e. Attachments: Any attachments provided with the Advantage VSS bid submission must be in MS Word, MS Excel, or Adobe (.pdf) format, unless otherwise specified in Section 1 of this RFQ. Vendors are encouraged to submit supporting documentation that aid the requesting department in understanding how the bid conforms to the requirements. The VSS attachment file size limit is 2Mb. Please contact the buyer for this RFQ if you must submit attachment files larger than this.
f. Vendor specifications: Unless otherwise stated in this RFQ document, limited specification information will be required upon submission of a bid in response to this RFQ. However, a Bidder’s response should include an affirmative statement that their bid complies with all requirements of this RFQ, unless the Bidder specifically addresses how its bid differs from the specifications, and why the differences should be deemed acceptable by the State.
5. General Instructions
a. The Bidder must submit a cost quotation response that covers the goods and term of the contract, including any optional renewal.
b. The cost quotation shall include the costs necessary for the Bidder to fully comply with the contract terms and conditions and RFQ requirements.
c. Failure to provide the requested information may result in the exclusion of the quotation from consideration, at the discretion of the Division.
d. No costs related to the preparation of the quotation for this RFQ or to the negotiation of the contract with the Department may be included in the quotation.
e. The State is exempt from the payment of Federal, State and local Taxes on articles not for resale. Please provide quotations that do not include these taxes. Upon application, an exemption certificate can be furnished by the State at the point of contract finalization.
6. Quotation Evaluation and Selection
Evaluation of the submitted quotations shall be accomplished as detailed below:
a. State of Maine RFQ documents are evaluated on a Best Value basis. The term “Best Value” may take into consideration the qualities of the goods or services to be supplied, their conformity with the specifications listed in the RFQ, the purposes for which they are required, the date of delivery, and the best interest of the State. Once the goods or services have been determined to conform to the specifications then the Division will make its award decision based on the lowest price among the Bidders. Delivery days can be a factor in awarding.
b. The State reserves the right to not make an award to the lowest price bidder when that bidder has had documented poor performance and/or a contract terminated or not renewed within the last five years.
c. At the discretion of the Division, if a Bidder’s submission is deemed to not conform to the specifications listed in the RFQ, or otherwise not conform to the requirements of the RFQ, then that Bidder’s submission may not be considered for contract award.
d. In the event that no Bidder submission conforms to the specifications of this RFQ, then the Division may choose not to make any award. Alternatively, the Division may make an award to the Best Value Bidder whose specifications most closely meet the specifications of this RFQ. For example, if there are five specification requirements, and two responses are received with one Bidder meeting four requirements, and one bidder meeting three requirements, then the Division, at its discretion, may make a contract award to the Bidder meeting four requirements.
e. If the specifications provided with this RFQ are of a technical nature, then the Division’s RFQ Coordinator, at his or her discretion, may seek to use an evaluation team comprised of subject matter experts, end-users from the Requesting Department, or other State Department representatives. In such a case, the evaluation team will judge the merits of the quotations received in accordance with the best value criteria defined in the RFQ.
f. Maine Business and Economic Impact Consideration Using Appendix D (Maine Business and Economic Impact Consideration Form), the Bidder (Bidder identified on the “Bid Cover Page” - Appendix A) is required to describe the Bidder’s investment in the State of Maine as reported on the most recently completed IRS form W-2. Consideration of this information in making contract award decisions is required in accordance with Executive Order 2017-003, which states “Evaluators of competitive bids for goods and services shall give consideration to the investment in the State by business enterprises as a best-value criterion.” The State reserves the right to verify this information at any time during the evaluation process or after.
The Maine Business and Economic Impact Consideration will allow up to a 10% reduction in a Bidder’s submitted price for comparison purposes when determining award. The exact percentage will be determined using the information provided by Bidders on their submitted Maine Business and Economic Impact Consideration Form (Appendix D) compared to the percentage breakdowns below:
| Maine Business Analysis |
| Percentage |
| Average Percentage of Maine Business Impact - 1 to 74% |
| 2% |
| Average Percentage of Maine Business Impact - 75 to 100% |
| 4% |
| Maine Economic Impact |
| Percentage |
| Sum of Maine Economic Analysis - $1 to $1,000,000 |
| 2% |
| Sum of Maine Economic Analysis - $1,000,001 to $10,000,000 |
| 4% |
| Sum of Maine Economic Analysis - over $10,000,000 |
| 6% |
The percentages from both Maine Business Analysis and Maine Economic Impact will be combined for a Bidder’s total percentage reduction in price. For example, if a Bidder has a “Average Percentage of Maine Business Impact - 1 to 74%” in Maine Business Analysis and a “Sum of Maine Economic Analysis - $1,000,001 to $10,000,000” in Maine Economic Impact, their total percentage reduction for price comparison would be 6% (2% + 4%).
7. Negotiations
a. No Best and Final Offers: The State of Maine will not seek a best and final offer (BAFO) from any Bidder in this procurement process. All Bidders are expected to provide their Best Value pricing with the submission of their quotation.
b. The Division reserves the right to negotiate with the successful Bidder to finalize a contract at the same rate or cost of goods and services as presented in the selected quotation. Such negotiations may not significantly vary the content, nature or requirements of the quotation or the RFQ to an extent that may affect the price of goods or services requested. The Division reserves the right to terminate contract negotiations with a selected Bidder who submits a proposed contract significantly different from the quotation submitted in response to the RFQ.
c. In the event that an acceptable contract cannot be negotiated with the highest ranked Bidder, the Division may withdraw its award and negotiate with the next-highest ranked Bidder, and so on, until an acceptable contract has been finalized. Alternatively, the Division may cancel the RFQ, at its sole discretion.
TERMS AND CONDITIONS FOR RFQ AND CONTRACT
PART I GENERAL INFORMATION ON RFQs
A. Purpose and Background
The State of Maine (“State”) Department of Administrative and Financial Services (“Department”), Bureau of Business Management (“Bureau”), Division of Procurement Services (“Division”) acts as the purchasing agent on behalf of all Executive Departments and other agencies within State Government. For this competitive Request for Quotations (RFQ) process, the Division is acting on behalf of the Requesting Department listed on the cover page. The Division and the Requesting Department seek quotations (also referred to as “bids” or “responses” herein) to provide the goods/services as defined above in Section 1 of this document. This document provides instructions for submitting quotations, the procedure and criteria by which the Bidder(s) will be selected, and the contractual terms which will govern the relationship between the State and the awarded Bidder(s). Following Bidder selection and upon reaching a mutual agreement, the State and the selected Bidder will enter into a contract – taking the form of a State of Maine Master Agreement or Buyer Purchase Order (all generally referred to as “contract” herein), as applicable.
B. General Provisions
| 1. | Issuance of this RFQ does not commit the Division or the Requesting Department to issue an award or to pay expenses incurred by a Bidder in the preparation of a response to this RFQ. This includes attendance at personal interviews or other meetings and software or system demonstrations, where applicable. |
| 2. | All responses to this RFQ should adhere to the instructions and format requirements outlined in this RFQ and all written supplements and amendments (such as the Division’s answers to the Bidders’ questions submitted through the VSS), as issued by the Division. Responses are to follow the format and respond to all questions and instructions specified above in the “Submitting a Quotation” section of this RFQ. |
| 3. | Bidders shall take careful note that in evaluating a quotation submitted in response to this RFQ, the Department may consider materials provided in the quotation, information obtained through interviews/presentations (if any), and internal information of previous contract history between the Division and the Bidder (if any). The Division also reserves the right to consider other reliable references and publicly available information available in evaluating a Bidder’s experience and capabilities, if needed. All responses to this RFQ shall be considered to be authorized to legally bind the Bidder, and if selected for award, shall contain or be considered to contain a statement that the quotation and the pricing contained therein will remain valid and binding for a period of at least 180 days from the date and time of the bid opening. |
| 4. | The RFQ and the selected Bidder’s quotation, including all appendices or attachments, may be incorporated in the final contract. |
| 5. | Following announcement of an award decision, all submissions in response to this RFQ will be considered public records available for public inspection pursuant to the State of Maine Freedom of Access Act (FOAA) (1 M.R.S. §§ 401 et seq.). |
http://www.mainelegislature.org/legis/statutes/1/title1sec401.html
| 6. | The Division, at its sole discretion, reserves the right to recognize and waive minor informalities and irregularities found in quotations received in response to this RFQ. |
| 7. | The Division reserves the right to authorize other State Departments to use the contract(s) resulting from this RFQ, if it is deemed to be beneficial for the State to do so. |
| 8. | All applicable laws, whether or not herein contained, shall be included by this reference. It shall be Bidder’s responsibility to determine the applicability and requirements of any such laws and to abide by them. |
C. Eligibility to Submit Bids
Public agencies, private for-profit companies, and non-profit companies and institutions are invited to submit bids in response to State of Maine Requests for Quotations.
D. Delivery Terms
For the purchase of goods, the Division and selected Bidder will decide upon a delivery date in accordance with the State’s requirements and the terms offered in the Bidder’s quotation. Unless stated otherwise in Section 1 of this RFQ, all deliveries are expected with shipping terms of “Free on Board (FOB) – Destination”. The State intends for this to mean that all goods shall be priced in the bid response to include shipping charges, if any, to the State’s desired location. The “FOB – Destination” shipping term is also intended to mean that the State shall not bear any responsibility for the goods in question until the State takes possession of them at the destination point of delivery.
E. Alternate Bids and Approved Equals
When, in bid forms and specifications, an article or material is identified by using a trade name and catalog number of a manufacturer or vendor, the term “or approved equal,” if not inserted with the identification, is implied. Any Bidder that seeks to propose an alternate item from what is specified in this RFQ should refer to State of Maine Statute 5 MRSA §1825-B, for “Bids, awards and contracts”, found here: http://www.mainelegislature.org/legis/statutes/5/title5sec1825-B.html
F. Appeal of Contract Awards
Any person aggrieved by the award decision that results from this RFQ may appeal the decision to the Director of the Bureau of General Services in the manner prescribed in 5 MRSA § 1825-E and 18-554 Code of Maine Rules, Chapter 120 (found here: http://www.maine.gov/purchases/policies/120.shtml). The appeal must be in writing and filed with the Director of the Bureau of General Services, 9 State House Station, Augusta, Maine, 04333-0009 within 15 calendar days of receipt of notification of contract award.
If this RFQ results in the creation of a pre-qualified or pre-approved list of vendors, then the appeal procedures mentioned above are available upon the original determination of that vendor list, but not during subsequent competitive procedures involving only the pre-qualified or pre-approved list participants.
PART II CONTRACT ADMINISTRATION AND CONDITIONS
A. Contract Document
The successful Bidder will be required to execute a contract in the form of a State of Maine Buyer Purchase Order, Contract Agreement to Purchase Services or State of Maine Master Agreement.
The Standard Terms and Conditions used with the aforementioned contract types may be found on the Division of Procurement Services’ website at the following link:
http://www.maine.gov/purchases/info/forms/BPO_General_Terms.doc
In the event that the State of Maine’s Standard Terms and Conditions or RFQ provisions do not otherwise cover contractual scenarios that are specific to the goods or services being purchased under this RFQ, then the State is willing to consider a Bidder’s standard terms and conditions. Consideration or use of a Bidder’s standard terms and conditions shall only occur under the general agreement that in the event of a conflict, the State of Maine’s Standard Terms and Conditions and RFQ provisions shall take precedence.
Other forms and contract documents commonly used by the State can be found on the Division of Procurement Services’ website at the following link: http://www.maine.gov/purchases/info/forms.shtml
B. Independent Capacity
In providing services and performing under the contract, the successful Bidder shall act independently and not as an agent of the State of Maine.
C. Payments and Other Provisions
The State anticipates paying the selected Bidder for goods and services received, on the basis of net 30 payment terms, upon the receipt of an accurate and acceptable invoice. An invoice will be considered accurate and acceptable if it contains a reference to the State of Maine contract number, contains correct pricing information relative to the contract, and provides any required supporting documents, as applicable, and any other specific and agreed-upon requirements listed within the contract that results from this RFQ.
The State of Maine reserves the right to pay for goods purchased through this solicitation by any of several available means, which include but may not be limited to check, EFT, and/or procurement card. Bidders are advised that state statute precludes sellers from imposing a surcharge on credit or debit card purchases (text follows):
“9-A MRSA §8-303 (2): A seller in a sales transaction may not impose a surcharge on a cardholder who elects to use a credit card or debit card in lieu of payment by cash, check or similar means.”
Appendix A
STATE OF MAINE
DEPARTMENT OF ADMINISTRATIVE AND FINANCIAL SERVICES
DIVISION OF PROCUREMENT SERVICES
BID COVER PAGE and DEBARMENT FORM
Bidder’s Organization Name:
Chief Executive - Name/Title:
| Tel: |
| Fax: |
| E-mail: |
Headquarters Street Address:
Headquarters City/State/Zip:
(provide information requested below if different from above)
Lead Point of Contact for Bid - Name/Title:
| Tel: |
| Fax: |
| E-mail: |
Street Address:
City/State/Zip:
By signing below Bidder affirms:
· Their bid complies with all requirements of this RFQ;
· This bid and the pricing structure contained herein will remain firm for a period of 180 days from the date and time of the bid opening;
· That no personnel currently employed by the Department or any other State agency participated, either directly or indirectly, in any activities relating to the preparation of the Bidder’s proposal;
· That no attempt has been made or will be made by the Bidder to induce any other person or firm to submit or not to submit a proposal; and
· The undersigned is authorized to enter into contractual obligations on behalf of the above-named organization.
Name:
Title:
Authorized Signature:
Date:
State of Maine RFQ # 10A 19011500000000000213 Rev. 3/19/2018 Debarment, Performance, and Non-Collusion Certification
By signing this document, I certify to the best of my knowledge and belief that the aforementioned organization, its principals, and any subcontractors named in this proposal:
1. Are not presently debarred, suspended, proposed for debarment, and declared ineligible or voluntarily excluded from bidding or working on contracts issued by any governmental agency.
1. Have not within three years of submitting the proposal for this contract been convicted of or had a civil judgment rendered against them for:
0. fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a federal, state or local government transaction or contract.
0. violating Federal or State antitrust statutes or committing embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property;
0. are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or Local) with commission of any of the offenses enumerated in paragraph (b) of this certification; and
0. have not within a three (3) year period preceding this proposal had one or more federal, state or local government transactions terminated for cause or default.
1. Have not entered into a prior understanding, agreement, or connection with any corporation, firm, or person submitting a response for the same materials, supplies, equipment, or services and this proposal is in all respects fair and without collusion or fraud. The above mentioned entities understand and agree that collusive bidding is a violation of state and federal law and can result in fines, prison sentences, and civil damage awards.
· Failure to provide this certification may result in the disqualification of the Bidder’s proposal, at the discretion of the Department.
To the best of my knowledge all information provided in the enclosed proposal, both programmatic and financial, is complete and accurate at the time of submission.
Name:
Title:
Authorized Signature:
Date:
Appendix B
DEPARTMENT OF ADMINISTRATIVE AND FINANCIAL SERVICES
DIVISION OF PROCUREMENT SERVICES
DETAILED SPECIFICATIONS
RFQ # 10A 19011500000000000213
Breast Pumps and Related Accessories
Equivalent items may be bid; however, all equivalent item bids MUST include documentation to prove equivalency. The final decision on equivalency will be determined by the requesting Department.
OVERVIEW:
SCOPE AND BACKGROUND: The State of Maine Division of Procurement Services is releasing this Request for Quotation to contract for the purchase of breast pumps and related accessories, on behalf of the states of Maine and Vermont. A Master Agreement (Contract) will be issued to Manufacturers/Distributors for breast pumps and related accessories.
The breast pumps and related accessories contract is a cooperative group contract for state government departments, institutions and political subdivisions (municipalities, counties, etc.) for the participating states. The purpose of establishing a breast pumps and related accessories contract is to enable the participating States and purchasing entities within those participating states, to join together in a cooperative contracting alliance, to achieve cost effective and efficient acquisition of breast pumps and related accessories.
The contractor must accept orders from and extend the contract prices to both participating states. The Contractor must allow qualified new State agencies, participating State facilities and political subdivisions joining the breast pumps and related accessories contract to be added to the current participants list and access contract prices throughout the term of the contract. The State of Maine Division of Procurement Services reserves the right to add and delete other members, State and political subdivision facilities during the term of this contract at the request of the participating State and/or purchasing entity.
The participating States may add language establishing dollar requirements or anticipated quantities for volume purchases, require permissive or mandatory use of the contract for their respective State, or other criteria required by each State dependent upon their statutes, policies and procedures or as mandated by each State Purchasing/Procurement Director. The items will be required on an as needed basis by various government and State agencies throughout the State of Maine and the State of Vermont, which may or may not elect to participate in the resulting contract.
BID SUBMISSION: All bids are submitted electronically (no exceptions). All vendors/bidders must be registered with the Advantage ME Vendor Self Service system to respond to the solicitation: https://mevss.hostams.com/webapp/PRDVSS2X1/AltSelfService. Registration is free of charge to all vendors.
ADDITION / DELETION OF PRODUCTS: The supplier is responsible for notifying the Lead State of all new and discontinued products in a timely manner. Additional line items may be added to the Master Agreement for breast pumps and related accessories through mutual agreement of the Supplier and the State of Maine.
INVOICES: Separate invoices are required for each order number. All invoices must reference Master Agreement Number, the Agency/Entity Order Number and the specified shipment quantity and date. Failure to do so could cause lengthy delays of payment of invoices. All invoices should be issued within 30 days of delivery and paid in a timely manner agreed upon between the using agency and the contractor.
REPORT OF PURCHASES: Contractor will be required to furnish to the Director of Procurement Services a detailed summary of the total purchases made under this contract. This total may be requested yearly or at any time during the contract period.
CANCELLATION OF CONTRACT: The Division of Procurement Services reserves the right to cancel a contract upon a thirty-day written notice, or cancel immediately if the contractor does not conform to the terms and conditions of this contract.
ESTIMATED EXPENDITURES: The State of Maine and State of Vermont’s estimated combined annual expenditure on the items specified in this solicitation is $126,801.53.
ATTACHMENTS INCLUDED WITH THIS RFQ:
A: Cost Response Sheet
Appendix C
DEPARTMENT OF ADMINISTRATIVE AND FINANCIAL SERVICES
DIVISION OF PROCUREMENT SERVICES
COST RESPONSE
RFQ # 10A 19011500000000000213
Breast Pumps and Related Accessories
All responses to this RFQ will require a cost quotation response, in a format selected by the State of Maine. That format is described below.
Fill out required sections in this word document, in Vendor Self Service (VSS) enter in price of 0, delivery days, attach word document and descriptive literature and submit your response.
Requested documents:
· Appendix A: Bid Cover Page and Debarment Form
· Appendix D: Maine Business and Economic Impact Consideration Form
· Appendix E: Municipality Political Subdivision and School District Participation Certification
· Cost Response Sheet, Excel Format: Attachment A
Appendix D
DEPARTMENT OF ADMINISTRATIVE AND FINANCIAL SERVICES
DIVISION OF PROCUREMENT SERVICES
MAINE BUSINESS AND ECONOMIC IMPACT CONSIDERATION FORM
RFQ # 10A 19011500000000000213
Maine Business and Economic Impact Consideration, as defined in this RFQ document, will ONLY be applied to bids that included the information requested below.
Instructions:
Maine Business Analysis
1. Fill in the total number of full time employees (FTE) your company employs companywide and how many of the FTE are Maine residents.
2. Fill in the total dollar value for companywide payroll and the total amount of payroll paid to Maine Residents.
Maine Economic Impact
1. Fill in the amount stated on your company’s most recent W-2 for:
· Income taxes paid in Maine
· Property taxes paid in Maine
2. Fill in the amount of wages paid to Maine residents.
3. Fill in the estimated dollar value your company paid to Maine Subcontractors in the last fiscal year.
Bidder's Organization Name:
MAINE BUSINESS ANALYSIS
| Total |
| Maine Residents |
Number of FTE Employees:
Payroll:
MAINE ECONOMIC IMPACT
Income Taxes Paid (State):
Property Taxes Paid (Local):
Wages to Maine Residents:
Payments to Maine Subcontractors Estimated:
Appendix E
DEPARTMENT OF ADMINISTRATIVE AND FINANCIAL SERVICES
DIVISION OF PROCUREMENT SERVICES
MUNICIPALITY POLITICAL SUBDIVISION and SCHOOL DISTRICT PARTICIPATION CERTIFICATION
RFQ # 10A 19011500000000000213
Breast Pumps and Related Accessories
The Division of Procurement Services is committed to providing purchasing opportunities for municipalities, political subdivisions and school districts in Maine by allowing them access, through our vendors, to our contract pricing. A bidder's willingness to extend contract pricing to these entities will be taken into consideration in making awards.
Will you accept orders from political subdivisions and school districts in Maine at the prices quoted?
_____ Yes
_____ Yes, with conditions as follows:
______ No
Name of Company:
Address:
Signature: ___________________________________________________________________________________
Date: ____________________________________________________________________________________
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