RFR 193225 Cover Sheet.doc

DOC document 33 KB Posted

Attached to
RFR 193225 Hospital Laboratory Reagent Agreement
Solicitation number
BD-19-1031-LSH00-LSH01-34059
Issued by
Suffolk County, Massachusetts

About this file

This document is a Request for Response (RFR) from the Massachusetts Department of Public Health for a Hospital Laboratory Reagent Agreement. The RFR seeks bids from vendors to provide laboratory reagents to participating hospitals in the state. Bidders must register on the COMMBUYS procurement website and include a proposal, Massachusetts Terms and Conditions, W-9 form, Electronic Fund Authorization, Prompt Payment Discount Form, Contractor Authorized Signatory Listing, Reference Form, and Standard Contract Form. Proposals are due by the date indicated in Section 7.1 of the RFR.

The RFR does not provide specifics on pricing terms, set asides, incumbent vendors, funding requirements, or other salient details. Respondents are expected to submit their proposed pricing and other commercial terms as part of their bid package. The selected vendor(s) will be awarded a contract, the duration of which is not specified in the RFR.

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Text version

Massachusetts Department of Public Health Request for Response: Hospital Laboratory Reagent Agreement RFR Cover Sheet Bidder Contact Information:

Company Name: _____________________________________________________ Federal Employee Identification Number (FEIN): #__________________________ Vendor Address: _____________________________________________________ City/Town/Zip________________________________________________________ Contact Name for this Contract _______________________________________ Contact Phone: ( ) __________________ ext.________

Contact E-mail: __________________________________________

Please note that you must register on the Massachusetts Procurement website, “COMMBUYS” to respond. Go to www.COMMBUYS.com and click on the “Register” button on the front page.

Include the following with your electronic response:

( This RFR Cover Sheet ( Product and Cost Proposal Information Send the following to the address indicated in section 7.1 of the RFR. Forms requiring signatures must be originals; we cannot accept copies.

( A detailed proposal meeting the requirements of section 2 of the RFR.

( Massachusetts Terms and Conditions (if not on file)

( Massachusetts W-9 (if not on file)

( Electronic Fund Authorization (if not on file)

( Prompt Payment Discount Form

( Contractor Authorized Signatory Listing

( Reference Form. Provide 3 references of customers using the product(s) in your proposal.

( Standard Contract Form (this form will be sent to you when the award is made)

Signature: ________________________________

Printed Name: _________________________________________ Date: _____________________________________________

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