S000000134 NWTI Response Packet.docx
DOCX document 37 KB Posted
- Attached to
- Semi-Truck
- Solicitation number
- S000000134
- Issued by
- Washington County, Arkansas
About this file
This document is a bid response packet for a state and local government contract opportunity in Arkansas. The contract involves providing services, and the prospective contractor must submit a bid signature page, proposed subcontractors form, exceptions form, and completed pricing response. The bid response packet includes requirements such as certifying the contractor does not employ or contract with illegal immigrants and does not boycott Israel. The contract term and any renewal options are not specified in the document.
The pricing terms, set asides, incumbent information, funding requirements and sources, and other salient details are not provided in this bid response packet. The packet focuses primarily on the administrative and compliance requirements for submitting a bid for the contract opportunity.
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Other files
| File | Type | Posted |
|---|---|---|
| S000000134 NWTI Official Bid Price Sheet~1.xlsx | XLSX spreadsheet | |
| S000000134 IFB NWTI Semi-Truck Final~1.pdf | ||
| Contract and Grant Disclosure Form~79.pdf |
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Text version
BID RESPONSE PACKET
S000000134
BID SIGNATURE PAGE
Type or Print the following information.
PROSPECTIVE CONTRACTOR’S INFORMATION
Company:
Address:
City:
State:
Zip Code:
| Business Designation: |
| ☐ Individual |
| ☐ Sole Proprietorship |
| ☐ Public Service Corp |
| ☐ Partnership |
| ☐ Corporation |
| ☐ Nonprofit |
| Minority and Women-Owned Designation*: |
| ☐ Not Applicable |
| ☐ American Indian |
| ☐ Service-Disabled Veteran |
| ☐ African American |
| ☐ Hispanic American |
| ☐ Women-Owned |
| ☐ Asian American |
| ☐ Pacific Islander American |
| AR Certification #: ________________ |
| * See Minority and Women-Owned Business Policy |
PROSPECTIVE CONTRACTOR CONTACT INFORMATION
Provide contact information to be used for solicitation related matters.
Contact Person:
Title:
Phone:
Alternate Phone:
Email:
CONFIRMATION OF REDACTED COPY
☐ YES, a redacted copy of submission documents is enclosed.
☐ NO, a redacted copy of submission documents is not enclosed. I understand a full copy of non-redacted submission documents will be released if requested.
Note: If a redacted copy of the submission documents is not provided with Prospective Contractor’s response packet, and neither box is checked, a copy of the non-redacted documents, with the exception of financial data (other than pricing), will be released in response to any request made under the Arkansas Freedom of Information Act (FOIA). See Solicitation Terms and Conditions for additional information.
ILLEGAL IMMIGRANT CONFIRMATION
By signing and submitting a response to this Solicitation, Prospective Contractor agrees and certifies that they do not employ or contract with illegal immigrants and shall not employ or contract with illegal immigrants during the term of a contract awarded as a result of this solicitation.
ISRAEL BOYCOTT RESTRICTION CONFIRMATION
By checking the box below, Prospective Contractor agrees and certifies that they do not boycott Israel and shall not boycott Israel during the term of a contract awarded as a result of this solicitation.
☐ Prospective Contractor does not and shall not boycott Israel.
An official authorized to bind the Prospective Contractor to a resultant contract shall sign below.
The signature below signifies agreement that any exception that conflicts with a Requirement of this Solicitation may cause the Prospective Contractor’s proposal to be rejected.
Authorized Signature: _________________________________ Title: ____________________________
Printed/Typed Name: _________________________________ Date: ____________________________
SUBMISSION REQUIREMENTS CHECKLIST
The following items must be submitted with the Prospective Contractor’s bid response:
· Bid Signature Page
· Proposed Subcontractors Form
· Exceptions Form, if applicable
· Completed Pricing Response
The following items, which must be submitted prior to a contract award to the Prospective Contractor, may also be included with the Prospective Contractor’s bid response:
· EO 98-04: Contract and Grant Disclosure Form
· Copy of Prospective Contractor’s Equal Opportunity Policy
PROPOSED SUBCONTRACTORS FORM
· Do not include additional information relating to subcontractors on this form or as an attachment to this form.
PROSPECTIVE CONTRACTOR PROPOSES TO USE THE FOLLOWING SUBCONTRACTOR(S) TO PROVIDE SERVICES.
Type or print the following information
| SUBCONTRACTOR’S COMPANY NAME |
| STREET ADDRESS |
| CITY, STATE, ZIP |
☐ PROSPECTIVE CONTRACTOR DOES NOT PROPOSE TO USE SUBCONTRACTORS TO PERFORM SERVICES.
EXCEPTIONS FORM
Prospective Contractor shall document all exceptions related to requirements in the Solicitation and terms in the Standard Commodities Contract and “Solicitation Terms and Conditions” located on the TSS OSP website.
| ITEM # |
| REFERENCE (SECTION, PAGE, PARAGRAPH) |
| DESCRIPTION |
| PROPOSED LANGUAGE |
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