S000000203 Bid Response Packet.docx
DOCX document 35 KB Posted
- Attached to
- Toxicology Kits
- Solicitation number
- S000000203
- Issued by
- Pulaski County, Arkansas
About this file
This document is a Bid Response Packet for a Toxicology Kits contract opportunity in the state of Arkansas, involving the jurisdictions of Pulaski County and the City of Little Rock. The requested items are Toxicology Kits, and the Bid Submission Checklist outlines the required documents, including a completed and signed Bid Signature Page, Bid Response Packet, and pricing submitted through the ARBuy system. The contract requires delivery within 30 Business Days after receipt of order, with the option to propose an alternate delivery timeline. The bid submission deadline and award date are not explicitly stated.
The Bid Signature Page includes information about the Prospective Contractor, such as business designation and minority/women-owned status, and requires confirmation of compliance with requirements regarding illegal immigrants and boycotting Israel. Prospective Contractors have the option to submit a redacted copy of their response documents. The Exceptions Form and Proposed Subcontractors Form are also included in the Bid Response Packet.
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Other files
| File | Type | Posted |
|---|---|---|
| Contract and Grant Disclosure Form.~6.pdf | ||
| S000000203 IFB Toxicology Kits.pdf |
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Text version
BID RESPONSE PACKET
S000000203
TOXICOLOGY KITS
BID SUBMISSION CHECKLIST
The following items must be submitted with the Prospective Contractor’s bid proposal:
Completed and Signed Bid Signature Page
Yes No
Completed Bid Response Packet
Yes No
Pricing submitted in ARBuy
Yes No
Exceptions Form, if applicable
Yes N/A
Proposed Subcontractors Form, if applicable
Yes N/A
Equal Opportunity Policy
Yes No
The following should be included in the Prospective Contractor’s proposal, but must be provided when requested by OSP:
| ISO/IEC 17025 or equivalent accreditation certificate | |
| Yes | No |
| EO 98-04 Disclosure Form | |
| Yes | No |
| Signed Addendum | |
| Yes | N/A |
Per Section 1.10 B. ASCL requests delivery within thirty (30) Business Days after receipt of order.
1. If this delivery date cannot be met, the Contractor shall state in the Bid Response Packet the alternate number of days required to place the commodity in the designated location as specified in Section 1.11.
2. Failure to state the alternate delivery date in the Bid Response Packet obligates the Contractor to complete delivery by ASCL’s requested date. Extended delivery dates may be considered when in the best interest of the State.
Alternate number of Business Days to place the commodity in the Agency’s designated location.
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 in Solicitation Terms and Conditions |
PROSPECTIVE CONTRACTOR CONTACT INFORMATION
Provide contact information to be used for bid 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 Bid 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 bid solicitation.
ISRAEL BOYCOTT RESTRICTION CONFIRMATION
By checking the box below, Prospective Contractor agrees and certifies that they do not boycott Israel and shall not during the aggregate term of a contract awarded as a result of this bid solicitation.
☐ Prospective Contractor does not and shall not boycott Israel.
An official authorized to legally bind the Prospective Contractor must sign below.
The signature below signifies agreement that any exception that conflicts with a Requirement of this Bid Solicitation may cause the Prospective Contractor’s proposal to be rejected.
| Authorized Signature: | Title: |
| Use Ink Only. | |
| Printed/Typed Name: | Date: |
EXCEPTIONS FORM
Prospective Contractor should document all exceptions related to terms in the “Standard Contract” and “Solicitation Terms and Conditions.”
| ITEM # |
| REFERENCE (SECTION, PAGE, PARAGRAPH) |
| DESCRIPTION |
| PROPOSED LANGUAGE |
1.
2.
3.
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.
Bid Response Packet S000000203 Page 4 of 5
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