S000000211 ASUMH Response Packet~2.docx

DOCX document 38 KB Posted

Attached to
Sleeper Cab Semi-Truck
Solicitation number
S000000211
Issued by
Baxter County, Arkansas

About this file

This document is a bid response packet for State of Arkansas Solicitation S000000211. The solicitation is issued by the State of Arkansas and involves Pulaski County and the City of Little Rock. The response packet includes a bid signature page, proposed subcontractors form, pricing response, and other required forms. The solicitation requests bids for the provision of a sleeper cab semi-truck. Bids are due by a specified date, and the contract resulting from this solicitation will have a term of an unspecified length, with potential renewal options.

The bid response packet outlines pricing and other commercial terms. It includes provisions related to the use of subcontractors, exceptions to the solicitation requirements, and certifications regarding the use of illegal immigrants and the boycott of Israel. The solicitation does not appear to include any specific small business, minority-owned, or women-owned business set-aside requirements. No other salient details about the current environment, funding sources, or incumbents are provided in the response packet.

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Text version

BID RESPONSE PACKET

S000000211

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

· 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.

ALTERNATE DELIVERY SCHEDULE

Per IFB item 1.7:

The agency requests delivery within thirty-one (31) business days after receipt of the order. If this delivery date cannot be met, the Prospective Contractor shall state below the alternate number of days required to begin the service and/or place the commodity in the ordering agency's designated location. Failure to state the alternate delivery time obligates the Contractor to complete delivery by the agency's requested date. Extended delivery dates may be considered when in the best interest of the State.

Alternate Delivery: _________ Days after receipt of order.

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

1.

2.

3.

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