S000000255 IFB Bid Response Packet.docx

DOCX document 28 KB Posted

Attached to
Occupational Therapist
Solicitation number
S000000255
Issued by
Pulaski County, Arkansas

About this file

This document is a Bid Response Packet for a state and local contract opportunity for an Occupational Therapist in the state of Arkansas, specifically for the jurisdictions of Pulaski County and Little Rock City. The Bid Response Packet includes a Bid Signature Page, where prospective contractors must provide their company information, contact details, and certifications regarding employment of illegal immigrants and boycotting of Israel. The packet also lists the required submission items, which include the Bid Signature Page, the Official Solicitation Price Sheet, and a copy of the prospective contractor's Equal Opportunity Policy.

The contract opportunity is for an Occupational Therapist position. No additional details are provided regarding the scope of work, project overview, quantities, response dates, or contract term and renewal options.

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Text version

BID RESPONSE PACKET

S000000255 ASD, Occupational Therapist

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 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

· Official Solicitation Price Sheet

· Copy of Prospective Contractor’s Equal Opportunity Policy

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

· Voluntary Product Accessibility Template (VPAT), if applicable (https://www.itic.org/policy/accessibility/vpat (Use the VPAT 2.3Rev 508 version)

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