S84 IFB Response Packet.docx
DOCX document 38 KB Posted
- Attached to
- Toxicology Kits
- Solicitation number
- S000000084
- Issued by
- Pulaski County, Arkansas
About this file
This document is a Bid Response Packet for a state and local contract opportunity for Toxicology Kits in the state of Arkansas. The packet includes a Bid Checklist, Bid Signature Page, Proposed Subcontractors Form, and Exceptions Form. The Bid Signature Page requires the prospective contractor to provide company information, contact details, and certifications related to employing illegal immigrants and boycotting Israel. The Proposed Subcontractors Form allows the contractor to list any subcontractors they plan to use. The Exceptions Form is for the contractor to document any exceptions to the solicitation requirements or contract terms.
The pricing and commercial terms are not included in this document. The contract opportunity has specific requirements related to minority and women-owned business designations, and there may be set-asides or preferences for such designations. The funding source and amount are not specified. The contract term length and any renewal options are also not provided in this excerpt.
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Other files
| File | Type | Posted |
|---|---|---|
| Contract and Grant Disclosure Form~52.pdf | ||
| S84 IFB Toxicology Kits.pdf |
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Text version
BID RESPONSE PACKET
S000000084
BID CHECKLIST
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:
Completed and Signed Bid Signature Page
Yes No
| Exceptions Form, if applicable |
| Yes N/A |
EO 98-04: Contract and Grant Disclosure Form
Equal Opportunity Policy
| Proposed Subcontractors Form |
| Yes No |
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:____________________________
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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