SignaturePage RFQ 1297 Campylobacter Vaccine - Fillable.pdf
PDF 206 KB Posted
- Attached to
- CAMPYLOBACTER VACCINE, 50, 000 2ML DOSES
- Solicitation number
- 1297
- Issued by
- Idaho
About this file
This is a signature page form for a Request for Quotation (RFQ) issued by the State of Idaho Department of Agriculture for the procurement of Campylobacter vaccine. The solicitation, RFQ Number 1297, seeks 50,000 two-milliliter doses of Campylobacter vaccine. The RFQ was posted on April 23, 2026, with a proposal submission deadline of May 6, 2026, providing vendors with a thirteen-day response window. All quotes must be submitted electronically through the LUMA system and the IPRO platform, with responses required to all mandatory prerequisites and questions. Vendors are required to complete and submit this State of Idaho signature page with their quote, ensuring that the vendor name and entity match exactly with the registration information in the IPRO system.
The signature page serves as the binding acknowledgment that the vendor accepts all terms, conditions, and requirements of the solicitation, including the State of Idaho Standard Contract Terms and Conditions and Solicitation Instructions to Vendors in effect at the time of issuance. The signatory must be an authorized representative of the vendor entity and is responsible for reviewing and acknowledging any addendums issued for the solicitation. No liability will be assumed by the Idaho State Department of Agriculture for a vendor's failure to obtain the terms and conditions or properly issued addendums in a timely manner or for failure to consider these documents in their response. The document requires completion of vendor information including company name, address, phone, facsimile, Federal Employer Identification Number (FEIN), and email, along with the signature, printed name, and title of the authorized representative.
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Other files
| File | Type | Posted |
|---|---|---|
| Insurance Requirements 2023.docx | DOCX document | |
| Solicitation_Instructions-July-2025.pdf | ||
| RFQ - Administration Document and Attachment A, Specifications REVISED 5.6.26.pdf | ||
| State of Idaho Contract Terms and Conditions_2024.docx | DOCX document |
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Text version
“Serving Idaho citizens through effective services to their governmental agencies”
State of Idaho Department of Agriculture
2270 Old Penitentiary Road (83712)
P. O. Box 7249
BRAD LITTLE
Governor
CHANEL TEWALT Boise, ID 83707 Director Telephone (208) 332-8500
FAX (208) 334-3431
SIGNATURE PAGE for Use with Request for Quotation Response
NO LIABILITY WILL BE ASSUMED BY THE IDAHO STATE DEPARTMENT OF AGRICULTURE FOR A VENDOR’S FAILURE TO OBTAIN THE TERMS AND CONDITIONS AND ANY PROPERLY ISSUED SOLICITATION ADDENDUMS IN A TIMELY MANNER FOR USE IN THE VENDOR'S RESPONSE TO THIS SOLICITATION OR ANY OTHER FAILURE BY THE VENDOR TO CONSIDER THE TERMS, CONDITIONS, AND ANY ADDENDUMS IN THE
VENDOR'S RESPONSE TO THE SOLICITATION.
ELECTRONIC SUBMISSION: Your Quote must be submitted electronically via LUMA. Your Quote must include responses to all mandatory Prerequisites and Questions and be received prior to the deadline established in IPRO.
IPRO – Enter your pricing in IPRO (https://sms-idaho-prd.tam.inforgov.com/fsm/SupplyManagementSupplier/page/ XiSupplyManagementSupplierPage?csk.SupplierGroup=LUMA) and respond to all mandatory Prerequisites and Questions. All quotes must be accompanied by a signed State of Idaho Signature Page. Be advised that the Vendor name/entity entered on the State of Idaho Signature Page must match the Vendor name/entity registered in IPRO. If the Vendor name/entity identified on the state supplied Signature Page differs from the Vendor name/entity under which you register in IPRO, the information provided on the Signature Page prevails.
All vendors participating in a solicitation issued through IPRO must establish an account in the IPRO system.
This RFQ response is submitted in accordance with all documents and provisions of the specified RFQ Number and Title provided below. By my signature below I accept the terms, conditions and requirements contained in the solicitation, including, but not limited to, the STATE OF IDAHO STANDARD CONTRACT TERMS AND CONDITIONS and the SOLICITATION INSTRUCTIONS TO VENDORS in effect at the time this RFQ was issued, as incorporated by reference into this solicitation; as well as any SPECIAL TERMS AND CONDITIONS incorporated in the solicitation documents (e.g. Software, Telecommunications, Banking, etc.). As the undersigned, I certify I am authorized to sign and submit this RFQ response for the named Vendor. I further acknowledge I am responsible for reviewing and acknowledging any addendums that have been issued for this solicitation.
RFQ Number: __________________________________ RFQ Title: _____________________________________________
VENDOR (Company Name) ___________________________________
ADDRESS ___________________________________________________________________________________________________
CITY, ST, ZIP _________________________________________________________________________________________________
PHONE: ___________________________ FAX: _______________________________ FEIN: ________________________________
E-Mail: _____________________________________________________________________________________________________
Signature Date
Printed Name Title
RETURN THIS SIGNATURE PAGE WITH YOUR QUOTE
https://solutions.sciquest.com/apps/Router/SupplierLogin?CustOrg=StateofIdaho
| RFQ Number: 1297 |
| RFQ Title: ISDA Campylobacter Vaccine |
| ADDRESS: |
| CITY ST ZIP: |
| FEIN: |
| Date: |
| Title: |
| Text2: |
| Email: |
| Phone: |
| Signature: |
| Printed Name: |
File details come from the government source that posted it. Updated .