Signed_Offer__and_Acceptance-_UST_Training.pdf

Request for Proposal Solicitation No.

BPM002502

Description:

Underground Storage Tanks Operator Training

Arizona Department of Environmental Quality

1110 W. Washington Street Phoenix, AZ 85007

PART 3 of the Solicitation Documents Template version 2.0 (01-FEB-2017)

SECTION 3-B: Offer Forms Page 2 of 45 3

Av a i l a b l e o n l i n e a t:app. az . gov

Attachment 1 Offer and Acceptance Form

SUBMISSION OF OFFER: Undersigned hereby offers and agrees to provide live and online Class A/B and C UST Operator Training to all qualified users in Arizona in compliance with the Solicitation indicated above and our Offer indicated by the latest dated version below:

Initial Offer:

1. June 1, 2020 BLT date initial

Revised Offers:

2. x 3. x 4. x date #1 initial date #1 initial date #1 initial

5. x 6. x 7. x date #4 initial date #5 initial date #6 initial

Best and Final Offer:

8. x date initial

UST Training, Inc. BLT

Offeror company name Signature of person authorized to sign Offer Initials

3495 Daisy Lane Benjamin L Thomas Address Printed name and title

Clinton, WA 98236 Benjamin L Thomas, President City | State | ZIP Contact name and title

45-0530462 ben@USTtraining.com 360-321-4776

Federal tax identifier (EIN or SSN) Contact Email Address Contact phone number

CERTIFICATION: By signature in the above, Offeror certifies that it:

1. will not discriminate against any employee or applicant for employment in violation of Federal Executive Order 11246, [Arizona] State Executive Order 2009-9 or A.R.S. §§ 41−1461 through 1465;

2. has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the submitted offer. Failure to provide a valid signature affirming the stipulations required by this clause will result in rejection of the Offer. Signing the Offer with a false statement will void the Offer, any resulting contract, and may be subject to legal penalties under law;

3. complies with A.R.S. § 41-3532 when offering electronics or information technology products, services, or maintenance; and

4. is not debarred from, or otherwise prohibited from participating in any contract awarded by federal, state, or local government.

ACCEPTANCE OF OFFER: State hereby accepts the initial Offer, Revised Offer, or Best and Final Offer identified by number # 1 at the top of this form, and which was dated June 1, 2020 (the Accepted Offer). Offeror is now bound (as Contractor) to carry out the Work under the attached Contract, of which the Accepted Offer forms a part. Contractor is cautioned not to commence any billable work or to provide any material or perform any service under the Contract until Contractor receives the applicable Order or written notice to proceed from Procurement Officer.

ADEQ Contract No. is: CTR051078 The effective date of the Contract is: August 17, 2020 Contract awarded August 12,2020

Procurement Officer Signature_

Teena Ziegler, CPPO, CPPB, Chief Procurement Officer https://azadoagov.na1.echosign.com/verifier?tx=CBJCHBCAABAA9CxTzWHBov9uWX45TO1s9X--g1IyA_P2 https://azadoagov.na1.echosign.com/verifier?tx=CBJCHBCAABAA9CxTzWHBov9uWX45TO1s9X--g1IyA_P2