Solicitation no_IFB1_FAAA 2016000152_Vendor Information-Confirmation of Offer Form.pdf.docm

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Attached to
IFB1 FAA 2016000152 CONTINUOUS SPECIATED NMOC PAMS GC/FID
Solicitation number
IFB1 FAAA 2016000152 2
Issued by
Denver County, Denver City, Colorado

About this file

This is a Vendor Information Form and Confirmation of Offer submitted in response to Solicitation No. IFB1 FAAA 2016000152 issued by the Colorado Department of Public Health & Environment. The solicitation seeks a fully automated continuous speciated nonmethane organic compounds (NMOC) photochemical assessment monitoring station (PAMS) GC/FID system with an optional mass spectrometer detector. The bid submission deadline is November 17, 2015, at 2:00 PM MT. Vendors must submit responses to the Colorado Department of Public Health & Environment Contracts and Purchasing Unit Mail Room at 4300 Cherry Creek Drive South, Denver, CO 80246-1530, marked with the solicitation number, submission deadline date, and time. Inquiries should be directed to Timothy Massangale, CPPB, Senior Purchasing Agent, at (303) 692-2072.

The form requires vendors to provide company information including VENDOR CUSTOMER number from Colorado VSS, Federal Employer's Identification number, DUNS number if applicable, company name, DBA if applicable, complete address, and authorized officer signature. Vendors must also designate a point of contact for solicitation-related communications and provide telephone, fax, and email contact information. The signed original of this form must be submitted with the original solicitation response.

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Exhibit A

SOLICITATION NO:IFB1 FAAA 2016000152

TITLE: FULLY AUTOMATED CONTINUOUS SPECIATED NONMETHANE ORGANIC COMPOUNDS, (NMOC), PHOTCHEMICAL ASSESSMENT MONITORING STATION, (PAMS), GC/FID SYSTEM WITH OPTIONAL MASS SPECTROMETER DETECTOR

Vendor Information Form & Confirmation of Offer

BID SUBMISSION DEADLINE DATE: NOVEMBER 17, 2015 AT 2:00 PM MT

Responses must be clearly marked with SOLICITATION NO., SUBMISSION DEADLINE DATE and TIME on the outside of the submittal. Responses submitted subject to the conditions stipulated herein and in accordance with the specifications set forth in the solicitation will be accepted at the address listed below prior to the submittal deadline.

RETURN SOLICITATION RESPONSE AND THIS FORM TO:

Colorado Department of Public Health & Environment Contracts and Purchasing Unit Mail Room (B1) 4300 Cherry Creek Drive South Denver, CO. 80246-1530 Attention: Timothy Massangale, CPPB, Senior Purchasing Agent

Direct Telephone Inquiries To: Timothy Massangle at (303) 692-2072

PLEASE TYPE OR PRINT INFORMATION

VENDOR CUSTOMER # (From Colorado VSS):___________________________________________________________________

FEDERAL EMPLOYER’S IDENTIFICATION (FEIN) #: _______________________________________________________________

DUNS # (if applicable): ____________________________________________________________________________________

COMPANY NAME: ________________________________________ DBA (if applicable): ______________________________

ADDRESS: ______________________________________________________________________________________________

CITY, STATE, ZIP: _______________________________________________________________________________________

TYPED OR PRINTED NAME: _______________________________________________________________________________

HANDWRITTEN SIGNATURE OF AUTHORIZED COMPANY OFFICER / AGENT

SIGNING OFFICER / AGENT TITLE: _________________________________________________________________________

SIGNATURE DATE: ______________________________

E-MAIL ADDRESS: ______________________________________________________________________________________

PHONE #: __________________________________________ FAX #: ___________________________________________

POINT OF CONTACT FOR SOLICITATION-RELATED COMMUNICATIONS:

NAME______________________________________________ PHONE #: ______________________________________

E-MAIL: _____________________________________________________________________________________________

SUBMIT SIGNED ORIGINAL OF THIS FORM WITH ORIGINAL SOLICITATION RESPONSE

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