SP_Bid_Form_OTHS-OTHS-27-012-C.pdf

PDF 126 KB Posted

Attached to
Pure Storage Charles Street
Solicitation number
BPM057826
Issued by
Maryland

About this file

This is a bid form from the State of Maryland Department of Human Services for solicitation BPM057826 (OTHS/OTHS-27-012-C). The agency is seeking an Everpure Inc. product supply contract with specific part numbers and quantities to be detailed in an attached MSRP quote. The solicitation was released on July 2, 2026. Vendors must submit completed bid forms with their total contract amount and company representative signature to bind services. No specific response deadline, award date, or contract term is specified in this document.

The bid form requires vendors to identify their business classification status, including minority business enterprise (MBE), small business reserve (SBR), and veteran-owned small business enterprise (VSBE) certifications if applicable. Respondents must provide federal tax identification numbers, contact information, and relevant state or federal certification numbers. Notably, the related state and local contract opportunity indicates this is an invitation for bids only from resellers with a Letter of Authorization (LOA) for Pure Storage Inc. products, creating a potential discrepancy with the Everpure Inc. reference in the bid form that requires clarification.

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Text version

STATE OF MARYLAND

DEPARTMENT OF HUMAN SERVICES

BID FORM

(1) AGENCY: State of Maryland Department of Human Services

(2) ADDRESS: 25 S. Charles Street, Baltimore, MD 21201

(3) SERVICE OR ITEM REQUIRED: See Attach MSRP Quote for part numbers and quantities from Everpure Inc.

(4) SOLICITATION #: BPM057826 [OTHS/OTHS-27-012-C]

(5) SOLICITATION RELEASE DATE: 07/02/2026

(6) VENDOR RESPONDING: ____________________________________________________

PHONE NO.: ____________________________________________________

FEDERAL TAX I.D. #: ___________________________________________________

(7) TOTAL CONTRACT AMOUNT: $_____________________________________________

(8) Are you a Minority Business Enterprise (MBE) Vendor: Yes No

If yes, state MDOT State Certified Number: _____________________

(9) Are you a Small Business Reserve (SBR) Vendor: Yes No

If yes, state eMM Small Business Reserve Number: ____________________

(10) Are you a Veteran-Owned Small Business Enterprise (VSBE) Vendor: Yes No

If yes, state DUNS Number: __________________________

(11) ________________________________________________________________________

(COMPANY REPRESENTATIVE SIGNATURE TO BIND SERVICES & BID)

(NAME PRINTED or TYPED) (DATE)

BID FORM

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