SPD_SP042SupplierGeneralInformationWorksheet.xlsx
XLSX spreadsheet 30 KB Posted
- Attached to
- FVSU Laundry Equipment and Services
- Solicitation number
- PE-53300-RFP-2026-000000064
- Issued by
- Paulding County, Georgia
About this file
This is a Supplier General Information Worksheet form issued by the State of Georgia Department of Administrative Services (DOAS) for suppliers responding to solicitations posted directly to the Georgia Procurement Registry. The form does not apply to electronic bids sourced through Team Georgia Marketplace or JAGGAER Sourcing Director. The worksheet collects essential supplier information including company name, address, authorized contact person, and domicile state. It establishes eligibility requirements that suppliers must meet for consideration of contract award, though the form itself does not specify particular products, services, quantities, response dates, due dates, site visits, bidder conferences, award dates, or contract terms, as these details would be contained within the specific solicitation referenced by the form.
The worksheet addresses pricing terms indirectly through eligibility criteria rather than explicit pricing requirements. It includes set-asides and preferences for Georgia-domiciled suppliers, small businesses (categorized into three tiers based on employee count or gross receipts), Georgia resident businesses, women-owned businesses, veteran-owned businesses, and minority-owned businesses. Suppliers must certify tax compliance and non-scrutinized company status per Georgia law; contracts valued over $100,000 require verification that vendors are not prohibited sources or dealers failing to collect sales or use taxes. The form emphasizes the State's commitment to supporting small and diverse businesses and references available tax credits for companies subcontracting with certified small and minority-owned, women-owned, or veteran-owned firms under O.C.G.A. Section 48-7-38.
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Other files
| File | Type | Posted |
|---|---|---|
| SPD_SP045TaxComplianceForm (2).doc | DOC document | |
| Cost Proposal 3_26_2026.xlsx | XLSX spreadsheet | |
| Cost Proposal R1 .xlsx | XLSX spreadsheet | |
| SPD_SPR013RFXALaundry Addendum 3.doc | DOC document | |
| Pre_Bid Sign_in.pdf | ||
| Laundry Program Requirements.docx | DOCX document | |
| SPD_SPR013RFXAddendum 1.doc | DOC document | |
| Campus Map.docx | DOCX document | |
| Laundry Payments_2023_2025.xlsx | XLSX spreadsheet | |
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| Mandatory Questions.xls | XLS spreadsheet | |
| SPD_SP016StateEntityeRFPTemplate Edited for L.doc | DOC document | |
| MandatoryScored CMP.xls | XLS spreadsheet | |
| FVSU Laundry Reference Form.docx | DOCX document | |
| SPD_SPR013RFXAddendum 2.doc | DOC document |
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Text version
Sheet1 Supplier General Information Worksheet
| Supplier General Information |
| THIS FORM SHOULD ONLY BE USED FOR SUPPLIERS RESPONDING TO SOLICITATIONS POSTED DIRECTLY TO THE GEORGIA PROCUREMENT REGISTRY. IT SHOULD NOT BE USED WITH ELECTRONIC BIDS SOURCED THROUGH TEAM GEORGIA MARKETPLACETM OR JAGGAER SOURCING DIRECTOR. |
This spreadsheet requests basic information concerning the Supplier and may establish other requirements the Supplier must meet to be considered eligible for award. Read each question carefully and provide all requested answers.
| Question # | Description | |
| 1 | Provide Company Information: | |
| Description | Response | |
| Company Name |
(Provide full legal name)
| Address 1 | |||
| Address 2 | |||
| City | |||
| State | |||
| Zip Code | |||
| Authorized Person’s Name | |||
| Telephone Number | |||
| Email Address | |||
| 2 | Reciprocal Preference Law O.C.G.A. §50-5-60(b) | ||
| In which state is your company domiciled? | Supplier's Domicile (State) | ||
| For the purposes of evaluation only, Suppliers domiciled in the State of Georgia will be granted the same preference over Suppliers domiciled in another state in the same manner, on the same basis, and to the same extent that preference is granted in awarding bids for the same goods or services by such other state to Suppliers domiciled therein over Suppliers domiciled in the State of Georgia. NOTE: For the purposes of this law, to be considered domiciled in the State of Georgia, the Supplier must currently maintain their primary place of business (corporate nerve center) within the State of Georgia. | |||
| 3 | Small Business: Can your company be classified as a Small Business? | Response | |
| A Small Business is defined as a business which is independently owned and operated. In addition, such business must have either (1) 300 or fewer employees or (2) $30 million or less in gross receipts per year. Small Businesses are further categorized into tiers: |
Tier 1: ten or fewer employees or $1 million or less in gross receipts per year Tier 2: 100 or fewer employees or $10 million or less in gross receipts per year Tier 3: 300 or fewer employees or $30 million or less in gross receipts per year
The State is committed to supporting small and diverse businesses and encourages all qualified companies to participate in the procurement process through prime and subcontractor opportunities. To assist small and diverse businesses, Georgia law permits an income tax adjustment on the state tax return of any company that subcontracts with a DOAS-certified small and minority-owned, small and woman-owned or small and veteran-owned firm to furnish goods, property or services to the State of Georgia O.C.G.A. Section 48-7-38. Suppliers should consult with their tax advisors to find out how to take advantage of these tax credits.
| https://doas.ga.gov/state-purchasing/small-business-and-supplier-diversity/georgia-business-certification | |||
| 4 | Georgia Resident Business: Can your company be classified as a Georgia Resident Business? | Response | |
| Georgia Resident Business means any business that regularly maintains a place from which business is physically conducted in Georgia for at least one year prior to any bid or proposal to the state or a new business that is domiciled (maintains primary place of business) in Georgia and which regularly maintains a place from which business is physically conducted in Georgia. A post office box, a leased private mailbox, site trailer or temporary structure alone is not sufficient. | |||
| 5 | Women-Owned: Are you a Women-Owned business? | Response | |
| Women-Owned Business means a business that is at least 51% owned and controlled by one or more women, and primarily managed by one or more women. | |||
| 6 | Veteran-Owned: Are you a Veteran-Owned business? | Response | |
| Veteran-Owned Business means a business that: (i) is at least 51% unconditionally owned by one or more veterans (as defined at 38 U.S.C 101(2)); or in the case of any publicly owned business, at least 51% of the stock of which is unconditionally owned by one or more veterans; and (ii) whose management and daily business operations are controlled by one or more veterans. | |||
| 7 | Minority Business: Can your company be classified as a Minority Owned Business? Indicate below the percentage of company ownership/control attributable to each of the minority groups listed: | ||
| A Minority Business enterprise means a small business concern which is at least 51% owned and controlled by one or more minorities and is authorized to do and is doing business under the laws of the State of Georgia, paying all taxes duly accessed and domiciled within this state (Official Code of Georgia Annotated §50-5-131). | |||
| Minority Group | Percentage of Ownership | ||
| African American | % | ||
| Hispanic / Latino | % | ||
| Native American | % | ||
| Asian American | % | ||
| Pacific Islander | % | ||
| 8 | Is your company a scrutinized company as defined by O.C.G.A. Section 50-5-84? Please answer either a, b, or c as described below. | Response | |
| SUDAN: Any Supplier that currently and/or previously, within the last three years, has had business activities or other operations outside of the United States, must certify that it is not a “scrutinized company.” A scrutinized company is a company conducting business operations in Sudan that is involved in power production activities, mineral extraction activities, oil-related activities, or the production of military equipment, but excludes a company which can demonstrate any of the following exceptions noted in O.C.G.A. Section 50-5-84. False certification hereunder may result in civil penalties, contract termination, ineligibility to bid on state contractors for three or more years, and/or any other available remedy. If the Supplier is a scrutinized company, the Supplier shall not be eligible to bid on or submit a proposal for a contract with the State Entity unless DOAS makes a determination in accordance with O.C.G.A. Section 50-5-84 that it is in the best interests of the State to permit the scrutinized company to submit a bid or proposal. Any scrutinized company desiring DOAS to make such a determination should contact both DOAS and the Issuing Officer immediately. |
Please answer either a, b or c in the response column of this worksheet to indicate your answer:
a. I certify my company is NOT a “scrutinized company.”
b. I certify my company is a “scrutinized company.”
c. I certify I have requested and received written permission from DOAS to submit a response to this Event in accordance with O.C.G.A. Section 50-5-84.
| 9 | Have you submitted a completed Tax Compliance form? | Response |
| To be eligible for contract award, the supplier must not owe taxes to the State of Georgia. Also, in accordance with Official Code of Georgia Annotated §50-5-82, the State Entity is prohibited from awarding any contract valued at more than $100,000.00 to a nongovernmental vendor if that vendor or an affiliate of the vendor is a “dealer” failing or refusing to collect sales or use taxes on its sales delivered to Georgia. Each Supplier must submit a completed Tax Compliance Form (SPD-SP045), which has been provided as a downloadable document by accessing the link below. In the event the Supplier is being considered for contract award (and the contract is valued at more than $100,000.00), the information provided in the Tax Compliance Form will be submitted by the State Entity to the Georgia Department of Revenue (“DOR”) for a determination as to whether the Supplier is a “prohibited source” or has other tax deficiencies. The State Entity reserves the right to submit the Supplier’s completed form to DOR for review even if the contract is valued at less than $100,000.00. Download the Tax Compliance Form using the link below and include the completed form as part of your response: | ||
| http://doas.ga.gov/state-purchasing/seven-stages-of-procurement/stage-3-solicitation-preparation | ||
| Any supplier identified as a prohibited source will be ineligible for award. Accordingly, the supplier is strongly encouraged to check its tax status now and resolve any outstanding tax liabilities prior to submitting this response. DOR has identified the following source to allow suppliers to check current tax status: | ||
| https://gtc.dor.ga.gov/_/ |
&"Arial,Regular"&9Revised 07/01/2025 &"Arial,Regular"&9Page &P &"Arial,Regular"&9SPD-SP042 https://gtc.dor.ga.gov/_/http://doas.ga.gov/state-purchasing/seven-stages-of-procurement/stage-3-solicitation-preparationhttp://doas.ga.gov/state-purchasing/seven-stages-of-procurement/stage-3-solicitation-preparationhttps://doas.ga.gov/state-purchasing/small-business-and-supplier-diversity/georgia-business-certification Sheet2
| Yes |
| No |
Sheet3
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