T0153 Bid Solicitation Checklist 2.1.2021~2.docx

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Attached to
T0153: Chemicals and Insecticides for Mosquito and Tick Control
Solicitation number
21DPP00641
Issued by
Mercer County, New Jersey

About this file

This document is a bid solicitation checklist from the New Jersey Department of the Treasury - Division of Purchase and Property for a contract to provide Chemicals and Insecticides for Mosquito and Tick Control, identified as Bid Solicitation #21DPP00641 T0153. The contract will be available to Mercer County and the City of Trenton. The checklist outlines the various forms, registrations, and certifications that must be submitted by vendors as part of their bid response, including the Offer and Acceptance Page, Ownership Disclosure Form, Specification Conformance Certification, and State-Supplied Price Sheet.

The checklist also identifies additional forms, registrations, and certifications that should be submitted prior to the award of the contract, such as Proof of Business Registration, Disclosure of Investigations and Other Actions Involving Vendor, Disclosure of Investment Activities in Iran Form, Cooperative Purchasing Form, Certificate of Insurance, Chapter 51/Executive Order 117 Vendor Certification and Disclosure of Political Contributions, and Affirmative Action Compliance documentation.

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Text version

BID SOLICITATION CHECKLIST

STATE OF NEW JERSEY

DEPARTMENT OF THE TREASURY - DIVISION OF PURCHASE AND PROPERTY

33 WEST STATE STREET, P.O. BOX 230 TRENTON, NEW JERSEY 08625-0230

BID SOLICITATION # AND TITLE:
21DPP00641 T0153: Chemicals and Insecticides for Mosquito and Tick Control

THIS CHECKLIST WAS CREATED AS A GUIDE TO ASSIST VENDORS IN PREPARING A COMPLETE AND RESPONSIVE QUOTE. THIS CHECKLIST MAY NOT IDENTIFY ALL OF THE DOCUMENTS, FORMS OR OTHER INFORMATION REQUIRED. IT IS THE VENDOR’S RESPONSIBILITY TO ENSURE THAT ALL REQUIREMENTS OF THE BID SOLICITATION HAVE BEEN MET.

PART 1

FORMS, REGISTRATIONS AND CERTIFICATIONS THAT MUST BE

SUBMITTED BY THE VENDOR WITH THE QUOTE

OFFER AND ACCEPTANCE PAGE (Bid Solicitation §4.4.1.1)

OWNERSHIP DISCLOSURE FORM (Bid Solicitation §4.4.1.2.1)

SPECIFICATION CONFORMANCE CERTIFICATION(Bid Solicitation §4.4.3)

STATE-SUPPLIED PRICE SHEET

PART 2

FORMS, REGISTRATIONS AND CERTIFICATIONS THAT SHOULD BE

SUBMITTED BY THE VENDOR WITH THE QUOTE.

THESE FORMS MUST BE SUBMITTED PRIOR TO THE AWARD

OF THE MASTER BLANKET PURCHASE ORDER.

PROOF OF BUSINESS REGISTRATION (Bid Solicitation §4.4.2.1) You may register your business HERE or obtain a copy of the Business Registration Certificate HERE.

DISCLOSURE OF INVESTIGATIONS AND OTHER ACTIONS INVOLVING VENDOR (Bid Solicitation §4.4.2.2)

DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN FORM (Bid Solicitation §4.4.2.3)

COOPERATIVE PURCHASING FORM (Bid Solicitation §4.4.3.2)

CERTIFICATE OF INSURANCE / ACORD

TWO-YEAR CHAPTER 51/EXECUTIVE ORDER 117 VENDOR CERTIFICATION AND DISCLOSURE OF POLITICAL CONTRIBUTIONS (Bid Solicitation §7.1.1)

AFFIRMATIVE ACTION COMPLIANCE (Bid Solicitation §7.1.3) Submit one of the following:

· NEW JERSEY CERTIFICATE OF EMPLOYEE INFORMATION REPORT

· FEDERAL LETTER OF APPROVAL VERIFYING A FEDERALLY APPROVED OR SANCTIONED AFFIRMATIVE ACTION PROGRAM (Dated within 1 year of the Quote submission)

· AFFIRMATIVE ACTION EMPLOYEE INFORMATION REPORT (FORM AA302)

CONFIDENTIALITY AND COMMITTEMENT TO DEFEND (Bid Solicitation §4.4.2.5)

DPP Rev. 2.1.2021

DPP Revised 4.17.17 image1.png

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