T0576 Vendor Bidder Data Sheet 041218.docx

DOCX document 242 KB Posted

Attached to
T0576 - Fire Extinguisher Maintenance Statewide
Solicitation number
18DPP00224
Issued by
Bergen County, New Jersey

About this file

This document is a Vendor (Bidder) Data Sheet from the State of New Jersey Department of the Treasury Division of Purchase and Property for a fire extinguisher maintenance contract, Bid Solicitation #18DPP00224. The contract is for services across the state, with emphasis on Mercer County and the City of Trenton. The form requires vendors to list prior contracts of similar size and scope, as well as any negative actions taken by other contracting entities. Vendors must provide contact information for each contract listed. If no prior contracts or negative actions exist, the vendor must indicate "None". This information will be used to evaluate the vendor's ability to complete the required scope of work.

The contract term and any renewal options are not specified in the document. Pricing terms, set asides, incumbents, funding requirements and sources, and other salient information are also not included.

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Text version

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

VENDOR {BIDDER} DATA SHEET

BID SOLICITATION #:
18DPP00224
VENDOR {BIDDER}:

THIS FORM WILL BE USED IN EVALUATING THE VENDOR’S {BIDDER’S}

ABILITY TO COMPLETE THE SCOPE OF WORK.

PART I - CONTRACTS OF SIMILAR SIZE AND SCOPE

List prior contracts performed by the Vendor {Bidder}. Emphasis should be placed on contracts that are similar in size and scope to the work required by this Bid Solicitation as evidence of the Vendor’s {Bidder’s} ability to successfully complete the scope of work required by this Bid Solicitation. If the Vendor {Bidder} has not had any prior contracts, enter “None” below.

Contracting Agency / Entity:

Contract/Project Name:

Contract Number:

Contract Term:

Summary of Contract Scope of Work:

Contact Name:

Contact Phone No.:

Contact Email:

Contracting Agency / Entity:

Contract/Project Name:

Contract Number:

Contract Term:

Summary of Contract

Contact Name:

Contact Phone No.:

Contact Email:

Contracting Agency / Entity:

Contract/Project Name:

Contract Number:

Contract Term:

Summary of Contract

Contact Name:

Contact Phone No.:

Contact Email:

Contracting Agency / Entity:

Contract/Project Name:

Contract Number:

Contract Term:

Summary of Contract

Contact Name:

Contact Phone No.:

Contact Email:

Attach additional sheets if necessary.

PART II – NEGATIVE ACTIONS AGAINST THE VENDOR {BIDDER}

Provide a list of any negative actions taken by other contracting entities against the Vendor {Bidder} in the course of performing these projects including, but not limited to, receipt of letters of potential default, default, cure notices, termination of services for cause, or other similar notifications/processes. Additionally, the Vendor {Bidder} should provide details, including any negative audits, reports, or findings by any governmental agency for which the Vendor {Bidder} is/was the Vendor {Contractor} on any contracts of similar scope. In the event a Vendor {Bidder} neglects to include this information in its Quote {Proposal}, the Vendor’s {Bidder’s} omission of necessary disclosure information may be cause for rejection of the Vendor’s {Bidder’s} Quote {Proposal} by the State. If no negative actions were taken against the Vendor {Bidder}, enter “None” below.

Contracting Agency / Entity:

Contract/Project Name:

Contract Number:

Contract Term:

Summary of Negative Action:

Contact Name:

Contact Phone No.:

Contact Email:

Contracting Agency / Entity:

Contract/Project Name:

Contract Number:

Contract Term:

Summary of Negative Action:

Contact Name:

Contact Phone No.:

Contact Email:

Contracting Agency / Entity:

Contract/Project Name:

Contract Number:

Contract Term:

Summary of Negative Action:

Contact Name:

Contact Phone No.:

Contact Email:

Contracting Agency / Entity:

Contract/Project Name:

Contract Number:

Contract Term:

Summary of Negative Action:

Contact Name:

Contact Phone No.:

Contact Email:

Attach additional sheets if necessary.

DPP Rev. 3.6.2018
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