T1307 21DPP00573 Bid Solicitation Checklist~1.pdf

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Attached to
T1307 - Hot Pour Crack Filler, Detackifier and Application Tools
Solicitation number
21DPP00573
Issued by
New Jersey

About this file

The document is a Bid Solicitation Checklist from the New Jersey Department of the Treasury Division of Purchase and Property for contract opportunity T1307 for Hot Pour Crack Filler, Detackifier and Application Tools. This contract opportunity covers the jurisdictions of Mercer County and Trenton City, New Jersey. The checklist outlines the required forms and certifications vendors must submit with their quote, including the Offer and Acceptance Page, Ownership Disclosure Form, Disclosure of Investment Activities in Iran Form, Specification Data Sheets, and State-Supplied Price Sheet. Additional forms that should be submitted prior to award include Disclosure of Investigations, Proof of Business Registration, Certificate of Insurance, Chapter 51/Executive Order 117 Certification, and Affirmative Action documentation.

The pricing terms, set asides, incumbent information, funding details, and other salient information are not provided in this document. The key focus is on the required administrative forms and certifications that vendors must submit as part of their response to this solicitation.

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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

DPP Rev. 4.15.19 Page 1 of 1

BID SOLICITATION CHECKLIST

BID SOLICITATION #: 21DPP00573

BID SOLICITATION TITLE: T1307 Hot Pour Crack Filler, Detackifier and Application Tools

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)

DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN FORM (Bid Solicitation §4.4.1.2.2)

SPECIFICATION DATA SHEETS (FOR ALL EQUIVALENT PRODUCTS BID) (Bid Solicitation §4.4.3.3)

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.

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

PROOF OF BUSINESS REGISTRATION

You may register your business HERE or obtain a copy of the Business Registration Certificate HERE.

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)

COOPERATIVE PURCHASING FORM (Bid Solicitation §4.4.3.2) http://www.state.nj.us/treasury/purchase/forms/OfferandAcceptance.pdf http://www.state.nj.us/treasury/purchase/forms/OwnershipDisclosure.pdf http://www.state.nj.us/treasury/purchase/forms/DisclosureofInvestmentActivitiesinIran.pdf https://www.state.nj.us/treasury/revenue/busregcert.shtml https://www1.state.nj.us/TYTR_BRC/jsp/BRCLoginJsp.jsp http://www.state.nj.us/treasury/purchase/forms/eo134/Chapter51.pdf http://www.state.nj.us/treasury/purchase/forms/eo134/Chapter51.pdf http://www.state.nj.us/treasury/purchase/forms/AA_%20Supplement.pdf http://www.state.nj.us/treasury/purchase/forms/CooperativePurchasingForm.pdf

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