T2010 Vendor Checklist.pdf

PDF 172 KB Posted

Attached to
T2010 - Administrative Services for Section 125 Flexible Spending Accounts
Solicitation number
19DPP00325
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 solicitation #19DPP00325 titled "T-2010 Administrative Services for Section 125 Flexible Spending Accounts". The checklist outlines the mandatory and recommended forms, registrations, and certifications that vendors must submit with their quotes for this contract opportunity. The services requested are for the administrative management of Section 125 Flexible Spending Accounts for the State of New Jersey. The contract will be awarded to a single vendor. Quotes are due by the date specified in the solicitation, and the contract term and any renewal options are not provided.

The checklist indicates that vendors must submit several forms and certifications with their quotes, including an Ownership Disclosure Form, Disclosure of Investment Activities in Iran Form, Subcontractor Utilization Plan, and others. Additional forms must be provided prior to the award of the contract, such as a Disclosure of Investigations, Two-Year Chapter 51/Executive Order 117 Certification, and Affirmative Action compliance documentation. Pricing terms, set-asides, funding sources, and other commercial details are not included in this checklist document.

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Other files

File Type Posted
T2010 Bid Solicitation 20190115.pdf PDF
T2010 Bid Amendment 1.docx DOCX document
T2010 Offer and Acceptance Page.pdf PDF
T2010 Revised Bid Solicitation 042619.pdf PDF
T2010 Revised Bid Solicitation 041119~2.pdf PDF
T2010 Bid Amendment 2 20190314.docx DOCX document
T2010 Bid Amendment 3 20190318.docx DOCX document
T2010 Bid Amendment 4 041619~2.pdf PDF
T2010 Bid Amendment 5.pdf PDF
T2010 Price Sheet 20190115.xlsx XLSX spreadsheet

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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

DPP Rev. 4.25.18 Page 1 of 1

BID SOLICITATION CHECKLIST

BID SOLICITATION #: 19DPP00325

BID SOLICITATION TITLE: T-2010 Administrative Services for Section 125 Flexible Spending Accounts

THIS CHECKLIST WAS CREATED AS A GUIDE TO ASSIST VENDORS {BIDDERS} IN PREPARING A COMPLETE AND RESPONSIVE QUOTE. IT IS THE VENDOR’S {BIDDER’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 {BIDDER} WITH THE QUOTE

OFFER AND ACCEPTANCE PAGE (See Bid Solicitation Section 4.4.1.1)

OWNERSHIP DISCLOSURE FORM (See Bid Solicitation Section 4.4.1.2.1)

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

SUBCONTRACTOR UTILIZATION PLAN (See Bid Solicitation Section 4.4.1.3)

PART 2

FORMS, REGISTRATIONS AND CERTIFICATIONS THAT SHOULD BE

SUBMITTED BY THE VENDOR {BIDDER} 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 {BIDDER}

(See Bid Solicitation Section 4.4.2.2)

TWO-YEAR CHAPTER 51/EXECUTIVE ORDER 117 VENDOR CERTIFICATION AND DISCLOSURE OF

POLITICAL CONTRIBUTIONS (See Bid Solicitation Section 7.1.1) AFFIRMATIVE ACTION COMPLIANCE (See Bid Solicitation Section 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)

SOURCE DISCLOSURE FORM (See Bid Solicitation Sections 4.4.2.3 and 7.1.2) 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 http://www.state.nj.us/treasury/purchase/forms/SubcontractorUtilizationPlan.pdf http://www.state.nj.us/treasury/purchase/forms/DisclosureofInvestigations.pdf 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/SourceDisclosureCertification.pdf

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