T2664 Vendor Bidder Data Sheet.docx
DOCX document 243 KB Posted
- Solicitation number
- 20DPP00466
- Issued by
- New Jersey
About this file
The document provided is a Vendor Bidder Data Sheet for Bid Solicitation #20DPP00466 issued by the State of New Jersey Department of the Treasury Division of Purchase and Property. This form is used to evaluate the vendor's/bidder's ability to complete the scope of work for the related state and local contract opportunity. The document requests information on prior contracts performed by the vendor/bidder that are similar in size and scope to the work required, as well as any negative actions taken against the vendor/bidder by other contracting entities.
The related state and local contract opportunity is for printing newborn screening request blood test forms, IEM-1 and IEM-1A, for the Department of Health. The contract covers the jurisdictions of Mercer County and Trenton City in New Jersey. The vendor/bidder is required to provide pricing, quantities, and other key details as part of their response, which has a due date that is not specified in the provided materials.
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Other files
| File | Type | Posted |
|---|---|---|
| T2664 Disclosure of Investments in Iran.pdf | ||
| T2664 Bid Amendment 1.docx | DOCX document | |
| T2664 Revised Bid Solicitation 5.18.20.docx | DOCX document | |
| T2664 State-Supplied Price Sheet~1.xlsx | XLSX spreadsheet | |
| T2664 Bid Amendment 4~2.docx | DOCX document | |
| T2664 Offer and Acceptance Page~1.pdf | ||
| IEM-1 Blood Test Form Screening Form.pdf | ||
| IEM-1A Blood Test Screening Form.pdf | ||
| T2664 Vendor Quote Overview Form.docx | DOCX document | |
| T2664 Bid Amendment 3~1.docx | DOCX document | |
| T2664 Bid Amendment 2~1.docx | DOCX document | |
| T2664 Ownership Disclosure.pdf | ||
| T2664 Bid Solicitation Checklist.docx | DOCX document | |
| T2664 Subcontractor Utilization Form.pdf |
Show all 14
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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 #: |
| 20DPP00466 |
| 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 |
| Page 1 of 2 |
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