T3093 Offer and Acceptance Page 060818~1.pdf
PDF 248 KB Posted
- Attached to
- T3093 - SHBP and SEHBP Medicare Advantage Plans
- Solicitation number
- 19DPP00265
- Issued by
- Mercer County, New Jersey
About this file
The document is an Offer and Acceptance form for a Master Blanket Purchase Order (Blanket P.O.) Contract with the State of New Jersey Department of the Treasury, Division of Purchase and Property. The contract is for the provision of goods, products, or services in compliance with the terms defined in the Bid Solicitation, Section 2.0. The contract is open to cooperative purchasing, and the Vendor/Bidder must comply with requirements such as the State of New Jersey Standard Terms and Conditions, MacBride Principles Certification, No Subcontractor Certification, Non-Collusion, and New Jersey Business Ethics Guide Certification.
The contract term is defined in Section 5.2 of the Bid Solicitation. For set-aside contracts, the Vendor/Bidder must be registered with the N.J. Division of Revenue and Enterprise Services, Small Business Registration and M/WBE Certification Services Unit. The Vendor/Bidder must indicate whether they identify as a Minority-Owned Business, Women-Owned Business, or Small Business as defined in N.J.S.A. 52:32-19.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| T3093 Amend 1.docx | DOCX document | |
| Attachment 2 PPO CMS ACCESS Match.xlsx | XLSX spreadsheet | |
| T3093 Amend 2 QA Final.docx | DOCX document | |
| T3093 SHBP RFP 6-8-18~1.docx | DOCX document | |
| T3093 Bid Solicitation Checklist 060818.docx | DOCX document | |
| Med Adv_Pricing 5718.xlsx | XLSX spreadsheet | |
| Attachment 3 Service Area Match.xlsx | XLSX spreadsheet | |
| Attachment 4 Statement of Assurances.docx | DOCX document | |
| Attachment 1 CMS STAR rating.xlsx | XLSX spreadsheet | |
| T3093 SHBP RFP 6-19-18.docx | DOCX document | |
| T3093 SHBP RFP 6-29-18.docx | DOCX document |
Show all 11
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Text version
OFFER AND ACCEPTANCE
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 #:
Bid Solicitation Title:
OFFER (To be completed by the Vendor {Bidder})
TO THE STATE OF NEW JERSEY:
The Undersigned hereby offers and agrees to furnish the goods, products, or services in compliance with all terms of this Master Blanket Purchase Order (Blanket P.O.) {Contract} as defined in Section 2.0 of the Bid Solicitation.
Vendor {Bidder}: Title:
Address: E-Mail Address:
City, State, ZIP: Phone Number:
Fax Number:
Printed Name: FEIN:
By signing and submitting this Offer, the Vendor {Bidder} certifies and confirms that:
1. The Vendor {Bidder} has read, understands, and agrees to all terms, conditions, and specifications set forth in the State of New Jersey Standard Terms and Conditions and the provisions set forth in Bid Solicitation Section 4.4.1.1.1 (MacBride Principles Certification), Section 4.4.1.1.2 (No Subcontractor Certification), Section 4.4.1.1.3 (Non-Collusion), and Section 4.4.1.1.4 (New Jersey Business Ethics Guide Certification);
2. The Vendor's {Bidder's} failure to meet any terms and conditions of the Blanket P.O. {Contract} as defined in the Bid Solicitation shall constitute a breach and may result in suspension or debarment from further State bidding;
3. A defaulting Vendor {Contractor} may also be liable, at the option of the State, for the difference between the Blanket P.O. {Contract} price and the price bid by an alternate vendor of the goods or services in addition to other remedies available; and
4. By signing and submitting this Offer, the Vendor {Bidder} consents to receipt of any and all documents related to this Bid Solicitation and the resulting Blanket P.O. {Contract} by electronic medium or facsimile.
Open to Cooperative Purchasing
ACCEPTANCE OF OFFER (For State Use Only) The Offer above is hereby accepted and now constitutes a Blanket P.O. {Contract} with the State of New Jersey. The Vendor {Contractor} is now bound to sell the goods, products, or services listed by the attached Blanket P.O. {Contract} as defined by Section 2.0 of the Bid Solicitation. The Vendor {Contractor} shall not commence any work or provide any good, product, or service under this Blanket P.O. {Contract} until the Vendor {Contractor} complies with all requirements set forth in the Bid Solicitation and receives written notice to proceed.
Blanket P.O. {Contract} Number:
Blanket P.O. {Contract} Effective Date:
State of New Jersey Authorized Signature:
Blanket P.O. {Contract} Award Date:
THIS FORM SHOULD BE SIGNED, COMPLETED AND INCLUDED WITH THE VENDOR'S {BIDDER'S} QUOTE.
ADDITIONAL VENDOR {BIDDER} REQUIREMENTS (For State Use Only)
Performance Security
For set-aside contracts only, a Vendor {Bidder} must be registered with the N.J. Division of Revenue and Enterprise Services, Small Business Registration and M/WBE Certification Services Unit. Please refer to N.J.A.C. 17:13-3.1 & 17:13-3.2 for additional information.
Amount:
Bid Security Amount: Payment Security
Authorized Signature:
(Electronic Signature Acceptable)
Amount:
Percentage: Retainage
Pursuant to P.L. 2017, c. 95, please indicate whether the Vendor {Bidder} identifies as any of the following as defined in N.J.S.A. 52:32-19:
Minority-Owned Business Women-Owned Business Not ApplicableSmall Business
Blanket P.O. {Contract} Term: See Bid Solicitation Section 5.2
9.0.0.2.20120627.2.874785
OFFER AND ACCEPTANCE
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 OFFER (To be completed by the Vendor {Bidder})
TO THE STATE OF NEW JERSEY:
The Undersigned hereby offers and agrees to furnish the goods, products, or services in compliance with all terms of this Master Blanket Purchase Order (Blanket P.O.) {Contract} as defined in Section 2.0 of the Bid Solicitation.
By signing and submitting this Offer, the Vendor {Bidder} certifies and confirms that:
1. The Vendor {Bidder} has read, understands, and agrees to all terms, conditions, and specifications set forth in the State of New Jersey Standard Terms and Conditions and the provisions set forth in Bid Solicitation Section 4.4.1.1.1 (MacBride Principles Certification), Section 4.4.1.1.2 (No Subcontractor Certification), Section 4.4.1.1.3 (Non-Collusion), and Section 4.4.1.1.4 (New Jersey Business Ethics Guide Certification);
2. The Vendor's {Bidder's} failure to meet any terms and conditions of the Blanket P.O. {Contract} as defined in the Bid Solicitation shall constitute a breach and may result in suspension or debarment from further State bidding;
3. A defaulting Vendor {Contractor} may also be liable, at the option of the State, for the difference between the Blanket P.O. {Contract} price and the price bid by an alternate vendor of the goods or services in addition to other remedies available; and
4. By signing and submitting this Offer, the Vendor {Bidder} consents to receipt of any and all documents related to this Bid Solicitation and the resulting Blanket P.O. {Contract} by electronic medium or facsimile.
ACCEPTANCE OF OFFER (For State Use Only) The Offer above is hereby accepted and now constitutes a Blanket P.O. {Contract} with the State of New Jersey. The Vendor {Contractor} is now bound to sell the goods, products, or services listed by the attached Blanket P.O. {Contract} as defined by Section 2.0 of the Bid Solicitation. The Vendor {Contractor} shall not commence any work or provide any good, product, or service under this Blanket P.O. {Contract} until the Vendor {Contractor} complies with all requirements set forth in the Bid Solicitation and receives written notice to proceed.
THIS FORM SHOULD BE SIGNED, COMPLETED AND INCLUDED WITH THE VENDOR'S {BIDDER'S} QUOTE.
ADDITIONAL VENDOR {BIDDER} REQUIREMENTS (For State Use Only) For set-aside contracts only, a Vendor {Bidder} must be registered with the N.J. Division of Revenue and Enterprise Services, Small Business Registration and M/WBE Certification Services Unit. Please refer to N.J.A.C. 17:13-3.1 & 17:13-3.2 for additional information.
Pursuant to P.L. 2017, c. 95, please indicate whether the Vendor {Bidder} identifies as any of the following as defined in N.J.S.A. 52:32-19:
Blanket P.O. {Contract} Term: See Bid Solicitation Section 5.2
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