Vendor Questions Worksheet.docx
DOCX document 36 KB Posted
- Solicitation number
- RFQ 751 180000000660 1
- Issued by
- Michigan
About this file
This is a Vendor Questions Worksheet issued by the State of Michigan for Request for Quote No. 180000000660 regarding the purchase of five (5) new Mossberg Hunter Education 5-Guns Training Sets. The document serves as a standardized questionnaire that bidders must complete to demonstrate their qualifications, business legitimacy, and compliance with state requirements. While the worksheet does not specify response deadlines, site visits, bidders' meetings, or contract terms within its content, it establishes the foundational information-gathering mechanism for vendor evaluation and selection.
The worksheet requires bidders to provide detailed responses across multiple categories including contact information, company background and history, qualified disabled veteran status certification, labor practice certifications, and compliance affirmations. Bidders must certify compliance with Michigan Public Act 431 regarding business tax filings and income tax obligations, Public Act 517 regarding Iran-linked business restrictions, environmental standards under the Environmental Protection Act, state tax payment obligations, and convict labor law compliance. Additionally, bidders must affirm agreement with attached standard contract terms, certify non-use of forced or child labor, and authorize the State of Michigan to verify all information provided. The document requires the vendor name, SIGMA ID number, authorized representative signature, and contact details for submission.
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Other files
| File | Type | Posted |
|---|---|---|
| Schedule A -- RFQ IHEA Firearms Kits.doc | DOC document | |
| Addendum â¿¿ Federal Provisions.docx | DOCX document | |
| Proposal Instructions .docx | DOCX document | |
| Standard Contract Terms - SHORT FORM SIGMA.docx | DOCX document |
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Text version
STATE OF MICHIGAN
VENDOR QUESTIONS WORKSHEET
Request for Quote No. 180000000660 Purchase of five (5) new Mossberg Hunter Education 5-Guns Training Sets.
Provide a detailed response to each question. “You” and “company” refers to the bidder.
| Information Sought |
| Bidder Response |
1. Contact Information
Bidder’s sole contact person during the RFQ process. Include name, title, address, email, and phone number.
2. Company Background Information
Legal business name and address. Include business entity designation, e.g., sole proprietor, Inc., LLC, or LLP.
What state was the company formed in?
Phone number
Website address
Legal business name and address of parent company, if any
Has bidder ever been debarred, suspended, or disqualified from bidding or contracting with any entity, including the State of Michigan? If yes, provide the date, the entity, and details about the situation.
Has your company been a party to litigation against the State of Michigan? If the answer is yes, then state the date of initial filing, case name and court number, and jurisdiction.
State the physical address of the place of business that would have primary responsibility for this account if bidder is awarded a purchase order under this RFQ.
3. Qualified Disabled Veteran
| Under MCL 18.1261, a “qualified disabled veteran” means a business entity that is 51% or more owned by 1 or more veterans with a service-connected disability. A “service-connected disability” means a disability incurred or aggravated in the line of duty in the active military, naval, or air service as described in 38 USC 101(16). Are you a qualified disabled veteran? |
| Enter YES or NO. |
To demonstrate qualification as a qualified disabled veteran, you must provide:
(a) Proof of service and conditions of discharge (DD214 or equivalent);
(b) Proof of service-connected disability (DD214 if the disability was documented at discharge or Veterans Administration Rating Decision Letter or equivalent if the disability was documented after discharge); and
(c) Legal documents setting forth the ownership of the business entity.
In lieu of the documentation identified above, you may provide proof of certification by the National Veterans Business Development Council.
Enter the names of documents submitted with your proposal to demonstrate status as a qualified disabled veteran.
4. Standard Contract Terms
Bidder must affirm agreement with the attached Contract Terms. If not in agreement, written exceptions in accordance with Section 8 Evaluation Process must be provided with Bidder’s proposal.
5. Other
| Abusive Labor Practices. The Contractor certifies that it will not furnish any Deliverable that was produced fully or partially by forced labor, forced or indentured child labor, or indentured servitude. |
| Enter YES or NO. |
| Certification of Michigan Business- Public Act 431 of 1984, Sec. 268. I certify that the company has, pursuant to the provisions of Sec 268 of Public Act 431 of 1984, filed a Michigan Business Tax Corporate Income Tax Return. I certify that the company has, pursuant to the provisions of Sec 268 of Public Act 431 of 1984, filed a Michigan Income Tax return showing income generated in, or attributed to the State of Michigan. I certify that the company has, pursuant to the provisions of Sec 268 of Public Act 431 of 1984, withheld Michigan Income Tax from compensation paid to the company’s owners and remitted the tax to the Michigan Department of Treasury. |
| Enter YES or NO. |
| Iran Linked Business- Public Act 517 of 2012. I certify that the Company is not an Iran-Linked business as defined by Public Act 517 of 2012. |
| Enter YES or NO. |
| Clean Corporate Citizen. I certify that the Company is a Clean Corporate Citizen as defined by the Environmental Protection Act, 1994 PA 451. |
| Enter YES or NO. |
| Convict Labor. The Contractor certifies that if using convict labor, it is complying with all applicable state and federal laws and policies. |
| Enter YES or NO. |
| SOM Debt/Tax Payment. All SOM tax/debts. I certify that all applicable State of Michigan taxes are paid, and that no outstanding debt is owed to the State of Michigan. |
| Enter YES or NO. |
| Authorization to Verify Information provided by Vendor. I authorize the State to verify that all information provided in this registration, in bidding and contracting documents, and any attachments or supplement documents and processes are accurate. |
| Enter YES or NO. |
Vendor Name: ______________________________________________________________________ Vendor SIGMA I.D. (CV or VS number): ___________________________________________________ Authorized Representative Signature: ___________________________________________________ Address: ____________________________________________________________________________ Telephone: ______________________________________ Email: __________________________________________ Version 3 Revised: 4/4/2018
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