Bid-Offer-Check-List.pdf

UPDATED: 8/8/18

Bidder No._______ Checked By:______

BIDDER RESPONSIVENESS DETERMINATION

FOR

SOL/RFP/RFQ NO. W9126G-___________________

[ ] SB [ ] LB [ ] SDB [ ] WO [ ] HUBZONE [ ]8(a) [ ] EMERGING SB

NAME & ADDRESS: ________________________________________

POC: _______________________________

PHONE: __________________ FAX#______________________

STATE INCORPORATED: _________________ TIN#______________________

CAGE CODE: ___________ DUNS#: ___________________

[ ] BID SIGNED AND DATED (DATE SHOULD NOT BE LATER THAN BID OPENING

DATE)

[ ] ACKNOWLEDGEMENT OF AMENDMENTS

[ ] BID BOND - 20% OF BID AMOUNT OR $3 MILLION, WHICHEVER IS LESS.

(MAKE SURE THE SURETY IS LISTED IN THE FEDERAL REGISTER, DEPARTMENT

OF THE TREASURY)

[ ] COMPLETED REPRESENTATION & CERTIFICATION

[ ] SAM – CENTRAL CONTRACTOR REGISTRATION (CCR) VALID:__________________

[ ] PAST PERFORMANCE INFORMATION RETRIEVAL SYSTEM (PPIRS)

[ ] FEDERAL AWARDEE PERFORMANCE AND INTEGRITY INFORMATION SYSTEM (FAPIIS)

REMARKS:_______________________________________________________________________

LRS

xxxxxxx W912HY19B0025

X X

RLB Contracting, Inc.

PO Box 1739

Port Lavaca, Texas 77979

Randy L. Boyd, President

361-552-2104

Tx

1Q0M3 555-576-417

X

X

X

X

X 4/21/20

X

X

Email: randy@rlbcontracting.com

Hillary Franke, Contracts Manager - hillary@rlbcontracting.com