BID RESPONSE PACKET
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1 BID RESPONSE PACKET
2 BID SIGNATURE PAGE Type or Print the following information. PROSPECTIVE BIDDER S INFORMATION Company: Address: City: State: Zip Code: Business Designation: Minority and Women-Owned Designation*: Individual Sole Proprietorship Public Service Corp Partnership Corporation Nonprofit Not Applicable African American AR Certification #: American Indian Asian American Service Disabled Veteran Hispanic American Pacific Islander American Women-Owned * See Minority and Women-Owned Business Policy PROSPECTIVE BIDDER CONTACT INFORMATION Provide contact information to be used for bid solicitation related matters. Contact Person: Phone: Title: Alternate Phone: CONFIRMATION OF REDACTED COPY YES, a redacted copy of submission documents is enclosed. NO, a redacted copy of submission documents is not enclosed. I understand a full copy of non-redacted submission documents will be released if requested. Note: If a redacted copy of the submission documents is not provided with Prospective Bidder s response packet, and neither box is checked, a copy of the non-redacted documents, with the exception of financial data (other than pricing), will be released in response to any request made under the Arkansas Freedom of Information Act (FOIA). See Bid Solicitation for additional information. ILLEGAL IMMIGRANT CONFIRMATION By signing and submitting a response to this Bid Solicitation, a Prospective Bidder agrees and certifies that they do not employ or contract with illegal immigrants. If selected, the Prospective Bidder certifies that they will not employ or contract with illegal immigrants during the aggregate term of a contract. ISRAEL BOYCOTT RESTRICTION CONFIRMATION By checking the box below, a Prospective Bidder agrees and certifies that they do not boycott Israel, and if selected, will not boycott Israel during the aggregate term of the contract. Prospective Bidder does not and will not boycott Israel. An official authorized to bind the Prospective Bidder to a resultant contract must sign below. The signature below signifies agreement that any exception that conflicts with a Requirement of this Bid Solicitation will cause the Prospective Bidder s bid to be disqualified: Authorized Signature: Use Ink Only. Printed/Typed Name: Title: Date: Bid Response Packet Page 2 of 5
3 PROPOSED SUBCONTRACTORS FORM Do not include additional information relating to subcontractors on this form or as an attachment to this form. PROSPECTIVE BIDDER PROPOSES TO USE THE FOLLOWING SUBCONTRACTOR(S) TO PROVIDE SERVICES. Type or Print the following information Subcontractor s Company Name Street Address City, State, ZIP PROSPECTIVE BIDDER DOES NOT PROPOSE TO USE SUBCONTRACTORS TO PERFORM SERVICES. Bid Response Packet Page 3 of 5
4 OFFICIAL BID PRICE SHEET 1 1 Miller Dynasty 280 DX # $ $ # Miller runner cart # Miller Cool mate 1.3 # Miller RCCS-14 Finger Control #WP R Miller WP18 Tig Torch # Dinse Style Connector w/ Water Return #WC-3-22 Cable Cover # gals of coolant Price must include shipping 2 1 Hydraulic Plate Roll, 4 ft. width, 3-gauge (1/4 cap) Mild Steel Capacity, Pre-Bent 7-gauge Capacity, 240 Volt 3-Phase. $ $ 3 1 Hydro Box & Pan 11 finger Break, 10-gauge 4 ft. Length, 240 Volt 3-Phase. $ $ Price must Include Shipping 4 1 Iron Worker - 5 stations - duel operator $ $ Preference is Unit below: Scotsman # DO 120/200-24M or approved equal 5 1 CNC Plasma Table Open Brand $ $ Package Specifications defined as follows: Preferred Power Source Unit Hypertherm with torch/ table assemblies. 4 x 8 Table - must be fully welded and assembled with minimum 4 water depth. Program Software 28 licenses for classroom/ Lab and individual training. Training up to 2 days for UACCH staff. Operator Monitor with stand. Bid Response Packet Page 4 of 5
5 amp Plus 4 ½ grinders $ $ Brand examples; Metabo, Makita, DeWalt 1 12-amp Plus Die Grinder- Open Brand Brand examples; Milwaukie, DeWalt, Metabo. $ $ Total for item 6 $ 7 12 Miller Arc Station S Welding Welding Arc Station Table. $ $ 8 4 Jack Stands, w/v heads and folding legs $ $ 1 Mag Drill. ½ inch to ¾ chuck 12-amp Plus $ $ Brand examples: Examples; Dewalt, Milwaukee, Slugger. 1 Stronghand #TMK510 Build Pro Fixturing Kit, $ $ 38 pc. 1 set HSS Jobber Drill Bits 1/16 to 1/2 inch $ $ Fractions by 64ths 12 bits for each size up to 5/16 th and 6 each above 5/16 th. 1 Fractional Drill bit dispenser 3 Drawer $ $ 1/16 th to 1/2. Inch. 29 Compartments Total for Item 8 $ $ The agency requests delivery within 30 calendar days after receipt of the order. If this delivery date cannot be met, the Prospective Bidder must state the number of days required to place the commodity in the ordering agency's designated location. Failure to state the delivery time obligates the Contractor to complete delivery by the agency's requested date. Extended delivery dates may be considered when in the best interest of the State. Delivery: days after receipt of order. Bid Response Packet Page 5 of 5
SAN ANTONIO WATER SYSTEM PURCHASING DEPARTMENT FORMAL INVITATION FOR BIDS ANNUAL CONTRACT FOR HEADSETS, WEBCAMS, AND ACCESSORIES ADDENDUM 1
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