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State of Idaho
Department of Administration
Division of Purchasing
C.L. “BUTCH” OTTER
Governor
MIKE GWARTNEY
Director
Barbara “Bobbi” L. Eckerle
Administrator
5569 Kendall Street (83706)
P. O. Box 83720
Boise, ID 83720-0075
Telephone (208) 327-7465
FAX (208) 327-7320
http://www.adm.idaho.gov/purchasing/
SIGNATURE PAGE For Use with a Manually Submitted Invitation to Bid (ITB) or Request for Proposal (RFP) Response
Bids or proposals and pricing information shall be prepared by typewriter or in ink and shall be signed in ink by an authorized
representative of the submitting vendor. Two (2) copies of the bid or proposal shall be submitted, one (1) original and one (1) photocopy
of the original, unless the RFP solicitation instructions specify otherwise. AT LEAST ONE BID OR PROPOSAL SUBMITTED BY THE
VENDOR MUST BE AN ORIGINAL (NOT PHOTOCOPIED) SIGNATURE.
NO LIABILITY WILL BE ASSUMED BY THE DIVISION OF PURCHASING FOR A VENDOR’S FAILURE TO OBTAIN THE TERMS AND
CONDITIONS AND ANY PROPERLY ISSUED SOLICITATION ADDENDUMS IN A TIMELY MANNER FOR USE IN THE VENDOR'S
RESPONSE TO THIS SOLICITATION OR ANY OTHER FAILURE BY THE VENDOR TO CONSIDER THE TERMS, CONDITIONS, AND
ANY ADDENDUMS IN THE VENDOR'S RESPONSE TO THE SOLICITATION.
The words "SEALED BID" and the bid number must be noted on the outside of your SEALED BID package. To insure that your SEALED
BID is handled properly, the following information must be placed in the lower left corner of your bid package:
SEALED BID
BUYER:
SEALED BID FOR:
BID NUMBER:
CLOSES:
Send your sealed bid package to:
Division of Purchasing
PO Box 83720
Boise, ID 83720-0075
When sending packages by FedEx, UPS, or other Couriers:
Division of Purchasing
5569 Kendall Street
Boise, ID 83706-1231
This ITB or RFP response is submitted in accordance with all documents and provisions of the specified Bid Number and Title detailed
below. By my signature below I accept the STATE OF IDAHO STANDARD CONTRACT TERMS AND CONDITIONS and the
SOLICITIATION INSTRUCTIONS TO VENDORS dated 10/02/07 as incorporated by reference into this solicitation. As the undersigned, I
certify I am authorized to sign and submit this response for the Bidder or Offeror. I further acknowledge I am responsible for reviewing
and acknowledging any addendums that have been issued for this solicitation.
Please complete the following information:
BIDDER/OFFEROR (Company Name)
BID Number:
BID Title:
ADDRESS
CITY, ST, ZIP
TOLL FREE ___________________________PHONE ______________________________
FAX ___________________________________E-Mail _______________________________
FEIN/SSN# _____________________________________
THIS SIGNATURE PAGE MUST BE SIGNED WITH AN ORIGINAL HANDWRITTEN SIGNATURE EXECUTED IN INK AND
RETURNED WITH YOUR BID OR PROPOSAL FOR YOUR BID OR PROPOSAL TO BE CONSIDERED!
Original Signature (Manually Signed in Ink)
Date
Please type or Print Name
Title
W:\telephone project\ID\signaturepageITB_RFP.doc – January2007
Disclosure Pursuant to Executive Order 2007-09
Applies only to Bids, Quotes, or Proposals offering services or the development, sale or lease/licensing of
software. If your Bid, Quote, or Proposal does not involve one of those, do not complete.
Name of Vendor
BID Number:
Pursuant to Executive Order 2007-09, the vendor named above hereby discloses:
By Vendor: Services under any resulting contract, or related to the development sale or lease/licensing of computer
software under any resulting contract will be performed by vendor in the following countries (including the United States):
Country
Description of work
By subcontractor(s): Services under any resulting contract, or related to the development, sale or lease/licensing of
computer software under any resulting contract will be performed by subcontractors of vendor in the following countries
(including the United States):
Country
W:\telephone project\ID\signaturepageITB_RFP.doc – January2007
Description of work and subcontractor name
The selected exceptions to Executive Order 2007-09 should apply.
The vendor or its subcontractor provides a unique service or software and no comparable domestically provided
service or software can adequately match the unique features of that provided by the vendor or its subcontractor; or
The vendor or its subcontractor is a foreign firm hired to market Idaho services or products to a foreign country; or
The vendor or its subcontractor maintains a significant business presence in the United States and will perform
only a de minimus portion of work under the contract outside the United States.
Please provide a brief narrative to explain each of the exceptions identified. Add additional pages if necessary.
W:\telephone project\ID\signaturepageITB_RFP.doc – January2007
