STATE PROCUREMENT OFFICE



STATE OF HAWAII

IFB-21-005-SW

PRINTING AND DELIVERING

CRYSTALLITE WINDOW ENVELOPES

Procurement Officer

State Procurement Office

1151 Punchbowl Street, Room 416

Honolulu, Hawaii 96813

Dear Procurement Officer:

The procurement conducted for the specified goods and/or services are pursuant to Hawaii Revised Statutes (HRS) Chapter 103D-302 and its Hawaii Administrative Rules (HAR). The undersigned has carefully read and understands the terms and conditions specified in the Specifications, Special Provisions, General Provisions, dated 11/2016, or as amended, and the AG General Conditions, Form AG-008, as amended, and hereby submits the following bid to perform the work specified herein, all in accordance with the true intent and meaning thereof. The undersigned further understands and agrees that by submitting this bid, 1) Bidder is declaring that its bid is not in violation of Chapter 84, Hawaii Revised Statutes, concerning prohibited State contracts, and 2) Bidder is certifying that the price(s) submitted was (were) independently arrived at without collusion.

Bidder is:

Sole Proprietor Partnership *Corporation Joint Venture

Other:      

*State of Incorporation:      

|Hawaii General Excise Tax License I.D. No.: |      |

| |

|Federal I.D. No.: |      |

| |

|Payment Address |      |

|(other than street address below): | |

| City, State, Zip Code: |      |

| |

|Business Address (street address): |      |

| City, State, Zip Code: |      |

| | |Respectfully submitted: |

|      |(x) | |

|Date: | |Authorized (Original) Signature |

|      | |      |

|Telephone No.: | |Name and Title (Please Type or Print) |

|      |** |      |

|Fax No.: | |Exact Legal Name of Company (Bidder) |

|      | | |

|E-mail Address: | | |

| | | |

|**If Bidder operates under a “dba” or a “division” of a corporation, furnish the “dba” or “division” name of the corporation: |

|      |

|Bidder shall provide the following: |

| |

|Will the entire work herein be performed by the Bidder? |

| |Yes | | |No | | |

|If yes, proceed to question 3. Printing preference shall apply. Refer to Special Provisions 3.4, a.Printing Preference. If no, proceed to |

|question 2. |

| |

| 2. |Subcontractor name, address, and scope of work to be performed, as requested in Contract Award and Terms Section 3.17, |

| |Subcontracting. |

| |

| |Name of Subcontractor Firm: |      |

| |Address: |      |

| | | |

| |Scope of Work: |

| |      |

| | |

| | |

| |

|3. ALL printing shall be done at the following location(s): |

| |      |

| |      |

| |

| |

|4. Location of Hawaii-based facility and contact information (this section must be |

|completed): |

| |Address: |      |

| | |      |

| |Telephone No.: |      |

| |Fax No.: |      |

| |

| |Contact Person: |      |

| |Telephone No.: |      |

| |E-mail Address: |      |

Vendor shall accept pCard and Purchase Order as form of payment.

|Bidder: |      |

| |Name of Company |

BIDDER REFERENCES

|Reference 1 |

|Customer Contact/Name: |Customer Postal Address:      |

| | |

|Customer Contact Title:      |Customer Contact Phone:      |

|Customer Organization:      |Customer Contact Email:      |

| |Project Dates:      |

|Brief Description of the Project:      |

| |

|Reference 2 |

|Customer Contact/Name:      |Customer Postal Address:      |

|Customer Contact Title:      |Customer Contact Phone:      |

|Customer Organization:      |Customer Contact Email:      |

| |Project Dates:      |

|Brief Description of the Project:      |

| |

|Reference 3 |

|Customer Contact/Name:      |Customer Postal Address:      |

|Customer Contact Title:      |Customer Contact Phone:      |

|Customer Organization:      |Customer Contact Email:      |

| |Project Dates:      |

|Brief Description of the Project:      |

| |

STATE OF HAWAII

CERTIFICATION OF RECYCLED CONTENT

Solicitation No.: IFB-21-005-SW Opening Date: September 28, 2020

Title: Printing and Delivering Crystallite Window Envelopes

|Item No. |Product Name |Product Description |Manufacturer |Post-Consumer Recovered|Recovered Material |

| | | | |Material Content* |Content* |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|      |      |      |      |      |      |

|*Post-consumer recovered material and recovered material content, defined in § 3-124-21, HAR, are measured as percentage of total product |

|weight. Recycled content measurements to be used for bid evaluation. Attach manufacturer’s specifications or certification, as required by §|

|3-124-23, HAR. Additional sheets may be attached to complete product information. |

I DECLARE THAT THE RECYCLED CONTENT HAS BEEN EXAMINED BY ME AND IS,

TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE AND CORRECT.

|      | |      |

|Company | |Authorized Representative |

|      | |      |

|Address | |Title |

|      | | |

|City, State, Zip | |Signature |

|      | |      |

|Telephone No. | |Date |

SPO Form-008 (Rev.7/1/02)

TAX EQUALIZATION CERTIFICATE

SUBJ: Bid No.: IFB-21-005-SW

Description: Printing and Delivering Crystallite Window Envelopes

Out-of-State Bidders not possessing a Hawaii General Excise Tax (GET) license must answer all questions:

Yes No

(check only one)

1. Does your business have an office, inventory,

property, employees, or other representation in

the State of Hawaii (SOH)?

2. Does the contract to be awarded require your

business to have an office, inventory, property,

employees, or other representation in the SOH?

3. Does your business provide services in conjunction

with the sales of property, such as training,

installation, or repairs in the SOH?

4. Will your business provide any services in the

SOH under the contract to be awarded? *

*If all services are to be subcontracted, subject to the State's approval, provide the names of the subcontractor(s):

     

If you answered "Yes" to any question, then you have sufficient presence in the State and are advised that the gross receipts derived from this solicitation are subject to the GET imposed by Chapter 237, HRS, at the current 4% or 4.5%* rate, and where applicable to tangible property imported into the SOH for resale, subject to the current 1/2% use tax imposed by Chapter 238, HRS.

If you answered "No" to all questions, then the tax equalization provision described in Section 103D-1008, HRS, applies to you.

Bidder:      

Signature:

Title:      

Date:      

(*Note: The 4.5% GET and County surcharge shall be for sales made on Oahu, Kauai and the island of Hawaii. Other islands shall be at 4%.)

-----------------------

OF-3 IFB-21-005-SW

IFB-21-005-SW

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