SIGNATURE: DATE: PRINTED NAME & TITLE OF AUTHORIZED OFFEROR REPRESENTATIVE EXECUTING OFFER MAILING ADDRESS AND E-MAIL: END OF CERTIFICATION FORM MINIMUM REQUIREMENTS VERIFICATION FORM Offeror shall submit this form and provide the requested documents that substantiate their satisfaction of the Minimum Requirements. Failure to submit the form and provide the information required by these Minimum Requirements and required to substantiate responsibility may be cause for the offeror’s proposal to be rejected as Non-Responsive and/or Non-Responsible. # Minimum Description Documented Proof Indicate if For Pima Requirement Minimum Requirement Criteria supporting County Use documentation Only is attached MQ Yes No - – 1 Network Proposed Devices are National Attach NIAP certificate for Security Information Assurance each proposed device as Yes _-- Partnership (NIAP) Certified required by Schedule of Level 2 Submittals Tab # 2 . No ___ – 2 Company Minimum of 3 current satisfactory Attach MR Reference Yes _-- Reference references Form(s) No ___ 3 Dedicated Account Manager included in Name Account RFP must be assigned at a Manager minimum for the first year of contract, participate in demonstration phase of Contact information solicitation process and Best and Final Offer if conducted by Pima County. Email Years of service with your firm worked in the industry 4 MFD All proposed devices must be Contractor must complete the information Manufacturer from the same manufacturer and required by 4a, 4b, 4c, 4d below. digital technology via single platform, network based units Attach literature/brochures for each capable of performing copying, proposed device as required by Schedule of printing, faxing and scanning Submittals Tabs # C,D & E – concurrently to insure optimum output efficiency. Default to Double side print 4a Manufacturer 4b Make Model # High Output Monthly Volume 4b
SIGNATURE: DATE: PRINTED NAME & TITLE OF AUTHORIZED OFFEROR REPRESENTATIVE EXECUTING OFFER MAILING ADDRESS AND E-MAIL: END OF CERTIFICATION FORM MINIMUM REQUIREMENTS VERIFICATION FORM Offeror shall submit this form and provide the requested documents that substantiate their satisfaction of the Minimum Requirements. Failure to submit the form and provide the information required by these Minimum Requirements and required to substantiate responsibility may be cause for the offeror’s proposal to be rejected as Non-Responsive and/or Non-Responsible. # Minimum Requirement Description Minimum Requirement Criteria Documented Proof Indicate if supporting documentation is attached For Pima County Use Only MQ Yes – No - 1 Network Security Proposed Devices are National Information Assurance Partnership (NIAP) Certified Level 2 Attach NIAP certificate for each proposed device as required by Schedule of Submittals – Tab # 2 . Yes _-- No ___ 2 Company Reference Minimum of 3 current satisfactory references Attach MR Reference Form(s) Yes _-- No ___ 3 Dedicated Account Manager Account Manager included in RFP must be assigned at a minimum for the first year of contract, participate in demonstration phase of solicitation process and Best and Final Offer if conducted by Pima County. Name Contact information Email Years of service with your firm worked in the industry 4 MFD Manufacturer All proposed devices must be from the same manufacturer and digital technology via single platform, network based units capable of performing copying, printing, faxing and scanning concurrently to insure optimum output efficiency. Default to Double side print Contractor must complete the information required by 4a, 4b, 4c, 4d below. Attach literature/brochures for each proposed device as required by Schedule of Submittals – Tabs # C,D & E 4a Manufacturer 4b Make Model # High Output Monthly Volume 4b