American Computer Services, Inc Printed Name of Bidder Organization Signature of Authorized Representative Date Abigail Dickey Printed Name 3.2.5 RFP Attachment B - Primary Bidder Detail & Certification Form – Primary Contact Information (individual who can address issues re: this Bid Proposal) Abigail Dickey Name: Address: 2183 NW 86th Street Suite B, Des Moines, Iowa 50325 Tel: 515-251-7340 Fax: 515-252-1754 E-mail: adickey@acs-team.com Primary Bidder Detail Business Legal Name (“Bidder”): American Computer Services, Inc. Business As” names, assumed N/A “Doing names, or other operating names: Parent Corporation, if any: N/A Form of Business Entity (i.e., corp., Corporation (Sub S) partnership, LLC, etc.): Iowa State of Incorporation/organization: Primary Address: 2183 NW 86th Street Suite B, Des Moines, IA Tel: 515-251-7340 Fax: 515-252-1754 2183 NW 86th Street Suite B, Des Moines, IA Address (if any): Addresses of Major Offices and other N/A facilities that may contribute to performance under this RFP/Contract: Number of Employees: 38 Number of Years in Business: 18 Primary Focus of Business: IT Consulting for State Government and Insurance Industry Federal Tax ID: 42-1414353 Bidder’s Accounting Firm: Musser Accounting Firm, P.C. Certified Public Accountant – If Bidder is currently registered to do 1993 business in Iowa, provide the Date of Registration: Do you plan on using subcontractors if awarded this Contract? {If NO “YES,” submit a Subcontractor Disclosure Form for each proposed subcontractor.}
American Computer Services, Inc Printed Name of Bidder Organization Signature of Authorized Representative Date Abigail Dickey Printed Name 3.2.5 RFP – Attachment B - Primary Bidder Detail & Certification Form Primary Contact Information (individual who can address issues re: this Bid Proposal) Name: Abigail Dickey Address: 2183 NW 86th Street Suite B, Des Moines, Iowa 50325 Tel: 515-251-7340 Fax: 515-252-1754 E-mail: adickey@acs-team.com Primary Bidder Detail Business Legal Name (“Bidder”): American Computer Services, Inc. “Doing Business As” names, assumed names, or other operating names: N/A Parent Corporation, if any: N/A Form of Business Entity (i.e., corp., partnership, LLC, etc.): Corporation (Sub S) State of Incorporation/organization: Iowa Primary Address: 2183 NW 86th Street Suite B, Des Moines, IA Tel: 515-251-7340 Fax: 515-252-1754 Address (if any): 2183 NW 86th Street Suite B, Des Moines, IA Addresses of Major Offices and other facilities that may contribute to performance under this RFP/Contract: N/A Number of Employees: 38 Number of Years in Business: 18 Primary Focus of Business: IT Consulting for State Government and Insurance Industry Federal Tax ID: 42-1414353 Bidder’s Accounting Firm: Musser Accounting Firm, P.C. – Certified Public Accountant If Bidder is currently registered to do business in Iowa, provide the Date of Registration: 1993 Do you plan on using subcontractors if awarded this Contract? {If “YES,” submit a Subcontractor Disclosure Form for each proposed subcontractor.} NO