BIDDER FACT SHEET PLEASE COMPLETE AND SUBMIT AS TOP PAGE OF PROPOSAL RFP Title: CYF 16-05 INTERSTATE COMPACT SERVICES $ Proposed Monthly Rate: (e.g., 25%, 50%, 100%) Proposed % of Monthly Svc Needs: Indicate proposed service area(s) covered in this proposal (check all proposed): New Castle County Kent County Statewide Sussex County Corporate Information Indicate the type of business bidder is or proposes to be if yet to be formed: Corporation Partnership Individual Bidder Name: Office Address: Contact Person: Office Phone #: Cell Number: E-mail Address: Certification type(s) Circle all that apply Minority Business Enterprise (MBE) Yes No Business Enterprise (WBE) Yes No COMPANY Disadvantaged Business Enterprise (DBE) Yes No CLASSIFICATION: Veteran Owned Business Enterprise (VOBE) Yes No Service Disabled Veteran Owned Business Enterprise (SDVOBE) Yes No CERT. NO.: ____________ Vendor EI#: Business License#: (Not required to bid) A Delaware Business License is not required to bid, but is required before the time of contract signing if the contractor operates within the State of Delaware. This requirement is waived for non-profits.
BIDDER FACT SHEET PLEASE COMPLETE AND SUBMIT AS TOP PAGE OF PROPOSAL RFP Title: CYF 16-05 INTERSTATE COMPACT SERVICES Proposed Monthly Rate: $ Proposed % of Monthly Svc Needs: (e.g., 25%, 50%, 100%) Indicate proposed service area(s) covered in this proposal (check all proposed): New Castle County Kent County Sussex County Statewide Corporate Information Indicate the type of business bidder is or proposes to be if yet to be formed: Corporation Partnership Individual Bidder Name: Office Address: Contact Person: Office Phone #: Cell Number: E-mail Address: COMPANY CLASSIFICATION: CERT. NO.: ____________ Certification type(s) Circle all that apply Minority Business Enterprise (MBE) Yes No Business Enterprise (WBE) Yes No Disadvantaged Business Enterprise (DBE) Yes No Veteran Owned Business Enterprise (VOBE) Yes No Service Disabled Veteran Owned Business Enterprise (SDVOBE) Yes No Vendor EI#: Business License#: (Not required to bid) A Delaware Business License is not required to bid, but is required before the time of contract signing if the contractor operates within the State of Delaware. This requirement is waived for non-profits.
CYF_16005Interstate_factsheet-v2.docx