Jacket:

Title:

Agency:

Bid opening:

Jacket Bid Discount

719-033 $97,779.00 2 % 20 days $95,823.42

719-033 $126,429.15 0.5 % 20 days $125,797.00

719-033 $163,453.27 Net % Net days $163,453.27

% days $0.00

% days $0.00

% days $0.00

% days $0.00

* AWARD

RW / RG

RR Donnelley

Advantage Mailing

Monarch Litho *

719-033

FY 23 Officer Drop #2 "WE LEAD" self-mailer

Marine Corps Recruiting Command

June 28, 202 at 11:00 a.m., prevailing Eastern Standard Time

Contractor Name Terms
Specifications by RW Jacket 719-033 

Reviewed by RG MARINE CORPS RECRUITING COMMAND: 3-19033 

Page 1 of 9 

U.S. Government Publishing Office (GPO) 

Midatlantic Region 

General Terms, Conditions, and Specifications 

For the procurement of 

FY 23 Officer Drop #2 "WE LEAD" self-mailer 

As requested from U.S. Government Publishing Office (GPO) by the 

United States Army 

BID OPENING: Bids shall be opened at 11:00 a.m., prevailing Eastern Standard Time June 28. 2023 at the 

U.S. Government Publishing Office, Midatlantic Region. 

BID SUBMISSION: Bidders must email bids to bids@midatlanticgpo.gov for this solicitation. No other method 

of bid submission will be accepted at this time. The program number and bid opening date must be specified in 

the subject line of the emailed bid submission. Bids received after 11:00 AM EST on the bid opening date 

specified above will not be considered for award. This will not be a public bid opening. 

Bidders are to fill out, sign/initial, as applicable, Page 9. 

ADDITIONAL EMAILED BID SUBMISSION PROVISIONS: The Government will not be responsible for 

any failure attributable to the transmission or receipt of the emailed bid including, but not limited to, the following 

1) Illegibility of bid. 

2) Emails over 75 MB may not be received by GPO due to size limitations for receiving emails. 

3) The bidder’s email provider may have different size limitations for sending email; however, bidders are 

advised not to exceed GPO’s stated limit. 

4) When the email bid is received by GPO, it will remain unopened until the specified bid opening time. 

Government personnel will not validate receipt of the emailed bid prior to bid opening. GPO will use the 

prevailing time (specified as the local time zone) and the exact time that the email is received by GPO’s 

email server as the official time stamp for bid receipt at the specified location. 

For information regarding the solicitation requirements prior to award, please contact Russ Ward 757-490-7940 

Ext. 7 or wward@gpo.gov 

GPO CONTRACT TERMS: Any contract which results from this Invitation for Bid will be subject to the 

applicable provisions, clauses, and supplemental specifications of GPO Contract Terms (GPO Publication 310.2, 

effective December 1, 1987 (Rev. 01-18)) and GPO Contract Terms, Quality Assurance Through Attributes 

Program for Printing and Binding (GPO Publication 310.1, effective May 1979 (revised 9-19)). 

GPO Contract Terms (GPO Publication 310.2) – https://www.gpo.gov/docs/default-source/forms-and-standardsfiles-for-vendors/contractterms2018.pdf 

GPO QATAP (GPO Publication 310.1) – https://www.gpo.gov/docs/default-source/forms-and-standards-files-forvendors/qatap-rev-09-19.pdf 
Jacket 719-033: FY 23 Officer Drop #2 "WE LEAD" self-mailer Page 2 of 9 

 

DOING BUSINESS WITH THE GPO: Contractors wishing to do business with the GPO are referred to the 

GPO 

web site http://www.gpo.gov/business/index.html, where one can register as a GPO contractor using the ‘GPO 

Contractor Connection’ link in accordance with the furnished instructions on that page. 

PREAWARD SURVEY: In order to determine the responsibility of the prime contractor or any subcontractor, 

the Government reserves the right to conduct an on-site pre-award survey at the contractor's/subcontractor's 

facility or to require other evidence of technical, production, managerial, financial, and similar abilities to 

perform, prior to the award of a contract. As part of the financial determination, the contractor in line for award 

may be required to provide one or more of the following financial documents: 

1) Most recent profit and loss statement 

2) Most recent balance sheet 

3) Statement of cash flows 

4) Current official bank statement 

5) Current lines of credit (with amounts available) 

6) Letter of commitment from paper supplier(s) 

7) Letter of commitment from any subcontractor 

The vendor must supply contingency plans prior to award on how units that may fail within warranty period will 

be replaced. 

The documents will be reviewed to validate that adequate financial resources are available to perform the contract 

requirements. Documents submitted will be kept confidential, and used only for the determination of 

responsibility by the Government. Failure to provide the requested information in the time specified by the 

Government may result in the Contracting Officer not having adequate information to reach an affirmative 

determination of responsibility. 

NOTE: Prior to award the apparent low vendor must be able to show ability to produce the product in question 

and may be asked to supply samples of similar items. 

PAYMENT: PLEASE SUBMIT BILLING PACKAGES WITHIN 15 DAYS OF DELIVERY.

Submitting invoices for payment via the GPO fax gateway (if no samples are required) utilizing the GPO barcode 

coversheet program application is the most efficient method of invoicing. Instruction for using this method can be 

found at the following web address: http://winapps.access.gpo.gov/fms/vouchers/barcode/instructions.html 

Invoices may also be mailed to: U.S. Government Publishing Office, Office of Financial Management, 

Attn: Comptroller, Stop: FMCE, Washington, DC 20401. 

For more information about the billing process refer to the General Information of the Office of Finance web page 

located at https://www.gpo.gov/how-to-work-with-us/vendors/how-to-get-paid 

MODS: If any additional costs are incurred during the production of this job due to Government action (i.e. 

AAs), contractor is REQUIRED to submit written request to the Printing Specialist for written approval BEFORE 

proceeding. 

Only a warranted GPO Contracting Officer acting within their appointed limits, has the authority to issue 

modifications or otherwise change the terms and conditions of this contract. If an individual other than the GPO 

Contracting Officer attempts to make changes to the terms and conditions of this contract, you shall not proceed 

with the change and shall immediately notify the GPO Contracting Officer. Proceeding with any work not 

authorized by the GPO Contracting Officer will be at the Contractor’s own risk. 
Jacket 719-033: FY 23 Officer Drop #2 "WE LEAD" self-mailer Page 3 of 9 

 

SUBCONTRACTING: The predominant production function is printing. Must be printed on a press capable of 

printing all colors in a single pass. Bidders who must subcontract this operation will be declared non-responsible. 

PRODUCT: Self-mailer packages 

QUANTITY: 520,000

TITLE: FY 23 Officer Drop #2 "WE LEAD" self-mailer 

TRIM: Constructed size: 6 x 9" 

 Outside Cover Spread: 25.5 x 6" 

 (3 panels: 9"; 9" and 7.5" BRC Fold in). 

 1 Inside Spread: 18 x 6" 

 

PAGES: 4 pages plus cover 

DESCRIPTION: Request is for 520,000 self-mailers ** FIRM--NO OVERS OR UNDERS. This is a Level I 

procurement for dated material; delivery schedule is critical and non-negotiable. 

***This is a reprint and all components MUST match to the previously printed pieces. 

PDF proof, stock samples, Content proofs, and High-resolution proofs are required. Second round of proofs 

required and should be considered and included when bidding on project schedule. 

***All PMS color must be shown in proofs as close as possible to the actual color. 

4 pages plus cover with extended panel prints head to head in 4-color process + Pantone 187 + Pantone 296 + 

clear, non-yellowing matte varnish or aqueous coating. Contractor must block out address area. All colors must 

print in one pass. 

***Pantone colors cannot be built out of 4/C process, must be run as spot 5th and 6th colors. 

CONSTRUCTION: SCORE all folds and trim 3 sides. Tuck FOLD extended cover inward 7-1/2 from the right 

trim edge. Bind with two saddle wire stitches on the 6" side. Two (2) 6” Vertical Perforations are required. One 

on the fold and the second between the 2 reply cards - Panel 3. Affix (3) 1.5” non-perforated clear wafer seals as 

position (see attached), must meet postal standards. 

Printer to provide two (2) labeled final digital downloads along with a directory of what was printed. 

Inside delivery to Newington, CT must be made by September 13, 2023 by 2pm local time. Delivery Date is 

nonnegotiable. 

Contractor MUST provide the following during Review and Confirm with GPO: 

(1) Press schedule, along with how many shifts this will be printed over. 

(2) Printing type: sheet fed or web. 

PRINTING: Prints head to head in 4-color process + Pantone 187 + Pantone 296 + clear, non-yellowing matte 

varnish or aqueous coating. Contractor must block out address area. All colors must print in one pass. 

This is a reprint and all components MUST match to the previously printed pieces. 

INK: Four color process plus Pantone 296 plus Pantone 187 plus matte aqueous or varnish coating. 

***Pantone colors cannot be built out of 4/C process, must be run as spot 5th and 6th colors. 

All colors must print in one pass. 

BINDING: SCORE all folds and trim 3 sides. 
Jacket 719-033: FY 23 Officer Drop #2 "WE LEAD" self-mailer Page 4 of 9 

 

Tuck FOLD extended cover inward 7-1/2 from the right trim edge. Bind with two saddle wire stitches on the 6" 

side. 

Two (2) 6” Vertical Perforations are required. One on the fold and the second between the 2 reply cards - Panel 3. 

Affix (3) 1.5” non-perforated clear wafer seals as position (see attached), must meet postal standards. 

GOVERNMENT TO FURNISH: A final hi-resolution electronic file will be posted to the selected suppliers 

FTP site. All images and type will be in position. Final composed color proofs and backed up digital asset proofs 

should be generated as outlined below. Digital Asset should be folded and area for wafer seal indicated. 

CONTRACTOR TO FURNISH: All materials and operations, other than those listed under "Government to 

Furnish," necessary to produce the product in accordance with these specifications. 

ELECTRONIC PREPRESS: Prior to image processing, the contractor shall perform a basic check (preflight) of 

the furnished media and publishing files to assure correct output of the required reproduction image. Any errors, 

media damage, or data corruption that might interfere with proper file image processing must be reported to the 

GPO contract administrator immediately. 

The contractor shall create or alter any necessary trapping, set proper screen angles and screen frequency, and 

define file output selection for the imaging device being utilized. Furnished files must be imaged as necessary to 

meet the assigned quality level. 

When required by the Government, the contractor shall make minor revisions to the electronic files. It is 

anticipated that the Government will make all major revisions. 

Prior to making revisions, the contractor shall copy the furnished files and make all changes to the copy. 

Upon completion of the order, the contractor must furnish final production native application files (digital 

deliverables) with the furnished material. The digital deliverables must be an exact representation of the final 

printed product and shall be returned on suitable storage media or e-mailed upon request. The Government will 

not accept, as digital deliverables, PostScript files, Adobe Acrobat Portable Document Format (PDF) files, or any 

proprietary file formats other than those supplied, unless specified by the Government. NOTE: Government will 

accept Adobe Acrobat Portable Document Format (PDF) files as digital deliverables when furnished by the 

Government. 
Jacket 719-033: FY 23 Officer Drop #2 "WE LEAD" self-mailer Page 5 of 9 

 

PROOFS: Contractor to submit one Press Quality PDF soft proof (for content only) using the same Raster Image 

Processor (RIP) that will be used to produce the final printed product. PDF proof will be evaluated for text flow, 

image position, and color breaks. Proof will not be used for color match. Include REMINDER that agency can 

keep proof THREE (3) workdays. Date of receipt is NOT considered first workday. Contractor must call below 

to confirm receipt. Deliver proofs to: 

Jackie McGowan jackie.mcgowan@wundermanthompson.com 

Timothy Kao timothy.kao@marines.usmc.mil (571) 559-4645 

Russ Ward wward@gpo.gov

At the same time the Electronic proof is sent, prior to the commencement of production of the contract production 

quantity, the contractor shall submit one set of Content and High-resolution proofs and stock samples to Ms. 

Jackie McGowan at Residential Address to be provided at time of award 

Hartsdale, NY 10530 

All PMS colors must be shown in proof as close as possible to the actual color. 

Contractor should make additional set of proofs for reference. PROOFS WILL NOT BE RETURNED. 

One (1) set of 8-1/2 x 11 blank stock samples of the actual paper to be used in the production of the contract 

requirements. Each sample must be of the kind and quality required by the specifications. The Government will 

rely on the samples only as a reference to the general appearance of the stock that will be provided by the 

contractor in conformance to the specifications. The Government assumes no contractual obligation to perform 

any inspection and test for the benefit of the contractor. The Government's failure to inspect and accept or reject 

the paper samples shall not relieve the contractor from responsibility, nor impose liability on the Government, for 

nonconforming paper. Stock samples must be approved by agency prior to printing. 

***** AND 

One (1) set of digital color Content proofs for all pages. Direct to plate must be used to produce the final product 

with a minimum of 2400 x 2400 dpi. Proofs must be created using the same Raster Image Processor (RIP) that 

will be used to produce the product. Proofs shall be collated with all elements in proper position (not pasted up), 

imaged face and back, trimmed and folded to the finished size of the product, as applicable. 

***** AND ***** 

One set of Inkjet proofs that are G7 profiled and use pigment-based inks may be submitted in lieu of digital one 

piece composite laminated halftone proofs. A proofing RIP that provides an option for high quality color 

matching such as Device Links Technology and/or ICC Profiles Technology, and meets or exceeds industry 

tolerance to ISO 12647-7 standard for Graphic Technology (as of 2016 and future amendments) must be utilized. 

Proofs must be ripped and sent at plate resolution (minimum of 2400 x 2400 dpi). If using a 1 bit tiff, the tiff must 

be made at a minimum of 2400 dpi. Output must be a minimum of 2400 x 1200 dpi on a GRACoL or SWOP 

certified proofing media. Proofs must contain both of the following to be evaluated for accuracy: 3-tier color 

control strip: IDEAlliance ISO 12647-7 2013(i1), and the GPO Resolution target found 

www.gpo.gov/gporestarget.pdf. NOTE: If a contractor chooses this proof option, prior evaluation and approval of 

this proofing method must be provided by GPO, Quality Control for Published Products, to ensure that the final 

product will be produced in accordance with contract specifications. See instructions at: 

https://www.gpo.gov/docs/default-source/forms-and-standards-files-for-endors/qlsamples6f200c30b44a643 

08413ff00001d133d.pdf. Failure to obtain this evaluation and approval may be cause for the job to be rejected 

should the final product not match the proofs for color. 

Proofs must contain color control bars (such as Brunner, GATF, GRETAG, or RIT) for each color of ink on the 

sheet. Control bars must be placed parallel to the press's ink rollers and must show areas consisting of minimum 

1/8 x 1/8 solid color patches; tint patches of 25, 50 and 75%; dot gain scale; and gray balance patches for process 

color (if applicable). These areas must be repeated consecutively across the sheet. 

The make and model number of the proofing system utilized shall be furnished with the proofs. These proofs must 
Jacket 719-033: FY 23 Officer Drop #2 "WE LEAD" self-mailer Page 6 of 9 

 

contain all elements, be in press configuration, and indicate margins. Proofs will be used for color match on press. 

Direct to plate must be used to produce the final product with a minimum of 2400 x 2400 dpi. 

The container and accompanying documentation shall be marked PROOFS and shall 

include the GPO jacket and purchase order. The samples must be submitted in sufficient time to allow 

Government testing of the samples and production and shipment in accordance with the shipping schedule. 

Government will approve, conditionally approve, or disapprove the proofs within THREE (3) workdays of the 

receipt thereof. Date of receipt is NOT considered first workday. Approval or conditional approval shall not 

relieve the contractor from complying with the specifications and all other terms and conditions of the contract. A 

conditional approval shall state any further action required by the contractor. A notice of disapproval shall state 

the reasons therefor. 

Second round of proofs required and should be considered and included when bidding on project schedule. 

Contractor must not print prior to receipt of an "OK to Print".

STOCK/PAPER: The specifications of all paper furnished must be in accordance with those listed herein or 

listed for the corresponding JCP Code numbers in the "Government Paper Specification Standards No. 13" dated 

September 2019. https://www.gpo.gov/docs/default-source/forms-and-standards-files-for-vendors/vol_13.pdf. 

All paper used in each copy must be of a uniform shade and all paper must have the grain parallel to the fold. 

COVER: JCP Code* L50, Matte-Coated Cover, Basis weight: 80 lbs. per 500 sheets, Basis Size 20 X 26" 

TEXT: JCP Code* A240, Matte-Coated Text, Basis weight: 80 lbs. per 500 sheets, Basis Size 25 X 38" 

MARGINS: Bleed must be built. 

PACKING: Pack in uniform quantities in shipping containers with a minimum bursting strength of 275 psi. 

Boxes must be filled to capacity without air. Each shipping container must not exceed 45 pounds when fully 

packed. 

All shipments which fill less than a shipping container must be packaged with materials of sufficient strength and 

durability and in such a manner which will guarantee that the product will not be damaged and the package will 

not open nor split during delivery process. 

Pack to ensure no damage occurs to product during transit prior to receipt by agency. Pack to ensure no shifting of 

product in transit, using spacers if necessary. Product should arrive with no abrasions, dog-ears, etc. 

Packing to be in accordance with GPO Contract Terms (GPO Pub. 310.2). Noncompliance with the packing 

instructions will be cause for the Government to take corrective action in accordance with GPO Pub. 310.2. 

Palletizing: Pallets must be in accordance with GPO Contract Terms (GPO Pub. 310.2). 

LABELING AND MARKING Each package or carton must be labeled. Each pallet must be labeled. The label 

MUST indicate full title, quantity, Jacket number, and total number of boxes shipped, i.e. 6 of 10. White labels 

with black image of bold, 1/4" height entries. 

Inner packages require labels. 

Label and mark in accordance with GPO Contract Terms (GPO Pub. 310.2). 

SCHEDULE: Adherence to this schedule must be maintained. See "Notice of Compliance with Schedules”, in 

GPO Pub. 310.2. 

Purchase Order and furnished material will be emailed no later than June 29, 2023. 

Unscheduled material such as shipping documents, receipts or instructions, delivery lists, labels, etc., will be 
Jacket 719-033: FY 23 Officer Drop #2 "WE LEAD" self-mailer Page 7 of 9 

 

furnished with the order or shortly thereafter. In the event such information is not received in due time, the 

contractor will not be relieved of any responsibility in meeting the shipping schedule because of failure to request 

such information. 

Submit proofs as soon as possible in order to comply with the shipping schedule. Email PDF proofs and deliver 

three (3) sets of content and high-resolution proofs with stock samples will be withheld three (3) workdays from 

receipt until approval of proofs. Date of receipt is not considered first day. 

Second round of content and high-resolution proofs is required and should be considered and included when 

bidding on project schedule. 

The contractor must not print prior to receipt of an "OK to print." 

Inside delivery to three (3) locations must be made by September 13, 2023 by 2pm local time. Delivery Date is 

nonnegotiable. 

DEPARTMENTAL RANDOM COPIES (BLUE LABEL): Order must be divided into 200 equal sublots. A 

random copy must be selected from each sublot. Do not choose copies from the same general area in each sublot. 

The contractor will be required to certify that copies were selected as directed using GPO Form 917-Certificate of 

Selection of Random Copies (located on GPO.gov). The random copies constitute a part of the total quantity 

ordered, and no additional charge will be allowed. 

These randomly selected copies must be packed separately and identified by a special label (GPO Form 2678- 

Departmental Random Copies (Blue Label) that must be printed on blue paper and affixed to each affected 

container. This form can be downloaded from GPO.gov. The container and its contents shall be recorded 

separately on all shipping documents and sent in accordance to the delivery address stated under 

DISTRIBUTION. 

A copy of the PURCHASE ORDER/SPECIFICATION and a signed Certificate of Selection of Random Copies 

must be included. 

A copy of the signed Certificate of Selection of Random Copies must accompany the invoice sent to U.S. 

Government Publishing Office, Financial Management Services, for payment. Failure to furnish the certificate 

may result in delay in processing the invoice. 

NOTIFICATION OF SHIPMENT: Immediately after the order has shipped, the contractor must EMAIL 

tracking numbers to timothy.kao@marines.usmc.mil, jackie.mcgowan@wundermanthompson.com & 

wward@gpo.gov on same day the product ships. Ensure all boxes contain title & box# of total shipment. 

The subject line of this message shall be "Distribution Notice for Jacket 719-033, Req. 3-19033". The 

notice must provide all applicable tracking numbers, shipping method, and title. Contractor must be able to 

provide copies of all delivery, mailing, and shipping receipts upon agency request. 

DISTRIBUTION: All shipments to be sent by traceable means. All expenses incidental to picking up and 

returning materials and samples must be borne by the contractor. 

F.O.B. DESTINATION – CONTRACTOR PAYS THE FREIGHT TO DELIVER. INSIDE DELIVERY MUST 

BE MADE BY 2PM LOCAL TIME TO THE BELOW DESTINATIONS. 

Shipping costs need to be included in the bid price. 

Prior to shipping full run to Data Mail, INSIDE DELIVERY of 10 sealed and 10 unsealed self-mailer samples 

TO: Ms. Jackie McGowan at a residential address in Hartsdale, NY 10530 

Balance of assembled, sealed self-mailers including Blue Label copies are to be packed in cartons and delivered 
Jacket 719-033: FY 23 Officer Drop #2 "WE LEAD" self-mailer Page 8 of 9 

 

TO: Data Mail ATTN: Scott Stickles, call 24 hours 860-666-0399 to SCHEDULE your delivery 

240 Hartford Avenue, Receiving Hours: M-F: 9:00AM to 5:00PM 

Newington, CT 06111 

FINAL FILES - Upon completion of the printing, printer needs to provide two (2) labeled final digital downloads 

along with a directory of what was printed. 

RETURN OF MATERIALS 

Upon completion both downloads; 5 self-mailer samples and any other production material for this project should 

be returned to: Ms. Jackie McGowan at a residential address in Hartsdale, NY 10530 

RECEIPT FOR DELIVERY: As applicable, the contractor must furnish their own receipts for deliveries. These 

receipts must include the GPO jacket number; total quantity delivered, number of cartons, and quantity per carton; 

date delivery made; and signature of the Government agent accepting delivery. The original copies of these 

receipts must accompany the contractor's voucher for payment. 

QUALITY ASSURANCE LEVELS AND STANDARDS: The following levels and standards shall apply to 

these specifications: 

Product Quality Levels: 

 (a) Printing Attributes -- Level I. 

 (b) Finishing Attributes -- Level I. 

Inspection Levels (from ANSI/ASQC 21.4): 

 (a) Non-destructive Tests - General Inspection Level I. 

 (b) Destructive Tests - Special Inspection Level S-2. 

Specified Standards: The specified standards for the attributes requiring them shall be: 

 

Attribute Specified Standard 

P-7. Type Quality and Uniformity Average Type Dimension in Publication 

P-8. Halftone Match Approved Proofs 

P-9. Solid and Screen Tint Color Match Pantone Matching System 

P-10. Four Color Process Approved Proofs 

Prior to award, contractor may be required to provide information related to specific equipment that will be used 

prior to production. 
Jacket 719-033: FY 23 Officer Drop #2 "WE LEAD" self-mailer Page 9 of 9 

 

Bidders must fill out this page and return it. 

BID PRICE: $________________ ADDITIONAL RATE: $_____________ PER M: _____________ 

DISCOUNTS: Discounts are offered for payment as follows: __________ Percent, _________calendar days. 

See Article 12 “Discounts” of Solicitation Provisions in GPO Contract Terms (Publication 310.2). 

AMENDMENT(S): Bidder hereby acknowledges amendment(s) number(ed) ____________________________

BID ACCEPTANCE PERIOD: In compliance with the above, the undersigned agree, if this bid is accepted 

within____________ calendar days (60 calendar days unless a different period is inserted by the bidder) from the 

date for receipt of bids, to furnish the specified items at the price set opposite each item, delivered at the 

designated points(s), in exact accordance with specifications. 

NOTE: Failure to provide a 60-day bid acceptance period may result in expiration of the bid prior to award. 

BIDDER’S NAME AND SIGNATURE: Unless specific written exception is taken, the bidder, by signing and 

submitting a bid, agrees with and accepts responsibility for all certifications and representations as required by the 

solicitation and GPO Contract Terms – Publication 310.2. When responding by email, fill out and return one 

completed copy of all applicable pages that include the Jacket Number, Bid Price, Additional Rate, Discounts, 

Amendments, Bid Acceptance Period, and Bidder’s Name and Signature, including signing where indicated. 

Valid electronic signatures will be accepted in accordance with the Uniform Electronic Transactions Act, § 2. 

Electronic signatures must be verifiable of the person authorized by the company to sign bids. 

Failure to sign the signature block below may result in the bid being declared non-responsive

Bidder __________________________________________________________________________ _________ 

 (Contractor Name) (GPO Contractor’s Code) 

 ___________________________________________________________________________________________ 

(Street Address) 

 ___________________________________________________________________________________________ 

(City – State – Zip Code) 

By _________________________________________________________________________________________ 

 (Printed Name, Signature, and Title of Person Authorized to Sign this Bid) (Date) 

 ___________________________________________________________________________________________ 

 (Person to be Contacted) (Telephone Number) (Email) 

COMPLETE THIS PAGE AND SUBMIT AS YOUR BID 

 ******************************************************************************************* 

THIS SECTION FOR GPO USE ONLY 

Certified by:__________ Date:___________ Contracting Officer:__________ Date:___________ 

 (Initials) (Initials) 

*******************************************************************************************