Specifications by JG Jacket 522-032: DLA: 1-019131G-739109 (DSO 739109) 

Reviewed by RG 

Page 1 of 10 

FACSIMILE BID SPECIFICATIONS 

U.S. Government Publishing Office (GPO) 

291 Virginia Beach Blvd., Ste. 401 

Virginia Beach Regional Printing Procurement Office 

Virginia Beach, Virginia 23462 

BID OPENING: Bids shall be opened at 11:00 a.m., prevailing Eastern Standard Time April 5, 2021 at the U.S. 

Government Publishing Office, Virginia Beach Regional Office, 291 Independence Blvd., Suite 401, Virginia 

Beach, VA 23462. Due to COVID-19, this will NOT be a public bid opening. 

ANY QUESTIONS BEFORE AWARD CONCERNING THESE SPECIFICATIONS CALL JOY GOODEN 

(757) 490-7942 AFTER AWARD, REFER ALL QUESTIONS TO YOUR CONTRACT ADMINISTRATOR 

WHOSE NAME APPEARS IN THE UPPER PORTION OF THE PURCHASE ORDER. NO COLLECT 

CALLS. 

BID SUBMISSION: Due to the COVID-19 pandemic, the physical office of Virginia Beach Regional Office will 

NOT be open. Based on this, bidders MUST submit email bids to bidsvirginiabeach@gpo.gov for this solicitation. 

No other method of bid submission will be accepted at this time. The jacket number and bid opening date must be 

specified in the subject line of the emailed bid submission. Bids received after 11:00 a.m. on the bid opening date 

specified above will not be considered for award. 

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. 

OFFERS: Offers must include the cost of all materials and operations for the total quantity ordered in 

accordance with these specifications. In addition, a price must be submitted for each additional 1,000’s. The 

price for additional quantities must be based on a continuing run, exclusive of all basic or preliminary charges and 

will not be a factor for determination of award. 

Note: The GPO 910 “BID” Form is no longer required; bidders are to fill out, sign/initial, as applicable, and return 

page 10. 

The jacket number and bid opening date must be specified with the emailed bid submission. Refer to Facsimile 

Bids in Solicitation Provisions of GPO Contract Terms, GPO Publication 310.2, as revised January, 2018. 

Bids received after 11:00 a.m. on the bid opening date specified above will not be considered for award. For 

information regarding the solicitation requirements prior to award, email Joy Gooden at jgooden@gpo.gov For 

contract administration after award, contact Joy Gooden at (757) 490-7942. 
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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-standards-files-for-vendors/contractterms2018.pdf 

GPO QATAP (GPO Publication 310.1) – 

https://www.gpo.gov/docs/default-source/forms-and-standards-files-for-vendors/qatap-rev-09-19.pdf 

DOING BUSINESS WITH GPO CUSTOMER SERVICES DURING CORONAVIRUS PANDEMIC 

Contractors should continue performance on contracts. Contractors must continue to fully comply with the terms 

and conditions of these contracts. Deliveries, proof approvals, and press sheet inspections for agencies may be 

impacted. It is requested that contractors contact a Government employee at the delivery location to confirm their 

availability to receive prior to shipping. 

Schedules and other adjustments will be made in accordance with GPO Contract Terms. Caution should be used 

to safeguard all products should any delivery delays be imposed by the Government. 

As a reminder, contractors must furnish contract compliance information required in accordance with GPO 

Contract Terms, Contract Clause 12: Notice of Compliance with Schedules. 

Contractors should immediately contact your GPO contract administrator(s) and/or contracting officer(s) to 

identify impacted orders if any delay is anticipated, including temporarily closure of a production facility or the 

planned suspension of any services. 

If you have any questions on a particular contract, please contact the Customer Services contract administrator 

and/or contracting officer for your contract (best method of communicating with them is via email). Office team 

e-mail addresses can be found at 

https://www.gpo.gov/how-to-work-with-us/agency/services-for-agencies/procurement-services-team 

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 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. 
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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. 

SUBCONTRACTING: The predominant production function is printing. Bidders who must subcontract this 

operation will be declared non-responsible. 

PRODUCT: Each package contains one (1) outer envelope, two (2) reply cards, and one (1) insert 

QUANTITY: 468,000 (packages) – 1,872,000 (TOTAL pieces) 

TITLE: FY’21 SY’22 3HSJ 0521 Mailing 4th of July/Fireworks Package (DSO 739109) 

PAGES: Outer envelope: 2 pages. Face only prior to construction 

 Reply cards: 2 pages each of two. Head to head 

 Insert: 2 pages. Head to head 

TRIM: Outer envelope: 5-1/4” x 8-1/2” Booklet envelope with window 

 Reply cards: 4-3/4 x 8” 

 Insert: Flat Size: 16 x 18 3/4”; Map Fold to 4 x 8”. 

DESCRIPTION: Request is for 468,000 packages ** FIRM--NO OVERS. Each package contains one (1) outer 

envelope, two (2) reply cards, and one (1) insert. 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 & Prior to production SAMPLES required. Second round of proofs required and should be considered 

and included when bidding on project schedule Paper should not be purchased prior to approval of sample. 

*** All colors must print in one pass *** PMS colors must not be built with four color process 

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

Inside delivery to five locations must be made by May 3, 2021 by 2pm local time 

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. 
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468,000 of OUTER ENVELOPE: PRINT face only with full coverage in four-color process + PMS 296 + PMS 

187 + flood coat in gloss aqueous on 80# matte coated text. Contractor must block out any bleeds to prevent 

interference for glue adhesion areas on top and sides. This envelope is printed flat sheet and then converted into 

envelopes. 

CONSTRUCTION: 5-1/4 x 8-1/2” Booklet with window. Open 8-1/2" side, side seams, with a 1-1/4” gummed 

flap with rounded corners. DIECUT face with one 1-1/4 x 4-1/4" round cornered window at 15/16" from the left 

and 1-11/16" from the bottom. COVER window with clear cello material securely glued to inside of the 

envelope. 

468,000 each of two REPLY CARDS (2 CARDS: 1 BASE & 1 PASS ALONG): APPLIES EQUALLY TO 

BOTH VERSIONS: PRINT head to head with full coverage in four-color process + PMS 296 + PMS 187 + gloss 

aqueous over the four-color process on 80# matte coated cover. 

CONSTRUCTION: Final size is 4 x 6”. Right angle (L-Shaped) blind PERFORATION required for separation of 

Business Reply Card. 

468,000 of INSERT: FACE prints with full coverage in four-color process + flood coat in satin aqueous. BACK 

prints four-color process + PMS 296 + PMS 187 + flood coat in gloss aqueous on 80# matte coated text. 

CONSTRUCTION: Flat Size: 16 x 18-3/4”. Map Fold to 4 x 8” 

ASSEMBLY: INSERT folded insert and reply cards into envelope. Envelope should be sealed for imaging at 

lettershop. Prior to insertion an electronic insert should be sent for approval. 

Version Universal Gender, OE Code TJGP21, Insert Code TJGPI21, Base Code TJGBP21, Pass Code TJGPP21 

GOVERNMENT TO FURNISH: native InDesign files, and Excel distribution list will be available after award. 

Contractor must have an ftp site or drop box for file transfer. 

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 an extensive 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 GPO. 

The contractor shall create 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. 

Upon completion, the contractor must furnish final production native application files with the furnished material. 

The digital deliverables must be an exact representation of the final printed product and shall be returned on the 

same type of storage media as was originally furnished. The Government will not accept, as digital deliverables, 

PostScript files, or any proprietary file formats other than those supplied, unless specified by the Government. 

PROOFS: When emailing, please be reminded that not all emails are entered correctly and many Government 

agencies have significant firewalls, as such a phone call to confirm receipt of email is required. 

PROOFS WILL NOT BE RETURNED TO CONTRACTOR. 
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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 Two (2) 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 

Jennifer Brown jennifer.2.brown@dla.mil (757) 278-8264

Joy Gooden jgooden@gpo.gov 

After approval of Electronic proof, Prior to the commencement of production of the contract production quantity, 

the contractor shall submit two sets of prior to production samples, ink drawdowns, and paper samples to: Ms. 

Jackie McGowan 

2 Maple Street 

Hartsdale, NY 10530 

Contractor to submit INK DRAWDOWNS on actual production stock of Pantone colors used to produce the 

product. 

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

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

STOCK APPROVAL NOTE: Stock samples must be sent to the address provided below for approval. PRIOR to 

any contractor stock procurement or use. The customer will not be held financially responsible for any stock 

procurement for this job that was not previously approved by the customer. 

10 samples will be tested for conformance of material. 10 samples will be tested for usage on the specified 

equipment and/or for construction. The container and accompanying documentation shall be marked 

PREPRODUCTION SAMPLES and shall include the GPO jacket, purchase order, and program numbers. 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 samples 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. 

. If the samples are disapproved by the Government, the Government, at its option, may require the contractor 

to submit additional samples for inspection and test, in the time and under the terms and conditions specified in 

the notice of rejection. Such additional samples shall be furnished, and necessary changes made, at no additional 

cost to the Government and with no extension in the shipping schedule. The Government will require the time 

specified above to inspect and test any additional samples required. 

. In the event the additional samples are disapproved by the Government, the contractor shall be deemed to 

have failed to make delivery within the meaning of the default clause in which event this contract shall be subject 

to termination for default, provided however, that the failure of the Government to terminate the contract for 

default in such event shall not relieve the contractor of the responsibility to deliver the contract quantities in 

accordance with the shipping schedule. 

. In the event the Government fails to approve, conditionally approve, or disapprove the samples within the 

time specified, the Contracting Officer shall automatically extend the shipping schedule in accordance with 

Contract Clause 12, "Notice of Compliance With Schedules, of GPO Contract Terms (GPO Publication 310.2, 

effective December 1, 1987 (Rev. 01-18)). 

. Manufacture of the final product prior to approval of the sample submitted is at the contractor's risk. Samples 

will not be returned to the contractor. All costs, including the costs of all samples shall be included in the contract 

price for the production quantity. 

. All samples shall be manufactured at the facilities in which the contract production quantities are to be 

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

PRINTING: OUTER ENVELOPE prints face only in four-color process + PMS 296 + PMS 187 + flood coat in 

gloss aqueous. REPLY CARDS prints head to head in four-color process + PMS 296 + PMS 187 + gloss aqueous 

over the four-color process. INSERT FACE prints in four-color process + flood coat in satin aqueous; BACK 

prints four-color process + PMS 296 + PMS 187 + flood coat in gloss aqueous.

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. 

OUTER ENVELOPE and INSERT: JCP Code* A261, No. 1 Coated Text, Matte-Finish, Basis weight: 80 lbs. 

per 500 sheets, Basis Size 25 X 38" 

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

INK: Four color process plus PMS 296 + PMS 187 plus aqueous or varnish coating. 

MARGINS: Bleed must be built. 

BINDING: 

OUTER ENVELOPE: 5-1/4 x 8-1/2” Booklet with window. Open 8-1/2" side, side seams, with a 1-1/4” gummed 

flap with rounded corners. DIECUT face with one 1-1/4 x 4-1/4" round cornered window at 15/16" from the left 

and 1-11/16" from the bottom. COVER window with clear cello material securely glued to inside of the 

envelope. 

REPLY CARDS (2 CARDS: 1 BASE & 1 PASS ALONG): Final size is 4 x 6”. Right angle (L-Shaped) blind 

PERFORATION required for separation of Business Reply Card. 

INSERT: Flat Size: 16 x 18-3/4”. Map Fold to 4 x 8” 

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

must be packed solidly; not to exceed 45 lbs. 

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/mailing process. 

Shipments to U.S. Army Distribution center in St. Louis, MO, must be palletized with a minimum of a 3/4" void, 

on all sides, to the outside of the pallet. Pallets are required and must conform to GPO Contract Terms 

Supplemental Specifications for palletizing. Pallet construction must be: 48” wide across the front where the 

forklift slots are located. 40” deep. 5-6” high. Full pallet height must not exceed 55”. Wrap pallet to prevent 

spillage. 

THE CONTRACTOR IS ADVISED TO MAKE CERTAIN THAT THE CONTAINER AND THE 

PALLET REQUIREMENTS ARE EXACTLY AS INDICATED. NO SUBSITITUTIONS WILL BE 

ACCEPTED FOR EITHER OF THESE. 

When multiple pallets are required to package the same product, the containers must be identified as to number of 

containers (e.g., 1 of 3, 2 of 3, and 3 of 3). 

STRINGER AND DECKBOARD DESIGN FOR TYPE III, Four-way (Partial) Flush Pallet 

a) Federal Specification Pallets. Material Handling. Wood, Stringer Construction. 2-way end 4-way (partial), 

NN-P-71C, dated 8-10-73. 
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b) Classification 

1. Type III—four-way (partial), flush, assembled with 4 stringers, nonreversible. 

2. Size 2 - 40” x 48”. 

3. Wood Group II — medium density woods (softwoods), or Wood Group III—high density woods 

(hardwoods). 

4. Grade A—untreated. 

c) Preproduction model not required. 

d) Moisture content as per specification. 

e) Manufacturer’s identification not required. 

f) Bundling for shipment not required. 

1. Dimensions are in inches. 

2. Notches are to be centered about the centerline (CL). 

3. Corners of notches shall be rounded as indicated. 

4. One or two bottom deck boards may be used at the center. 

LABELING AND MARKING: (Package and/or Container label): Each package or carton 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 

 

SCHEDULE: Purchase Order and furnished material will be emailed no later than April 6, 2021. 

Unscheduled material such as shipping documents, receipts or instructions, delivery lists, labels, etc., will be 

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. 
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Submit proofs as soon as possible in order to comply with the shipping schedule. PDF proofs will be withheld two 

(2) workdays from receipt until approval of proofs. Date of receipt is not considered first day. 

After approval of Electronic proof, deliver Two sets of prior to production samples for all components; ink 

drawdowns; and paper samples will be withheld ten (10) workdays from receipt until approval of proofs. Date of 

receipt is not considered first day. The contractor must not print prior to receipt of an "OK to print." 

Inside delivery to four locations must be made by May 3, 2021 by 2pm local time 

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

tracking# to EMAIL tracking# to jennifer.2.brown@dla.mil; and jgooden@gpo.gov on same day product ships. 

Ensure all boxes contain title, job#, and box# of total shipment. 

DISTRIBUTION: Shipping costs need to be included in the bid price. 

Deliver 2 final samples to: 

GPO 

581 Westport Street 

Norfolk, VA 23505 

ATTN: Richard Gilbert 

DELIVER Sample TO: DLA, ATTN Jennifer Brown 757 278-8264 

1641 Morris Street Bldg K-BB 

Norfolk, VA 23511 

INSIDE DELIVERY of GFM with prior to production sample + 10 sealed and 5 not sealed samples of final 

product + 2 labeled final digital downloads along with a directory of what was printed to: 

Ms. Jackie McGowan 

2 Maple Street 

Hartsdale, NY 10530 

Prior to shipping full run to Data Mail, INSIDE DELIVERY of 25 samples sealed and 50 samples not sealed to 

CONUS address to be supplied at a later date 

INSIDE DELIVERY of balance TO: Data Mail 

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

Newington, CT 06111 

ATTN: Colleen Costin/Scott Stickles, call 24 hours 860-666-0399 to SCHEDULE your delivery. 

DEPARTMENTAL RANDOM COPIES: Divide into 100 sub-lots. Choose random copy from each; not from the 

same general area. Pack separately & identify by blue label; include purchase order & signed certificate of 

selection. Record separately on shipping documents. Random copies are part of total quantity. No additional 

charge will be allowed. 

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 (fromANSI/ASQC 21.4): 

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

 (b) Destructive Tests - Special Inspection Level S-2. 
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Specified Standards: The specified standards for the attributes requiring them shall be: 

 Attribute Specified Standard 

P-7. Type Quality and Uniformity Approved preproduction samples 

P-9. Solid or Screen Tints Color Match Approved preproduction samples / Pantone Matching System 

P-10. Four Color Process Approved preproduction samples 

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

prior to production. 
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Bidders must fill out this page and return it. 

TOTAL BID PRICE $__________________________ ADDITIONAL RATE $_______________ PER 1,000 

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). 

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. 

 

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

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 fax or mail, fill out and return one 

copy of Page 6, initialing/signing where indicated. 

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) 

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