Jacket:

Title:

Agency: US Coast Guard / DHS 

Bid Opening:

Quantity Based for $115,733.75

Quantity Bid Added Rate Discounted Total

450,000 $115,733.75 $257.18 M 1.0% 20 days $114,576.41

374,000 $115,733.75 $309.00 M 0.5% 20 days $115,155.08

218,366 $115,733.75 $490.00 M 0.5% 20 days $115,155.08

198,000 $115,733.75 $484.50 M 1.0% 20 days $114,576.41

125,000 $115,733.75 $926.00 M 2.0% 10 days $115,733.75

122,039 $115,733.75 $850.00 M 1.0% 20 days $114,576.41

ABSTRACT OF UNSTRAPPED JACKETS (AWARDED)

310-88095 Tri Star Label Inc. *

090-79285 Serigraphic Arts, Inc.

05/16/2022 2:00PM MST

660-786R1

"IF FOUND" Reflective Stickers

420-76970 Rubin's House of Classics

Contractor Name Terms

* Awarded Contractor

5N1V7 Essential Products of America Inc.

090-28380 Douglass Screen Printers

330-63621 Custom Graphics Inc.
Specifications by BB Page 1 of 7

Reviewed by DA Jacket 660-786R-1

Req. 2-99074

BIDS SHALL BE OPENED AT 2:00 P.M., PREVAILING DENVER, COLORADO TIME, MAY 16, 2022. THIS WILL 

NOT BE A PUBLIC BID OPENING.

BEFORE AWARD, ANY QUESTIONS REGARDING THESE SPECIFICATIONS MAY BE DIRECTED TO

BEVERLY BOECHER (303) 236-5292 (Ext. 4). NO COLLECT CALLS.

U.S. GOVERNMENT PUBLISHING OFFICE

Denver, CO

GENERAL TERMS AND CONDITIONS AND SPECIFICATIONS

For the Procurement of 

“IF FOUND” REFLECTIVE STICKERS

BID SUBMISSION: Based on this, bidders must submit email bids to bidsdenver@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 with the 

bid in the subject line of the emailed bid submission. Bids received after 2:00 p.m. on the bid opening date specified above 

will not be considered for award. 

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. 1-18)) 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.

SUBCONTRACTING: Subcontracting will not be permitted.

PRODUCT: Reflective Individual Stickers. 

TITLE: “If Found” Reflective Stickers 

QUANTITY: 450,000 

Maximum quantity bid, inclusive of all costs (including non-reimbursable mail or freight, if applicable), that shall be 

delivered to the Government per the specification requirements for a total of $115,733.75.

BASIS FOR AWARD: Award shall be made to the bidder submitting a bid, whose bid specifies the most copies to be 

delivered to the Government for an all-inclusive, fixed-price total of $115,733.75. Bidders submitting responses to this 

solicitation shall submit a total quantity - for the fixed price. In the event of a tie quantity, award shall be determined by the 

lowest total per unit price after consideration of prompt payment discount. In the event there is still a tie, see PPR XII.

Additionally, the bid shall include separate unit pricing for each additional 1,000 copies. This is a fixed cost contract. If 

Author's Alterations are made during the proofing stage, the total quantity may be reduced in accordance with the 

contractor's submitted additional rate to offset the cost of the Author's Alterations.

TRIM SIZE: 5-1/4 x 3-1/4" 

PAGES: Face Only. 
“If Found” Reflective Stickers

Jacket 660-786R-1 Page 2 of 7

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. 

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

specifications:

Product Quality Levels: Inspection Levels (from ANSI/ASQC Z1.4):

(a) Printing (page related) Attributes – Level III (a) Non-destructive Tests – General Inspection Level I.

(b) Finishing (item related) Attributes – Level III (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 Approved Proof

 P-9. Solid and Screen Tint Color Match Approved Proof

 P-10. Process Color Match Approved Proof 

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 preaward 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. 

GOVERNMENT TO FURNISH: The purchase order and support files will be made available by e-mail from GPO. The 

contractor must be able to accept files electronically via email or their secure contractor-hosted SFTP server or website. 

Appropriate log-on instructions and protocol shall be provided by the contractor at time of award. The contractor shall 

provide security, which at a minimum, shall require a unique user ID and password for access. Contractor to contact GPO 

with site address with upload ID and password for access to the site. GPO contact: Beverly Boecher (Ph. 303-236-5300) 

bboecher@gpo.gov. 
“If Found” Reflective Stickers

Jacket 660-786R-1 Page 3 of 7

It is the contractor's sole responsibility to immediately confirm, to the Denver GPO, that all electronically transmitted files 

were received (phone call or written email reply accepted -- an automated system generated tracking option such as "read 

receipt" is not acceptable). Furthermore, contractor is responsible for immediate inspection of government furnished 

materials (GFM) including but not limited to electronically transmitted files. Contractor's failure to comply with the above 

stated requirements will not relieve the contractor of making delivery of the supplies or perform the services within the 

time specified in the contract. No extension in the shipping/delivery schedule will be granted as a result of contractor's 

failure to inform the GPO that they have not received the files and/or if there is an issue with the GFM that endangers 

performance on the contract.

Electronic Media: Three Adobe Illustrator vector EPS files and three Adobe Acrobat PDF files. File includes full bleeds, 

crop marks, embedded images and fonts. NOTE: Vendor will need to ensure all white in logos drops out of background 

images and prints as white. No prepress functions (e.g., color correction, UCR/GCR, sharpening or other image 

enhancement) or procedures have been applied to supplied images. Contractor is responsible for converting images to an 

appropriate color space and file format for output. Contractor must also apply any and all necessary prepress functions to 

achieve best possible output quality of supplied files. 

CONTRACTOR TO FURNISH: All materials and operations, other than those listed under “GOVERNMENT TO 

FURNISH” necessary to produce the product(s) in accordance with these specifications.

Contractor must be capable of accepting data in these platform/formats for either direct input or conversion to his/her system 

as part of their basic charge to the Government. No additional time or compensation will be given to the contractor for 

common errors associated with file output from a different platform. See "Inspection of Files" for brief description of 

common errors. The contractor will be responsible for proofreading converted formats to ensure that all fonts have 

transferred platforms completely. CONTRACTOR WILL BE RESPONSIBLE FOR FINAL OUTPUT THAT IS IN 

CONFORMANCE WITH THE VISUALS AS PROVIDED. *INSPECTION OF FILES: Contractor to perform a basic 

check, preflight of the furnished files. Check for missing or damaged files, missing or damaged fonts, damaged disks, 

missing bleeds, improper trim size, improper color definition, and so on. The Contractor will not receive additional 

compensation or time for common errors associated with the output of files. Common errors include, but are not limited to: 

1) color issues and shifts (RGB color data, no spot colors, loss of black plate), 2) page integrity (text reflow or type 

substitution), 3) errors associated with embedded graphics, 4) missing prepress features (e.g. bleeds, trim marks), creating 

or correcting (altering) any necessary trapping, setting proper screen angles and frequency, 5) loss of text characters from 

graphic elements, and 6) **Defining proper file output selection for the imaging device being used. Contractor responsible 

to ensure that the black type is a solid black not a process build. Any errors other than those just described, media damage, 

or data corruption that might interfere with proper file imaging discovered at that time must be reported to the Contracting 

Officer IMMEDIATELY upon discovery. Prior to making any revisions, the contractor must make a "copy" of the original 

files, then proceed to make any revisions to the "copy" as required. Further, in addition to the return of the original files, the 

contractor must furnish final production native application files (digital deliverables, an exact representation of the final 

printed product) to agency upon completion of the order. All files must be imaged as necessary to meet the assigned Quality 

Level.

PROOFS: NOTE: Two types of proofs are requested in sequence with approval of inkjet prior to providing prior to 

production samples. All proofs to be approved prior to production of the contract production quantity. 

PROOF DELIVERY NOTIFICATION: The contractor must notify the agency contact Anthony Smith via phone call to 

(202) 475-3532 and email to anthony.d.smith@uscg.mil when the proofs are shipped to the department and provide the 

name of the carrier service and tracking number. In addition, if the proofs are not returned by the department within the 

specified time the contractor must notify the GPO that the proofs have not been returned. Send proof delivery notification 

via email bboecher@gpo.gov. Include GPO jacket number with all correspondence.

Submit proofs/samples to: Commandant (CG-612); Attn: Anthony Smith (ph. 202-475-3532); U.S. Coast Guard, Stop 7710; 

2703 Martin Luther King Jr. Ave. SE; Washington, D.C. 20593-7710. The container and accompanying documentation 

shall be marked PRIOR TO PRODUCTION 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.
“If Found” Reflective Stickers

Jacket 660-786R-1 Page 4 of 7

One set of inkjet proofs: Proof will be withheld not more than seven workdays from receipt by the Government until they 

are made available for pickup by the contractor. Contractor must not print prior to receipt of an 'OK to print'. Note: The first 

workday after receipt of proofs by the Government is day one of the hold time.

One set of inkjet proofs that are G7 profiled and use pigment-based inks. 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 3/19/09, and future amendments) must be utilized plus 

GRACoL 2006 Coated #1 specifications (CGATS TR006) must be achieved. Output must be a minimum of 720 x 720 dpi 

on a GRACoL or SWOP certified proofing media. Proofs must contain the following color control strip to be evaluated for 

accuracy: IDEAlliance ISO 12647-7 Control Strip 2009 or 2013(i1).

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 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 contractor is cautioned that these proofs must be made from the final digital files (used for this printing) that are to be 

delivered to the Government.

Five prior to production samples: The Government will approve, conditionally approve, or disapprove the samples within 

seven workdays of the receipt thereof. 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.

STOCK/PAPER: High visibility 8 mil Thickness Reflective Orange Opaque Flexible Vinyl that meets the Brittleness 

Temperature of Plastic Sheeting Impact Test (ASTMD-1790): Must withstand cracking when formed into a loop of 1/2" 

inside diameter and struck with a force of a minimum of five pounds while material is at -18 degreeC (0 degree F) plus/minus 

3 degree C (5 degree F). 
“If Found” Reflective Stickers

Jacket 660-786R-1 Page 5 of 7

Printability: The material shall have a surface smooth enough to allow screen printing with a complete bonding of vinylbased inks to the surface after a minimum of one hour's drying time. The ink shall not be capable of being removed without 

the use of a solvent and even after removal shall show evidence of the bond.

Lamination: Vendor to apply gloss 1 mil non-yellowing UV inhibiting laminate over all stickers. The laminate

MUST be capable of receiving and retaining permanent marker handwritten entries. 

Adhesive: Sticker adhesive must be an aggressive solvent, acrylic permanent adhesive, offering excellent adhesion to a wide 

variety of substrates, with service temperature range of 10 to +120 degrees Fahrenheit. 

Mount stickers on suitable release liner die-cut to trim size with four radius corners with matrix removed. Radius all corners 

parallel to outlines in electronic media, similar to PDF reference image. Carrier to have kiss-cut easy removal feature. Note: 

Kiss-cut must not penetrate sticker.

PRINTING: At vendor option screen printing or flexographic printing with 175 line screen or 2400 x 2400 dpi equivalent 

quality required. At vendor option print on face in opaque white, black and seven Pantone spot colors or conversion of all 

spot colors to 4-color process color match with exception of one spot color of opaque white. Stickers include full bleed 

margins. Copy includes color logos, black line-copy with horizontal rules and two lines sticker border lines parallel to trim. 

Vendor is responsible for adjusting supplied electronic media to insure areas in supplied electronic media reverse out of 

background elements in associated logo or print as opaque white. 

NOTE: All inks must be permanent waterproof and fade resistant for up to 5 years and withstand a marine environment. 

Stickers to include aggressive waterproof permanent adhesive. 

WARRANTY: Contract Clause 15, "Warranty", of GPO Contract Terms (GPO Publication 310.2, effective December 1, 

1987 (Rev. 01-18)) is amended for the solicitation to the effect that the warranty period is EXTENDED from 120 days to 

five calendar years from the date the check is tendered as final payment. All other provisions remain the same.

INK COLOR: At vendor option Opaque White, Black, Seven Pantone Spot Colors: 186-C Red, 200-C Red, 032-C Red, 

286-C Blue, 7462-C Blue, 301-C Blue, 116-C Yellow or all spot colors with the exception of opaque white converted to 

4-color process color match. All inks MUST BE UV inhibiting and waterproof. (Orange Flood-coating IS NOT 

Acceptable).

DEPARTMENTAL RANDOM COPIES (BLUE LABEL SAMPLES): All orders must be divided into 200 equal 

sublots. A random sample 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 with the distribution list.

A copy of the signed Certificate of Selection of Random Copies must be included in the package.

PACKING: Shrink-wrap stickers in units of 50 with chipboard backing. Pack in cartons not to exceed 40 lbs. per carton.

Shipping containers shall have a minimum bursting strength of 1 300 kPa (200 pounds per square inch) or a minimum edge 

crush test (ECT) of 5 600 Newtons per meter width (32 pounds per inch width).

Palletizing: Contractor will be required to furnish pallets for bulk shipments in shipping containers when the containers fill 

two layers or more on the pallet. Except for size, pallets must conform with Federal Specifications NN-P-71c, dated 

September 10, 1973 and any amendments thereto, as follows:
“If Found” Reflective Stickers

Jacket 660-786R-1 Page 6 of 7

Type III (4-way (partial), flush, assembled, nonreversible). Size L 1 020 x W 1 220 mm (L 40 x W 48"), Full entry must be 

on the 1 220 mm (48") width. Group II (medium density wood) or Group III (high density wood), at contractor's option.

Fasten with straps over edge protectors when the containers fill more than 1 layer on the pallet. Pallets shall be suitably 

packed so as to insure acceptance and safe delivery by common carriers to the point of delivery. Maximum height (including 

pallet) 1 190 mm (47"). Pack flush to corners, no overhang permitted at any edge. Voids must be to the interior of the pallet.

Pack with care. Loaded pallets may be stored 4 high at destination. All containers on pallets must be secured to prevent 

containers from shifting when pallets are hoisted to a high shelving area. 

LABELING AND MARKING (Package and/or Container Label): 

Label”, located at: https://www.gpo.gov/docs/default-source/forms-standards-pdf-files/ppr.pdf?sfvrsn=c9a6613d_4, pg. 159 

of 192 (Section 17 pg. 9). Form must be filled in by the contractor and used on all proof packages. Each package must be 

clearly labeled with the GPO jacket, purchase order and print order numbers, and the number or title of the product to which 

the proof(s) apply.

Contractor to download the GPO Form 905, R. 7-15 “Labeling and Marking Specifications” form, located at

https://www.gpo.gov/docs/default-source/forms-and-standards-files-for-vendors/gpo905.pdf, fill in appropriate blanks, and 

attach to shipping containers.

Bulk Shipments: Contractor to download GPO Form 905 (R. 7-15) – Labeling and Marking Specifications which can be 

located on GPO.gov, fill in appropriate blanks, and attach to shipping containers.

DISTRIBUTION: F.O.B. Destination. 

449,999 copies (includes 200 random copies "Blue Label") delivered to: USCG Auxiliary National Supply Center; Attn: 

Randy Ernst (ph. 618-452-4309); 1301 First Street, Suite E; River's Edge; Granite City, IL 62040-1803. 

1 sample copy with jacket number on package delivered to: U.S. Government Publishing Office; Denver Regional Office; 

12345 W Alameda Parkway, Suite 208; Lakewood CO 80228.

SCHEDULE: Adherence to this schedule must be maintained. 

Furnished Material will be available by 05/20/2022. 

Deliver complete (to arrive at destination) by 06/30/2022. 

NOTIFICATION OF SHIPMENT TO AGENCY AND GPO DENVER REGIONAL OFFICE: 

Inform the GPO Denver Regional Office of the actual delivery date (not the shipped date) as soon as known. Email the 

Jacket number and delivery date to InfoDenver@gpo.gov. 

Contractor must notify the ordering agency on the same day that the product ships/delivers via e-mail sent to:

anthony.d.smith@uscg.mil. The subject line of this message shall be "Distribution Notice for Requisition No. 2-99074, 

Jacket 660-786". 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.

RECEIPT FOR DELIVERY: Contractor must furnish their own receipts and USPS receipts for delivery. These receipts 

must include the GPO jacket number, purchase order number, requisition number, total quantity delivered, number of 

cartons, and quantity per carton; date delivery made; and signature of the government agent accepting delivery. The original 

copy of this receipt must accompany the contractor's voucher for payment.

PAYMENT: 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/agency/billing-and-payment. 
“If Found” Reflective Stickers

Jacket 660-786R-1 Page 7 of 7

Jacket No: ______________________ 

Quantity produced _______________ for $115,733.75 with an Additional Rate of _____________ 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 bid, 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 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. 

_____________________________________________ _____________________________________________ 

 (Company Name) (GPO Contractor's Code)

_________________________________________________________________________________________________ 

(Street Address, City Sate and Zip Code)

_____________________________________________ _____________________________________________ 

 (Printed Bidder’s Name and Title) (Telephone Number)

_____________________________________________ _____________________________________________ 

 (Bidder’s Name/Signature) (Date)

_____________________________________________ _____________________________________________ 

 (E-Mail Address) (Facsimile Number)

COMPLETE AND SUBMIT THIS PAGE WITH YOUR BID

THIS SECTION FOR GPO USE ONLY

Certified by: _______________ Date: ___________ Contracting Officer: ________________ Date: ____________ 

 (Initials) (Initials)