Jacket:

Title:

Agency:

622-051

FY22 SY23 1HSS 0922 MAILING REVEAL/INSIDE TEST PACKAGE (DSO 798806)

DLA NORFOLK VA 23511

Bid Opening: June 9, 2022 at 11:00 AM EST

Bid Terms Discounted Total

$376,673 2.0% 20 days $369,139.54

 20 days $634,734.67

 days $0.00

days $0.00

days $0.00

days $0.00

LU/RG

*Monarch Litho

Contractor Name

*= Awarded 

Advantage Mailing LLC $647,688.44 1/2%
FY22 SY23 1HSS 0922 MAILING REVEAL/INSIDE TEST PACKAGE (DSO 798806) Page 1 of 9

622-051 DLA Norfolk / 2-202502G-798806 

Specifications by LU

Reviewed by RG

U.S. GOVERNMENT PUBLISHING OFFICE

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 June 9, 2022 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 Ledo Ulerio (757) 

490-7943 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: Bidders are to fill out, sign/initial, as applicable, and return page 9. 

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. 

For information regarding the solicitation requirements prior to award, email Ledo Ulerio at lulerio@gpo.gov For 

contract administration after award, contact Ledo Ulerio at (757) 490-7943. 
FY22 SY23 1HSS 0922 MAILING REVEAL/INSIDE TEST PACKAGE (DSO 798806) Page 2 of 9

GENERAL TERMS AND CONDITIONS 

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 (Rev. 09-19)).

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.

PREAWARD SURVEY: In order to determine the responsibility of the prime contractor, 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) 

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: 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

Vendors are expected to submit invoices within 15 days of job shipping/delivery. 

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 
FY22 SY23 1HSS 0922 MAILING REVEAL/INSIDE TEST PACKAGE (DSO 798806) Page 3 of 9

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. 

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. 

GOVERNMENT TO FURNISH: Purchase Order and furnished material (Digital file on thumb drive, color 

proofs and collated lasers upon award from Jennifer Brown) will be ready for pickup no later than June 13, 2022. 

PREFLIGHT: 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 Lulerio@gpo.gov. 

PRODUCT: A direct mail package consisting of 2 versions of Carrier with pocket, 2 version of 12-page selfcover brochure and 2 versions of BRC reply cards, printing 4- color process, Pantone 296C (blue), Pantone 

187C (red) plus overall aqueous matte and aqueous gloss varnish. 

QUANTITY: 1,060,000 total package sets FIRM 

TITLE: FY22 SY23 1HSS 0922 MAILING REVEAL/INSIDE TEST PACKAGE (DSO 798806) 

NOTE: Quantity is 4,240,000 pieces for 1,060,000 complete packages (includes overs for the mailing and 

samples). Package to be assembled and addressed at the lettershop. 

DESCRIPTION: 

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

***Delivery Date is non-negotiable. Second round proofs may be required and should be considered and 

included in cost estimate when bidding on projects/schedule. 

***SECOND ROUND PROOFS are changes to existing proofs. Corrections (color and/or copy) to be made by 

the printer and the output of proofs need to be included your price. 

*** 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. 

*** FINAL SAMPLES - ship 25 package samples sealed and 25 unsealed to the following address 

prior to shipping full run to Data Mail: 

 

Ms. Jackie McGowan 

2 Maple Street, Hartsdale, NY 10530 

AND 

Ship 25 package samples sealed and 25 unsealed to the following address: 

Branden Roane / Wunderman Thompson 

3630 Peachtree Road, NE, Suite 1200 

Atlanta, GA 30326 

*** Press schedule must be provided along with how many shifts this will be printed over. 

Order consist 4,240,000 pieces for a total of 1,060,000 complete packages (includes overs for the mailing and for 

the sample lots.) 
FY22 SY23 1HSS 0922 MAILING REVEAL/INSIDE TEST PACKAGE (DSO 798806) Page 4 of 9

-CARRIER WITH POCKET – 2 VERSIONS - Quantity: 1,060,000 (NO OVERS/NO UNDERS), Breakdown: 

(A) Hand Raiser – 705,000 (Code: FSTH22). 

(B) Consideration – 355,000 (Code: FSTC22). 

Size: Flat – 13.5” x 8.75”, Converted/Folded Size – 6.75” x 5”., Inside Panel glues 3/8” on each side to create a 

pocket that measures 3.75” high, Die-Cuts: 1 Square Die-Cut: 2nd Outside Panel – 2” x 2”, Color 7/1 Bleed- (4/C 

Process Color + Pantone 187C + Pantone 296C +100% Aqueous Matte) 

Stock: 80# Matte Coated Cover. 

Instructions: From final electronic production file posted to selected supplier’s FTP site output and provide color 

proofs and backed up digital asset proofs along with stock sample for approval. (NOTE: Stock sample must be 

approved by Agency prior to purchase for printing.) 

-REPLY CARDS – 4 LOTS 

(A) RMI Version - 705,000 of Each. Base code FSTHB22. Pass Code FSTHP22. 

(B) Consideration Version - 355,000 of Each. Base code FSTCB22. Pass code FSTCP22. 

Size: 4” x 5.5”. Color: 7/1 Bleed- (4/C Process Color + Pantone 187C + Pantone 296C + 

100% Matte Aqueous over black line). 

Stock: 80# Matte Coated Cover. 

Instructions: From final electronic production file posted to selected supplier’s FTP site output and provide color 

proofs and backed up digital asset proofs for both versions along with stock sample for approval. (NOTE: Stock 

sample must be approved by Agency prior to

purchase for printing.) 

-12 PAGE SELF-COVER BROCHURE – 2 VERSIONS

1,060,000 (NO OVERS/NO UNDERS) 

(A) Hand Raiser – 705,000 (Code: FSTHC22) 

(B) Consideration – 355,000 (Code: FSTCC22) 

Size: Flat – 9” x 4.5” folded to 4.5” x 4.5” 

Color: 6/6 Bleed- (4/C Process Color + Pantone 187C + Pantone 296C + Aqueous Gloss Varnish). Copy and QR 

Change Pages 10 & 11. Black code change Page 12. 

Stock: 80# Gloss Text 

Bindery: Trim Panels to size and saddle stitch 

Instructions: From final electronic production file posted to selected suppliers sFTP site output and provide color 

proofs and backed up digital asset proofs along with stock sample for approval. (NOTE: Stock sample must be 

approved by Agency prior to purchase for printing.)

PRINTING/CONVERSION/ASSEMBLY 

All type and images are in position and are high-resolution files. 

A. Printing: As this is a new package – Agency and/or Client may opt to attend to PSI. 

B. Assembly: In the converted pocket the pass reply card should be inserted facing the front of pocket followed by 

the base along reply card and then the brochure placed on top of the reply cards with headline copy facing out. 

C. Sealing: Affix 2 clear 1 1/2” wafer seals not perforated. When looking at the address side, the wafer seals 

should be affixed to the top and open end (centered on both sides). 

Assembly: 

PANEL OUTSIDE 

CODE 

LETTER/BROCHURE 

CODE 

BASE REPLY CODE PASS REPLY 

CODE 

A.Hand Raiser 

Version 

FSTH22 FSTHC22 FSTHB22 FSTHP22 

B.Consideration 

Version 

FSTC22 FSTCC22 FSTCB22 FSTCP22 

SCHEDULE: 

Unscheduled material such as shipping documents, receipts or instructions, delivery lists, labels, etc., will be 
FY22 SY23 1HSS 0922 MAILING REVEAL/INSIDE TEST PACKAGE (DSO 798806) Page 5 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. 

STOCK: 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.

Carrier with pocket and BRC: JCP Code* L50, Matte-Coated Cover, Basis Size 20 X 26" Basis Weight 80# 

Brochure: JCP Code* A181, No. 1 Gloss-Coated Text, Basis Size 25 X 38" Basis Weight 80#

DISTRIBUTION: Deliver f.o.b. destination. Ship all destinations by traceable means. All expenses incidental 

to picking up and returning materials and samples must be borne by the contractor. 

-Inside delivery (to arrive at destination) by September 8, 2022 by 2pm local time. 

PROOF: 

*PDF Proof: 

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) workDAY. Date of receipt is NOT considered first workday. 

Contractor must call Jennifer Brown at 757-278-8264 to confirm receipt. 

Email PDF to: jackie.mcgowan@wundermanthompson.com, jennifer.2.brown@dla.mil and Lulerio@gpo.gov. 

*High Resolution proof: 

Contractor MUST supply a proof sign-off sheet and a return airbill. Also please include a reminder that the 

agency can only keep proofs 3 days. 

1 set of digital one-piece composite laminated halftone proofs on the actual production stock (Kodak Approval, 

Polaroid PolaProof, CreoSpectrum, or Fuji Final Proof) with a minimum resolution of 2400 x 2400 dpi. 

At contractors option, (1) set(s) 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 at: 

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-forendors/qlsamples6f200c30b44a64308413ff00001d133d.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 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. 
FY22 SY23 1HSS 0922 MAILING REVEAL/INSIDE TEST PACKAGE (DSO 798806) Page 6 of 9

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. 

Pantone colors must be simulated on proofs and must be proofed separately on a digital color content, overlay, or 

inkjet proof. 

Contractor to submit ink draw downs on actual production stock of Pantone color(s) used to produce the product. 

Half of draw down must show varnish or coating, as applicable.

Digital color content proof shall be used to represent spot varnish. 

*Content proof: 

1 set(s) of digital color content proofs. Direct to plate must be used to produce the final product with a minimum 

resolution 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. 

One set of proofs to be sent to the address provided and one set to be held by contractor for reference, corrections 

and/or approvals. 

*Stock samples: At the same time as submission of the proofs, submit a minimum of 1 set, 8-1/2 x 11 blank sheets 

to proof addressee of the actual paper to be used in the production of the contract requirements. Samples 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 APPROVAL NOTE: Stock sample must be sent to the address provided below for customer review 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 provided to the customer for review and in conformance to the paper 

specifications. The requested stock sample is for approval of the actual stock and paper should not be purchased 

prior to approval of sample. 

-Send proofs to: 

Ms. Jackie McGowan 

2 Maple Street 

Hartsdale, NY 10530 

Packing: Carton labels must show title, quantity, form number and control number and must appear on the outside 

of the mailing and shipping cartons. Use new corrugated fiberboard for mailing and shipping containers. Shipping 

containers may contain more than one mailing carton provided the weight does not exceed 50 Lbs. Use only new 

corrugated solid fiberboard containers with minimum bursting strength of 275 p.s.i. 

Inserted, sealed packages are to be packed in cartons by outside carrier code and shipped to its final destination. 

PALLETS/PALLETIZING: Pallets used for delivery to AMWARE Fulfillment in Austell, GA MUST be wood 

and have front and rear load beam, with a single (1) 48" long 2 x 4 upright support, centered on the length of the 48" 

dimension; this will allow a "fixed-fork unloader/uploader to enter the pallets and place them in the warehouse 

racks. Pallets MUST be partially shrink-wrapped, and the size MUST be 48" X 40", with a maximum height of 48". 

Cartons MUST be stacked on pallets in a staggered manner to ensure maximum stability. 
FY22 SY23 1HSS 0922 MAILING REVEAL/INSIDE TEST PACKAGE (DSO 798806) Page 7 of 9

Pallets shall be suitably packed so as to insure acceptance and safe delivery by common carrier. Maximum gross 

weight is 2,000 lbs. Pack flush to corners, top side up, label facing out, without overhang at any edge. Voids must 

be to the center of the pallet. Pack with care. Loaded pallets may be stored four high at destination. 

Noncompliance with the palletizing specifications may be cause for the Government to reject the shipment at 

destination and return it to the contractor at their expense. The Government may, at its option, offer the contractor an 

opportunity and a reasonable time to correct, however, the Government may choose to repackage in accordance with 

the specifications and charge all costs to the contractor. 

NOTE: Pallets are required for all destinations receiving 10 or more shipping containers. Failure to properly 

palletize may be cause for re-palletizing at contractor's expense. See GPO Contract Terms. 

DEPARTMENTAL RANDOM COPIES (BLUE LABEL): All orders must be divided into equal sublots in 

accordance with the chart below. 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 the copies were selected as 

directed using GPO Form 917 – Certificate of Selection of Random Copies which can be located on GPO.gov. 

The random copies constitute a part of the total quantity ordered, and no additional charge will be allowed. 

Quantity Number of 

 Ordered Sublots 

 1,060,000 sets 200 sets 

 

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

Departmental Random Copies (Blue Label), which 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 print 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 Service, for payment. Failure to furnish the certificate 

may result in delay in processing the invoice. 

NOTIFICATION OF SHIPMENT: Contractor must notify the ordering agency on the same day that the 

product ships/delivers via e-mail sent to jennifer.2.brown@dla.mil and lulerio@gpo.gov. The subject line of this 

message shall be Distribution Notice for Jacket 622-051. 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. 

Deliver final product including Blue Label copies to: 

DATA MAIL 

240 Hartford Avenue 

Newington, CT 06111 

Attn: Colleen Costin (860) 666-0399 

RETURN OF MATERIALS: 

Final digital downloads along with 10 sealed samples of each component should be sent on or before Friday, 

September 30, 2022 to: 

Jackie McGowan 

2 Maple Street 

Hartsdale, NY 10530 

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

specifications: 
FY22 SY23 1HSS 0922 MAILING REVEAL/INSIDE TEST PACKAGE (DSO 798806) Page 8 of 9

Product Quality Levels: 

(a) Printing Attributes -- Level 1 

(b) Finishing Attributes -- Level 1 

(c) Exceptions: None 

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

(a) Non-destructive Tests - General Inspection Level 1. 

(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-8. Halftone Match Approved Proof 

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

 Approved Proof 

P-10. Process Color Match Approved Proof 
FY22 SY23 1HSS 0922 MAILING REVEAL/INSIDE TEST PACKAGE (DSO 798806) Page 9 of 9

Bidders must fill out this page and return it. 

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

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) 

_______________________________________________________________________________________ 

THIS SECTION FOR GPO USE ONLY 

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

 (Initials) (Initials) 

___________________________________________________________________________________________