Jacket: 735-415

Title: Snapouts

Agency: IRS

Bid Opening: July 21, 2023 at 2PM

Bid Terms Discounted Total

$110,563.54 2.0% 20 days $108,352.27

$201,617.60 2.0% 20 days $197,585.25

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KDM - Award

Contractor Name

Ennis
/
Specifications by MS Jacket 735-415

Reviewed by CS

Page 1 of 11 

BID OPENING: Bids shall be opened at 2:00 p.m., prevailing Central Standard Time (CST), on 

July 21, 2023 for the U.S. Government Publishing Office, Northcentral Region. This will NOT be a public bid 

opening.

 

BID SUBMISSION: Bidders MUST submit email bids to bidsnorthcentral@gpo.gov for this solicitation. See 

also “ADDITIONAL EMAILED BID SUBMISSION PROVISIONS”.

No other method of bid submission will be accepted at this time. 

The Jacket number “735-415” and bid opening date “July 21, 2023” must be specified in the subject line of the 

emailed bid submission. Bids received after “2:00 p.m. Central Standard Time” on the bid opening date specified 

above will not be considered for award.

 

All the requirements of these specifications apply equally to all items unless otherwise indicated.

Any questions before award concerning these specifications call Chuck Szopo, at 312-353-3916 x 6 or email at 

cszopo@gpo.gov

PRODUCT: IRS OCR Snap sets.

BIDDERS, PLEASE NOTE: GPO has issued a new GPO Publication 310.2, GPO Contract Terms - Solicitation 

Provisions, Supplemental Specifications, and Contract Clauses (Rev 1-18). Prospective bidders should carefully 

read this publication as the applicable terms within become an integral part of this contract. The document is 

posted at https://www.gpo.gov/how-to-work-with-us/vendors/forms-and-standards along with a list revisions.

PREDOMINANT PRODUCTION FUNCTION: The predominant production function is Printing. Bidders 

who must subcontract this operation will be declared non-responsible.

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 10 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. 

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: 
Page 2 of 11 Jacket 735-415

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.

TITLE: Form 1099 NEC Non employee Compensation (Rev 01/00/2022) (Cat # 72590N) Reprint.

QUANTITY: 1,445,427 copies.

Quantity Include: 

5 copies - Agency copies to Andre Jones.

2 copies GPO inspection copies. 

TRIM SIZES: 8.5 x 11”. 

NUMBER OF PAGES: 5-part sets (10 pages). 

GOVERNMENT TO FURNISH: PDF files and PO to be emailed. 

BASIC CHECK OF FURNISHED MEDIA AND FILES: Prior to image processing, the contractor is 

responsible for performing a basic check (preflight) of the furnished media and files. If any errors, media damage, 

or data corruption that might interfere with proper file imaging are discovered during inspection by the contractor, 

work should be discontinued after the entire order has been inspected. Further instructions should be requested 

from the GPO Contract Administrator. 

This preflight should identify any problem areas with the digital file submission and should include but not be 

limited to missing or damaged fonts, damaged disks, missing bleeds, improper trim size and/or margins, only low 

resolution files included for illustrations, and improper color definition. The contractor is also responsible for 

creating or altering any necessary trapping, setting proper screen angles and frequency, adjusting copy for trim 

size and folds, and defining proper file output selection for the imaging device being used. All furnished files 

must be imaged as necessary to meet the assigned quality assurance through attributes program (QATAP) level.

RIGHTS ON DATA: The fonts provided (see GOVERNMENT TO FURNISH) are the property of the ordering 

agency and are provided for use on this contract only. Using the furnished fonts on any job other than the one for 

which the fonts were submitted violates copyright law. All fonts should be eliminated from contractor's archive 

immediately after completion of the production run.

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. 

IDENTIFICATION MARKS: Identification markings such as register marks, ring folios, rubber stamped jacket 

numbers, commercial identification marks of any kind, etc., form number, and revision date, carried on copy or 
Page 3 of 11 Jacket 735-415

film, must not print on finished product.

REPRODUCIBLES: The contractor must make all reproducibles required. All halftones are to be 175-line 

screen or finer. Minimum resolution for line copy and type is 2400 dpi. 

At the completion of the project, contractor will be required to provide the Government with a DVD-R or CD-R’s 

that contains the entire project suitable for reproduction. This must be returned with all of the Government 

furnished material. This is required regardless of the contractor’s method of production. 

PROOFS: 

Email PDF proofs to: kerry.harris@irs.gov ; andre.j.jones@irs.gov & cszopo@gpo.gov

Call to confirm receipts: Kerry Harris, 801-620-3040 and Andre Jones, 202-468-0350. 

Proofs will be withheld not more than 2 workdays from receipt in agency until contractor is notified of an "OK to 

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

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.

After PDF proofs are approved.

PRIOR TO PRODUCTION SAMPLES - 3 day hold: 

The sample requirement for this contract is not less than 10 printed copies, 5 of to 2 different addresses. 

Each sample must be constructed as specified using the form, ink, equipment, and methods of production which 

will be used in producing the finished product. Paper used for samples must be of the size, kind, and quality the 

contractor will furnish.

Samples will be inspected and tested and must comply with the specifications as to kind and quality of materials, 

quality of reproduction, and satisfactory processing on the machine indicated. Prior to the commencement of 

production of the contract production quantity, the contractor shall submit samples to the AGENCY in 

distribution section.

Samples will be tested for conformance of materials and/or 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 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.

The Government will approve, conditionally approve, or disapprove the samples within 3 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 therefore.

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.
Page 4 of 11 Jacket 735-415

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. 6-01)). 

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: 

BIDDERS, PLEASE NOTE: GPO has issued a new Government Paper Specification Standards, No. 13, dated 

September 2019. Prospective bidders should carefully read this publication as the applicable standards within 

become an integral part of this contract. The document is posted at https://www.gpo.gov/how-to-work-withus/vendors/forms-and-standards along with a list of major revisions.

Part 1: White OCR Chemical Transfer Bond, CB, basis weight 17 x 22”, 20 to 21.5 lbs. per 500 sheets. Black 

image transfer required. Equal to JCP Code O25.

Parts 2 through 5: White chemical transfer bond, CFB (or CF as appropriate), basis weight 17 x 22”, 12.5 to 15.5 

lbs. per 500 sheets. Black image transfer required. See below for the paper combination requested for Parts 2-5.

PRINTING AND MARGINS: 

Pin-hole Construction: Forms shall be punched along the left side with round holes 5/32" in diameter, spaced 

1/2" center to center, 1/4" from center of holes to side of form with center of top aligning hole located 1/4" from 

tear-line edge. Sets are to be held together by an adhesive providing sufficient strength to guarantee parts will 

remain together under normal handling and storage, but permit ready separation of parts without damage to the 

parts.

Forms print head to head, 3-up on 8 1⁄2” x 11" 5-part carbonless snap-set, with a 1⁄2” stub on the left side to bind 

the snap set together.

Part 1 of the form will be optically scanned.

Perf. vertically at the stub 1⁄2” from the left edge leaving an 8” x 11” detachable sheet.

Perf. horizontally at 3-3/4" intervals from the head on all pages except pages 1 and 2.

Page 1 print in Flint Ink J-6983 or equal and non-reflective black ink on 20-21.5 lb. White OCR Chemical 

Transfer (CB).

Page 2 is blank.

Page 3 print 100% in black ink on 12.5-15.5 lb. White Chemical Transfer (CFB).

Page 4 is blank.

Page 5 print 100% in black ink on 12.5-15.5 lb. White Chemical Transfer (CFB).

Page 6 print 80% in black ink on 12.5-15.5 lb. White Chemical Transfer (CFB).

Page 7 print 100% in black ink on 12.5-15.5 lb. White Chemical Transfer (CFB).
Page 5 of 11 Jacket 735-415

Page 8 is blank.

Page 9 print 100% in black ink on 12.5-15.5 lb. White Chemical Transfer (CFB).

Page 10 print 80% in black ink on 12.5-15.5 lb. White Chemical Transfer (CF).

Margins: Head: 1⁄2” to rule; Right 1⁄4”. Must align within set.

Stub prints in black ink with GPO Imprint Line.

QUALITY CONTROL: The forms produced under these specifications must be guaranteed to function properly 

when processed through High Speed Scan-Optics 9000mm scanners, and Kodak High Speed 9500, 9520, I840 or

other High Speed Scanners. Forms require precision spacing, printing, and trimming. Readings will be made 

when printed on white chemical transfer with the reflectance of the red ink 80% or greater relative to the 

reflectance of the paper. Black ink used must not have a reflectance greater than 15% relative to the reflectance of 

the paper.

IRS requested production meeting with Vendor after contract awarded.

**See electronic Form 2040 for distribution of copies. 

Contractor must complete 2040 application and return to IRS.

 

PACKAGING: 

No internal wrapping or tying. Pack solid in a tight fitting shipping containers. Place full size corrugated boards 

on top, bottom, and vertically between stacks.

Pack 740 per container.

Pack products in two (2) even stacks within shipping container with full size corrugated boards on top, bottom 

and vertically between stacks.

The exterior dimensions of the cartons must not exceed 17 1⁄2 (L) x 11 1⁄2 (W) x 9” (D). 

The contractor is responsible for determining the exact carton dimensions in accordance with the product with a 

maximum 11-1/2” (W) outside measured dimension. Cartons must not exceed 32 pounds when fully packed. Full 

pallets must not exceed 55” in height.

Containers must not have excessive air space (dunnage/void fill) when fully packed to prevent crushing or 

deformation. Containers must not open nor split during transit through the USPS or small package/motor 

freight/air freight carrier delivery systems. 

Container filler (if necessary) must be composed of material that can be easily removed without damaging 

contents. Packing peanuts or beads are strictly prohibited.

LABELING AND MARKING: Labels MUST be generated from furnished PDF file (IRS form 6153 (3-2006)). 

Contractor’s streamlined or recreated labels will not be acceptable. (See Exhibit B). Contractor is required to fill 

in any appropriate blanks, output on suitable white stock, and attach to one end of each shipping container. Label 

must be facing out if loaded on a pallet.

Correct labeling of shipping cartons, in strict accordance with the requirements of these specifications, is essential

to the identification, distribution and warehousing activities of the ordering agency.
Page 6 of 11 Jacket 735-415

If not entered on the carton label copy furnished by the IRS, the following items must be filled in by the 

contractor: From (Contractor's Name and Address); To (Consignee, complete address must appear on carton 

label); Carton Quantity (Number of copies in each carton); and GPO Program Number, Print Order Number and 

Jacket Number).

At the contractor's option, the consignee address may be eliminated from the carton labels on all full and secure 

pallet loads. If this option is exercised, then in addition to the cartons being labeled, pallets require labels 

containing the full shipping address on all four sides and top of the load on the pallet.

Small Package Carrier shipments require the IRS carton label on one end and the small package carrier label on 

the top of the carton. Contractor must keep the two labels close together.

PALLETS AND PALLETIZING: All motor freight shipments require pallets. Pallets must be type III and must 

conform to the Federal Specifications NN-P-71C, and any amendments thereto except for dimensions and single 

center stringer (must not be double stringer). Pallets are 48” in length and 40” in width and must not exceed 5” in 

height. Full entry MUST be on the 40" width. Strict adherence to these dimensions is necessary to accommodate 

storage requirements of IRS distribution center. Receipt of incorrect pallets may result in a charge for each 

incorrect pallet, which will be assessed against the contractor. This charge will cover additional costs incurred by 

IRS to re-palletize the shipment onto correct pallets. (See Exhibit C, IRS Document 12321 (Rev. 1-2013), for 

visual of pallet and carton stacking specifications.)

Cartons shall be stacked on pallets using a reverse layer pattern, 9 cartons per layer, with a maximum height of 

55", including pallet or a maximum of 7 layers. Cartons must be fastened securely to the pallet in a manner that 

will prevent movement during transit but permit ready removal, without damage to the cartons, at destination. 

Neither metal strapping nor pallet caps are to be used. There must be no more than one partial pallet per 

destination. (See Exhibit C, IRS Document 12321 (Rev. 1-2013), for pallet and carton stacking diagram and 

related specifications.)

Contractor is to follow all the instructions listed on the carton label. If contractor has any questions about the 

packing, labeling and/or palletizing of a product, contact the agency point of contact for clarification immediately.

All expenses incidental to packing, labeling and palletizing must be borne by the contractor.

CORRECTING PACKING AND RELATED PROBLEMS: Contractor will be responsible for correcting all

packing-related problems (i.e. mislabeled cartons, IRS carton labels not being used, cartons not being packed 

solid, incorrect pallets, or pallets not being layered right). The delivery will either be returned to the contractor to 

be corrected or the contractor will be required to make the corrections on-site. If the contractor is required to make 

corrections on-site and does not arrange to be on-site correcting the problems, they will then be responsible for 

any billed amount that is accrued by the agency in fixing the problem through an outside vender.

“Mislabeling” means any error on the carton label, which incorrectly states or identifies the title of the form; the 

form identification number; or the quantity of forms actually contained in the carton.

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

apply to these specifications:

Product Quality Level:

(a) Printing Attributes - Level IV.

(b) Finishing Attributes - Level IV.

(c) Exceptions: Trim size and margins, of the finished product, and detached size of forms, must be 

within a tolerance of + 1/16" and the register from form to form must be within 1/16". Any 

deviation will be considered a major defect.
Page 7 of 11 Jacket 735-415

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

(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 OK PRIORS 

P-9 Solid/Screen Tint Color Match OK PRIORS

When electronic files are furnished, in the absence of hard copy proofs and/or originals, the Specified Standard 

will be uniformity of image throughout the press run.

DISTRIBUTION: 

Mail F.O.B. Contractor’s City: 

See Form 2040. 

1,445,220 to: 

IRS/National Distrib Center

2525 Revenue DR

Bloomington, IL 61705-2500

Receiving, 309-556-5169

200 Label copies to:

IRS/National Distrib Center

Blue Label Copies

2525 Revenue DR

Bloomington, IL 61705-2500

Shipments less than 750 lbs. are required to ship via small package carrier (SPC). The IRS will provide an IRS 

small package carrier account number. Contractor must notify the IRS at least 10 workdays prior to the scheduled 

ship date if a carrier account number has not been issued. Contractors are required to ship using the designated 

carrier and IRS account number(s) or be responsible for any additional shipping costs. Contractor must notify the 

designated small package carrier when orders are ready for shipping. The contractor must report any SPC related 

problems to the agency immediately. The U.S. Postal Service (USPS) is not an option for shipments to the 

government for this jacket.

In order to verify small package carrier cost for each print order, the contractor MUST have the capability to 

generate UPS shipping labels electronically. It will be the responsibility of the contractor to be familiar with the 

electronic shipping methods of any IRS small package carrier for the duration of this contract. In addition to basic 

electronic address requirements, the contractor must provide additional reference fields as required.

Shipments of over 750 lbs. are to be made by common carrier offering a guaranteed delivery date and delivery 

confirmation.

GOVERNMENT BILLS OF LADING: Infrequently, the IRS may elect on an order to provide Government 

Bills of Lading for one or more destinations. The IRS may also choose to provide an IRS account number (such as 

FedEx or UPS Ground Service) for use in shipping packages of less than 750 lbs. to one or more destinations. 

Should the IRS choose one of these options, the print order will so indicate, and no charges may be made for that

destination under Pricing Schedule ITEM II.

Whenever possible full truckloads should be utilized (e.g., use a full truckload and a partial truckload rather than 

two partial truckloads). The contractor will be provided multiple IRBL’s for shipments to an individual 
Page 8 of 11 Jacket 735-415

destination exceeding a truckload. Only one bill of lading should be released for each truckload. Any extra 

IRBL’s should be returned to the IRS. 

Deliver F.O.B. Destination (at contractor’s expense) via traceable means:

Deliver prior to production samples to destinations as indicated below and IRS Form 2040 and Distribution List. 

All deliveries must be made Monday through Friday, exclusive of Federal Holidays, between 8 a.m. and 3:30 pm 

local prevailing time.

5 Priors and 5 final samples to:

IRS / NCFB,

5000 Ellin Road Bldg C6-175

Attn: Andre Jones, 202-468-0350

Mail stop: C6-175

Lanham, MD 20706 

5 Priors to:

IRS 

1973 North Rulon White Blvd.

Ogden, Utah 84404

M/S 8000 ATTN. Kerry Harris, 801-620-3040

2 samples marked Inspection Copies and with GPO jacket number to U.S. GPO, Attn: Compliance -Chuck Szopo, 

residential Chicago IL address to come. Email cszopo@gpo.gov for address after award.

Blue Label Copies - All orders must be divided into equal (200) 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 with the distribution.

NOTIFICATION OF SHIPMENT: Immediately after the order has been shipped, the contractor MUST furnish 

shipping information to Agency. Include the order title, GPO jacket number, requisition number, date of 

shipment, quantity (copies, # of cartons, etc.), and tracking information for deliveries. Email kerry.harris@irs.gov

; andre.j.jones@irs.gov & cszopo@gpo.gov

SCHEDULE: See Notice of Compliance with Schedules in GPO Publ. 310.2.

Award will be made and Government furnished material and purchase order will be available by July 24, 2023. 

Email PDFs PROOFS for review on or before July 26, 2023. 

Agency hold time for proofs will be not more than 3 workdays.

Deliver PRIORS on or before August 3, 2023. 

Agency hold time for proofs will be not more than 3 workdays.

Contractor must make complete shipment by August 15, 2023. 

Contractor MUST email delivery verification information to VerifyNorthcentral@gpo.gov within 24 hours of 

delivery. Enter the Jacket number in the subject line and place method of shipment and the delivery date in the 
Page 9 of 11 Jacket 735-415

body of the message. Failure to follow this procedure may result in delayed payment after invoicing.

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 copies. The price for additional 

quantities must be based on a continuing run, exclusive of all basic or preliminary charges, (i.e., running rate not 

including makeready) and will not be a factor for determination of award.

Bids must be received by the exact date and time specified.

PAYMENT: 

It is requested that the contractor invoice GPO within 10 workdays from the date of complete distribution for 

timely customer billing closeout.

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-withus/vendors/how-to-get-paid. 

CONTRACTOR’S INVOICE FOR PAYMENT MUST BE ISSUED TO GPO WITHIN 10 WORKDAYS 

AFTER COMPLETION OF ORDER. FAILURE TO ISSUED INVOICE TO GPO WITHIN 10 

WORKDAYS AFTER ORDER COMPLETION MAY RESULT IN DELAYED PAYMENT. 
Page 10 of 11 Jacket 735-415

SHIPMENT(S): Shipments will be made from: City __________________________, State ___________.

The city(ies) indicated above may be used for evaluation of transportation charges when shipment f.o.b. 

contractor’s city is specified. If no shipping point is indicated above, it will be deemed that the bidder has selected 

the city and state shown below in the address block, and the bid will be evaluated and the contract awarded on 

that basis. If shipment is not made from evaluation point, the contractor will be responsible for any additional 

shipping costs incurred. 

TOTAL BID PRICE $_______________________ ADDITIONAL RATES: Mark below PER_1,000 sets

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.

Bidder ___________________________________________________________________________________ 

(Contractor Name) (GPO State and 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)

 ____________ 

 (Initials)

(COMPLETE AND SUBMIT THIS PAGE WITH YOUR BID)

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

THIS SECTION FOR GPO USE ONLY

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

 (Initials) (Initials)

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

See next page for specifying bid.
Page 11 of 11 Jacket 735-415

 Bid ADDED RATE/M

Jacket 735-415: $_________________ $_____________

Note: Bidders must include this sheet with their submitted Bids.

 ____________ 

(Initials)