STATE OF HAWAII

IFB-16-010-O

FURNISHING AND DELIVERING

COARSE PAPER PRODUCTS- OAHU

Procurement Officer

State Procurement Office

1151 Punchbowl Street, Room 416

Honolulu, Hawaii96813

Dear Procurement Officer:

The procurement conducted for the specified goods and/or servicesare pursuant to Hawaii Revised Statutes (HRS) Chapter 103D-302 and its Hawaii Administrative Rules (HAR). The undersigned has carefully read and understands the terms and conditions specified in the Specifications, Special Provisions, General Provisions, dated 7/2013, or as amended, and the AG General Conditions, Form AG-008, as amended, and hereby submits the following bid to perform the work specified herein, all in accordance with the true intent and meaning thereof. The undersigned further understands and agrees that by submitting this offer, 1) Bidder is declaring that offer is not in violation of Chapter 84, Hawaii Revised Statutes, concerning prohibited State contracts, and 2) Bidder is certifying that the price(s) submitted was (were) independently arrived at without collusion.

Bidder is:

Sole Proprietor Partnership *Corporation Joint Venture

Other

*State of incorporation:

Hawaii General Excise Tax License I.D. No.
Federal I.D. No.
Payment address
(other than street address below):
City, State, Zip Code:
Business address (street address):
City, State, Zip Code:
Respectfully submitted:
(x)
Date: / Authorized (Original) Signature
Telephone No.: / Name and Title (Please Type or Print)
**
Fax No.: / Exact Legal Name of Company (Bidder)
E-mail Address:
**If Bidder is a “dba” or a “division” of a corporation, furnish the “dba” or “division” name of the corporation:

OFFER FORMOF-1IFB-16-010-O

The following shall be provided by the Bidder:

1. / Company Name
Company Address
2. / Contact Person(s) for Contract-Related Questions/Concerns
Contact Person
Phone Number
Fax Number
Email Address
3. / Contact Person(s) for Orders
Contact Person
Phone Number
Fax Number
Email Address
Contact Person
Phone Number
Fax Number
Email Address
4. / Warehouse Address
Warehouse Phone No.
Warehouse Fax No.
5. / Address for Purchase Orders

Bidder shall accept pCards in addition to purchase orders as form of payment.

Bidder:
Name of Company

OFFER FORMOF-2IFB-16-010-O

BIDDER REFERENCES

Reference 1
Customer Contact/Name: / Customer Postal Address:
Customer Contact Title: / Customer Contact Phone:
Customer Organization: / Customer Contact Email:
Project Dates:
Brief Description of the Project:
Reference 2
Customer Contact/Name: / Customer Postal Address:
Customer Contact Title: / Customer Contact Phone:
Customer Organization: / Customer Contact Email:
Project Dates:
Brief Description of the Project:
Reference 3
Customer Contact/Name: / Customer Postal Address:
Customer Contact Title: / Customer Contact Phone:
Customer Organization: / Customer Contact Email:
Project Dates:
Brief Description of the Project:
Bidder:
Name of Company

OFFER FORMOF-3IFB-16-010-O

STATE OF HAWAII

CERTIFICATION OF RECYCLED CONTENT

Solicitation No.: IFB-16-010-OOpening Date: March 29, 2016

Title: Coarse Paper Products - Oahu

Item No. / Product Name / Product Description / Manufacturer / Post-Consumer Recovered Material Content* / Recovered Material Content*
*Post-consumer recovered material and recovered material content, defined in § 3-124-21, HAR, are measured as percentage of total product weight. Recycled content measurements to be used for bid evaluation. Attach manufacturer’s specifications or certification, as required by § 3-124-23, HAR. Additional sheets may be attached to complete product information.

I DECLARE THAT THE RECYCLED CONTENT HAS BEEN EXAMINED BY ME AND IS,

TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE AND CORRECT.

Company / Authorized Representative
Address / Title
City, State, Zip / Signature
Telephone No. / Date

SPO Form-008 (Rev.7/1/02)