Specifications

Microcomputer Peripherals, Annual Contract #08-02-9975 Page 57 of 58
Bid Acknowledgment Form
Having carefully examined the Notice to Bidders, General Conditions, Special Conditions, Specifications, Bid
Form, and Bid Acknowledgment Form, the undersigned Bidder’s Agent hereby proposes and agrees to furnish
goods and/or supplies in strict compliance with the specifications at the prices quoted. The Bidder affirms that, to
the best of his knowledge, the bid has been arrived at independently and is submitted without collusion with anyone
to obtain information or gain any favoritism that would in any way limit competition or give them an unfair
advantage over other bidders in the award of this bid.
The following items must be reviewed, completed and returned with this proposal response in order to consider a
recommendation of goods and/or services proposed. Please initial that each is included.
_____ Felony Conviction Notification _____ Certification of Residency
_____ Conflict of Interest Questionnaire completed online _____ Resident Bidders Form
Firm Name
Mail Bid to Address
City, State, Zip
Phone Number
Fax Number
Mail Purchase Order To
City, State, Zip
Phone Number
Fax Number
Remit to Address
City, State, Zip
Phone Number
Fax Number
E-Mail Address
Website Address
Signature of Bidder
Printed Signature
Position with Company
Signature of Company Official