BIDS MUST BE SEALED AND ADDRESSED TO: State of Wisconsin DOA-3070 (R08/2003)

BIDS MUST BE SEALED AND ADDRESSED TO: State of Wisconsin DOA-3070 (R08/2003)
State of Wisconsin
Wis. Statutes s.16.75
DOA-3070 (R08/2003)
University of Wisconsin Milwaukee Purchasing Office
Mail to:
Deliver to:
PO Box 777
Engelmann Hall Room 180
Milwaukee WI 53201
2033 E Hartford Ave
Milwaukee WI 53211
Remove from bidder list for this commodity/service. (Return this page only.)
Bid envelope must be sealed and plainly marked in lower corner with due date and Request for Bid
#. Late bids will be rejected. Bids MUST be date and time stamped by the soliciting purchasing
office on or before the date and time that the bid is due. Bids dated and time stamped in another
office will be rejected. Receipt of a bid by the mail system does not constitute receipt of a bid by the
purchasing office. Any bid which is inadvertently opened as a result of not being properly and
clearly marked is subject to rejection. Bids must be submitted separately, i.e., not included with
sample packages or other bids. Bid openings are public unless otherwise specified. Records will
be available for public inspection after issuance of the notice of intent to award or the award of the
contract. Bidder should contact person named below for an appointment to view the bid record.
Bids shall be firm for acceptance for sixty (60) days from date of bid opening, unless otherwise
noted. The attached terms and conditions apply to any subsequent award.
Bids MUST be in this office no later than
BIDDER (Name and Address)
Friday, October 2, 2009 2:00 PM CDT
Name (Contact for further information)
Kurt Kopplin
[email protected]
Quote Price and Delivery FOB
Destination Dock Delivery
X Fax bids are accepted
and Unit
Fax bids are not accepted
Per Unit
New Fluorescence Plate Reader 96,384 and 1536 Format
Or alternative system:
Used or Preowned Fluorescence Plate Reader 96, 384 or
1536 Format
For technical questions contact Professor Alexander
Arnold at 414.229.2612 or [email protected]
Payment Terms
Delivery Time
We claim minority bidder preference [Wis. Stats. s. 16.75(3m)]. Under Wisconsin Statutes, a 5% preference may be granted to CERTIFIED Minority Business Enterprises. Bidder must be
certified by the Wisconsin Department of Commerce. If you have questions concerning the certification process, contact the Wisconsin Department of Commerce, 5th Floor, 201 W. Washington
Ave., Madison, Wisconsin 53702, (608) 267-9550. Does Not Apply to Printing Bids.
We are a work center certified under Wis. Stats. s. 16.752 employing persons with severe disabilities. Questions concerning the certification process should be addressed to the Work Center
Program, State Bureau of Procurement, 6th Floor, 101 E. Wilson St., Madison, Wisconsin 53702, (608) 266-2605.
Wis. Stats. s. 16.754 directs the state to purchase materials which are manufactured to the greatest extent in the United States when all other factors are substantially equal. Materials covered in our
bid were manufactured in whole or in substantial part within the United States, or the majority of the component parts thereof were manufactured in whole or in substantial part in the United States.
In signing this bid we also certify that we have not, either directly or indirectly, entered into any agreement or participated in any collusion or otherwise taken any action in restraint of free competition;
that no attempt has been made to induce any other person or firm to submit or not to submit a bid; that this bid has been independently arrived at without collusion with any other bidder, competitor or
potential competitor; that this bid has not been knowingly disclosed prior to the opening of bids to any other bidder or competitor; that the above statement is accurate under penalty of perjury.
We will comply with all terms, conditions and specifications required by the state in this Request for Bid and all terms of our bid.
Name of Authorized Company Representative (Type or Print)
Signature of Above
E-Mail Address:
Internet (Web) Address:
This form can be made available in accessible formats upon request to qualified individuals with disabilities.
University of Wisconsin Milwaukee Request for Bid
Itemized Specification Bid List K0-23-O
1 Only
Price ___________________
Fluorescence Plate Reader (New Equipment)
Or Alternative Bid:
1 Only
Price ___________________
Fluorescence Plate Reader (Used or Preowned Equipment)
Age of Equipment _______________________
Condition of Equipment _________________
Serial Number(s) _______________________
Warranty: ____________________________
96, 384 AND 1536 Format
Fluorescence polarization for fluorecein, Texas-Red and Cy5
Fluorescence intensity for fluorescein, Texas-Red and Cy-5
Absorbance and UV-VIS spectral scanning ability
Time resolved fluorescence
Optional AlphaScreen
Top and bottom read
Temperature control
Barcode reader
Computer and software
One year warranty or service contract to be provided
Demo instruments will be considered at the discretion of the University
Used (1-3 years) instruments will be considered at the discretion of the University
State manufacturer and model you are bidding on:
Send descriptive literature with complete specifications.
Page 1 of 1 Pages
University of Wisconsin Milwaukee Request for Bid
Special Conditions of Bid K0-23-O
Delivery is desired at the earliest possible date. Please state when delivery can be made.
This equipment is to be delivered to the Department of Chemistry at the University of
Wisconsin-Milwaukee, be set in place in an area as designated by University personnel, be in
operating condition (floor checked at site), with all debris to be removed by vendor, and with
operating instructions, operating manuals and maintenance manuals given to University
personnel. Bid prices are to include all packing, transportation, set-up, instructional and manual
Bidders shall submit a total net bid price for the item specified.
The itemized specifications listed are the minimum acceptable specifications for the product
desired. The specifications and code numbers referenced are those meeting the departmental
structural and/or performance requirements, and as such, serve as the standard of quality.
Equivalent alternate models will be considered. Equipment furnished shall be the latest
improved model in current production as offered to commercial trade, and shall be of quality
workmanship and material. However used, preowned or demonstrator models may be considered
at the discretion of the University. If quoting used, preowned or demonstrator equipment please
furnish the age, condition, serial numbers and the applicable warranty. (See additional
information regarding the warranty below.)
All parts not specifically mentioned which are necessary for the unit to be complete and ready for
operation, or which are normally furnished as standard equipment, shall be furnished by the
successful bidder, (i.e. manuals, instructions, case, cables, etc. as applicable). All parts shall
conform in strength, quality and workmanship to the accepted standards of the industry.
Award(s) shall be made on the basis of the lowest unit price or lot total where designated which
is judged to be in the best interests of the University of Wisconsin--Milwaukee. The right is
reserved, however, to award on a line item basis within lots if mutually agreeable to the bidders
affected. Life-cycle cost methods and timeliness of delivery may be used in evaluation of bid
submittals when appropriate.
Life Cycle Cost Factors
In addition to the factors listed below, it is important to provide detail on the incremental costs of
accessories, enhancements to operating characteristics and additional features. Provide complete
specifications to include literature and price lists for common accessories and operating supplies.
Copies of applicable standard warranty statements and maintenance contracts should be provided
with the bid as they also will be part of the bid evaluation.
Page 1 of 3 Pages
University of Wisconsin Milwaukee Request for Bid
Special Conditions of Bid K0-23-O
WARRANTY: It is preferred by the University that the equipment have a full parts and labor
warranty for either one (1) year or the duration of the manufacturer’s standard warranty,
whichever is greater. Warranty shall include, but not be limited to, telephone and e-mail or fax
support during the warranty period. Warranty might be a factor in the award. Successful bidder
shall furnish the manufacturer’s warranty at the time of delivery.
If the bid submission is for a preowned or used system the University may require that a warranty
be provided before purchase. Prospective bidders of preowned or used systems should be
prepared to specify the cost for bringing the unit to a condition where a warranty (preferably the
manufacturer’s) can be provided (e.g., through a certification process from the manufacturer) for
a period of one year (or greater).
State Warranty:
Parts: __________________________________ Labor: _______________________________
Name Local Factory Authorized Service Center: ______________________________________
State current unit costs of maintenance contracts for on site service on the above items: _______
State current unit costs of maintenance contracts for depot service on the above items: ________
State current hourly rate for service not covered by maintenance contracts to include charges for
travel: ________________________________________________________________________
Which categories of parts, accessories and operating supplies are available from supply houses?
What discount or discounts if any apply to the above items which have been bid? What
discounts will apply to future purchases of accessories, parts, supplies and service? What period
of time will the discounts remain valid beyond the standard 60 day firm bid period?
What utilities and operating environment are required for operation of the instrument? _______
Procurement policy prohibits us from listing brand names and model or part numbers in our
specifications unless absolutely necessary or totally impractical to do otherwise. We encourage
bidders to contact the individuals listed in the bid document for further information if necessary.
Page 2 of 3 Pages
University of Wisconsin Milwaukee Request for Bid
Special Conditions of Bid K0-23-O
With reference to the enclosed specifications, please be advised that the following manufacturers
are listed in published sources for this type of commodity:
Tecan, Beckman Coulter, BMG Labtech, BioTek, Perkin Elmer
Additional brands may be bid and may be considered for award at the option of the University.
Please contact Kurt Kopplin, Telephone (414) 229-6061 if you have any questions regarding this
Technical questions regarding equipment should be directed to Professor Alexander Arnold,
Telephone (414) 229-2612 or [email protected]
The State of Wisconsin’s purchasing information and vendor notification service is available to
all businesses and organizations that want to sell to the state. Anyone may access VendorNet on
the Internet at to get information on state purchasing practices and
policies, goods and services that the state buys, and tips on selling to the state. Vendors may use
the same Web site address for inclusion on the bidders list for goods and services that the
organization wants to sell to the state. A subscription with notification guarantees the
organization will receive an e-mail message each time a state agency, including any campus of
the University of Wisconsin System, posts a request for bid or a request for proposal in their
designated commodity/service area(s) with an estimated value over $25,000. Organizations
without Internet access receive paper copies in the mail. Increasingly, state agencies also are
using VendorNet to post simplified bids valued at $25,000 or less. Vendors also may receive email notices of these simplified bid opportunities. The annual fee for this service is $125 ($65 for
certified minority businesses and certified work centers).
The subscription to VendorNet is not a fee to do business with the State of Wisconsin.
Alternatively, an organization may read the legal notices of the official state newspaper, the
Wisconsin State Journal, to learn about request for bid and request for proposal opportunities
over $25,000 and request a copy from the contracting agency.
Additionally, agencies will include the following or similar language in the first solicitation for a
specific commodity or service (with an established bidders list) since October 1996, the date
VendorNet was implemented:
Page 3 of 3 Pages
Standard Terms And Conditions (Request For Bids / Proposals)
Wisconsin Department of Administration Chs. 16, 19, 51 Wis. Stats. DOA-3054 (R10/2005, with UW Milwaukee Revisions dated 10/8/2007)
part of a bid/proposal as deemed to be in the best interests of the
State of Wisconsin.
SPECIFICATIONS: The specifications in this request are the
minimum acceptable. When specific manufacturer and model
numbers are used, they are to establish a design, type of
construction, quality, functional capability and/or performance
level desired. When alternates are bid/proposed, they must be
identified by manufacturer, stock number, and such other
information necessary to establish equivalency. The State of
Wisconsin shall be the sole judge of equivalency.
Bidders/proposers are cautioned to avoid bidding alternates to the
specifications which may result in rejection of their bid/proposal.
DEVIATIONS AND EXCEPTIONS: Deviations and exceptions
from original text, terms, conditions, or specifications shall be
described fully, on the bidder's/proposer's letterhead, signed, and
attached to the request. In the absence of such statement, the
bid/proposal shall be accepted as in strict compliance with all
terms, conditions, and specifications and the bidders/proposers
shall be held liable.
Bids/proposals MUST be date and time stamped by the soliciting
purchasing office on or before the date and time that the
bid/proposal is due. Bids/proposals date and time stamped in
another office will be rejected. Receipt of a bid/proposal by the
mail system does not constitute receipt of a bid/proposal by the
purchasing office.
METHOD OF AWARD: Award shall be made to the lowest
responsible, responsive bidder unless otherwise specified.
ORDERING: Purchase orders or releases via purchasing cards
shall be placed directly to the contractor by an authorized
agency. No other purchase orders are authorized.
normally will pay properly submitted vendor invoices within thirty
(30) days of receipt providing goods and/or services have been
delivered, installed (if required), and accepted as specified.
QUALITY: Unless otherwise indicated in the request, all material
shall be first quality. Items which are used, demonstrators,
obsolete, seconds, or which have been discontinued are
unacceptable without prior written approval by the State of
Invoices presented for payment must be submitted in accordance
with instructions contained on the purchase order including
reference to purchase order number and submittal to the correct
address for processing.
QUANTITIES: The quantities shown on this request are based on
estimated needs. The state reserves the right to increase or
decrease quantities to meet actual needs.
DELIVERY: Deliveries shall be F.O.B. destination freight prepaid
and included unless otherwise specified.
PRICING AND DISCOUNT: The State of Wisconsin qualifies for
governmental discounts and its educational institutions also
qualify for educational discounts. Unit prices shall reflect these
Unit prices shown on the bid/proposal or contract shall be
the price per unit of sale (e.g., gal., cs., doz., ea.) as stated
on the request or contract. For any given item, the quantity
multiplied by the unit price shall establish the extended
price, the unit price shall govern in the bid/proposal
evaluation and contract administration.
Prices established in continuing agreements and term
contracts may be lowered due to general market
conditions, but prices shall not be subject to increase for
ninety (90) calendar days from the date of award. Any
increase proposed shall be submitted to the contracting
agency thirty (30) calendar days before the proposed
effective date of the price increase, and shall be limited to
fully documented cost increases to the contractor which
are demonstrated to be industrywide. The conditions
under which price increases may be granted shall be
expressed in bid/proposal documents and contracts or
In determination of award, discounts for early payment will
only be considered when all other conditions are equal and
when payment terms allow at least fifteen (15) days,
providing the discount terms are deemed favorable. All
payment terms must allow the option of net thirty (30).
UNFAIR SALES ACT: Prices quoted to the State of Wisconsin
are not governed by the Unfair Sales Act.
ACCEPTANCE-REJECTION: The State of Wisconsin reserves
the right to accept or reject any or all bids/proposals, to waive
any technicality in any bid/proposal submitted, and to accept any
A good faith dispute creates an exception to prompt payment.
TAXES: The State of Wisconsin and its agencies are exempt
from payment of all federal tax and Wisconsin state and local
taxes on its purchases except Wisconsin excise taxes as
described below.
The State of Wisconsin, including all its agencies, is required to
pay the Wisconsin excise or occupation tax on its purchase of
beer, liquor, wine, cigarettes, tobacco products, motor vehicle
fuel and general aviation fuel. However, it is exempt from
payment of Wisconsin sales or use tax on its purchases. The
State of Wisconsin may be subject to other states' taxes on its
purchases in that state depending on the laws of that state.
Contractors performing construction activities are required to pay
state use tax on the cost of materials.
GUARANTEED DELIVERY: Failure of the contractor to adhere
to delivery schedules as specified or to promptly replace rejected
materials shall render the contractor liable for all costs in excess
of the contract price when alternate procurement is necessary.
Excess costs shall include the administrative costs.
ENTIRE AGREEMENT: These Standard Terms and Conditions
shall apply to any contract or order awarded as a result of this
request except where special requirements are stated elsewhere
in the request; in such cases, the special requirements shall
apply. Further, the written contract and/or order with referenced
parts and attachments shall constitute the entire agreement and
no other terms and conditions in any document, acceptance, or
acknowledgment shall be effective or binding unless expressly
agreed to in writing by the contracting authority.
governed under the laws of the State of Wisconsin. The
contractor shall at all times comply with and observe all federal
and state laws, local laws, ordinances, and regulations which are
in effect during the period of this contract and which in any
manner affect the work or its conduct. The State of Wisconsin
reserves the right to cancel this contract if the contractor fails to
follow the requirements of s. 77.66, Wis. Stats., and related
statutes regarding certification for collection of sales and use tax.
The State of Wisconsin also reserves the right to cancel this
Page 1 of 3 Pages
Standard Terms And Conditions (Request For Bids / Proposals)
Wisconsin Department of Administration Chs. 16, 19, 51 Wis. Stats. DOA-3054 (R10/2005, with UW Milwaukee Revisions dated 10/8/2007)
contract with any federally debarred contractor or a contractor
that is presently identified on the list of parties excluded from
federal procurement and non-procurement contracts.
ANTITRUST ASSIGNMENT: The contractor and the State of
Wisconsin recognize that in actual economic practice,
overcharges resulting from antitrust violations are in fact usually
borne by the State of Wisconsin (purchaser). Therefore, the
contractor hereby assigns to the State of Wisconsin any and all
claims for such overcharges as to goods, materials or services
purchased in connection with this contract.
ASSIGNMENT: No right or duty in whole or in part of the
contractor under this contract may be assigned or delegated
without the prior written consent of the State of Wisconsin.
WORK CENTER CRITERIA: A work center must be certified
under s. 16.752, Wis. Stats., and must ensure that when
engaged in the production of materials, supplies or equipment or
the performance of contractual services, not less than seventyfive percent (75%) of the total hours of direct labor are performed
by severely handicapped individuals.
with the performance of work under this contract, the contractor
agrees not to discriminate against any employee or applicant for
employment because of age, race, religion, color, handicap, sex,
physical condition, developmental disability as defined in s.
51.01(5), Wis. Stats., sexual orientation as defined in s.
111.32(13m), Wis. Stats., or national origin. This provision shall
include, but not be limited to, the following: employment,
upgrading, demotion or transfer; recruitment or recruitment
advertising; layoff or termination; rates of pay or other forms of
compensation; and selection for training, including apprenticeship. Except with respect to sexual orientation, the contractor
further agrees to take affirmative action to ensure equal
employment opportunities.
articles, and agrees that it will pay all costs, damages, and profits
recoverable in any such suit.
All materials, equipment, and
supplies provided to the State of Wisconsin must comply fully
with all safety requirements as set forth by the Wisconsin
Administrative Code and all applicable OSHA Standards.
WARRANTY: Unless otherwise specifically stated by the
bidder/proposer, equipment purchased as a result of this request
shall be warranted against defects by the bidder/proposer for one
(1) year from date of receipt. The equipment manufacturer's
standard warranty shall apply as a minimum and must be
honored by the contractor.
INSURANCE RESPONSIBILITY: The contractor performing
services for the University shall provide the University a
Certificate of Insurance with the required coverage and limits of
insurance issued by an insurance company that has an AM Best
Rating of A-, is licensed to do business in the State of Wisconsin,
and signed by an authorized agent. The contractor shall:
Contracts estimated to be over twenty-five thousand
dollars ($25,000) require the submission of a written
affirmative action plan by the contractor. An exemption
occurs from this requirement if the contractor has a
workforce of less than twenty-five (25) employees. Within
fifteen (15) working days after the contract is awarded, the
contractor must submit the plan to the contracting state
agency for approval. Instructions on preparing the plan
and technical assistance regarding this clause are
available from the contracting state agency.
The contractor agrees to post in conspicuous places,
available for employees and applicants for employment, a
notice to be provided by the contracting state agency that
sets forth the provisions of the State of Wisconsin's
nondiscrimination law.
Failure to comply with the conditions of this clause may
result in the contractor's becoming declared an "ineligible"
contractor, termination of the contract, or withholding of
PATENT INFRINGEMENT: The contractor selling to the State of
Wisconsin the articles described herein guarantees the articles
were manufactured or produced in accordance with applicable
federal labor laws. Further, that the sale or use of the articles
described herein will not infringe any United States patent. The
contractor covenants that it will at its own expense defend every
suit which shall be brought against the State of Wisconsin
(provided that such contractor is promptly notified of such suit,
and all papers therein are delivered to it) for any alleged
infringement of any patent by reason of the sale or use of such
Maintain worker's compensation insurance as required by
Wisconsin Statutes, for all employees engaged in the
Maintain commercial liability, bodily injury and property
damage insurance against any claim(s) which might occur
in carrying out this agreement/contract.
coverage shall be one million dollars ($1,000,000) liability
for bodily injury and property damage including products
liability and completed operations. Provide motor vehicle
insurance for all owned, non-owned and hired vehicles that
are used in carrying out this contract. Minimum coverage
shall be one million dollars ($1,000,000) per occurrence
combined single limit for automobile liability and property
The University reserves the right to require higher or lower
limits where warranted.
The contractor shall add the "Board of Regents of the
University of Wisconsin System, its officers, employees,
and agents" as an additional insured under the commercial
general liability policy.
All policies of insurance shall contain a covenant requiring
sixty (60) days written notice by the insurer and sent to the
University Risk Manager, before cancellation, reduction or
other modifications of coverage. The insurance certificate
shall be for the initial contract period and shall be renewed
by the contractor for each subsequent renewal period of
the contract.
In the event of non-renewal, cancellation, or expiration, the
contractor shall provide the University evidence of the new
source(s) of required insurance within twenty-one (21)
calendar days after the University's receipt of the sixty (60)
day notice. Failure to maintain the required insurance in
force may be cause for contract termination.
In the event that the contractor fails to maintain and keep
in force the insurance herein required, the University shall
have the right to cancel and terminate the contract without
CANCELLATION: The State of Wisconsin reserves the right to
cancel any contract in whole or in part without penalty due to
nonappropriation of funds or for failure of the contractor to
comply with terms, conditions, and specifications of this contract.
Page 2 of 3 Pages
Standard Terms And Conditions (Request For Bids / Proposals)
Wisconsin Department of Administration Chs. 16, 19, 51 Wis. Stats. DOA-3054 (R10/2005, with UW Milwaukee Revisions dated 10/8/2007)
VENDOR TAX DELINQUENCY: Vendors who have a delinquent
Wisconsin tax liability may have their payments offset by the
State of Wisconsin.
PUBLIC RECORDS ACCESS: It is the intention of the state to
maintain an open and public process in the solicitation,
submission, review, and approval of procurement activities.
departments, agencies or other subunits, or any state official or
employee for commercial promotion is prohibited. News releases
pertaining to this procurement shall not be made without prior
approval of the State of Wisconsin. Release of broadcast emails pertaining to this procurement shall not be made without
prior written authorization of the contracting agency.
HOLD HARMLESS: The contractor will indemnify and save
harmless the State of Wisconsin and all of its officers, agents and
employees from all suits, actions, or claims of any character
brought for or on account of any injuries or damages received by
any persons or property resulting from the operations of the
contractor, or of any of its contractors, in prosecuting work under
this agreement.
A foreign corporation (any
corporation other than a Wisconsin corporation) which becomes
a party to this Agreement is required to conform to all the
requirements of Chapter 180, Wis. Stats., relating to a foreign
corporation and must possess a certificate of authority from the
Wisconsin Department of Financial Institutions, unless the
corporation is transacting business in interstate commerce or is
otherwise exempt from the requirement of obtaining a certificate
of authority. Any foreign corporation which desires to apply for a
certificate of authority should contact the Department of Financial
Institutions, Division of Corporation, P. O. Box 7846, Madison, WI
53707-7846; telephone (608) 261-7577.
WORK CENTER PROGRAM: The successful bidder/proposer
shall agree to implement processes that allow the State
agencies, including the University of Wisconsin System, to satisfy
the State's obligation to purchase goods and services produced
by work centers certified under the State Use Law, s.16.752,
Wis. Stat.
This shall result in requiring the successful
bidder/proposer to include products provided by work centers in
its catalog for State agencies and campuses or to block the sale
of comparable items to State agencies and campuses.
FORCE MAJEURE: Neither party shall be in default by reason of
any failure in performance of this Agreement in accordance with
reasonable control and without fault or negligence on their part.
Such causes may include, but are not restricted to, acts of nature
or the public enemy, acts of the government in either its
sovereign or contractual capacity, fires, floods, epidemics,
quarantine restrictions, strikes, freight embargoes and unusually
severe weather, but in every case the failure to perform such
must be beyond the reasonable control and without the fault or
negligence of the party.
Contractor shall not
report or release information concerning UWM or its students,
employees or customers to third parties without UWM's prior
written approval. Any such report or release of information shall,
at a minimum, comply with those requirements enumerated in the
Gramm-Leach-Bliley Act, 15 USC 6801 et seq., UWM's
standards for safeguarding such information, and all other
Bid/proposal openings are public unless otherwise specified.
Records may not be available for public inspection prior to
issuance of the notice of intent to award or the award of the
PROPRIETARY INFORMATION: Any restrictions on the use of
data contained within a request, must be clearly stated in the
bid/proposal itself. Proprietary information submitted in response
to a request will be handled in accordance with applicable State
of Wisconsin procurement regulations and the Wisconsin public
records law. Proprietary restrictions normally are not accepted.
However, when accepted, it is the vendor's responsibility to
defend the determination in the event of an appeal or litigation.
Data contained in a bid/proposal, all documentation
provided therein, and innovations developed as a result of
the contracted commodities or services cannot be
copyrighted or patented. All data, documentation, and
innovations become the property of the State of Wisconsin.
Any material submitted by the vendor in response to this
request that the vendor considers confidential and
proprietary information and which qualifies as a trade
secret, as provided in s. 19.36(5), Wis. Stats., or material
which can be kept confidential under the Wisconsin public
records law, must be identified on a Designation of
Confidential and Proprietary Information form (DOA-3027).
Bidders/proposers may request the form if it is not part of
the Request for Bid/Request for Proposal package.
Bid/proposal prices cannot be held confidential.
DISCLOSURE: If a state public official (s. 19.42, Wis. Stats.), a
member of a state public official's immediate family, or any
organization in which a state public official or a member of the
official's immediate family owns or controls a ten percent (10%)
interest, is a party to this agreement, and if this agreement
involves payment of more than three thousand dollars ($3,000)
within a twelve (12) month period, this contract is voidable by the
state unless appropriate disclosure is made according to s.
19.45(6), Wis. Stats., before signing the contract. Disclosure
must be made to the State of Wisconsin Ethics Board, 44 East
Mifflin Street, Suite 601, Madison, Wisconsin 53703 (Telephone
State classified and former employees and certain University of
Wisconsin faculty/staff are subject to separate disclosure
requirements, s. 16.417, Wis. Stats.
RECYCLED MATERIALS: The State of Wisconsin is required to
purchase products incorporating recycled materials whenever
technically and economically feasible. Bidders are encouraged to
bid products with recycled content which meet specifications.
MATERIAL SAFETY DATA SHEET: If any item(s) on an
order(s) resulting from this award(s) is a hazardous chemical, as
defined under 29CFR 1910.1200, provide one (1) copy of a
Material Safety Data Sheet for each item with the shipped
container(s) and one (1) copy with the invoice(s).
Reference to or use of the State of Wisconsin, any of its
Page 3 of 3 Pages
DOA-3477 (R05/98)
Commodity / Service
Toll Free Phone
E-Mail Address
Zip + 4
Name the person to contact for questions concerning this bid / proposal.
Toll Free Phone
E-Mail Address
Zip + 4
Any vendor awarded over $25,000 on this contract must submit affirmative action information to the
department. Please name the Personnel / Human Resource and Development or other person responsible
for affirmative action in the company to contact about this plan.
Toll Free Phone
E-Mail Address
Zip + 4
Mailing address to which state purchase orders are mailed and person the department may contact
concerning orders and billings.
Toll Free Phone
E-Mail Address
Zip + 4
CEO / President Name
This document can be made available in accessible formats to qualified individuals with disabilities
Bid/Proposal #
DOA-3478 (R12/96)
Provide company name, address, contact person, telephone number, fax number, e-mail address and appropriate
information on the product(s) and/or service(s) used for four (4) or more installations with requirements similar to
those included in this solicitation document. If vendor is proposing any arrangement involving a third party, the
named references should also be involved in a similar arrangement.
Company Name
Address (include Zip + 4)
Contact Person
Phone No.
E-Mail Address
Fax No.
Product(s) and/or Service(s) Used
Company Name
Address (include Zip + 4)
Contact Person
Phone No.
E-Mail Address
Fax No.
Product(s) and/or Service(s) Used
Company Name
Address (include Zip + 4)
Contact Person
Phone No.
E-Mail Address
Fax No.
Product(s) and/or Service(s) Used
Company Name
Address (include Zip + 4)
Contact Person
Phone No.
E-Mail Address
Fax No.
Product(s) and/or Service(s) Used
This document can be made available in accessible formats to qualified individuals with disabilities.
DOA-3027 N(R01/98)
The attached material submitted in response to Bid/Proposal #
includes proprietary and
confidential information which qualifies as a trade secret, as provided in s. 19.36(5), Wis. Stats., or is otherwise material
that can be kept confidential under the Wisconsin Open Records Law. As such, we ask that certain pages, as indicated
below, of this bid/proposal response be treated as confidential material and not be released without our written approval.
Prices always become public information when bids/proposals are opened, and therefore cannot be kept
Other information cannot be kept confidential unless it is a trade secret. Trade secret is defined in s. 134.90(1)(c), Wis.
Stats. as follows: "Trade secret" means information, including a formula, pattern, compilation, program, device, method,
technique or process to which all of the following apply:
1. The information derives independent economic value, actual or potential, from not being generally known to, and
not being readily ascertainable by proper means by, other persons who can obtain economic value from its
disclosure or use.
2. The information is the subject of efforts to maintain its secrecy that are reasonable under the circumstances.
We request that the following pages not be released
Page #
Failure to include this form in the bid/proposal response may mean that all information provided as part of the bid/proposal response
will be open to examination and copying. The state considers other markings of confidential in the bid/proposal document to be
insufficient. The undersigned agrees to hold the state harmless for any damages arising out of the release of any materials unless they
are specifically identified above.
Company Name
Authorized Representative
Authorized Representative
Type or Print
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