part 1 – invitation and submission instructions prep guides... · web view1.1invitation to...

May 2020

Request for Supplier Qualifications (RFSQ) Template Prequalification

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Request for Supplier Qualifications (RFSQ) Template PrequalificationMay 2020

[CLIENT LOGO]

Request for Supplier Qualifications

For

[**Insert Title of RFSQ**]

Request for Supplier Qualifications No.: [**Insert RFSQ Number**]

Issued: [**Insert Date of Issue**]

Submission Deadline: [**Insert Date and Time**]

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Request for Supplier Qualifications (RFSQ) Template PrequalificationMay 2020

TABLE OF CONTENTS

PART 1 – INVITATION AND SUBMISSION INSTRUCTIONS..........................................................11.1 Invitation to Respondents...............................................................................................11.2 RFSQ Contact..................................................................................................................11.3 Prequalification Process..................................................................................................11.4 RFSQ Timetable...............................................................................................................11.5 Submission of Responses................................................................................................1

PART 2 – EVALUATION OF RESPONSES.....................................................................................32.1 Stages of Evaluation........................................................................................................32.2 Stage I – Mandatory Requirements.................................................................................32.3 Stage II – Evaluation........................................................................................................32.4 Ranking and Selection.....................................................................................................3

PART 3 – TERMS AND CONDITIONS OF THE RFSQ PROCESS......................................................53.1 General Information and Instructions.............................................................................53.2 Communication after Issuance of RFSQ..........................................................................63.3 Notification and Debriefing.............................................................................................73.4 Conflict of Interest and Prohibited Conduct....................................................................83.5 Confidential Information...............................................................................................103.6 Procurement Process Non-binding...............................................................................103.7 Governing Law and Interpretation................................................................................11

APPENDIX A – RFSQ PARTICULARS.........................................................................................12A. THE DELIVERABLES........................................................................................................12B. MATERIAL DISCLOSURES...............................................................................................12C. MANDATORY REQUIREMENTS......................................................................................12D. RATED CRITERIA............................................................................................................13

APPENDIX B – SUBMISSION FORM.........................................................................................15

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Request for Supplier Qualifications (RFSQ) Template Prequalification Page 1May 2020

PART 1 – INVITATION AND SUBMISSION INSTRUCTIONS

1.1 Invitation to RespondentsThis Request for Supplier Qualifications (“RFSQ”) is an invitation by the Government of Saskatchewan (“Purchasing Entity”) to prospective respondents to qualify in accordance with Evaluation of Responses (Part 2) for eligibility to provide [**Insert title of RFSQ**] as further described in the RFSQ Particulars (Appendix A) (the “Deliverables”).

[**Insert initial mapping statement here: this should be an overview of the Deliverables and any anticipated second-stage competitive process, together with a summary of any unusual aspects of the RFSQ process**]

[**Consider inserting brief description of the Purchasing Entity here**]

1.2 RFSQ ContactFor the purposes of this procurement process, the “RFSQ Contact” will be:

[**Insert name and email of Contact**]

Respondents and their representatives are not permitted to contact any employees, officers, agents, elected or appointed officials or other representatives of Purchasing Entity, other than the RFSQ Contact, concerning matters regarding this RFSQ. Failure to adhere to this rule may result in the disqualification of the respondent and the rejection of the respondent’s response.

1.3 Prequalification Process

Responses will be evaluated in accordance with the evaluation process set out in Part 2 of the RFSQ. Based on the evaluation of responses, certain respondents will be selected for inclusion on a prequalified supplier list of suppliers that are eligible to participate in an invitational second-stage competitive process for the potential provision of the Deliverables to Purchasing Entity.

1.4 RFSQ Timetable

Issue Date of RFSQ [**Insert date**]Deadline for Questions [**Insert date**]Deadline for Issuing Addenda [**Insert date**]Submission Deadline [**Insert date and time**]

The RFSQ timetable is tentative only and may be changed by Purchasing Entity at any time.

1.5 Submission of Responses

[**insert Submission instructions as applicable **]

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1.5.1 Responses to be Submitted at the Prescribed Location

Responses must be submitted at:

[**Insert location for response submission**]

1.5.2 Responses to be Submitted on Time

Responses must be received at the location set out above on or before the Submission Deadline. Subject to the process described below, responses submitted after the Submission Deadline will be rejected.

Onus and responsibility rests solely with the respondent to deliver its submission to the exact location (including floor, if applicable) indicated in this RFSQ on or before the Submission Deadline. Purchasing Entity does not accept any responsibility for submissions delivered to any other location by the respondent delivery agents. Respondents are advised to make submissions well before the deadline. Respondents making submissions near the deadline do so at their own risk.

1.5.3 Responses to be Submitted in Prescribed Manner

Respondents should submit [**Insert number, type of copies, or other applicable details**] of their submission. If there is a conflict or inconsistency between a hard copy and an electronic copy of a submission, the hard copy of the submission will prevail. Submissions should be prominently marked with the RFSQ title and number (see RFSQ cover), with the full legal name and return address of the respondent.

1.5.4 Amendment of Responses

Respondents may amend their submissions prior to the Submission Deadline by submitting the amendment in a sealed package [**or such other alternate method**] prominently marked with the RFSQ title and number and the full legal name and return address of the respondent to the location set out above. Any amendment should clearly indicate which part of the submission the amendment is intended to amend or replace.

1.5.5 Withdrawal of Responses

At any time throughout the RFSQ process, a respondent may withdraw a submitted response. To withdraw a response, a notice of withdrawal must be received by the RFSQ Contact and should be signed by an authorized representative of the respondent. Purchasing Entity is under no obligation to return withdrawn responses.

[End of Part 1]

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PART 2 – EVALUATION OF RESPONSES

2.1 Stages of Evaluation

Purchasing Entity will conduct the evaluation of responses in the following stages:

2.2 Stage I – Mandatory Requirements

Stage I is expected to consist of a review to determine which submissions comply with all of the mandatory requirements. If a submission fails to satisfy any mandatory requirement, Purchasing Entity may choose, in its sole discretion, to not evaluate such submissions further. The mandatory requirements are detailed in Appendix A.

2.2.1 Submission Form (Appendix B)

Each response should include a Submission Form (Appendix B) completed and signed by an authorized representative of the respondent.

2.3 Stage II – Evaluation

Stage II will consist of the following sub stages:

2.3.1 Rated Criteria

Purchasing Entity will evaluate each qualified response on the basis of the rated criteria as set out in Section D of the RFSQ Particulars (Appendix A).

2.4 Ranking and Selection

[**Choose the appropriate option as applicable or write the Ranking and Selection method that best suits the prequalification method**]

Option # 1

Based on the evaluation of the responses in Stage II, Purchasing Entity intends to select all of the respondents that meet the mandatory requirements and have a total score that exceeds ** % for inclusion on a prequalified supplier list for eligibility to participate in a potential invitational second stage competitive process for the procurement of the Deliverables.

Option # 2

Based on the evaluation of the responses in Stage II, Purchasing Entity intends to select the [**Insert number**] highest scoring respondents for inclusion on a prequalified supplier list for eligibility to participate in a potential invitational second stage competitive process for the procurement of the Deliverables.

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Although it is the intention of Purchasing Entity to select the [**Insert number**] highest scoring respondents, Purchasing Entity may choose to select additional respondents if their total score is within [**Insert number**] percent (** %) of the highest scoring respondent. Purchasing Entity may select fewer than the [**Insert number**] highest scoring respondents by choosing not to select respondents with a total score that is not within [**Insert number**] percent (** %) of the total score of the highest scoring respondent.

[End of Part 2]

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PART 3 – TERMS AND CONDITIONS OF THE RFSQ PROCESS

3.1 General Information and Instructions

3.1.1 Respondents to Follow InstructionsRespondents should structure their responses in accordance with the instructions in this RFSQ. Where information is requested in this RFSQ, any response made in a response should reference the applicable section numbers of this RFSQ.

3.1.2 Responses in English

All responses are to be in English only.

3.1.3 No Incorporation by Reference

The entire content of the respondent’s submission should be submitted in a fixed form, and the content of websites or other external documents referred to in the respondent’s submission, but not attached, may not be considered to form part of its submission. If respondents wish to reference websites or external documents, they should obtain the approval of the RFSQ Contact prior to the Submission Date. Respondents are responsible for ensuring that all external content that is referenced is accurate, and are to provide notice to Purchasing Entity of any changes that may arise after submission. Purchasing Entity may, at any time, require a respondent to provide a hard copy of some or all of the external content referenced. [**or amend as applicable**]

3.1.4 References and Past Performance

In the evaluation process, Purchasing Entity may consider information provided by the respondent’s references and may also consider information independently obtained by Purchasing Entity about the respondent or its submission in the course of Purchasing Entity’s own due diligence, including any previous dealings or experience, if any, with a respondent. Purchasing Entity may contact any of the respondent’s customers who Purchasing Entity believes may be able to provide information about the respondent that would be pertinent to this RFSQ.

3.1.5 Information in RFSQ Only an Estimate

Purchasing Entity and its advisers make no representation, warranty or guarantee as to the accuracy of the information contained in this RFSQ or issued by way of addenda. Any quantities shown or data contained in this RFSQ or provided by way of addenda are estimates only and are for the sole purpose of indicating to respondents the general scale and scope of the Deliverables. [**or indicate what information that may be relied upon**] It is the respondent’s responsibility to obtain all the information necessary to prepare a response in response to this RFSQ.

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3.1.6 Respondents to Bear Their Own Costs

The respondent will [**or Purchasing Entity will; or such other arrangements as may be proposed**] bear all costs associated with or incurred in the preparation and presentation of its response, including, if applicable, costs incurred for interviews or demonstrations.

3.1.7 Response to be Retained by Purchasing Entity

Purchasing Entity will not return the response or any accompanying documentation submitted by a respondent.

3.1.8 Trade Agreements

Respondents should note that procurements falling within the scope of Chapter 5 of the Canadian Free Trade Agreement (CFTA) and/or the New West Partnership Trade Agreement (NWPTA) and/or the Agreement on Government Procurement are subject to those trade agreements, but that the rights and obligations of the parties will be governed by the specific terms of this RFSQ.

3.1.9 No Guarantee of Volume of Work or Exclusivity of Contract

This RFSQ process will not result in any commitment by Purchasing Entity to purchase any goods or services from any respondent. While Purchasing Entity intends to conduct an invitational second-stage competitive process for the procurement of the Deliverables, it is under no obligation to do so and Purchasing Entity may, in its sole and absolute discretion, choose not to proceed with a second-stage competitive process for the procurement of the Deliverables. Purchasing Entity makes no guarantee of the value or volume of Deliverables that may be required. Any agreement entered into pursuant to an invitational second-stage competitive process will not be an exclusive contract for the provision of the described Deliverables. Purchasing Entity may contract with others for goods and services the same as or similar to the Deliverables or may obtain such goods and services internally.

3.2 Communication after Issuance of RFSQ

3.2.1 Respondents to Review RFSQ

Respondents should promptly examine all of the documents comprising this RFSQ, and should direct questions or seek additional information [**indicate how – e.g. in writing, by email, etc.**] in writing by email to the RFSQ Contact on or before the Deadline for Questions. No such communications are to be directed to anyone other than the RFSQ Contact. Purchasing Entity is under no obligation to provide additional information, and Purchasing Entity will not be responsible for any information provided by or obtained from any source other than the RFSQ Contact. It is the responsibility of the respondent to seek clarification from the RFSQ Contact on any matter it considers to be unclear. Purchasing Entity will not be responsible for any misunderstanding on the part of the respondent concerning this RFSQ or its process.

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3.2.2 All New Information to Respondents by Way of Addenda

This RFP may be amended only by addendum in accordance with this section. If Purchasing Entity, for any reason, determines that it is necessary to provide additional information relating to this RFP, such information will be communicated to all respondents by addendum. Any information obtained in a method other than an addendum should not be relied upon. Each addendum forms an integral part of this RFP and may contain important information, including significant changes to this RFP. Respondents are responsible for obtaining all addenda issued by Purchasing Entity.

3.2.3 Post-Deadline Addenda and Extension of Submission Deadline

If Purchasing Entity determines that it is necessary to issue an addendum after the Deadline for Issuing Addenda, Purchasing Entity may extend the Submission Deadline for a reasonable period of time.

3.2.4 Verify, Clarify and Supplement

When evaluating responses, Purchasing Entity may at its sole discretion request further information from the respondent or third parties in order to verify, clarify or supplement the information provided in a submission including but not limited to clarification with respect to whether a response meets the mandatory technical requirements set out in Section C of the RFSQ Particulars (Appendix A). Purchasing Entity may revisit and re-evaluate the respondent’s response or ranking on the basis of any such information.

3.3 Notification and Debriefing

3.3.1 Notification of Successful Respondents

The successful respondents selected by Purchasing Entity to be included in the prequalified respondents list in accordance with the process set out in the Evaluation of Responses (Part 2) will be so notified by Purchasing Entity.

3.3.2 Notification to Other Respondents

Once the selected respondents have been notified, the other respondents will be notified by Purchasing Entity of the outcome of the RFSQ process.

3.3.3 Debriefing

Respondents who submitted a submission may request a debriefing after receipt of a notification of the outcome of the RFSQ process. All requests must be made in writing to the RFSQ Contact within thirty (30) calendar days of notification. The intent of the debriefing information session is to aid the respondent in presenting a better submission in subsequent procurement opportunities. Any debriefing provided is not for the purpose of providing an opportunity to challenge the RFSQ process or its outcome.

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3.4 Conflict of Interest and Prohibited Conduct

3.4.1 Conflict of Interest

Purchasing Entity may disqualify a respondent, or take any other action it deems appropriate in its sole discretion, for any conduct, situation or circumstances, determined by Purchasing Entity, in its sole and absolute discretion, to constitute a Conflict of Interest.

For the purposes of this RFSQ, “Conflict of Interest” includes any situation or circumstance where, in relation to a Purchasing Entity procurement competition, a participating respondent has an unfair advantage, a perception of an unfair advantage or engages in conduct, directly or indirectly, that may give it an unfair advantage, including:

(a) having, or having access to, information in the preparation of its submission that is not available to other respondents, but such does not include information a respondent may have obtained in the past performance of a contract with a public entity, including Purchasing Entity, that is not related to the creation, implementation or evaluation of this or a related procurement competition;

(b) communicating with any person with a view to influencing preferred treatment in this procurement competition (including but not limited to the lobbying of decision makers involved in this procurement competition); or

(c) engaging in conduct that compromises, or could be seen to compromise, the integrity of the open and competitive procurement competition or renders that competition non-competitive, less competitive, or unfair.

[**one or more of the following clauses is/are to be included in the procurement documents and/or resulting contracts:]

Respondents are to fully disclose, in writing to the public entity on or before the Submission Date, the circumstances of any actual or potential Conflict of Interest, as well as what could be perceived as a Conflict of Interest if the vendor were to become a contracting party with Purchasing Entity. Purchasing Entity will review all disclosures made by respondents under this provision and take such steps as it, in its sole discretion, deems necessary to address any Conflict of Interest, which may include requiring the respondent to take action to address and remedy the Conflict of Interest to the satisfaction of Purchasing Entity or disqualifying the respondents from further participation;

You represent that neither you, your principals, officers nor employees have any knowledge of any actual, potential or perceived Conflict of Interest, and you agree that failure to disclose any actual, potential or perceived Conflicts of Interest may, at the sole discretion of Purchasing Entity, render any contract that may result from this procurement competition null and void, and entitle Purchasing Entity to terminate the contract immediately and recover any and all of the contract price.

All respondents should advise Purchasing Entity in writing whether it has any actual, potential or perceived Conflict of Interest, and if so, the nature of each Conflict of Interest. A respondent may, in the sole discretion of Purchasing Entity, be disqualified from this RFSQ process if a respondent is found to have a Conflict of Interest.

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3.4.2 Disqualification for Prohibited Conduct

Purchasing Entity may disqualify a respondent in its sole and absolute discretion, if it determines that the respondent has engaged in any conduct prohibited by this RFSQ.

3.4.3 Prohibited Respondent Communications

Respondents should not engage in any communications that could constitute a Conflict of Interest.

3.4.4 Respondent Not to Communicate with Media

Respondents should not at any time directly or indirectly communicate with the media in relation to this RFSQ or selection of respondents pursuant to this RFSQ without first obtaining the written permission of the RFSQ Contact.

3.4.5 No Lobbying

Respondents should not, in relation to this RFSQ or the evaluation and selection process, engage directly or indirectly in any form of political or other lobbying whatsoever to influence the selection of successful respondent(s).

3.4.6 Illegal or Unethical Conduct

Respondents are not to engage in any illegal business practices, including activities such as bid-rigging, price-fixing, bribery, fraud, coercion or collusion. Respondents are not to engage in any unethical conduct, including lobbying (as described above) or other inappropriate communications; offering gifts to any employees, officers, agents, elected or appointed officials or other representatives of Purchasing Entity; deceitfulness; submitting responses containing misrepresentations or other misleading or inaccurate information; or any other conduct that compromises or may be seen to compromise the competitive process provided for in this RFSQ.

3.4.7 Past Performance or Past Conduct

Purchasing Entity may prohibit a respondent from participating in a procurement process based on past performance or based on inappropriate conduct in a prior procurement process, including but not limited to the following:

(a) illegal or unethical conduct as described above; (b) the refusal of the respondent to honour submitted pricing or other commitments; or (c) any conduct, situation or circumstance determined by Purchasing Entity, in its sole and absolute

discretion, to have constituted a Conflict of Interest.

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3.5 Confidential Information

3.5.1 Confidential Information of Purchasing Entity

All information provided by or obtained from Purchasing Entity in any form in connection with this RFSQ either before or after the issuance of this RFSQ:

(a) is the sole property of Purchasing Entity and must be treated as confidential;(b) is not to be used for any purpose other than replying to this RFSQ and the performance of any

subsequent contract for the Deliverables;

(c) is not to be disclosed without prior written authorization from the RFSQ Contact; and(d) must be returned by the respondents to Purchasing Entity immediately upon the request of

Purchasing Entity.

3.5.2 Confidential Information of Respondent

Submissions will be accepted in confidence, as they contain financial, commercial, scientific, technical and/or labour relations information, except as may be otherwise provided herein. The confidentiality of such information will be maintained by Purchasing Entity, except as otherwise required by law or by order of a court or tribunal, or by regulatory order of the Government of Saskatchewan, including but not limited to, the Crown Investment Corporation of Saskatchewan and other agencies or ministries of government including its boards, commissions or panels. Respondents are particularly advised that Purchasing Entity is subject to legal requirements that may require disclosure of submission information including, without limitation, under The Freedom of Information and Protection of Privacy Act Saskatchewan. Notwithstanding the foregoing, Purchasing Entity reporting requirements may result in the public disclosure of dollars paid to the successful vendor from any contract awarded.

Respondents are advised that their submissions will, as necessary, be disclosed, on a confidential basis, to advisers retained by Purchasing Entity, and/or to Crown corporations (as defined in The Crown Corporations Act, 1993) and Government of Saskatchewan agencies or ministries, including its boards, commissions or panels, to advise or assist with the RFSQ process, including the evaluation of submissions. If a respondent has any questions about the collection and use of personal information pursuant to this RFSQ, questions are to be submitted to the RFSQ Contact.

3.6 Procurement Process Non-binding

3.6.1 No Contract A and No Claims

This procurement process is not intended to create and will not create a formal legally binding bidding process and will instead be governed by the law applicable to direct commercial negotiations. For greater certainty and without limitation:

(a) this RFSQ will not give rise to any Contract A–based tendering law duties or any other legal obligations arising out of any process contract or collateral contract; and

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(b) neither the respondent nor Purchasing Entity will have the right to make any claims (in contract, tort, or otherwise) against the other with respect to the selection of respondents, a decision to reject a response or disqualify a respondent, or a decision of the respondent to withdraw its response to this RFSQ.

3.6.2 No Legal Relationship or Obligation

No legal relationship or obligation regarding the procurement of any good or service will be created between the respondent and Purchasing Entity by this RFSQ process.

3.6.3 Cancellation

Purchasing Entity may cancel or amend the RFSQ process without liability at any time.

3.7 Governing Law and Interpretation

The Terms and Conditions of RFSQ Process (Part 3)

(a) are intended to be interpreted broadly and separately (with no particular provision intended to limit the scope of any other provision);

(b) are non-exhaustive and will not be construed as intending to limit the pre-existing rights of the parties to engage in pre-contractual discussions in accordance with the common law governing direct commercial negotiations; and

(c) are to be governed by and construed in accordance with the laws of the Province of Saskatchewan and the federal laws of Canada applicable therein.

[End of Part 3]

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APPENDIX A – RFSQ PARTICULARS

[**Note to Procurement: Procurement to provide Appendix A to client for completion. Procurement to review, consult with client and revise as appropriate. Procurement to incorporate approved Appendix A into main RFSQ document before posting**]

A. THE DELIVERABLES

[**Describe all information material to the Deliverables – provide an accurate description of the goods and services (including anticipated quantities) using neutrally drafted specifications**]

B. MATERIAL DISCLOSURES

[**Disclose all information material to the contract that could affect the respondent’s decision to submit, including, but not limited to, unusual site conditions; unusual processes or procedures; delivery or performance restrictions; conditions of award or performance, such as performance security; any uncommon risks**]

C. MANDATORY REQUIREMENTS

[**Insert all mandatory requirements. These must be aspects of the response that must be met before evaluation on the rated criteria will be considered and must be capable of assessment on a pass/fail basis. Failure to adequately meet these requirements may result in disqualification of the response**]

[***Crown Corporations: The following is for SaskPower use only. Other Crown Corporations may apply the provisions where the procurement is valued at less than CFTA thresholds.***]

[**Use Option #1 when limiting participation to NWPTA region only. This clause remains in Mandatory Requirements if chosen, and Option #2 should be removed from Rated Criteria.

Use Option #2 when giving advantage to NWPTA suppliers as part of the rated evaluation criteria. Please delete Option #1 if Option #2 is being used**]

Option #1: Restrict procurement to NWPTA suppliers

Purchasing Entity is committed to the promotion of the industrial and economic growth of the NWPTA region. To this end, this RFP will be limited to proponents who are NWPTA region suppliers. A NWPTA region supplier must meet one of the following criteria:

(a) a person resident in the NWPTA region;(b) a business that is constituted, established, or organized under the laws of British Columbia,

Alberta, Manitoba or Saskatchewan; or

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(c) a business that both maintains a location and employs staff within the NWPTA region.

Purchasing Entity will only accept proposals from proponents who are NWPTA region suppliers. Proponents should provide Purchasing Entity with information demonstrating it is a NWPTA region supplier. Purchasing Entity has the sole, absolute and final discretion and authority to determine whether a proponent is a NWPTA region supplier.

D. RATED CRITERIA

The following is an overview of the categories and weighting for the rated criteria of the RFSQ. Respondents who do not meet a minimum threshold score for a category will not proceed to the next stage of the evaluation process.

Rated Criteria Category Weighting (Points) Minimum ThresholdD.1 Experience and Qualifications [**x points**] [**Insert points or N/A**]D.2 References [**x points**] [**Insert points or N/A**]D.3 [**Set out Additional Criteria and Weighting and Describe Below**]

[**x points**] [**Insert points or N/A**]

Total Points [**x points**] [**Insert points or N/A**]

[**Disclosure of the criteria order, weighting and relative importance is required under CFTA.**]

Suggested Responses Content for the Evaluation of Rated Criteria

[**Set out the Rated Criteria in separate paragraphs, including the weighting for each criterion, and describe the information that respondents should include in their responses for the purposes of the evaluation. Ensure the criteria and weighting correspond with the above table and be sure to include any information that you intend to evaluate. Shaded text below is provided as an example**]

D.1 Experience and Qualifications – Total Points = [**X points**]

Each respondent should provide the following in its response:

(a) a brief description of the respondent;(b) a description of the goods and services the respondent has previously and/or is currently

delivering, with an emphasis on experience relevant to the Deliverables;(c) the roles and responsibilities of the respondent and any of its agents, employees and sub-

contractors who will be involved in providing the Deliverables, together with the identity of those who will be performing those roles and their relevant respective expertise;

(d) its knowledge, skills and expertise in the following areas: [** List Areas **]; and

(e) a description of how the respondent will provide the Deliverables, which should include a work plan and incorporate an organizational chart indicating how the respondent intends to structure its working relationship with Purchasing Entity.

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D.2 References

Each respondent is requested to provide three (3) references that are satisfactory to Purchasing Entity, in its sole discretion from clients who have obtained goods or services similar to those requested in this RFSQ from the respondent in the last [**Insert no. of years**] years.

D.3

[**Include a separate paragraph for each of the evaluation criteria included in the table**]

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SaskatchewanManitoba


APPENDIX B – SUBMISSION FORM

1. Respondent Information

Please fill out the following form, naming one person to be the respondent’s contact for the RFSQ process and for any clarifications or communication that might be necessary.Full Legal Name of Respondent:Any Other Relevant Name under which Respondent Carries on Business:Street Address:City, Province/State:Postal Code:Phone Number:Fax Number:Company Website (if any):Respondent Contact Name and Title:Respondent Contact Phone:Respondent Contact Fax:Respondent Contact Email:

[**Note: The applicability of Manitoba’s transition to the NWPTA varies depending on the Government entity. Please refer to the template training information for assistance on the use of the NWPTA section. Delete “Manitoba” if not applicable at this time. Insert or remove NWPTA request for information as applicable**]

A NWPTA region supplier must meet one of the following criteria.

1. A person who is resident in the NWPTA region;2. A business that is constituted, established, or organized under the laws of British Columbia,

Alberta, Manitoba or Saskatchewan; or3. A business that both maintains a location and employs staff within the NWPTA region.

1. The respondent is a person who is resident in the NWPTA Region.Yes No

If “Yes,” indicate the applicable province, address, and duration of residency.

British Columbia Alberta

Address: Click here to enter text.Click here to enter text. Click here to enter text. Click here to enter text.

2. The respondent is a business that is constituted, established, or organized under the laws of British Columbia, Alberta, Manitoba or Saskatchewan.

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Manitoba


Yes No

If “Yes,” indicate the applicable Province, registered office address, and duration of registration.

British Columbia Alberta Saskatchewan

Registered office address: Click here to enter text.Click here to enter text. Click here to enter text. Click here to enter

text.

3. The respondent is business that both maintains a location and employs staff within the NWPTA Region.

Yes No

If “Yes,” provide the location(s), address(es), and the number of staff employed at each location.Location and address: Click here to enter text.

Click here to enter text. Click here to enter text. Click here to enter text. Number of staff employed at each location: Click here to enter text.

Crown ContactName: Click here to enter text.Phone: Click here to enter text.

The respondent acknowledges the RFSQ process will be governed by the terms and conditions of the RFSQ, and that, among other things, such terms and conditions confirm that this procurement process does not constitute a formal, legally binding bidding process (and for greater certainty, does not give rise to a Contract A bidding process contract), and that no legal relationship or obligation regarding the procurement of any good Purchasing Entity or service will be created between Purchasing Entity and the respondent unless and until Purchasing Entity and the respondent execute a written agreement for the Deliverables.

________________________________ ________________________________Signature of Respondent Representative Title of Respondent Representative

________________________________ ________________________________Name of Respondent Representative Date

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