| 1.A. Respondent
Entity:
Legal Name of Travel Agency
_________________________________________________
Operating Name of Travel Agency
______________________________________________
Principal’s Last
Name ________________________ First Name ______________________
Headquarters Address
_______________________________________________________
City _____________________________
State _____________ Zip _________________
Year Established: 19____
Corporation:___ Partnership: ___ Sole Proprietorship: ___
While this
information is optional at the proposal stage, FEIN, VINN or SS#
must be provided before any Contract will be issued.
VIN No: ________________________ FEI
No: ________________________________
If Sole Owner, If a Corporation,
SS No: ________________________ State
of Incorporation: _____________________
Charter No:
___________________________
1.B. Respondent
Profile:
1.B.i. State that
Respondent will provide a copy of Respondent's financial statements
for the past two (2) years, if requested by The UT System.
1.B.ii. State that
Respondent will provide a financial rating of Respondent and any
documentation (such as a Dunn and Bradstreet analysis) which
indicates the financial stability of the Respondent, if requested by
The UT System.
1.B.iii. If
Respondent is currently for sale or involved in any transaction to
expand or to become acquired by another business entity, explain the
impact both in organizational and directional terms.
1.B.iv. Provide any
details of all past or pending litigation or claims filed against
the Respondent that would affect Respondent’s performance under a
Contract with The UT System.
1.B.v. If Respondent
is currently in default on any loan agreement or financing agreement
with any bank, financial institution, or other entity, specify
date(s), details, circumstances, and prospects for resolution.
1.B.vi. Identify if
any relationship exists, whether by relative, business associate,
capital funding agreement or any other such kinship, between the
Respondent and any employee of The UT System. All such disclosures
will be subject to administrative review and approval prior to
University entering into any Contract with Respondent.
1.C. Verification:
1.C.i. By signature
hereon, Respondent offers and agrees to furnish the products and/or
services at the prices quoted and to comply with all terms,
conditions, and requirements set forth per all E-RFP documents
contained herein.
1.C.ii. By signature
hereon, Respondent affirms that he/she has not given, nor intends to
give at any time hereafter, any economic opportunity, future
employment, gift, loan, gratuity, special discount, trip, favor or
service to a public servant in connection with the submitted
Proposal. Failure to sign hereon, or signing with a false statement,
shall void the submitted Proposal or any resulting Contracts, and
the Respondent shall be removed from all future bidders’ lists at
the UT System.
1.C.iii. By signature
hereon, a corporate Respondent certifies that it is not currently
delinquent in the payment of any Franchise Taxes due under Chapter
171, Texas Tax Code, or that the corporation is exempt from the
payment of such taxes, or that the corporation is an out-of-state
corporation that is not subject to the Texas Franchise Tax,
whichever is applicable. A false certification shall be deemed a
material breach of contract and, at University's option, may result
in cancellation of any resulting Contract or purchase order.
1.C.iv. By signature
hereon, the Respondent hereby certifies that neither the Respondent
nor the firm, corporation, partnership or institution represented by
the Respondent, nor anyone acting for such firm, corporation, or
institution has violated the antitrust laws of the State of Texas,
codified in Section 15.01, et. seq., Texas Business and Commerce
Code, or the Federal antitrust laws, nor communicated directly or
indirectly the Proposal made to any competitor or any other person
engaged in such line of business.
1.C.v. By signature
hereon, Respondent certifies that all statements and information
prepared and submitted in response to this solicitation are current,
complete and accurate.
1.C.vi. By signature
hereon, Respondent certifies that if a Texas address is shown as the
address of the Respondent, Respondent qualifies as a Texas Resident
Respondent as defined in Rule 1 TAC 113.6(b)(2)(E). In the case of a
tie the award will be made in accordance with Rule 1 TAC
113.6(b)(3)(4). Check below preference claimed under Rule 1 TAC
113.6(b)(3):
- ( ) Produced in Texas
and/or offered by Texas Respondent.
- ( ) Produced in USA.
- ( ) No Preference
claimed.
1.C.vii. By signature
hereon, Respondent certifies it is a small business and/or a
minority/female owned business as defined by the State of Texas.
Check status below:
- ( ) Small Business
(House Bill 366, 64th Legislature).
- ( )
Minority/Female Owned Business (House Bill 2626, 73rd
Legislature).
- ( ) Certified by Texas
Department of Commerce.
- ( ) Status not claimed.
A travel agency is
defined as a small business if the agency’s total revenue over the
past three calendar years is an average of less than $1 million. Total
revenue includes commission, service fees, and other direct revenue
(including those earned by independent contractors) and excludes funds
received in trust for an unaffiliated third party, such as bookings or
sales subject to commission. If Respondent is a small business according
to this definition, identify Agency’s total revenue for the past three
years.
| Calendar Year 1997 |
Calendar Year 1998 |
Calendar Year 1999 |
|
|
|
| $________________ |
$________________ |
$________________ |
1.C.viii. By
signature hereon, Respondent certifies as follows:
"Under Section
231.006, Texas Family Code, the Respondent certifies that the
individual or business entity named in this Contract, bid, or
application is not ineligible to receive the specified grant, loan,
or payment and acknowledges that this Contract may be terminated and
payment may be withheld if this certification is inaccurate."
1.C.ix. By signature
hereon, Respondent certifies that Respondent has not been an
employee of any University of Texas Component within the immediate
twelve (12) months prior to Respondent’s E-RFP Response. All such
disclosures will be subject to administrative review and approval
prior to University entering into any Contract with Respondent.
1.C.x. By signature
hereon, Respondent affirms that no compensation has been received
for participation in the preparation of the specifications for this
E-RFP. (ref. Section 3.102, Article 601b, V.T.C.S.)
1.C.xi. Respondent
represents and warrants that all articles and services quoted in
response to this E-RFP meet or exceed the safety standards
established and promulgated under the Federal Occupational Safety
and Health Law (Public Law 91-596) and its regulations in effect or
proposed as of the date of this solicitation.
1.C.xii. By signature
hereon, Respondent signifies the Respondent’s compliance with all
federal laws and regulations pertaining to Equal Employment
Opportunities and Affirmative Action.
1.C.xiii. By
signature hereon, Respondent certifies that the individual signing
this document and the documents made part of the E-RFP is authorized
to sign such documents on behalf of the Respondent and to bind the
Respondent under any Contract which may result from the submission
of this Proposal.
1.C.xiv. By signature
hereon, Respondent agrees that the submitted Proposal constitutes an
offer to The University of Texas System and shall be valid for a
period of 120 calendar days after the date of submission or until a
Contract is fully executed between the University of Texas System
and a Contractor, whichever date is earlier.
1.C.xv. By signature
hereon, the Respondent agrees that, if awarded a Contract based on
the Respondent’s Proposal, to deliver services and products as
specified in the submitted Proposal.
1.C.xvi. By signature
hereon, the Respondent acknowledges that this E-RFP including all
appendices, and including service, financial and program
specifications and terms and conditions will be incorporated in its
entirety in any award issued in response to this E-RFP. Other
documents to be incorporated in the Agreement shall include the
Respondent’s entire Proposal, including all attachments and
supplementary information.
1.C.xvii. By
signature hereon, the Respondent acknowledges that he/she has
examined and is fully familiar with both the E-RFP’s requirements
and the Respondent’s submitted Proposal and that any exceptions to
the Terms and Conditions are indicated herein.
Check One:
No Exceptions are
necessary Exceptions are attached
Contact (last name)
________________________ (first name)_______________________
Title
___________________________________ E-mail Address:
____________________
Signature
_______________________________ Date:____ (mon) ____ (date) ____
(year)
Phone: ( _____) ______ - _________
Fax: ( _____) ______ - _________
1.D. Indication to Joint Venture or
Subcontract (leave blank if Respondent does not propose a joint
venture or subcontracting arrangement):
Indicate if Respondent is submitting
Proposal as part of either a joint venture and/or Subcontract.
Joint Venture: Yes ____ No _____
Subcontract: Yes ____ No _____
1.E. Joint Venture or Subcontracting
Respondent Information:
If Respondent is
submitting Proposal as a joint venture and/or if Respondent intends
to subcontract portions of the required services, read Informational
Section 4 (2.4.D. & 2.4.E.) carefully and provide
information on participating agencies below:
Legal Name of Participating Travel
Agency _______________________________________
Operating Name of Participating
Travel Agency ____________________________________
Principal’s Last
Name ________________________ First Name ______________________
Headquarters Address
__________________________________________________
City
__________________________________ State ______ Zip
__________________
Year Established: 19____
Corporation:___ Partnership: ___ Sole Proprietorship: ___
While this
information is optional at the proposal stage, Agency FEIN, VINN or
SS# must be provided before any Contract will be issued.
VIN No: ________________________ FEI
No: ________________________________
If Sole Owner, If a Corporation,
SS No: ________________________ State
of Incorporation: _____________________
Charter No:
___________________________
1.F. Participating
Respondent Profile:
1.F.i. State that
Participating Respondent will provide a copy of Participating
Respondent's financial statements for the past two (2) years, if
requested by The UT System.
1.F.ii State that
Participating Respondent will provide a financial rating of
Participating Respondent and any documentation (such as a Dunn and
Bradstreet analysis) which indicates the financial stability of the
Participating Respondent, if requested by The UT System.
1.F.iii. If
Participating Respondent is currently for sale or involved in any
transaction to expand or to become acquired by another business
entity, explain the impact both in organizational and directional
terms.
1.F.iv. Provide any
details of all past or pending litigation or claims filed against
the Participating Respondent that would affect Participating
Respondent’s performance under a Contract with The UT System.
1.F.v. If
Participating Respondent is currently in default on any loan
agreement or financing agreement with any bank, financial
institution, or other entity, specify date(s), details,
circumstances, and prospects for resolution.
1.F.vi. Identify if
any relationship exists, whether by relative, business associate,
capital funding agreement or any other such kinship, between the
Participating Respondent and any employee of The UT System. All such
disclosures will be subject to administrative review and approval
prior to University entering into any Contract with Participating
Respondent.
1.G. Verification:
1.G.i By signature
hereon, Participating Respondent offers and agrees to furnish the
products and/or services at the prices quoted and to comply with all
terms, conditions, and requirements set forth per all E-RFP
documents contained herein.
1.G.ii By signature
hereon, Participating Respondent affirms that he/she has not given,
nor intends to give at any time hereafter, any economic opportunity,
future employment, gift, loan, gratuity, special discount, trip,
favor or service to a public servant in connection with the
submitted Proposal. Failure to sign hereon, or signing with a false
statement, shall void the submitted Proposal or any resulting
Contracts, and the Participating Respondent shall be removed from
all future bidders’ lists at the UT System.
1.G.iii. By signature
hereon, a corporate Participating Respondent certifies that it is
not currently delinquent in the payment of any Franchise Taxes due
under Chapter 171, Texas Tax Code, or that the corporation is exempt
from the payment of such taxes, or that the corporation is an
out-of-state corporation that is not subject to the Texas Franchise
Tax, whichever is applicable. A false certification shall be deemed
a material breach of Contract and, at University's option, may
result in cancellation of any resulting Contract or purchase order.
1.G.iv. By signature
hereon, the Participating Respondent hereby certifies that neither
the Participating Respondent nor the firm, corporation, partnership
or institution represented by the Participating Respondent, nor
anyone acting for such firm, corporation, or institution has
violated the antitrust laws of the State of Texas, codified in
Section 15.01, et. seq., Texas Business and Commerce Code, or the
Federal antitrust laws, nor communicated directly or indirectly the
Proposal made to any competitor or any other person engaged in such
line of business.
1.G.v. By signature
hereon, Participating Respondent certifies that all statements and
information prepared and submitted in response to this solicitation
are current, complete and accurate.
1.G.vi. By signature
hereon, Participating Respondent certifies that if a Texas address
is shown as the address of the Participating Respondent,
Participating Respondent qualifies as a Texas Resident Participating
Respondent as defined in Rule 1 TAC 113.6(b)(2)(E). In the case of a
tie the award will be made in accordance with Rule 1 TAC
113.6(b)(3)(4). Check below preference claimed under Rule 1 TAC
113.6(b)(3):
- ( ) Produced in Texas
and/or offered by Texas Participating Respondent.
- ( ) Produced in USA.
- ( ) No Preference
claimed.
1.G.vii. By signature
hereon, Participating Respondent certifies it is a small business
and/or a minority/female owned business as defined by the State of
Texas. Check status below:
- ( ) Small Business
(House Bill 366, 64th Legislature).
- ( )
Minority/Female Owned Business (House Bill 2626, 73rd
Legislature).
- ( ) Certified by Texas
Department of Commerce.
- ( ) Status not claimed.
A travel agency is defined as
a small business if the agency’s total revenue over the past three
calendar years is an average of less than $1 million. Total revenue includes
commission, service fees, and other direct revenue (including those earned
by independent contractors) and excludes funds received in trust for an
unaffiliated third party, such as bookings or sales subject to commission.
If Respondent is a small business according to this definition, identify
Agency’s total revenue for the past three years.
| Calendar Year 1997 |
Calendar Year 1998 |
Calendar Year 1999 |
|
|
|
| $________________ |
$________________ |
$________________ |
1.G.viii. By
signature hereon, Participating Respondent certifies as follows:
"Under Section
231.006, Texas Family Code, the Participating Respondent certifies
that the individual or business entity named in this Contract, bid,
or application is not ineligible to receive the specified grant,
loan, or payment and acknowledges that this Contract may be
terminated and payment may be withheld if this certification is
inaccurate."
1.G.ix. By signature
hereon, Participating Respondent certifies that Participating
Respondent has not been an employee of any University of Texas
Component within the immediate twelve (12) months prior to
Participating Respondent’s E-RFP Response. All such disclosures
will be subject to administrative review and approval prior to
University entering into any Contract with Participating Respondent.
1.G.x. By signature
hereon, Participating Respondent affirms that no compensation has
been received for participation in the preparation of the
specifications for this E-RFP. (ref. Section 3.102, Article 601b,
V.T.C.S.)
1.G.xi. Participating
Respondent represents and warrants that all articles and services
quoted in response to this E-RFP meet or exceed the safety standards
established and promulgated under the Federal Occupational Safety
and Health Law (Public Law 91-596) and its regulations in effect or
proposed as of the date of this solicitation.
1.G.xii. By signature
hereon, Participating Respondent signifies the Participating
Respondent’s compliance with all federal laws and regulations
pertaining to Equal Employment Opportunities and Affirmative Action.
1.G.xiii. By
signature hereon, Participating Respondent certifies that the
individual signing this document and the documents made part of the
E-RFP is authorized to sign such documents on behalf of the
Participating Respondent and to bind the Participating Respondent
under any Contract which may result from the submission of this
Proposal.
1.G.xiv. By signature
hereon, Participating Respondent agrees that the submitted Proposal
constitutes an offer to The University of Texas System and shall be
valid for a period of 120 calendar days after the date of submission
or until a Contract is fully executed between the University of
Texas System and a Contractor, whichever date is earlier.
1.G.xv. By signature
hereon, the Participating Respondent agrees that, if awarded a
Contract based on the Participating Respondent’s Proposal, to
deliver services and products as specified in the submitted
Proposal.
1.G.xvi. By signature
hereon, the Participating Respondent acknowledges that this E-RFP
including all appendices, and including service, financial and
program specifications and terms and conditions will be incorporated
in its entirety in any award issued in response to this E-RFP. Other
documents to be incorporated in the Agreement shall include the
Respondent’s entire Proposal, including all attachments and
supplementary information.
1.G.xvii. By
signature hereon, the Participating Respondent acknowledges that
he/she has examined and is fully familiar with both the E-RFP’s
requirements and the Participating Respondent’s submitted Proposal
and that any exceptions to the Terms and Conditions are indicated
herein.
Check One:
No Exceptions are
necessary Exceptions are attached
Contact (last name)
________________________ (first name)_______________________
Title
___________________________________ E-mail Address:
____________________
Signature
_______________________________ Date:____ (mon) ____ (date) ____
(year)
Phone: ( _____) ______ - _________
Fax: ( _____) ______ - _________
|