Checklist Equipment Proposal Evaluation

OMB Number: 0610-0096
Expiration Date: 11/30/2021

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ECONOMIC DEVELOPMENT ADMINISTRATION
EQUIPMENT – PROPOSAL EVALUATION/SELECTION CHECKLIST
EDA Award Number:

Date:

Recipient:
Co-recipient(s):
Recipient’s Authorized Representative:

Name & Phone Number

The proposed recommended vendor is:
Current
* Non-EDA
EDA Eligible
Equipment
Funding
Eligible Funding Cost Estimate

Proposal
Amount

Equipment Description

$

$

$

* Equipment components not part of the EDA Grant Project and do not include EDA funds nor
local match funds.

$
Y

N

NA

1. All Special Award Conditions that are required prior to awarding
the request for proposal have been met.
2. Requests for proposals were publicized and all evaluation factors and
their relative importance were identified therein. Any responses to
publicized requests for proposals were honored to the maximum
extent practical.
3. Proposals were competitively solicited from an adequate number
of qualified sources (normally it is sufficient to secure at least
three proposals from qualified sources). If less than 3 qualified
proposals were secured, attach an explanation to this document.
4. The Recipient used an objective method for conducting technical
evaluations of proposals received and for selecting the best proposal,
price and other factors considered.
5. The Recipient has determined the responsible vendor whose proposal
is most advantageous to the program, with price and other factors
considered.

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OMB Number: 0610-0096
Expiration Date: 11/30/2021

Y

N

NA

6. The following documents are enclosed for EDA’s review:
a. Affidavits of Publications, or other document of the RFP

distribution
b. Tabulation of proposals
c. Proposal of recommended vendor
d. Justification of award if other than lowest proposal
7. The Recipient has checked the website www.SAM.gov and has

verified that the vendor does not appear on the Excluded Parties
List.

8. If an overrun has occurred, enclosed is evidence that the Recipients’

has additional funds available (include source and date of
availability).
9. The grantee acknowledges that funds or interim loans are

available and verifies that the vendor(s) will be paid (in full) until
EDA funds are available for reimbursement of incurred and
approved costs.

Prepared By (Signature)

Date

Prepared By (Typed or Written Name & Title)

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