08DOA-S4023 - Vendor-Information-Response.pdf
PDF 59 KB Posted
- Attached to
- APS Forensic Medical
- Solicitation number
- 40DHHS-S4057
- Issued by
- Churchill County, Nevada
About this file
This is a Vendor Information Response form used by the State of Nevada's Aging and Disability Services Division for an informal solicitation to provide forensic medical services. The solicitation seeks qualified vendors to deliver forensic services as detailed in the accompanying scope of work, with the State intending to award one contract based on its best interests. The resulting contract is expected to have a four-year term. Vendors and any identified subcontractors must complete and submit this form as part of their proposal response.
The form requires vendors to provide complete company contact information, including company name, street address, city, state, zip code, telephone number, toll-free number, and email address. Additionally, vendors must identify a specific contact person for questions and contract negotiations, including that individual's name, title, address, city, state, zip code, email address, telephone number, and toll-free number. This information will be used by the State for contract development should the vendor be selected for award.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| APS Forensic Medical Specialist Epro Solicitation 2026~1.pdf | ||
| Terms-and-conditions-for-services~35.pdf | ||
| Attachment A - Contract Template.pdf | ||
| cost-schedule.xlsx | XLSX spreadsheet | |
| Attachment B - Insurance Requirements.pdf | ||
| Quote Instructions.pdf | ||
| BAA 2024 (2) (3).docx | DOCX document | |
| Certification-regarding-lobbying~29.pdf |
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Text version
VENDOR INFORMATION RESPONSE
Revised: April 2021 Page 1 of 1
Vendors shall complete and return this form in their proposal.
If the proposal includes subcontractors, form must be completed for each subcontractor as well.
1. VENDOR CONTACT INFORMATION
COMPANY NAME AND CONTACT INFORMATION:
The information provided in the table below shall be used for development of the contract, if awarded.
Requested Information Response
Company Name:
Company Street Address:
City, State, Zip Code:
Telephone Number, including area code:
Toll Free Number, including area code:
Email Address:
CONTACT PERSON FOR QUESTIONS/CONTRACT NEGOTIATIONS
Requested Information Response
Name:
Title:
Address:
City, State, Zip Code:
Email Address:
Telephone Number, including area code:
Toll Free Number, including area code:
File details come from the government source that posted it. Updated .