1-Acknowledgement Form.pdf

PDF 122 KB Posted

Attached to
Online Benefit Enrollment System
Solicitation number
25-08201
Issued by
Missouri

About this file

This document is an Acknowledgement Form for a Request for Proposal (RFP) that requires potential proposers to confirm their understanding and compliance with the RFP's terms and conditions. The form provides space for a company to document its basic information, including company name, representative details, contact information, years in operation, and company officers. The form requires the proposer to acknowledge receipt of any addenda to the RFP and confirms that the company's proposal terms will remain valid for 90 days from the proposal submission deadline.

The Acknowledgement Form serves as a formal commitment by the proposing company, requiring a company officer's signature to validate their agreement with the RFP's requirements. By signing, the company certifies that it has read and understands all terms and conditions, and is prepared to provide the requested items or services at the quoted prices. The form creates a standardized method for vendors to formally respond to the RFP, ensuring all potential contractors provide consistent and comprehensive information about their company and proposal.

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Text version

ACKNOWLEDGEMENT FORM

The Proposer hereby declares understanding, agreement, and certification of compliance to provide the items and/or services at the prices quoted in accordance with all terms and conditions, requirements, and specifications of the original Request for Proposal (RFP) and as modified by any addenda.

Company Name Representative's Name Title

Address City/State/Zip Telephone # Fax #

E-mail Address

Years in Operation Years under current structure and/or under previous structure

1) Name of Company’s Officers:

NAME TITLE

2) The undersigned hereby acknowledges the receipt of the following addenda:

Addendum Number

Date Issued

Date Acknowledged

Signature

3) The undersigned hereby acknowledges that the Company has read and agrees to the terms and conditions set forth in the RFP and that the terms and conditions set forth in the Proposal will remain open for at least 90 days from the deadline for submission of Proposals.

Company Officer’s Name

Signature Date

NAME 1:
NAME 2:
NAME 3:
NAME 4:
TITLE 1:
TITLE 2:
Number 1:
Number 2:
Number 3:
Date Issued 1:
Date Issued 2:
Date Issued 3:
Acknowledged 1:
Acknowledged 2:
Acknowledged 3:
Acknowledged 4:
Company Name, Representative's Name, Title:
Address, City/State/Zip, Telephone #, Fax #:
E-mail Address:
Years in Operation, Years under current structure and/or under previous structure:
Company Officer's Name:
Signature Date:
Number 4:
Date Issued 4:
TITLE 3:
TITLE 4:

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