1-APPENDIX C - Submittal Letter Form.pdf

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Attached to
Intensive Case Management Services for Community Connections Supportive Housing
Solicitation number
RFP 31-26-EM
Issued by
Bernalillo County, New Mexico

About this file

This is a Submittal Letter Form (Appendix C) for RFP# 46-24-EM issued by Bernalillo County, New Mexico, on behalf of the Office of the County Manager and Behavioral Health Authority Division, seeking qualified offerors to provide Intensive Case Management services to the Community Connections Supportive Housing (CCSH) Program. The form requires submitting businesses to provide identifying information including company name, mailing address, and designated contacts for contractual obligations, inquiries, clarifications, and negotiations. Respondents must acknowledge receipt of any addendums issued during the solicitation process and certify compliance with specified regulatory frameworks prior to submission.

By submitting this form, offerors commit to comply with the Conditions Governing the Procurement and Unfair Business Practices Disclosure outlined in Section II of the RFP, Federal Executive Orders relating to civil rights enforcement, New Mexico State Statutes and County of Bernalillo Ordinances regarding civil rights, Federal Code 5 USCA 7201 et seq. regarding employment anti-discrimination, Executive Order No. 11246 on equal employment opportunity, Title 6 of the Civil Rights Act of 1964, and the Americans with Disabilities Act of 1990. The form requires authorized signatures and dates from the submitting entity to validate compliance with all applicable requirements.

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APPENDIX C

SUBMITTAL LETTER FORM

RFP# 46-24-EM

Identity of Submitting Business (including d/b/a):

Mailing Address:

Who can contractually obligate?

Name/Title:

E-mail:

Phone:

Contact for Inquiries/Clarifications/Negotiations Inquiries/Clarifications Name/Title:

Contact for Negotiations Name/Title

Addendum Acknowledgment:

If Addendum has been received, please indicate how many in the spaces below.

Addendum number(s) __________ through __________ have been received.

By signing below my company/entity/organization commits to comply and act in accordance with the (1) Conditions Governing the Procurement, Unfair Business Practices Disclosure, as stated in Section II of the RFP; (2) Federal Executive Orders relating to the enforcement of civil rights; (3) New Mexico State Statutes and County of Bernalillo Ordinances regarding enforcement of civil rights; (4) Federal Code, 5 USCA 7201 et. seq., Anti-discrimination in Employment; (5) Executive Order No. 11246, Equal Opportunity in Federal Employment; (6) Title 6, Civil Rights Act of 1964 and

(7) Requirements of the Americans with Disabilities Act of 1990 for work performed as a result of this RFP.

Signed: Date:

APPENDIX C
SUBMITTAL LETTER FORM

File details come from the government source that posted it. Updated .