1-APPENDIX C - Submittal Letter Form.pdf
PDF 139 KB Posted
- Attached to
- Partners in Health (PIH) Program Services
- Solicitation number
- RFP 40-26-EM
- Issued by
- Bernalillo County, New Mexico
About this file
This is a Submittal Letter Form (Appendix C) for RFP# 40-26-EM issued by the County of Bernalillo Purchasing Section on behalf of the Bernalillo Behavioral Health Authority in New Mexico for the Partners in Health (PIH) Program Services. The form serves as the standardized submission template that qualified offerors must complete and submit as part of their proposal response to participate in the program.
The submittal letter form requires bidders to provide essential business information including the submitting entity's legal name and any doing-business-as designations, mailing address, and identification of the individual authorized to contractually obligate the company. Additionally, bidders must designate separate points of contact for inquiries and clarifications and for negotiations, with corresponding names, titles, email addresses, and phone numbers. Offerors must acknowledge receipt of any addenda issued during the solicitation process by indicating the addendum numbers received. By signing the form, the submitting entity commits to compliance with all applicable federal and state regulations, including the Conditions Governing the Procurement and Unfair Business Practices Disclosure as outlined in Section II of the RFP, federal civil rights enforcement executive orders, New Mexico state statutes and Bernalillo County ordinances regarding civil rights enforcement, federal anti-discrimination employment provisions, and Americans with Disabilities Act requirements for work performed under the contract.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
APPENDIX C
SUBMITTAL LETTER FORM
RFP# 40-26-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:
E-mail: Phone:
Contact for Negotiations Name/Title
E-mail: Phone:
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 .