1-Attachment A - RFO and Addenda Acknowledgement.pdf
PDF 97 KB Posted
- Solicitation number
- KJ02242026
- Issued by
- Harris County, Texas
About this file
This is an Addenda Acknowledgement and RFO Acknowledgement form for Harris Health's Request for Offer to provide Primary Care Services for HIV/AIDS Geriatric Patients in Texas. The document serves as a certification mechanism requiring authorized representatives from bidding vendors to acknowledge receipt of all addenda issued for the solicitation and to formally attest to their understanding and acceptance of the RFO terms and conditions. Offerors must provide their authorized signature, date, representative name, company information, DUNS number, and contact details on the form. The acknowledgement includes a certification statement in which the signatory confirms that the offer is submitted without prior collusion or fraud, that they are authorized to represent the company, and that they have read and fully understand all RFO documents and agree to provide the identified services according to the published RFO provisions.
The form includes a section for documenting receipt of multiple addenda by addendum number and date, with space for the offeror's signature on each addendum entry, or allows the offeror to indicate that no addenda were received. All statements submitted must be certified as true, complete, and correct. This acknowledgement represents a standard compliance document required as part of the bidding process and must be completed and returned as part of the proposal submission for Harris Health's primary care services opportunity.
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Text version
Attachment A
RFO & ADDENDA ACKNOWLEDGEMENT
Addenda Acknowledgement
As required by this solicitation, the undersigned Offeror hereby acknowledges receipt of all Addenda through and including:
Addendum Number Dated Signature
No addenda were received
RFO Acknowledgement
This acknowledgment shall be signed, in ink, by a corporate officer, partner, or proprietor:
I certify that this Offer is submitted without prior understanding, agreement, or connection with any corporation, firm, or person submitting a Offer for the same contract opportunity and is in all respects fair and without collusion or fraud. I am authorized to sign this Acknowledgement for the Offeror and agreed to abide by all conditions of this Request for Offer (RFO) and certify that I have read and understand the RFO documents in their entirety. In signing this Acknowledgement, I attest that under this contract opportunity I shall provide the services identified in this Request for Offer according to the published provisions of this RFO. I certify that all statements made are true, complete and correct.
Authorized Signature Date
Authorized Representative Name (First & Last):
Company Name:
Company Address:
Offeror DUNS Number:
Telephone:________________________ Fax:____________________e-mail:_____________________________
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