1-Attachment A - RFP and Addenda Acknowledgement.docx
DOCX document 15 KB Posted
- Solicitation number
- RFP 26/0004
- Issued by
- Harris County, Texas
About this file
This is an RFP and Addenda Acknowledgement form for Harris Health's solicitation for Inpatient Psychiatric Services in Texas. The form serves as the official acknowledgement that prospective offerors have received all relevant addenda to the RFP and understand the terms of the solicitation. Vendors submitting proposals must have the experience, capabilities, and proven qualifications to provide inpatient behavioral health services for both adult and adolescent patients. The contract term is scheduled to begin on or about July 1, 2026, and continue for twelve months thereafter. The purpose of the engagement is to ensure timely access to inpatient behavioral health services for eligible Harris Health patients when Harris Health facilities lack capacity, while maintaining compliance with state and federal healthcare regulations.
The acknowledgement form requires signature by an authorized corporate officer, partner, or proprietor and includes certification that the offer is submitted without collusion, fraud, or prior understanding with other bidders. Signatories must attest to having read and understood all RFP documents in their entirety and agree to abide by all conditions of the solicitation. The form requires completion of company information including DUNS number, contact details, and acknowledgement of receipt of all addenda through specified dates. Offerors must certify that all statements made are true, complete, and correct, and that they will provide the services identified in the RFP according to published provisions.
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Text version
Attachment A
RFP & 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 RFP 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 an 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 Proposals (RFP) and certify that I have read and understand the RFP 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 Proposals according to the published provisions of this RFP. 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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