10-Attachment A - Bid Addenda Acknowledgement.pdf
PDF 124 KB Posted
- Solicitation number
- 25/0272
- Issued by
- Harris County, Texas
About this file
This is a Bid & Addenda Acknowledgement form for Harris County, Texas, related to an Invitation for Bid (IFB) for Medical Supplies and Related Items. The form serves as the bidder's certification document, requiring acknowledgment of receipt of all addenda issued for the solicitation. The contract opportunity is for a one-year term beginning approximately April 1, 2026, and is issued by Harris County under the authority of Harris County Judge Lina Hidalgo. The form provides designated spaces for bidders to document up to six addenda numbers with corresponding dates and signatures to confirm receipt and understanding of all issued modifications to the bidding documents.
The Bid Acknowledgement section requires the authorized bidder representative to certify that the bid is submitted without collusion or fraud, that the bidder is authorized to sign on behalf of the company, and that all bidding documents have been read and understood in their entirety. The form mandates that bidders provide complete company information including name, address, DUNS number, telephone, fax, and email contact details. Bidders must also affirm that the pricing and all statements submitted are true, complete, and correct, and that they agree to provide the requested goods and services according to the published provisions of the IFB. The form includes an acceptance section for internal county use, with signature lines and date fields for processing by the designated county authority.
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Text version
Rev. 8.15.25 Page 1 of 1
Attachment A
BID & ADDENDA ACKNOWLEDGEMENT
Addenda Acknowledgement
As required by this solicitation, the undersigned Bidder hereby acknowledges receipt of all Addenda through and including:
Addendum Number Dated Signature
No addenda were received
Bid Acknowledgement
Handwritten ink and electronic signatures are acceptable by a corporate officer, partner, or proprietor:
I certify that this Bid is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting a Bid for the same construction, service, or material and is in all respects fair and without collusion or fraud. I am authorized to sign this bid for the Bidder and agreed to abide by all conditions of this Invitation for Bid and certify that I have read and understand the bidding documents in their entirety. In signing this Acknowledgement, I attest that under this Bid I shall provide the goods and/or services requested in this Invitation for Bids according to the published provisions of this IFB. I confirm the Pricing provided to the County under this IFB and certify that all statements made are true, complete and correct.
Authorized Signature Date
Authorized Representative Name (First & Last):
Company Name:
Company Address:
Bidder DUNS Number:
Telephone: Fax: e-mail:
FOR INTERNAL USE
Accepted by:
HARRIS COUNTY JUDGE LINA HIDALGO
Date:
| Addenda Acknowledgement |
| Bid Acknowledgement |
| Authorized Signature Date |
| FOR INTERNAL USE |
| Addendum Number 1: |
| Addendum Number 2: |
| Addendum Number 3: |
| Addendum Number 4: |
| Addendum Number 5: |
| Addendum Number 6: |
| Dated 1: |
| Dated 2: |
| Dated 3: |
| Dated 4: |
| Dated 5: |
| Dated 6: |
| Signature 3: |
| Signature 4: |
| Signature 5: |
| Signature 6: |
| No addenda were received: Off |
| Company Address: |
| Fax: |
| email: |
| Authorized Signature: |
| Date: |
| Authorized Representative Name (First & Last): |
| Company Name: |
| Bidder DUNS Number: |
| Telephone: |
| Accepted by: |
| Signature 2: |
| Signature: |
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