10-Attachment I H25-25-150 Addendum Acknowledgement.pdf

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Attached to
Electronic Health Record (EHR) Solution State and local contract opportunity
Solicitation number
H25-25-150
Issued by
Cook County, Illinois

About this file

This is an Addenda Acknowledgement Form issued by the Cook County Health Department of Supply Chain Management for use in conjunction with their Electronic Health Record (EHR) Solution procurement. The form is designed for proposers responding to RFP/RFQ No. H25-25-150 and requires acknowledgement of receipt of any addenda issued during the solicitation process. The form provides spaces to acknowledge receipt of up to five numbered addenda, with an option to indicate if no addenda were issued. Proposers are required to complete the form by signing, dating, and providing their name, title, company, and address information before submitting their proposal. The form explicitly warns that failure to acknowledge receipt of any issued addenda and submit the completed form may render the proposal non-responsive and subject to rejection.

The Addenda Acknowledgement Form serves as a critical administrative requirement in the procurement process for Cook County Health's integrated EHR solution, which seeks a fully unified system across all facilities supporting end-to-end patient care functionality from registration through discharge, billing, and payment processing. No specific response dates, due dates, pricing terms, or other substantive procurement details are contained within this form itself; rather, it functions solely as a procedural mechanism to ensure proposers remain informed of any modifications or clarifications issued to the original solicitation documents and to create a record of such acknowledgement.

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Text version

COOK COUNTY HEALTH

DEPARTMENT OF SUPPLY CHAIN MANAGEMENT

CHIEF PROCUREMENT OFFICER

1950 WEST POLK STREET, SUITE 9807

CHICAGO, ILLINOIS 60612

312-864-4547

ADDENDA ACKNOWLEDGEMENT FORM

IMPORTANT NOTICE: Proposers shall acknowledge receipt of any addenda issued on the spaces provided below and submit this form with its proposal. Failure to acknowledge receipt of any addenda issued and submittal of this form may render the proposal non-responsive.

RFP/RFQ No.: _ _

Project Name: _ _

Addendum No. 1

Addendum No. 2

Addendum No. 3

Addendum No. 4

Addendum No. 5

Other: _

N/A (No Addenda Issued)

Signature: _ _ _ Date:_

Name: Title: _

Company: _ _ _ _

Address: _ _ _

COOK COUNTY HEALTH
ADDENDA ACKNOWLEDGEMENT FORM
1:
2:
Addendum No 1: Off
Addendum No 2: Off
Addendum No 3: Off
Addendum No 4: Off
Addendum No 5: Off
Other: Off
NA No Addenda Issued: Off
Date:
Name:
Title:
Company:
Address:
other:

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