14-RFP 35-26-NH APPENDIX C - Submittal Letter Form.pdf
PDF 141 KB Posted
- Attached to
- Re-Issue Group Medical Insurance Services
- Solicitation number
- RFP 35-26-NH
- Issued by
- Bernalillo County, New Mexico
About this file
This is a Submittal Letter Form (Appendix C) for RFP #35-26-NH issued by Bernalillo County, New Mexico, in connection with a Re-Issue Group Medical Insurance Services procurement. The form serves as the standardized template that prospective offerors must complete and submit as part of their proposal response. The document requires bidders to provide identifying information for the submitting business, including the company name, mailing address, and the names, titles, email addresses, and phone numbers for three key contacts: the individual authorized to contractually obligate the company, the contact person for inquiries and clarifications, and the contact person for negotiations. Additionally, the form includes a section for acknowledging receipt of any addenda issued during the procurement process, with space to indicate the range of addendum numbers received.
The submittal letter form obligates any submitting company to comply with multiple statutory and regulatory frameworks governing the procurement and contractor conduct. These requirements include adherence to the Conditions Governing the Procurement and Unfair Business Practices Disclosure as outlined in Section II of the RFP, federal executive orders related to civil rights enforcement, New Mexico State Statutes and Bernalillo County Ordinances addressing civil rights, federal anti-discrimination employment requirements under 5 USCA 7201 et seq., Executive Order No. 11246 regarding equal opportunity in federal employment, Title VI of the Civil Rights Act of 1964, and compliance with the Americans with Disabilities Act of 1990. The form requires an authorized representative to sign and date the document to certify the company's commitment to these compliance obligations.
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Text version
APPENDIX C
SUBMITTAL LETTER FORM
RFP # 35-26-NH
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:
SUBMITTAL LETTER FORM
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