2-5b.docx
DOCX document 63 KB Posted
- Attached to
- Master Agreement AZ|CTR077262
- Contract number
- CTR077262
- Issued by
- Arizona
About this file
This document is an Attachment 5-B Conformance Statement form from a state solicitation, specifically related to an offer submission by Maximum Family Care, LLC. The document appears to be part of a formal procurement process where the offeror is required to acknowledge and confirm compliance with the solicitation's Scope of Work, Pricing, Contract Terms and Conditions, and Instructions. The form provides a structured mechanism for the company to either affirm full compliance or list specific exceptions to the solicitation documents.
The form includes two supplement sections where the offeror can potentially note exceptions to Part 1 and Part 2 of the solicitation documents, covering areas such as Scope of Work, Pricing, Special Terms and Conditions, Special Instructions, Offer Forms, and Solicitation Exhibits. However, in this specific document, no actual exceptions are detailed - the tables remain blank with placeholder "x" markings. The document emphasizes that the state will not consider exceptions unless they are explicitly designated on this form, and warns that taking exceptions could result in the offer being rejected or downgraded during evaluation.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-5a(2) (1).docx | DOCX document | |
| 2-Attachment 2-B.1 (2).docx | DOCX document | |
| 2-Attachment 3-D.docx | DOCX document | |
| BPM006769 Amended Attachment 4.docx | DOCX document | |
| CTR077262_Certificate_of_Insurance_2.pdf | ||
| 2-Attachment 2-A.docx | DOCX document | |
| 2-Attachment 2-C.docx | DOCX document | |
| 2-Attachment 2-D_redacted.docx | DOCX document | |
| 2-Attachment 3-A.1 (1).docx | DOCX document | |
| CTR077262_PTS_Executed_Contract.pdf | ||
| 2-Attachment 3-B.docx | DOCX document | |
| CTR077262_Business_Associates-HIPPA.1.pdf | ||
| 2-Attachment 2-E References.docx | DOCX document | |
| 2-Attachment 3-C.docx | DOCX document | |
| 2-Attachment 3-E.docx | DOCX document | |
| BAFO Response.docx | DOCX document | |
| CTR077262_Amendment_1_Text_Errors_NCNS_Rate_Request.pdf | ||
| CTR077262_Boycott_of_Israel.pdf | ||
| CTR077262_Certificate_of_Insurance.pdf | ||
| CTR077262_Listing_of_Employees___Subcontractors_Redacted.pdf |
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Text version
Attachment 5-B Conformance Statements
STATE WILL NOT CONSIDER ANY EXCEPTIONS UNLESS DESIGNATED ON THIS FORM.
Read the Instructions to offerors before taking any exceptions – taking exceptions can be grounds for state rejecting or down-grading your offer in evaluation.
CONFORMANCE TO the Scope of Work and Pricing: (Part 1 of the Solicitation) Check one of the following – if neither is checked, State will assume that as equivalent to “YES”:
YES – Offeror acknowledges that it has read and understands the Scope of Work and the Pricing, as outlined in Part 2 of the Solicitation Documents, along with their respective Exhibits and Attachments and attests that its Offer complies with both.
NO – Offeror acknowledges that it has read and understands the Scope of Work and the Pricing, as outlined in Part 2 of the Solicitation Documents, along with their respective Exhibits and Attachments and attests that its Offer complies with both EXCEPT FOR the exceptions listed in Attachment 5-B Supplements.
CONFORMANCE TO the Contract T’s and C’s: (Part 1 of the Solicitation)
YES – Offeror acknowledges that it has read and understands the Uniform & Special Terms and Conditions, in Part 2 of the Solicitation Documents, along with their respective Exhibits and Attachments and attests that its Offer complies with both.
NO – Offeror acknowledges that it has read and understand the Uniform & Special Terms and Conditions, in Part 2 of the Solicitation Documents, along with their respective Exhibits and Attachments and attests that its Offer complies with both EXCEPT FOR the exceptions listed in Attachment 5-B Supplements.
CONFORMANCE TO the Instructions: (Part 2 of the Solicitation)
YES – Offeror acknowledges that it has read and understands the Uniform & Special Instructions to Offerors in Part 2 of the Solicitation Documents, along with their respective Exhibits and Attachments and attests that its Offer complies with both.
NO – Offeror acknowledges that it has read and understands the Uniform & Special Instructions to Offerors in Part 2 of the Solicitation Documents, along with their respective Exhibits and Attachments and attests that its Offer complies with both EXCEPT FOR the exceptions listed in Attachment 5-B Supplements.
Solicitation Instructions Part 2 SECTION 2-D: Offer Forms, Attachment 5-B
Available online at: APP.AZ.gov
ATTACHMENT 5- B Supplement No. 1:
| Article / Paragraph or Exhibit Reference |
| Exceptions to Part 1 of the Solicitation Documents |
| Proposed Changes / Alternate Language |
| Rationale for Proposed Change |
Section 2-A: Scope of Work (add lines as needed)
| x |
| x |
| x |
| x |
| x |
| x |
| x |
| x |
| x |
Section 2-B: Pricing (add lines as needed)
| x |
| x |
| x |
| x |
| x |
| x |
| x |
| x |
| x |
Section 2-C: Special Terms and Conditions (add lines as needed)
| x |
| x |
| x |
| x |
| x |
| x |
| x |
| x |
| x |
MAXIMUM FAMILY CARE, LLC
Company Name
Signature of Person Authorized to Sign
ATTACHMENT 5-B Supplement No. 2:
| Article / Paragraph or Exhibit Reference |
| Exceptions to Part 2 of the Solicitation Documents |
| Proposed Changes / Alternate Language |
| Rationale for Proposed Change |
Section 2-A: Special Instructions to Offerors (add lines as needed)
| x |
| x |
| x |
| x |
| x |
| x |
| x |
| x |
| x |
Section 2-B: Offer Forms (Attachments) (add lines as needed)
| x |
| X |
| x |
| x |
| X |
| x |
| x |
| X |
| x |
Section 2-C: Solicitation Exhibits (add lines as needed)
| x |
| x |
| x |
| x |
| x |
| x |
| x |
| x |
| x |
| x |
| x |
| x |
| x |
| x |
| x |
MAXIMUM FAMILY CARE, LLC
Company Name
Signature of Person Authorized to Sign image2.png image3.png image10.png image20.png image30.png image4.png image1.png
File details come from the government source that posted it. Updated .