2-Acknowledgement Form.pdf

122 KB Posted

Attached to
Benefits Consultant
Solicitation number
26-08101
Issued by
Missouri

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This is an Acknowledgement Form for the Rockwood School District's Benefits Consultant Request for Proposal (RFP) in Missouri. The form serves as the proposer's formal declaration of understanding, agreement, and compliance with all terms, conditions, requirements, and specifications outlined in the original RFP and any issued addenda. Proposers must complete sections identifying their company name, representative contact information, years of operation, company officers' names and titles, and acknowledge receipt of any addenda issued during the solicitation period. The form requires proposers to confirm they have read and agree to all RFP terms and conditions, with the understanding that their proposal will remain open for a minimum of 90 days from the submission deadline.

The Acknowledgement Form requires signature certification from a company officer, along with documentation of all addendum numbers, dates issued, and dates acknowledged. This form is a mandatory compliance document that establishes the proposer's commitment to the bid terms and conditions. Proposers must provide complete company information including address, telephone, fax, and email contact details. The form does not contain pricing information, specific award dates, contract duration, or renewal terms; these details would be contained within the primary RFP document. Completion and submission of this acknowledgement form is a prerequisite for bid acceptance and evaluation.

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ACKNOWLEDGEMENT FORM

The Proposer hereby declares understanding, agreement, and certification of compliance to provide the items and/or services at the prices quoted in accordance with all terms and conditions, requirements, and specifications of the original Request for Proposal (RFP) and as modified by any addenda.

Company Name Representative's Name Title

Address City/State/Zip Telephone # Fax #

E-mail Address

Years in Operation Years under current structure and/or under previous structure

1) Name of Company’s Officers:

NAME TITLE

2) The undersigned hereby acknowledges the receipt of the following addenda:

Addendum Number

Date Issued

Date Acknowledged

Signature

3) The undersigned hereby acknowledges that the Company has read and agrees to the terms and conditions set forth in the RFP and that the terms and conditions set forth in the Proposal will remain open for at least 90 days from the deadline for submission of Proposals.

Company Officer’s Name

Signature Date

NAME 1:
NAME 2:
NAME 3:
NAME 4:
TITLE 1:
TITLE 2:
Number 1:
Number 2:
Number 3:
Date Issued 1:
Date Issued 2:
Date Issued 3:
Acknowledged 1:
Acknowledged 2:
Acknowledged 3:
Acknowledged 4:
Company Name, Representative's Name, Title:
Address, City/State/Zip, Telephone #, Fax #:
E-mail Address:
Years in Operation, Years under current structure and/or under previous structure:
Company Officer's Name:
Signature Date:
Number 4:
Date Issued 4:
TITLE 3:
TITLE 4:

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