2-CCH Addendum Acknowledgement.pdf

PDF 151 KB Posted

Attached to
Dental and Vision Benefit Management Services
Solicitation number
H26-25-140
Issued by
Cook County, Illinois

About this file

This is an Addenda Acknowledgement Form issued by Cook County Health's Office of Supply Chain Management for use in response to the Dental and Vision Benefit Management Services contract opportunity. The form is a required submission document that proposers must complete and include with their proposals to acknowledge receipt of any addenda issued for the solicitation. The form provides numbered spaces for acknowledgment of up to five addenda, with an option to indicate if no addenda were issued. Proposers are required to sign and date the form, and provide their name, title, company, and address.

Failure to acknowledge receipt of issued addenda and submit this completed form with the proposal may result in the proposal being deemed non-responsive. This acknowledgement requirement ensures that all proposers have received and reviewed any modifications or clarifications to the original solicitation documents prior to proposal submission. The form should be directed to Cook County Health's Office of Supply Chain Management at 1950 West Polk Street, Suite 9807, Chicago, Illinois 60612, with contact available at 312-864-4547.

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Text version

COOK COUNTY HEALTH

OFFICE 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

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