236938 Public Health Services at the local and regional level Application updated.docx
DOCX document 29 KB Posted
- Solicitation number
- BD-23-1031-OFFIC-OFFFA-82358
- Issued by
- Hampden County, Boston City, Massachusetts
About this file
This document is an application response form for RFR #236938 - Public Health Services at the Local and Regional Level, which is seeking municipalities, municipal boards of health, regional planning agencies, regional councils of governments, regional health districts, and counties to be added to a pre-qualified list of approved vendors for potential future funding from the Massachusetts Department of Public Health (DPH). Applicants must attest to their eligibility, agree to comply with reporting and federal requirements, and understand that prequalification does not guarantee any specific engagement or funding. The application requires the applicant to provide their organization name, address, vendor code, and contact information.
The application outlines the eligibility requirements and selection process for the pre-qualified vendor list. By submitting the application, the applicant agrees that the information provided is accurate. There are no details provided about pricing, set asides, incumbents, funding amounts or sources, or the contract term.
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Other files
| File | Type | Posted |
|---|---|---|
| INFO~48.zip | ZIP file | |
| READ - Additional Requirements for Grants~4.doc | DOC document | |
| Intent to Award Notice-ORLH- MA 16 (002).docx | DOCX document | |
| RFR 236938 Intent to Award Notice-ORLH- 5_20_24.docx | DOCX document | |
| REQ~62.zip | ZIP file | |
| 236938 Public Health Services at the Local and Regional Level RFR updated.docx | DOCX document |
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Text version
RFR # 236938 – Public Health Services at the Local and Regional Level
Application Response
| ORGANIZATION NAME: |
| ADDRESS: |
| VENDOR CODE: |
| CONTACT PERSON: |
| TITLE: |
| TELEPHONE: |
| FAX: |
| EMAIL: |
| CONTACT PERSON ADDRESS (if different): |
A COMPLETE RFR RESPONSE MUST INCLUDE:
· An application response form
Application Form
1. Applicant Name [i.e. Municipality/Municipal Board of Health/ Regional Planning Agency/ Regional Council of Governments/ Regional Health District/County]
2. Please specify your eligibility type.
[i.e. Municipality/Municipal Board of Health/ Regional Planning Agency/ Regional Council of Governments/ Regional Health District/County]
3. According to the eligibility requirements (Section 7, Page 3) outlined in RFR #236938, is the applicant eligible for consideration?
☐ Yes ☐ No
4. By selecting yes, the applicant, is expressing its interest in being added to a pre-qualified list of approved vendors, namely local and regional public health entities, to be eligible for potential future funding from the Department of Public Health (DPH). The applicant understands and acknowledges that prequalification does not entitle the applicant to a specific engagement or funding.
☐ Yes ☐ No
5. By selecting yes, the applicant agrees to comply with reporting and federal requirements outlined in any future engagements awarded to the applicant.
☐ Yes ☐ No
By submitting this application, you have attested that the information included in this application is accurate.
File details come from the government source that posted it. Updated .