3-Attachment C - Transmittal Letter.pdf
PDF 191 KB Posted
- Attached to
- 25RFP82 EMS Patient Cardiac Care Monitor
- Solicitation number
- 25RFP82
- Issued by
- Williamson County, Texas
About this file
This document is a Transmittal Letter (Attachment C) for Williamson County's Request for Proposal (RFP) numbered 25RFP82, designed for potential respondents to provide comprehensive company information. The form requires detailed company information including legal name, business entity type, contact details, federal identification number, and responses to specific qualifying questions about the company's financial and organizational status.
The transmittal letter requires respondents to disclose critical business information such as bankruptcy history, loan defaults, potential conflicts of interest with county employees, current sale/acquisition status, and equipment to be used in service delivery. Section M mandates an authorized representative's signature, confirming the accuracy of the submitted information. The document serves as a formal mechanism for Williamson County to evaluate potential vendors' qualifications, financial stability, and organizational readiness to provide the requested goods or services, with explicit instructions that failure to complete the form may result in the proposal being deemed non-responsive.
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Text version
Attachment C– Transmittal Letter
25RFP82 | Attachment C – Transmittal Letter
The Section M of this Transmittal Letter should be signed by a person legally authorized to bind the Respondent to the representations in the Transmittal Letter and the Proposal.
Respondents shall use this attachment to clearly demonstrate how they meet the requirements set forth in this solicitation. This form may be modified as needed to comply with the requirement to document company information.
Failure to return this exhibit may result in the response submission being considered non-responsive.
Responsive Requirements in addition to those outlined in other Evaluation Items include the following information on your firm for the past five (5) fiscal years:
A Legal Name of the Company:
Address:
City:
State:
Zip:
B Respondent’s type of business entity (i.e., Corporation, General Partnership, Limited
Partnership, LLC, etc):
C Place of incorporation or organization, if applicable:
D
Name and location of major offices and other facilities that relate to the Respondent’s performance under the terms of this RFP.
Name:
Address:
City:
State:
Zip:
E
Name, physical address, email address, business, and of the Respondent’s principal contact person regarding all contractual matters relating to this RFP.
Name & Title:
Physical Address:
Phone & Email:
Contact Person who will be responsible for management and day-to-day operation of services described in this solicitation.
Name & Title:
Phone & Email:
25RFP82 | Attachment C – Transmittal Letter
F Federal Employer Identification Number:
G
A commitment by the Respondent to provide the product/services required by the County.
H
Indicate if your company or any of its subsidiaries filed or met criteria for bankruptcy within the last five (5) years.
YES NO If yes, explain below.
I
Identify if your firm is currently in default on any loan agreement or financing agreement with any bank, financial institution, or other entity? If so, specify date(s), details, circumstances and prospects for resolution.
25RFP82 | Attachment C – Transmittal Letter
J
Does any relationship exist by relative, business associate, capital funding agreement, or any other such kinship between your firm and any Owner employee, officer, or member of Williamson County? If so, please explain.
K
Identify if your firm is currently for sale or involved in any transaction to expand or to become acquired by another business entity? If so, explain the impact both in organization and company direction.
L
Provide list of equipment to be used to produce the goods/services described herein. Attach page if needed. (Equipment inspection, changes, approval & rejection will be at Williamson County’s sole discretion.)
M
Authorized Representative:
Printed Name
Signature
Date
| Legal Name of the Company: |
| Address: |
| City: |
| State: |
| Zip: |
| Respondents type of business entity ie Corporation General Partnership Limited Partnership LLC etc: |
| Place of incorporation or organization if applicable: |
| Name: |
| Address_2: |
| City_2: |
| State_2: |
| Zip_2: |
| Name Title: |
| Physical Address: |
| Phone Email: |
| Name Title_2: |
| Phone Email_2: |
| Federal Employer Identification Number: |
| A commitment by the Respondent to provide the productservices required by the CountyG: |
| Indicate if your company or any of its subsidiaries filed or met criteria for bankruptcy within the last five 5 yearsH: |
| Indicate if your company or any of its subsidiaries filed or met criteria for bankruptcy within the last five 5 yearsH_2: |
| YES: |
| NO If yes explain below: |
| H: |
| Identify if your firm is currently in default on any loan agreement or financing agreement with any bank financial institution or other entity If so specify dates details circumstances and prospects for resolutionI: |
| Does any relationship exist by relative business associate capital funding agreement or any other such kinship between your firm and any Owner employee officer or member of Williamson County If so please explainJ: |
| Identify if your firm is currently for sale or involved in any transaction to expand or to become acquired by another business entity If so explain the impact both in organization and company directionK: |
| Provide list of equipment to be used to produce the goodsservices described herein Attach page if needed Equipment inspection changes approval rejection will be at Williamson Countys sole discretionL: |
| Authorized RepresentativeM: |
| Printed NameM: |
| SignatureM: |
| Date: |
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