3-DEVIATION FORM.pdf

PDF 175 KB Posted

Attached to
Pharmacy External Drug Dispensing Services
Solicitation number
FY26-0350
Issued by
Texas

About this file

The document is a Deviation Form for The Harris Center for Mental Health and IDD, a procurement document designed to capture potential contractor deviations from contract specifications. The form requires a prospective contractor to sign a commitment statement affirming their intent to comply with all contract terms, conditions, and specifications contained in the solicitation and proposed contract. The form emphasizes that the commitment statement must be submitted with the response, regardless of whether any deviations are listed.

The form provides a blank table for contractors to list any specific deviations from the contract terms, with columns for specification number, section number, or page number. At the bottom, space is provided for the company name, an authorized signature, and the date of submission. The document appears to be a standard administrative form used in the procurement process to ensure transparency and clear communication between the contracting agency and potential vendors.

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Text version

DEVIATION FORM –

THE HARRIS CENTER FOR MENTAL HEALTH AND IDD

Commitment Statement

As a prospective contractor and representative Agent of (Company Name) I hereby state my commitment to comply with all the Contract terms, conditions or specifications contained in the Solicitation and proposed Contract.

THIS COMMITMENT STATEMENT MUST BE SIGNED BY THE PROSPECTIVE

CONTRACTOR WHETHER THERE ARE DEVIATIONS LIST OR NOT, AND SUBMITTED

WITH THIS RESPONSE

Company Name Authorized Signature Date

SPEC #

Section # Or Page #

DEVIATION

DEVIATION FORM –

File details come from the government source that posted it. Updated .