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 .