4-APPENDIX E.docx
DOCX document 17 KB Posted
- Attached to
- Domestic Violence Services
- Solicitation number
- 26-690-4000-34051
- Issued by
- New Mexico
About this file
This document is an Appendix E Letter of Transmittal Form for Request for Proposal (RFP) #26-690-4000-34051 issued by the New Mexico Children, Youth and Families Department (CYFD) for domestic violence services. The RFP seeks to establish a three-year cost reimbursement contract for comprehensive domestic violence services, including shelter, supportive services, prevention efforts, child support services, domestic violence treatment programs, and legal services for survivors. The contract aims to provide services to adult and youth survivors of family, domestic, and dating violence, their dependents, and children exposed to domestic violence.
The RFP includes preferences for Offerors serving underserved areas, including families from Nations, Pueblos, and Tribes, and gives priority to proposals from organizations not currently holding a CYFD contract for similar services. The document requires potential contractors to complete a detailed Letter of Transmittal Form that identifies the organization, authorized representatives, potential subcontractors, and other entities involved in contract performance. Offerors must sign the form, acknowledging acceptance of procurement conditions, evaluation factors, and any amendments to the RFP.
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Other files
| File | Type | Posted |
|---|---|---|
| 10-RFP Appendix G CYFD BHS DV Unit Allowable Costs FY22 V1 FINAL (4).pdf | ||
| 3-APPENDIX D.docx | DOCX document | |
| 18-RFP 26-690-4000-34051 DV Services - Cost Reimbursement.docx | DOCX document | |
| 7-Attachment D1 - FY26 DVOTI DV PROJECT PROVIDER BudgetPlan.xlsx | XLSX spreadsheet | |
| 13-Worksheet D2.xlsx | XLSX spreadsheet | |
| 12-Worksheet D1.xlsx | XLSX spreadsheet | |
| 1-APPENDIX A.docx | DOCX document | |
| 8-Attachment D1 - FY26 SURVIVOR DV PROJECT PROVIDER BudgetPlan.xlsx | XLSX spreadsheet | |
| 5-APPENDIX F.docx | DOCX document | |
| 2-APPENDIX B.docx | DOCX document | |
| 15-Appendix G1 - Monthly Data - Survivor.xlsx | XLSX spreadsheet | |
| 16-Appendix G2 - Monthly Data - DVOTI.xlsx | XLSX spreadsheet | |
| 17-RFP 26-690-4000-34051 DV Services - Cost Reimbursement.pdf | ||
| 11-RFPMonthly Data - DVOTI - CYFD SFY26 (4).xlsx | XLSX spreadsheet | |
| 6-Attachment D1 - FY26 CCBP DV PROJECT PROVIDER BudgetPlan.xlsx | XLSX spreadsheet | |
| 9-DVOTI Service Definitions (1).pdf | ||
| 14-Appendix H BudgetPlan.xlsx | XLSX spreadsheet |
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Text version
APPENDIX E
Letter of Transmittal Form
Please complete this form in its entirety. Failure to sign and/or submit this form will result in the disqualification of Offeror’s proposal.
RFP# 26-690-4000-34051
1. Identify the following information for the submitting organization:
Offeror Name
Mailing Address
Telephone
FED TIN#
NM BTIN#
2. Identify the individual(s) authorized by the organization to (A) contractually obligate, (B) negotiate, and/or (C) clarify/respond to queries on behalf of this Offeror:
A Contractually Obligate B Negotiate* C Clarify/Respond to Queries*
Name
Title
Telephone
* If the individual identified in Column A also performs the functions identified in Columns B & C, then no response is required for those Columns. If separate individuals perform the functions in Columns B and/or C, they must be identified.
3. Will any subcontractor/s be used in the performance of any resultant contract? (Select one):
____ No.
____ Yes. Identify subcontractor/s: _______________________________________________
4. Will any other entity/-ies (such as a State Agency, reseller, etc., that is not a subcontractor identified in #3 above) be used in the performance of any resultant contract? (Select one) ____ No.
____ Yes. Identify entity/-ies: ___________________________________________________
By signing the form below, the Authorized Signatory attests to the accuracy and veracity of the information provided on this form, and explicitly acknowledges the following:
· On behalf of the submitting-organization identified in item #1, above, I accept the Conditions Governing the Procurement, as required in Section II.C.1. of this RFP;
· I concur that submission of our proposal constitutes acceptance of the Evaluation Factors contained in Section V of this RFP; and
· I acknowledge receipt of any and all amendments to this RFP, if any.
Sign: ________________________________________________ Date: ____________________ (Must be signed by the individual identified in item #2.A, above.)
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