4-Principal Certification Page Binding Bidders Response 02-05-2024.pdf

This document is a Principal Certification form for Inland Empire Health Plan (IEHP), a procurement document designed to bind a bidder's response to a Request for Proposal (RFP). The form requires a duly authorized agent of an organization to certify their commitment to carry out the requirements and obligations specified in the RFP upon contract award. The document is dated February 5, 2024, and includes spaces for the agent's printed name, organization name, RFP number and title, signature, date, and title.

The certification emphasizes that by executing the document, the undersigned confirms they have read and understood the terms and conditions, and that their principal organization is fully bound and committed to the proposal. IEHP's contact information is listed as P.O. Box 1800, Rancho Cucamonga, CA 91729-1800, with phone and TTY numbers provided. The document also features the IEHP logo with a heart-shaped design and includes a "Great Place to Work" certified badge, suggesting the organization's commitment to workplace quality.