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

146 KB Posted

Attached to
Telephonic Interpreter Services and American Sign Language Video Remote Interpreter Services
Solicitation number
25-06410
Issued by
San Bernardino County, California

About this file

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This document is a Principal Certification form for Inland Empire Health Plan (IEHP) Procurement, designed to be a binding certification for a bidder's response to a Request for Proposal (RFP). The form requires a duly authorized agent to certify their organization's commitment to carry out the requirements and obligations specified in the RFP if awarded the contract. The document is dated February 5, 2024, and is part of IEHP's procurement process, located in Rancho Cucamonga, California.

The certification form serves as a legal document where the agent affirms their understanding of the terms and conditions and commits their organization's full compliance with the proposed contract requirements. While specific details of the RFP are not provided in this document, the form is structured to be completed with the organization's name, RFP number and title, and the agent's signature, title, and date of execution. The form includes a standard legal statement confirming that the execution of the document indicates the agent has read and comprehends all associated terms and conditions.

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Principal Certification Binding Bidder’s Response Rev. 02.05.2024

CERTIFICATION

I, , a duly authorized agent of, Printed Name of Agent/Officer Name of Organization hereby certify that by submission of this proposal Name of Organization in response to RFP RFP Number and Title agree upon contract award to carry out the requirements specified, and obligations set forth therein.

Signature: Date:

Title of Agent/Officer:

"Execution hereof is certification that the undersigned has read and understands the terms and conditions hereof, and that the undersigned's principal is fully bound and committed."

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