4-RFQ Acknowledgement.pdf
PDF 92 KB Posted
- Solicitation number
- 25/0402
- Issued by
- Harris County, Texas
About this file
This is a Request for Qualifications (RFQ) Acknowledgment form for Harris County Precinct 2, Texas, related to the procurement of Professional Women's Health Services for the Access2Health Channelview Wellness Pod Complex. The form serves as a certification document that must be completed and signed by an authorized corporate officer, partner, or proprietor of the submitting firm. Bidders are required to attest that their submission is made independently without prior understanding, agreement, or connection with competing firms, and that all statements and information provided are true, complete, and correct. The acknowledgment confirms that the authorized representative has read and understands all RFQ documents in their entirety and agrees to abide by all conditions outlined in the solicitation.
The form requires bidders to provide essential information including the project job number, project description, company name and address, DUNS number, contact information (telephone, fax, and email), and authorized signature with date. This acknowledgment form does not specify pricing terms, contract duration, award dates, or other substantive contract details, as it functions solely as a certification and acceptance document that bidders must submit as part of their qualification package for consideration in the women's health services procurement process.
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Text version
Rev. 8.15.25 Page 1 of 1
REQUEST FOR QUALIFICATIONS ACKNOWLEDGMENT
Handwritten ink and electronic signatures are acceptable by a corporate officer, partner, or proprietor:
I certify that this Submittal is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting qualifications for the same services and is in all respects fair and without collusion or fraud. I am authorized to sign this submittal for the Firm and agreed to abide by all conditions of this Request for Qualifications (RFQ) and certify that I have read and understand the RFQ documents in their entirety. In signing this acknowledgement, I attest that under this submittal I shall provide the services requested in this RFQ according to the published provisions of this RFQ. I certify that all statements made are true, complete and correct.
Project Job No.:
Project Description:
Authorized Signature Date
Authorized Representative Name (First & Last):
Company Name:
Company Address:
Bidder DUNS Number:
Telephone: Fax: e-mail:
| Project Job No: |
| Project Description: |
| Authorized Representative Name First Last: |
| Company Address: |
| Bidder DUNS Number: |
| Telephone: |
| Fax: |
| email: |
| Authorized Signature: |
| Date: |
| Company Name: |
File details come from the government source that posted it. Updated .