6-Appendix D Letter of Transmittal Form.docx
DOCX document 17 KB Posted
- Attached to
- Audit Services State and local contract opportunity
- Solicitation number
- 26-630-5000-0015
- Issued by
- New Mexico
About this file
This is an Appendix D Letter of Transmittal Form for the State of New Mexico's Health Care Authority, RFP #26-630-5000-0015, which solicits sealed proposals for annual audit services. The form requires offerors to provide organizational information, identify authorized representatives for contractual obligations, negotiation, and query response, and disclose whether subcontractors or other entities will be utilized in contract performance. The RFP seeks Independent Public Accountants (IPAs) qualified and in good standing with the Office of the State Auditor to perform annual financial statement audits in accordance with State Auditor Rule (Requirements for Contracting and Conducting Governmental Audits 2.2.2 NMAC), generally accepted auditing standards (GAAP), and Uniform Grant Guidance regulations under OMB's Super Circular (2 CFR 200-521). The form must be completed in its entirety and signed by the individual authorized to contractually obligate the offeror; failure to submit this form results in proposal disqualification.
By submitting the Letter of Transmittal Form, the authorized signatory attests to the accuracy of provided information and explicitly acknowledges acceptance of the Conditions Governing the Procurement as outlined in Section II.C.1 of the RFP, concurrence with the Evaluation Factors in Section V, and receipt of any RFP amendments. The form does not specify pricing terms, set-asides, response deadlines, award dates, or contract term details within its content, as these elements are referenced in other RFP sections.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 4-Appendix B Campaign Contribution Disclosure From.docx | DOCX document | |
| 5-Appendix C Cost Response Form.docx | DOCX document | |
| 1-Administrative Services Divison Audit RFP 26-630-50000-0015.pdf | ||
| 2-Administrative Services Divison Audit RFP 26-630-50000-0015.docx | DOCX document | |
| 3-Appendix A Acknowledegment Receipt Form.docx | DOCX document | |
| 7-Appendix E Organizational Refrence Questionnaire.docx | DOCX document | |
| 9-Appendix G Suspenstion and Debarment From.docx | DOCX document | |
| 8-Appendix F New Mexico Employess Health Care Form.docx | DOCX document |
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Text version
APPENDIX D LETTER OF TRANSMITTAL FORM
APPENDIX D
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#:26-630-5000-0015
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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