6-Attachment A - RFP and Addenda Acknowledgement.pdf

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Attached to
RFP - Rideshare and Non-Emergency Medical Transportation Solutions for Harris County Public Health Services (State and Federal Grants)
Solicitation number
25/0209
Issued by
Harris County, Texas

About this file

This document is an Attachment A - RFP & Addenda Acknowledgement form for a solicitation process. The form requires potential offerors to acknowledge receipt of any addenda to the Request for Proposals (RFP) and provide a certification of proposal submission. The document provides space for listing addendum numbers and dates, and includes a checkbox for indicating no addenda were received.

The form requires the authorized representative of a company to certify that their proposal is submitted without prior understanding or agreement with other proposing entities, and is fair and without collusion or fraud. The representative must sign and date the document, providing company details including name, address, DUNS number, and contact information. By signing, the offeror affirms they have read and understood the RFP documents in their entirety and agrees to provide services according to the published provisions of the RFP.

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Text version

Attachment A

RFP & ADDENDA ACKNOWLEDGEMENT

Addenda Acknowledgement

As required by this solicitation, the undersigned Offeror hereby acknowledges receipt of all Addenda through and including:

Addendum Number Dated Signature

No addenda were received

RFP Acknowledgement

This acknowledgment shall be signed, in ink, by a corporate officer, partner, or proprietor:

I certify that this Proposal is submitted without prior understanding, agreement, or connection with any corporation, firm, or person submitting a Proposal for the same contract opportunity and is in all respects fair and without collusion or fraud. I am authorized to sign this Acknowledgement for the Offeror and agreed to abide by all conditions of this Request for Proposals (RFP) and certify that I have read and understand the RFP documents in their entirety. In signing this Acknowledgement, I attest that under this contract opportunity I shall provide the services identified in this Request for Proposals according to the published provisions of this RFP. I certify that all statements made are true, complete and correct.

Authorized Signature Date

Authorized Representative Name (First & Last):

Company Name:

Company Address:

Offeror DUNS Number:

Telephone:________________________ Fax:____________________e-mail:_____________________________

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