6-Harris Health CSP Proposal Acknowledgement.pdf
PDF 14 KB Posted
- Attached to
- CSP - Replacement of Radiology Fluoroscopy at Smiths Clinic for Harris Health (Estimated Budget - $922, 845)
- Solicitation number
- 25/0411
- Issued by
- Harris County, Texas
About this file
This is a Competitive Sealed Proposal (CSP) acknowledgement form for Harris Health System related to the replacement of radiology fluoroscopy equipment at Smith Clinic. The document serves as a certification by an authorized corporate representative that the proposal is submitted without prior understanding, agreement, or collusion with other bidders and that all information provided is true, complete, and correct. The project is identified by Job No. 25/0411 and involves the provision of goods and/or services according to published provisions outlined in the CSP solicitation. Bidders are required to sign the acknowledgement in ink, certifying they have read and understood all CSP documents in their entirety and agree to abide by all conditions.
The document requires submission of bidder contact information including company name, address, DUNS number, telephone, facsimile, and email. The related state and local contract opportunity indicates an estimated budget of $922,845 for this radiology fluoroscopy replacement project in Texas. The CSP acknowledgement form does not contain specific pricing terms, response deadlines, site visit requirements, or award dates; these details would be specified in the accompanying solicitation documents and technical specifications not included in this acknowledgement form.
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CSP ACKNOWLEGEMENT
This acknowledgment shall be signed, in ink, by a corporate officer, partner, or proprietor:
I certify that this Competitive Sealed Proposal (CSP) is made without prior understanding, agreement, or connection with any corporation, firm, or person submitting a CSP for the same construction, service, or material and is in all respects fair and without collusion or fraud. I am authorized to sign this Acknowledgement and agree to abide by all conditions of this CSP and certify that I have read and understand the documents in their entirety. In signing this acknowledgement, I attest that under this CSP I shall provide the goods and/or services requested in this CSP according to the published provisions. I confirm the pricing provided to Harris Health System under this CSP and 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: 25/0411 |
| Project Description 1: Replacement of Radiology Fluoroscopy at Smith Clinic |
| Project Description 2: for Harris Health |
| undefined_2: |
| Authorized Representative Name First Last: |
| undefined_3: |
| Company Address: |
| Bidder DUNS Number: |
| Telephone: |
| Fax: |
| email: |
File details come from the government source that posted it. Updated .