7-Appendix E.pdf
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- Solicitation number
- 60-35000-26-08788
- Issued by
- Chaves County, Rowe CDP, New Mexico
About this file
This is a Letter of Transmittal Form for a Request for Proposals (RFP #60-35000-25-08788) issued by the New Mexico Department of Health for construction of a Department of Health Roswell Office Building in Roswell, New Mexico. The project scope involves construction of an approximately 9,800 square foot, single-story Type IIB fully sprinkled building to serve as office space for the Public Health Division offices in Roswell serving Chaves County. This procurement is conducted under the Competitive Sealed Proposals for Construction and Facility Maintenance, Services and Repairs rule per New Mexico Administrative Code (NMAC) 1.4.8 and will result in a single source award. The contract term may extend up to eight years from the date of the last signature if necessary. The Construction Documents contain additive alternates that will become part of the work only if enumerated in the final Agreement.
The transmittal form requires offerors to provide complete organizational information, identify authorized representatives for contractual obligations, negotiations, and query responses, and disclose any subcontractors or other entities involved in contract performance. Submission of the completed form is mandatory, with failure to sign and submit resulting in disqualification of the proposal. By signing, the authorized signatory attests to the accuracy of provided information and explicitly acknowledges acceptance of the Conditions Governing the Procurement, the Evaluation Factors contained in Section V of the RFP, and receipt of any amendments. Future funding may be required to add alternatives to the contract. This procurement may only be used exclusively by the two contracting parties.
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Text version
APPENDIX E
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#:60-35000-25-08788
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 E-mail 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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