8-Harris Health CSP Proposal Acknowledgement.pdf
PDF 14 KB Posted
- Solicitation number
- 26/0122
- Issued by
- Harris County, Texas
About this file
This is a Competitive Sealed Proposal (CSP) Acknowledgement form for Harris Health System in Harris County, Texas, pertaining to a Room Upgrade and Gamma Camera Replacement project at Lyndon B. Johnson Hospital. The form serves as a certification document that bidders must complete and sign by an authorized corporate officer, partner, or proprietor. The acknowledgement requires bidders to affirm that their proposal is submitted without prior understanding, agreement, or collusion with other bidders, and that all information provided is true, complete, and correct. Bidders must also confirm that they have read and understand all CSP documents in their entirety and agree to provide the goods and/or services as specified in the published provisions. The project is identified as Job No. 26/0122.
The form requires standard bidder information including the authorized representative's name, company name and address, DUNS number, telephone, fax, and email contact details. While the related contract opportunity indicates an estimated budget of $320,225 for this project, the acknowledgement form itself does not specify pricing terms, contract duration, renewal options, or award timelines. The form is designed to ensure bidder integrity and compliance with Harris Health System's procurement requirements for this capital equipment and facility upgrade project.
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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: 26/0122 |
| Project Description 1: Room Upgrade and Gamma Camera Replacement at |
| Project Description 2: Lyndon B. Johnson Hospital 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 .