9-Attachment I - Cancelled or Terminated Contracts.pdf

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Attached to
25RFP82 EMS Patient Cardiac Care Monitor
Solicitation number
25RFP82
Issued by
Williamson County, Texas

About this file

This document is Attachment I, a form for Terminated or Cancelled Contracts, part of a Request for Proposal (RFP) numbered 25RFP82 issued by Wilco Purchasing. The form requires respondents to disclose any contracts terminated within the last five years, with spaces to provide detailed information about up to three terminated contracts. The form requests specific details including client name, location, contact information, contract dates, contract value, and approximate number of cardiac monitors involved.

The template is designed to provide transparency about a vendor's contract history, allowing the purchasing agency to assess potential risks or performance issues. Each contract section includes fields for comprehensive documentation, such as contact names, titles, phone numbers, email addresses, contract duration, total contract value, and a section to describe the scope of work. The form includes a checkbox option to indicate if no contracts have been terminated, providing flexibility for vendors with clean contract histories.

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Attachment I – Cancelled or Terminated Contracts

25RFP82 | Attachment I – Terminated or Cancelled Contracts

If applicable, Respondents shall include a list of any contracts that have been terminated within the last five (5) years, along with an explanation of the cancellation and the names, email address and phone number of a reference person with that institution.

Check box if not applicable

Terminated Contract 1

Client Name: Location:

Contact Name: Title:

Phone: Email:

Contract Date From: Contract Date To:

Contract Value: $ Approx Number of Cardiac Monitors:

Scope of Work:

Terminated Contract 2

Attachment I – Cancelled or Terminated Contracts

25RFP82 | Attachment I – Terminated or Cancelled Contracts

Terminated Contract 3

Check box if not applicable: On
Client Name:
Location:
Contact Name:
Title:
Phone:
Email:
Contract Date From:
Contract Date To:
Contract Value:
Approx Number of Cardiac Monitors:
Scope of Work:
Client Name_2:
Location_2:
Contact Name_2:
Title_2:
Phone_2:
Email_2:
Contract Date From_2:
Contract Date To_2:
Contract Value_2:
Approx Number of Cardiac Monitors_2:
Page 1 of 2:
Client Name_3:
Location_3:
Contact Name_3:
Title_3:
Phone_3:
Email_3:
Contract Date From_3:
Contract Date To_3:
Contract Value_3:
Approx Number of Cardiac Monitors_3:
undefined:

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