Appendix A - Proposal Cover Sheet.doc
DOC document 40 KB Posted
- Attached to
- Correctional Health Care Services
- Solicitation number
- 6100019380
- Issued by
- Cumberland County, Cashtown CDP, Pennsylvania
About this file
This document is the Proposal Cover Sheet for a Request for Proposal (RFP) issued by the Commonwealth of Pennsylvania Department of General Services (RFP# 6100019380). The RFP requests proposals for two separate Lots, which offerors must submit in three separately sealed submittals: a Technical Submittal, a Disadvantaged Business Submittal, and a Cost Submittal. Offerors must also provide a complete electronic proposal on CD-ROM or flash drive. The RFP does not provide any details on the specific products or services being procured, the quantities required, the response dates, award dates, or contract term.
The Proposal Cover Sheet requires offerors to provide their company information, including name, mailing address, website, contact person, and federal and vendor identification numbers. Offerors must sign the cover sheet, and failure to complete, sign, and return the form may result in rejection of the proposal.
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Other files
| File | Type | Posted |
|---|---|---|
| 6100019380 - Addendum 1.doc | DOC document | |
| 6100019380 - Addendum 4.pdf | ||
| Appendix D-1 - Cost Submittal Worksheet LOT 1 Rev.110920.xls | XLS spreadsheet | |
| Appendix Y - IT OWNERSHIP RIGHTS 9-15-11.doc | DOC document | |
| Appendix C - Electronic Medical Record Requirements Rev.110914.doc | DOC document | |
| RFP 6100019380 Correctional Health Care Services Rev. 110916.pdf | ||
| 6100019380 - Addendum 2.doc | DOC document | |
| 6100019380 - Addendum 3.pdf | ||
| Appendix D-2 - Cost Submittal Worksheet LOT 2 Rev.110920.xls | XLS spreadsheet | |
| Appendix F - NON-DISCLOSURE AGREEMENT.doc | DOC document | |
| Appendix G - HIPAA Business Associate Agreement.doc | DOC document | |
| Appendix H - Software Licensing Agreement.doc | DOC document |
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Text version
APPENDIX A - PROPOSAL COVER SHEET
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF GENERAL SERVICES
RFP# 6100019380
Enclosed in three separately sealed submittals for each Lot is the proposal of the Offeror identified below for the above-referenced RFP:
Offeror Information:
Offeror Name
Offeror Mailing Address
Offeror Website
Offeror Contact Person
Contact Person’s Phone Number
Contact Person’s Facsimile Number
Contact Person’s E-Mail Address
Offeror Federal ID Number
Offeror SAP/SRM Vendor Number
Submittals Enclosed and Separately Sealed:
| Lot 1 |
| Lot 2 |
FORMCHECKBOX
FORMCHECKBOX
Technical Submittal (1 paper copy)
FORMCHECKBOX
FORMCHECKBOX
Disadvantaged Business Submittal (2 paper copies)
FORMCHECKBOX
FORMCHECKBOX
Cost Submittal (1 paper copy)
FORMCHECKBOX
FORMCHECKBOX
Complete Electronic Proposal (CD-ROM or Flash Drive) (2 copies)
Signature
Signature of an official authorized to bind the Offeror to the provisions contained in the Offeror’s proposal:
Printed Name:
Title:
FAILURE TO COMPLETE, SIGN AND RETURN THIS FORM WITH THE OFFEROR’S PROPOSAL MAY RESULT IN THE REJECTION OF THE OFFEROR’S PROPOSAL.
File details come from the government source that posted it. Updated .