Appendix A Proposal Response Cover Sheet RFP-SSA-FY26-0522 Community Living Connection_1.docx
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- Attached to
- Community Living Connection
- Solicitation number
- RFP-SSA-FY26-0522
- Issued by
- Santa Clara County, California
About this file
This document is a Proposal Response Cover Sheet for RFP-SSA-FY26-0522, issued by the County of Santa Clara Social Services Agency's Department of Aging and Adult Services. The RFP seeks qualified vendors to provide Community Living Connection (CLC) services, which include case management and supportive services to enable high-risk older and disabled adults to maintain independent living within Santa Clara County. The RFP may result in a single or multiple contract awards. The County intends to award an initial contract term of one year with options to renew for up to four additional years, unless the contract is terminated earlier or otherwise modified.
The cover sheet serves as the submission requirements form for vendors responding to this RFP. Vendors must provide their agency name, mailing address, contact information, and have an authorized representative sign the form, certifying that they have read and understand the RFP requirements, possess the capability to successfully complete the proposed services, and that all information submitted is true and accurate. The document includes vendor warranties regarding non-collusion, receipt only of authorized information from County sources, and agreement to furnish the specified services. The form requires vendors to acknowledge the County's right to conduct inquiries and request documentation to substantiate proposal information.
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Text version
APPENDIX A:
PROPOSAL RESPONSE COVER SHEET
BID NUMBER: RFP-SSA-FY26-0522
Agency of Name:
Mailing Address:
City, State, and Zip Code:
Agency Telephone Number: Fax Number:
Name & Title of Contact Person:
Contact Person Telephone Number:
Fax Number:
Email Address:
VENDOR understands, agrees, and warrants:
| A. | That Vendor has carefully read and fully understands the information that was provided by the County to serve as the basis for submission of this proposal; |
| B. | That Vendor has the capability to successfully undertake and complete the responsibilities and obligations of the proposal being submitted; |
| C. | That all information contained in the proposal is true and correct to the best of Vendor’s knowledge; |
| D. | That Vendor signed a non-collusion affidavit herewith attached with the proposal; |
| E. | That Vendor did not receive unauthorized information from any County staff or consultant during the proposal period except as provided in the RFP packet, or addenda thereto; |
| F. | That by submission of this proposal, the Vendor acknowledges that the County has the right to make any inquiry it deems appropriate to substantiate or supplement any information supplied by the Vendor, and Vendor hereby grants the County permission to make said inquiries, and to provide any and all requested documentation in a timely manner; and |
| G. | That Vendor offers and agrees to furnish the services specified in the proposal. |
No proposal shall be accepted which has not been signed in ink in the appropriate space below.
I hereby certify that I am an authorized representative of the above mentioned agency or name and to the best of my knowledge and belief that:
The data in this response is true and accurate; the Vendor has investigated all aspects of the RFP; the Vendor is aware of the applicable facts pertaining to the RFP process, procedures, and requirements; the Vendor has read and understands the RFP; the Vendor has the capability to successfully undertake and complete the responsibilities and obligations of their response being submitted; the Vendor will be able to meet all of the minimum proposal requirements as specified in this RFP; and, the Vendor will comply with the necessary certifications and assurances if a contract is awarded.
I hereby certify that the information in this response is true and accurate; I am capable of successfully undertaking and completing the responsibilities and obligations of the response being submitted.
By signing below, the submission of a proposal shall be deemed a representation and certification by the Vendor that it has investigated all aspects of the RFP; that the Vendor is aware of the applicable facts pertaining to the RFP process, its procedures and requirements; and that the Vendor has read and understands the RFP. No request for modification of the proposal shall be considered after its submission on the grounds that the Vendor was not fully informed as to any fact or condition.
This shall constitute a warranty, the falsity of which entitles the County to pursue any remedy authorized by law, at the option of the County, the right of declaring any agreement made as a result thereof to be void
Representative’s Name and Title (Printed):
Representative’s Signature: Date:
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