Appendix A Proposal Response Cover Sheet RFP-SSA-FY26-0522 Community Living Connection.docx

DOCX document 44 KB Posted

Attached to
Community Living Connection
Solicitation number
RFP-SSA-FY26-0522
Issued by
Santa Clara County, California

About this file

This 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 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 County intends to award a contract with an initial one-year term with an option to renew for up to four additional years, subject to satisfactory performance and continued funding. The cover sheet requires vendors to provide their agency name, mailing address, contact information, and certification that they have carefully reviewed the RFP requirements and possess the capability to successfully execute the proposed services.

Vendors submitting proposals must certify the accuracy of all information provided, acknowledge receipt of all RFP materials and addenda, and agree to comply with non-collusion requirements and all applicable certifications and assurances. The cover sheet establishes that vendors understand the County reserves the right to conduct inquiries to verify submitted information and that no modifications to proposals will be accepted after submission based on claims of incomplete understanding of RFP requirements. All proposals must be signed in ink by an authorized representative and submitted in accordance with the specifications outlined in the RFP packet.

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Other files

File Type Posted
Appendix F Staffing Work Plan RFP-SSA-FY26-0522 Community Living Connection_1.xls XLS spreadsheet
Appendix E Vendor Experience and Administrative Fiscal Capability RFP-SSA-FY26-0522 Community Living Connection.docx DOCX document
Attachment B Strategic Goals RFP-SSA-FY26-0522 Community Living Conection.pdf PDF
Vendor Conference Power Point RFP-SSA-FY26-0522 CLC 01-23-2026.pptx PPTX presentation
RFP-SSA-FY26-0522 Community Living Connection_1.docx DOCX document
Appendix B Declaration Submittal Form (With Local Preference) RFP-SSA-FY26-0522 Community Living Connection_1.docx DOCX document
Appendix H Language and Cultural Proficiency Plan RFP-SSA-FY26-0522 Community Living Connection_1.doc DOC document
Attachment A Sample Agreement RFP-SSA-FY26-0522 Community Living Connection_1.doc DOC document
Appendix G Fee For Service Budget Template RFP-SSA-FY26-0522 Community Living Connection_1.xlsx XLSX spreadsheet
Appendix G Fee For Service Budget Template RFP-SSA-FY26-0522 Community Living Connection.xlsx XLSX spreadsheet
Appendix A Proposal Response Cover Sheet RFP-SSA-FY26-0522 Community Living Connection_1.docx DOCX document
Appendix G Cost Reimbursement Budget Template RFP-SSA-FY26-0522 Community Living Connection.xlsx XLSX spreadsheet
Appendix I Logic Model Worksheet RFP-SSA-FY26-0522 Community Living Connection_1.xlsx XLSX spreadsheet
Appendix D Confidential Information California Public Records Act RFP-SSA-FY26-0522 Community Living Connection_1.doc DOC document
Appendix D Confidential Information California Public Records Act RFP-SSA-FY26-0522 Community Living Connection.doc DOC document
Appendix E Vendor Experience and Administrative Fiscal Capability RFP-SSA-FY26-0522 Community Living Connection_1.docx DOCX document
RFP-SSA-FY26-0522 Community Living Connection.docx DOCX document
Attachment A Sample Agreement RFP-SSA-FY26-0522 Community Living Connection.doc DOC document
Appendix C Vendors Acceptance of the SCC Terms and Conditions RFP-SSA-FY26-0522 Community Living Connection_1.docx DOCX document
Appendix I Logic Model Worksheet RFP-SSA-FY26-0522 Community Living Connection.xlsx XLSX spreadsheet
Appendix F Staffing Work Plan RFP-SSA-FY26-0522 Community Living Connection.xls XLS spreadsheet
Appendix H Language and Cultural Proficiency Plan RFP-SSA-FY26-0522 Community Living Connection.doc DOC document
Appendix C Vendors Acceptance of the SCC Terms and Conditions RFP-SSA-FY26-0522 Community Living Connection.docx DOCX document
Solicitation_Document_1.pdf PDF
Appendix B Declaration Submittal Form (With Local Preference) RFP-SSA-FY26-0522 Community Living Connection.docx DOCX document
Solicitation_Document.pdf PDF
Appendix G Cost Reimbursement Budget Template RFP-SSA-FY26-0522 Community Living Connection_1.xlsx XLSX spreadsheet
Attachment B Strategic Goals RFP-SSA-FY26-0522 Community Living Conection_1.pdf PDF
Vendor Conference Power Point RFP-SSA-FY26-0522 CLC 01-23-2026_1.pptx PPTX presentation
Show all 29

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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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