Attachment 01 Request for Proposals Signature Page v.2.pdf

PDF 175 KB Posted

Attached to
Master Agreement AZ|CTR060124
Contract number
CTR060124
Issued by
Arizona

About this file

This document is a Request for Proposal (RFP) issued by the Colorado Department of Human Services on July 8th, 2021, with the RFP Number 2022000005. The procurement is specifically for the Re-Procurement of Electronic Benefits Transfer (EBT) Services (WSEA RFP), and the proposal is due on October 6th at 5:00 PM local time. Contact for inquiries is Ryan Yarrow, with communication channels including phone (303-866-3227) and email (cdhs_procurement@state.co.us).

The RFP contains standard procurement terms, including that payment terms less than 30 calendar days will not be considered, and pricing shall remain effective for 180 days after award. Vendors are required to submit proposals with the signature page, be registered on Colorado CORE-VSS, and sign the document in ink. The proposal must be submitted F.O.B. destination, and vendors are instructed to read the entire RFP document before submission. The award notice will be published on Colorado CORE-VSS, and vendors must provide their Federal Employer Identification Number (FEIN) or Social Security Number (SSN) as part of the registration process.

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Text version

Attachment 1: Request for Proposal Signature Page

STATE OF COLORADO

DEPARTMENT OF HUMAN SERVICES

REQUEST FOR PROPOSAL SIGNATURE PAGE

DATE: July 8th, 2021 RETURN RFP TO:

RFP NO: 2022000005 RY___RF.zfesor325js50ak8@u.box.com DIRECT INQUIRIES TO: Ryan Yarrow

PHONE: 303-866-3227

E-Mail: cdhs_procurement@state.co.us

DATE DUE: October 6th AT 5:00PM (Local) Proposals properly marked as to RFP NO., DATE and HOUR of opening, subject to the conditions herein stipulated and in accordance with the specifications set forth and/or attached hereto, will be accepted at the address listed above, prior to the date and time listed for the RFP opening. All proposals shall be quoted F.O.B. destination, unless otherwise specified, to the delivery location or jobsite listed herein.

REQUEST FOR PROPOSAL # 2022000005

TITLE WSEA RFP for Re-Procurement of EBT Services AGENCY Colorado Department of Human Services

SEE ATTACHED PAGES FOR TERMS AND CONDITIONS AND PROPOSAL REQUIREMENTS.

IMPORTANT: Proposals submitted in response to this RFP MUST be accompanied by this “REQUEST FOR

PROPOSAL” sheet.

Offerors should read the entire RFP document before submitting a proposal.

PROPOSALS MUST BE SIGNED IN INK

TERMS____________________________

Payment Terms of less than 30 calendar days will not be considered.

TYPED OR PRINTED SIGNATURE Pricing shall be effective for 180 days after award.

VENDOR

_____________________________ NAME

Handwritten Signature by Authorized Officer or

Agent of Vendor

ADDRESS ______________________________

TITLE ZIP

PHONE

DATE

____ Confirm that you are aware that the award notice will be published on Colorado CORE-VSS.

E-Mail

FAX

FEIN or SSN

My Company is registered on Colorado CORE-VSS___Yes___No ^Enter your FEIN or SSN as registered on CORE-VSS.

Include your VSS Vendor Code (VC#) if known: ____________________

RETURN THIS PAGE

mailto:cdhs_procurement@state.co.us YarrowRB Highlight

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