Attachment 1 - Request for Proposal Signature Page.docx
DOCX document 23 KB Posted
- Attached to
- Unified Data Dissemination Project - OIT
- Solicitation number
- RFP FEDA 2026000125 7
- Issued by
- Arapahoe County, Denver City, Colorado
About this file
This is a Request for Proposal Signature Page for the Colorado Department of Public Health and Environment's Procurement and Contracts Unit for the Unified Data Dissemination Application project. The RFP number is 2026000125, and proposals are being solicited for a one partial year initial contract term with four optional one-year extension terms available, or a combination of optional extensions totaling no more than five years. Proposers must submit one original signed version of Attachment 1 and one electronic version of the complete proposal either via sealed submission to the Denver mail room at 4300 Cherry Creek Drive South or electronically through BidNet Direct at www.bidnetdirect.com/cdphe. All inquiries should be directed to Darla Wear, Purchasing Agent, at darla.wear@state.co.us. The signature page requires proposers to provide company information, contact details, FEIN, VSS number, and authorized signature from an officer of the bidding organization.
Proposers must confirm acceptance of all contract and purchase order terms and conditions without negotiation, disclose whether their organization qualifies as a Disadvantaged Business Enterprise (DBE), Minority Business Enterprise (MBE), or Women's Business Enterprise (WBE), and identify any confidential or proprietary information included in the proposal submission. The FEIN must match VSS registration for the submitting entity to be eligible for award. All confidential or proprietary information must conform to requirements outlined in Section 1 of the Administrative Information or the proposal may be deemed non-responsive. The Vendor Customer Number and FEIN provided will be used for award issuance, contracting, and payment purposes.
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Text version
ATTACHMENT 1 - REQUEST FOR PROPOSALS – VENDOR INFORMATION / SIGNATURE PAGE (TO BE RETURNED)
RFP INFORMATION
RFP #: 2026000125 TITLE: Unified Data Dissemination Application - OIT
ANTICIPATED INITIAL CONTRACT TERM: One Partial Year
ANTICIPATED OPTIONAL EXTENSION TERMS: Four (4) One-year extension terms, or a combination of optional extension terms totaling no more than Five years.
IMPORTANT: Proposer Name and the RFP # must be in the file name when the proposal is submitted. For full submission information, see Exhibit A Submission Instructions
For Non-electronic submission only: Proposers shall submit sealed proposals to the below address:
• One (1) original (signed) version of Attachment 1
• One (1) electronic version of the Proposal on USB flash drive
Colorado Department of Public Health And Environment Procurement And Contracts Unit, Mail Room 4300 Cherry Creek Drive South Denver, CO 80246
ATTN: Darla Wear, Purchasing Agent EMAIL (INQUIRIES ONLY) TO: darla.wear@state.co.us
For Electronic Submission only: Proposers shall submit proposals WITH One (1) original (signed) version of Attachment 1 via BidNet Direct at: www.bidnetdirect.com//cdphe.
PROPOSER’S CONTACT INFORMATION
COMPANY NAME:
CONTACT:
STREET ADDRESS:
PHONE:
CITY/STATE/ZIP:
E-MAIL:
FEIN:
VSS #:
PROPOSER’S AUTHORIZED SIGNATURE
AUTHORIZED SIGNATURE:
PRINTED NAME:
TITLE:
Proposers are urged to review the solicitation document thoroughly before submitting a response. The Vendor Customer Number and F.E.I.N. referenced above will be used for issuance of award, contracting, and payment for the winning response. Verify that the provided numbers are correct for the entity submitting this response. The FEIN must match VSS registration to be eligible for award.
1. Vendor accepts all Contract/PO Terms and conditions without negotiation: Yes No
2. Does your organization qualify as a Disadvantaged Business Enterprise (DBE), Minority Business Enterprise (MBE) or Women’s Business Enterprise (WBE)? Yes No
3. Is your organization submitting any confidential or proprietary information included in the proposal?
Yes No Any confidential or proprietary information shall conform to the requirements listed in Section 1 Administrative Information or the proposal may not be considered.
(ATTACHMENT 1) - RETURN THIS PAGE WITH YOUR RESPONSE
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