Attachment 1 - Request for Proposal Signature Page.docx

DOCX document 26 KB Posted

Attached to
Colorado Health Systems Directory (CHSD)
Solicitation number
RFP FHLA 2027000001 2
Issued by
Arapahoe County, Denver City, Colorado

About this file

This is a Request for Proposal Signature Page attachment for the Colorado Department of Public Health and Environment (CDPHE) Office of Information Technology (OIT) seeking vendors to develop and maintain the Colorado Health Systems Directory (CHSD). The RFP number is 202700001, with an anticipated initial contract term of one year and up to four optional one-year extension terms, totaling no more than five years. Proposals must be submitted electronically via BidNet Direct at www.bidnetdirect.com/cdphe with one original signed version of Attachment 1, and all inquiries should be directed to Allan Smith, Purchasing Unit Supervisor at allan.smith@state.co.us. The submission requirements mandate that the proposer name and RFP number be included in the file name, and proposers are instructed to review the full solicitation document and Exhibit A Submission Instructions thoroughly before responding.

Vendors must accept all contract and purchase order terms and conditions without negotiation to be eligible for award. The signature page requires vendors to provide complete company contact information, Federal Employer Identification Number (FEIN), and Vendor Customer Service (VSS) number, with verification that these numbers match VSS registration for award eligibility. Vendors are asked to indicate whether their organization qualifies as a Disadvantaged Business Enterprise (DBE), Minority Business Enterprise (MBE), or Women's Business Enterprise (WBE), and whether they are submitting any confidential or proprietary information, which must conform to requirements listed in Section 1 Administrative Information of the RFP.

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Text version

ATTACHMENT 1 - REQUEST FOR PROPOSALS – VENDOR INFORMATION / SIGNATURE PAGE (TO BE RETURNED)

RFP INFORMATION

RFP #: 202700001 TITLE: CO Health Systems Directory - OIT Comment by Wear, Darla: Update all

ANTICIPATED INITIAL CONTRACT TERM: ONE (1) Year

ANTICIPATED OPTIONAL EXTENSION TERMS: FOUR (4) One-year extension terms, or a combination of optional extension terms totaling no more than Five (5) 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 Electronic Submission only: Proposers shall submit proposals WITH One (1) original (signed) version of Attachment 1 via BidNet Direct at: www.bidnetdirect.com//cdphe.

ATTN: Allan Smith, Purchasing Unit Supervisor EMAIL (INQUIRIES ONLY) TO: allan.smith@state.co.us

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 Comment by Wear, Darla: Match to RFP once Program completes

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 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

File details come from the government source that posted it. Updated .