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 3
Issued by
Denver County, Denver City, Colorado

About this file

This is a Request for Proposals Signature Page for the Colorado Health Systems Directory (CHSD) project managed by the Colorado Department of Public Health and Environment (CDPHE) Office of Information Technology (OIT). The RFP number is 202700001, and proposals must be submitted electronically via BidNet Direct at www.bidnetdirect.com/cdphe with one original signed version of Attachment 1. Inquiries should be directed to Allan Smith, Purchasing Unit Supervisor, at allan.smith@state.co.us. The anticipated initial contract term is one year, with four optional one-year extension terms available or a combination of optional extension terms totaling no more than five years. Proposers must include the proposer name and RFP number in the file name when submitting their response.

Proposers must provide complete vendor information including company name, contact person, street address, city/state/zip, phone number, email address, FEIN, and VSS number on the signature page. All vendors must accept contract and purchase order terms and conditions without negotiation to be considered. Vendors are required to verify that their FEIN matches VSS registration to be eligible for award. The signature page requests confirmation of whether the organization qualifies as a Disadvantaged Business Enterprise (DBE), Minority Business Enterprise (MBE), or Women's Business Enterprise (WBE), and whether any confidential or proprietary information is included in the proposal. Any confidential or proprietary information must conform to requirements listed in Section 1 Administrative Information or the proposal may not be considered.

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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 .