Attachment 1 - Request for Proposal Signature Page.docx

DOCX document 22 KB Posted

Attached to
Data Validation for CHSD
Solicitation number
RFP FAAA 2027000072 1
Issued by
Denver County, Denver City, Colorado

About this file

This is a Request for Proposal signature page for the State of Colorado, Department of Public Health and Environment (CDPHE), seeking a vendor to provide data validation services for the Colorado Health Service Division (CHSD) Office of Information Technology. The solicitation, identified as RFP #2027000043, has an anticipated initial contract term of one year with four optional one-year extension terms available, or a combination of extension terms not to exceed five years total. Proposals must be submitted electronically via BidNet Direct at www.bidnetdirect.com/cdphe with one original signed version of Attachment 1. The point of contact for inquiries is Darla Wear, Purchasing Agent, at darla.wear@state.co.us. Proposers are instructed to include the RFP number and proposer name in the file name upon submission.

The signature page requires vendors to provide complete company information, FEIN, VSS number, and authorized signature of a company representative. Vendors must accept all contract and purchase order terms and conditions without negotiation to be considered for award. The FEIN must match VSS registration for eligibility. Vendors are asked to identify whether their organization qualifies as a Disadvantaged Business Enterprise (DBE), Minority Business Enterprise (MBE), or Women's Business Enterprise (WBE), and to disclose any confidential or proprietary information included in the proposal, which must conform to requirements outlined in Section 043 Administrative Information of the solicitation document.

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Text version

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

RFP INFORMATION

RFP #: 2027000043 TITLE: Data Validation for CHSD - OIT

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: Darla Wear, Purchasing Agent EMAIL (INQUIRIES ONLY) TO: darla.wear@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

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 043Section 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 .