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 3
Issued by
Denver County, Denver City, Colorado

About this file

This is a Request for Proposal Signature Page for the Colorado Department of Public Health and Environment, Procurement and Contracts Unit, seeking a vendor for the Unified Data Dissemination Application project under the Office of Information Technology (OIT). The RFP number is 2026000125. The anticipated initial contract term is one partial year, with four optional one-year extension terms available or a combination of optional extension terms totaling no more than five years. Proposals must be submitted either via non-electronic submission with one original signed version of Attachment 1 and one electronic version on USB flash drive to the address listed, or electronically through BidNet Direct at www.bidnetdirect.com/cdphe, accompanied by one original signed version of Attachment 1. All submissions must include the Proposer Name and RFP number in the file name. Inquiries should be directed to Darla Wear, Purchasing Agent, at darla.wear@state.co.us.

Proposers must provide company contact information, Federal Employer Identification Number (FEIN), and Vendor Customer Number (VSS #) on the signature page, with verification that these numbers are correct and that the FEIN matches VSS registration for award eligibility. The submission requires an authorized signature from a company representative with printed name and title. Proposers must indicate acceptance or non-acceptance of all Contract/PO 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 declare whether confidential or proprietary information is included in the proposal, with such information required to conform to Section 1 Administrative Information requirements.

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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

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