Attachment 1 Vendor Information-Confirmation of Offer Form.docx
DOCX document 148 KB Posted
- Attached to
- Health Equity Technical Assistance
- Solicitation number
- RFP FAAA 2027000016 3
- Issued by
- Arapahoe County, Denver City, Colorado
About this file
This is a Vendor Information and Confirmation of Offer Form for RFP 2027000016, a Health Equity Training and Assistance solicitation issued by the State of Colorado. The form serves as the required submission document for vendors responding to this opportunity. Offerors must complete all required fields including their Colorado Vendor Customer Number, Federal Employer's Identification Number (FEIN), Unique Entity Identifier (UEI), legal business name, Doing Business As (DBA) name if applicable, complete address, and authorized signatory information. The form also requires identification of a primary point of contact for solicitation-related communications, including name, title, phone number, and email address. Vendors must confirm through signature that all work will be performed within the State of Colorado and that they have thoroughly reviewed the solicitation document before submission.
The form indicates that the Vendor Customer Number and FEIN provided will be used for award issuance, contracting, and payment processing for the winning response. Vendors are explicitly instructed to verify the accuracy of these numbers, as the FEIN must match the entity's VSS registration to be eligible for award consideration. The signed original of this form must be submitted with the original solicitation response. No specific pricing, set-asides, funding amounts, or contract term information is detailed in this vendor information form, as it functions solely as an administrative confirmation and identification document for the RFP process.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment 1
SOLICITATION NO: RFP 2027000016
TITLE: Health Equity Training and Assistance
Vendor Information & Confirmation of Offer Form
Responses submitted are subject to the conditions stipulated in the solicitation and the specifications set forth in the solicitation.
PLEASE TYPE OR PRINT INFORMATION
VENDOR CUSTOMER # (From Colorado VSS):___________________________________________________________________
FEDERAL EMPLOYER’S IDENTIFICATION (FEIN) #: _______________________________________________________________
UNIQUE ENTITY IDENTIFIER (UEI #) (if applicable): ______________________________________________________________
LEGAL NAME of OFFEROR: __________________________________________________________________________________
DBA (if applicable):_______________________________________________________________________________________
ADDRESS: ______________________________________________________________________________________________
CITY, STATE, ZIP: _______________________________________________________________________________________
NAME OF AUTHORIZED SIGNATORY: ________________________________________________________________________
TITLE OF AUTHORIZED SIGNATORY: ________________________________________________________________________
E-MAIL ADDRESS: ______________________________________________________________________________________
PHONE #: __________________________________________
The signature below signifies my review and approval of this solicitation response.
___________________________________________________________________ DATE: ___________________________ Original (in ink) or Digital Signature of Authorized Signatory
POINT OF CONTACT FOR SOLICITATION-RELATED COMMUNICATIONS:
NAME______________________________________________ PHONE #: ______________________________________
TITLE: _____________________________________________
E-MAIL: _____________________________________________________________________________________________
Offerors are urged to read 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.
Vendor anticipates that all work be performed within the state of Colorado: ☐ Yes ☐ No
SUBMIT SIGNED ORIGINAL OF THIS FORM WITH ORIGINAL SOLICITATION RESPONSE
image1.png
File details come from the government source that posted it. Updated .