Attachment 1 Vendor Information-Confirmation of Offer Form.docx
DOCX document 143 KB Posted
- Solicitation number
- RFI FAAA 2027000011 2
- Issued by
- Denver County, Denver City, Colorado
About this file
This is a Vendor Information and Confirmation of Offer Form for the State of Colorado's Newborn Screening (NBS) Program Laboratory Information Management System procurement, issued under Solicitation No. RFI 2027000011. The form serves as the submission vehicle for vendors responding to the request for information regarding the NBS Laboratory Information Management System through the Colorado Office of Information Technology (OIT). Vendors are required to complete and submit this form with their original solicitation response, providing essential company information including legal name, FEIN, UEI number, business address, and authorized signatory details.
The form mandates that offerors verify the accuracy of their Vendor Customer Number and FEIN, as these identifiers will be used for award issuance, contracting, and payment purposes. Vendors must identify both an authorized signatory responsible for approval of the solicitation response and a point of contact for solicitation-related communications. The submission requires either an original signature in ink or a digital signature from the authorized signatory. Offerors are advised to thoroughly review the complete solicitation document prior to submission to ensure compliance with all stated conditions and specifications.
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Other files
| File | Type | Posted |
|---|---|---|
| Addendum 1 Questions and Responses.pdf | ||
| Addendum 1a 2026 CONBS Testing Menu With Assays.xlsx | XLSX spreadsheet | |
| Exhibit A LIMS Requirements.xlsx | XLSX spreadsheet | |
| Exhibit B Budget Template.xlsx | XLSX spreadsheet | |
| RFI 2027000011 NBS Laboratory Information Management System.pdf |
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Text version
Attachment 1
SOLICITATION NO: RFI 2027000011
TITLE: Newborn Screening Program Laboratory InformationManagement System
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.
SUBMIT SIGNED ORIGINAL OF THIS FORM WITH ORIGINAL SOLICITATION RESPONSE
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