Attachment A - Exhibit A-2.docx

DOCX document 36 KB Posted

Attached to
Preadmission Screening and Resident Review
Solicitation number
RFP-16853
Issued by
Leon County, Florida

About this file

This document is Exhibit A-2, a Transmittal Letter template required for all responses to AHCA RFP 001-26/27 issued by the State of Florida, Agency for Health Care Administration, for the Preadmission Screening and Resident Review (PASRR) process. Respondents must complete and submit this form as part of their proposal package, available for download from the AHCA procurements website. The transmittal letter requires submission of the respondent's name, address, and Federal Employer Identification Number, along with designation of an official contact person and an alternate contact person, both of whom must possess authority to bind the respondent to a contract. Both authorized representatives must provide their signatures on the document, including their respective names, titles, addresses, email addresses, and telephone numbers.

Failure to submit a properly completed and signed Exhibit A-2 Transmittal Letter from authorized officials with binding authority may result in rejection of the response. This administrative requirement ensures that all submissions are accompanied by documented evidence of proper authorization and identified points of contact for contract administration purposes.

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Other files

File Type Posted
Attachment A - Exhibit A-3-a.docx DOCX document
Attachment A - Exhibit A-1.xlsx XLSX spreadsheet
Attachment A - Exhibit A-3.docx DOCX document
Attachment A - Exhibit A-5 - Cost Proposal.xlsx XLSX spreadsheet
AHCA RFP 001-2627 - PASRR.pdf PDF
AHCA RFP 001-2627 - Addendum No. 1.pdf PDF
Attachment A - Exhibit A-4.docx DOCX document
Attachment A - Exhibit A-5-a - V2.xlsx XLSX spreadsheet
Attachment A - Exhibit A-6.doc DOC document
Attachment A - Exhibit A-5-a.xlsx XLSX spreadsheet

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Text version

EXHIBIT A-2

TRANSMITTAL LETTER

All respondents to this solicitation shall utilize Exhibit A-2, Transmittal Letter, for submission of its response. Exhibit A-2 is available for respondents to download at:

http://ahca.myflorida.com/procurements/index.shtml.

DATE:Click or tap to enter a date.

RESPONDENT NAME:

RESPONDENT ADDRESS:

RESPONDENT FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEID):

The respondent shall provide an official contact and an alternate contact. Both the official contact person and the alternate contact person must have the authority to bind the respondent to a contract. Both person’s signatures must be included.

OFFICIAL CONTACT PERSON:

NAME:

TITLE:

ADDRESS:

EMAIL ADDRESS:

TELEPHONE NUMBER:

SIGNATURE: _____________________________________________________

ALTERNATE CONTACT PERSON:

NAME:

TITLE:

ADDRESS:

EMAIL ADDRESS:

TELEPHONE NUMBER:

SIGNATURE: _____________________________________________________

Failure to submit, Exhibit A-2, Transmittal Letter, signed by authorized officials who each have the authority to bind the respondent to a contract, may result in the rejection of response.

AHCA RFP 001-26/27, Attachment A, Exhibit A-2, Page 1 of 1

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