Attachment D-Credentials Acknowledgement.docx
DOCX document 15 KB Posted
- Solicitation number
- RFP 729 2100000192 1
- Issued by
- Anderson County, Kentucky
About this file
This is a Credentials Acknowledgement form, which serves as an attachment to a state and local contract opportunity and functions as a certification document. The form requires a signatory to affirm that all individuals providing services under the contract, should it be awarded, possess at least the minimum credentials required for their respective skill levels. The document includes fields for signature, date, printed name, and title or position of the certifying individual.
No additional details regarding pricing terms, set asides, incumbents, funding sources, or other contract-specific information are contained within this acknowledgement form, as it serves solely as a credential verification certification requirement for contract performance.
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| File | Type | Posted |
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| Attachment C-Medicare-Medicaid Acknowledgement.docx | DOCX document | |
| MOVEit TRANSFER Instructions for CHFS Vendor.docx | DOCX document | |
| No Bid Form.docx | DOCX document | |
| Final_RFP_729_2100000192_1_SO_FORM.PDF | ||
| Attachment E-Dietician Short Form Revised.docx | DOCX document | |
| Attachment B-Insurance Acknowledgement.docx | DOCX document | |
| Attachment A-Cost Proposal Form Dietician Revised.xlsx | XLSX spreadsheet |
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Text version
I certify that all individuals providing services under this contract if awarded shall possess at least the minimum credentials for that skill level.
SIGNATURE Date Printed Name: ________________________________________________________________________________ Title/Position: ________________________________________________________________________________
File details come from the government source that posted it. Updated .