Attachment J-11 Cover Letter.pdf

PDF 130 KB Posted

Attached to
Residential Drug Treatment Services (FY 2024)
Solicitation number
9594CS24R0022
Issued by

About this file

This document includes an attachment cover letter template and details of a solicitation for residential drug treatment services. The cover letter template requests business identification information and requires the signature of an authorized representative. It notes the solicitation number, describes the objective as providing substance use disorder treatment and stabilization services for up to 30 days including a 30-day restricted movement period at a facility within 30 miles of an address in Washington, D.C. The services are for the Court Services and Offender Supervision Agency to support offender supervision compliance and continuity of care.

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Other files

File Type Posted
SF-1449 9594CS24R0022 Conformed Copy.pdf PDF
SF-30 9594CS24R0022-005 Approved.pdf PDF
SF-30 9594CS24R0022-005 Question-Answer Sheet.pdf PDF
SF-30 9594CS24R0022-004 Approved.pdfā.pdf PDF
SF 1449 9594CS24R0022_4_Conformed Copy.pdf PDF
Attachment J-14 Price Breakout Table.docx DOCX document
SF-30 9594CS24R0022-003 Approved.pdf PDF
SF-30 9594CS24R0022-0002 Question-Answer Sheet.pdf PDF
SF-30 9594CS24R0022-0002 Approved.pdf PDF
SF-30 9594CS24R0022-0001.pdf PDF
SF-30 9594CS24R0022-0001 Question-Answer Sheet.pdf PDF
Attachment J-5 Release of Information-Privacy Act Waiver.pdf PDF
Attachment J-10 CSOSA Credit Release.pdf PDF
Attachment J-8 Monthly Program Activity Report.pdf PDF
Attachment J-6 Vendor Clinical Staffing Form.pdf PDF
Attachment J-7 CSOSA Contact Form.pdf PDF
Attachment J-12 Past Performance Questionnaire.pdf PDF
Attachment J-1 Billing Authorization.pdf PDF
Attachment J-13 Pricing Tables.pdf PDF
Attachment J-3 Release of Information-Health Records.pdf PDF
Attachment J-2 Release of Information-Substance Abuse Treatment.pdf PDF
Attachment J-9 Security form for Temp Contractors.pdf PDF
9594CS24R0022 Approved.pdf PDF
Attachment J-4 Release of Information-Mental Health-Sex Offender.pdf PDF
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Text version

Attachment J-11: Cover Letter

1. Full name of Offeror: _________________________________________________________ Full address of Offeror: ________________________________________________________

2. Offeror’s Point of Contact:

a. Name: __________________________________________________________________

b. Phone number: ___________________________________________________________

c. Email address: ____________________________________________________________

3. Offeror’s Tax identification number (TIN): _________________________________________

4. Offeror’s System for Award Management (SAM) Unique Entity Identification (UEI) Number:

5. Business Size for NAICS 623220: ______________________________ (This should be the business size identified in the Offeror’s SAM registration for this NAICS, e.g., large business, small business, SDVOSB, etc.) If Offeror’s Representations and Certifications posted in SAM under FAR 52.219-1 does not include this NAICS code, this NAICS code should be added to the Offeror’s SAM registration prior to the submission of a proposal.

6. A copy of the SF1449 and all Solicitation Amendments (SF30) (if issued), signed by an individual authorized to bind the Offeror, shall be provided following this Cover Letter.

7. The Offeror has reviewed the insurance requirements in Section H.11 Insurance and will provide the required Certificate of Insurance that meets or exceeds the requirements of Section H.11 Insurance within 10 business days of award. (Note: A post-award request to have any H.11 Insurance requirements waived or reduced will not be considered.)

Signature of individual authorized to bind Offeror: ____________________________

8. The pricing provided in the Price Volume is good for 120 calendar days from the date of submittal.

Signature of individual authorized to bind Offeror: ____________________________

9. Any assumptions, exceptions, or conditions the Offeror makes, or takes, in their submission shall be provided as a separate attachment following this Cover Letter.

Cover Letter signature of individual authorized to bind Offeror:

Signature Printed Name

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