DHHS91073 Form 1 - Data Sheet.docx

14 KB Posted

Attached to
Clinical Evaluations, Treatment, Wrap Services, and Forensic Evaluations.
Solicitation number
DHHS91073
Issued by
Utah

About this file

Written by GovTribe AI ·

This document is a data sheet for a procurement issued by the Utah Department of Health and Human Services (DHHS) to establish contracts with providers of HIV-related prescription drugs and services. The contract opportunity, identified as DHHS91073, is seeking providers of the HIV Preventions, Treatment and Care Program. The data sheet collects information about the legal business name, address, contact person, and other details about the prospective bidder. The contract opportunity is not providing a detailed description, but it is focused on procuring these HIV-related services and establishing the necessary contracts.

The data sheet requires the prospective bidder to certify that the information provided is true and complete. No other salient details about pricing, funding, or incumbent providers are included in this particular document. The overall contract opportunity appears to be limited to the state of Utah and the services required under the HIV Preventions, Treatment and Care Program.

View the file

Other files

File Type Posted
1144304-event.pdf PDF
DHHS91073 Form 3 - Substitute Form W-9.html HTML file
DHHS91073 Scope of Work.html HTML file
DHHS91073 Form 4 - Service Application.xlsx XLSX spreadsheet
DHHS91073 Form 5 - Attestation-Evidence-Based Program Models for Prevention of Foster Care Services.pdf PDF
DHHS91073 Form 1 - Data Sheet.html HTML file
DHHS91073 Form 3 - Substitute Form W-9.pdf PDF
DHHS91073 Form 6 - Experience and Education Form.docx DOCX document
DHHS91073 Request for Statement of Qualifications.docx DOCX document
DHHS91073 Scope of Work.doc DOC document
DHHS91073 Form 2 - Conflict of Interest Disclosure Statement.html HTML file
DHHS91073 Form 4 - Service Application.html HTML file
DHHS91073 Form 5 - Attestation - Evidence-Based Program Models for Prevention of Foster Care Services.html HTML file
DHHS91073 Score Sheet.html HTML file
DHHS91073 Form 2 - Conflict of Interest Disclosure Statement.pdf PDF
DHHS91073 Scope of Work.pdf.docx DOCX document
DHHS91073 Score Sheet.xlsx XLSX spreadsheet
DHHS91073 Form 6 - Experience and Education Form.html HTML file
DHHS91073 Request for Statement of Qualifications.html HTML file
DHHS91073 Scope of Work.pdf PDF
Show all 20

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file
Try for free Login

Text version

The file's text, extracted by GovTribe without its formatting.

DHHS91073 - Form 1 Data Sheet

Legal Business Name (include d/b/a if applicable)

Legal Business Address
City
State
Zip Code
Business Mailing Address
City
State
Zip Code
Business Email address
Business Phone # (include area code)

Name and Title of Contact Person with Signatory Authority

Contact Person’s Email Address
Contact Person’s Telephone # (include area code)

By submitting this form, I certify that the information I have given is true and complete to the best of my knowledge.

Name of Person Completing Form
Date

Position or Title

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