ESBD_354867_1716578130685_HHS0014117 Addendum 4 - Acknowledgement Form.pdf

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Texas Health Care Information Collection Health Care Data Collection System
Solicitation number
HHS0014117
Issued by
Texas

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This is an Addendum Acknowledgement Form (Form PCS 121) from Texas Health and Human Services Commission (HHSC) for RFO No. HHS0014117. Addendum No. 4, dated May 24, 2024, provides answers to questions and requests for clarification in accordance with RFO Section 3.3.4. Responses are due May 31, 2024, at 10:30 AM. The point of contact is Mario Gutierrez, who can be reached at 512-776-4621 or mario.gutierrez@hhs.texas.gov.

The addendum requires respondents to acknowledge receipt by either including the signed form with their solicitation response or emailing it to pcsbids@hhsc.state.tx.us prior to the solicitation due date if they have already submitted their response. No other changes were made to the original RFO through this addendum.

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C:\Users\Fnesbitt01\Pictures\Saved Pictures\HHS Branding\HHS Color Logo.png Effective 07/15/2016 Revised 01/23/2024 Procurement and Contracting Services, 1100 W. 49th Street, Austin, TX 78756 Form

PCS 121

SOLICITATION ADDENDUM ACKNOWLEDGEMENT FORM

Solicitation Due Time PCS Contact Information Description of Addendum THIS ADDENDUM NOW BECOMES A PART OF THE ORIGINAL SOLICITATION RETURN ADDENDUM ACKNOWLEDGMENT FORM AS INSTRUCTED, FAILURE TO DO SO MAY RESULT IN DISQUALIFICATION OF RESPONSE.

1.

Acknowledge receipt of this addendum by signing and returning this addendum with your solicitation response in accordance with the submission options outlined in the solicitation.

2.

If respondent has submitted the response prior to addendum, respondent may email the signed addendum to pcsbids@hhsc.state.tx.us prior to the solicitation due date and time.

9.0.0.2.20101008.1.734229 a.m.

CurrentPage:
TextField28: mario.gutierrez@hhs.texas.gov
DueDate: 2024-05-31
Minute: 30
:
Hour: 10
AddendumNo:
AddendumDate: 2024-05-24
TextField30: 512-776-4621
TextField32: 1. The purpose of this Addendum No. 4 is to post answers to questions or requests for clarification in accordance with RFO Section 3.3.4, Solicitation Questions.

2. Posting answers to questions or request for clarification as HHS0014117 Attachment to Addendum 4.

No other changes are made to RFO No. HHS0014117 by this Addendum No. 4.

Associate Commissioner, PCS:
DateTimeField1:
TextField31:

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