ESBD_416638_1747759460539_01 Attachment D - Response INFO Sheet.pdf
PDF 86 KB Posted
- Attached to
- In House Pharmacy
- Solicitation number
- 1004-25
- Issued by
- Grimes County, Texas
About this file
The document is a Request for Proposal (RFP) Response Information Sheet for Community Healthcore, identified as RFP # 1004-25, Attachment D. This form is designed for potential respondents to provide company contact information and basic organizational details when submitting a proposal. The form requires comprehensive details including the legal entity name, respondent's representative, mailing address, email address, and telephone number.
The form includes additional company background questions such as the year the company was established and the number of local employees. Respondents must complete the document with their company name, address, and provide a signed declaration that the proposal is submitted without collusion. The document serves as a standard information collection instrument for potential vendors or service providers to formally document their interest and basic organizational profile when responding to this specific procurement opportunity.
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Text version
Community Healthcore RFP # 1004-25 Attachment D – Response INFO Sheet
ATTACHMENT D – RESPONSE INFO SHEET
Name of Legal Entity and Doing Business As (d/b/a) Name, if applicable
Respondent’s Representative
Respondent’s Mailing Address
Respondent’s Email Address
Respondent’s Telephone Number
In addition to providing the above contact information, please answer the following questions regarding your company:
What year was your company started? ________________________________________
How many local employees do you employee? _____________________________
Pursuant to the advertisement for proposal to be received, I/We ____________________________________________________________________________ Company Name
Located at ________________________________________________________________________ Company Address hereby submit our proposal. This proposal is made without collusion on the part of any person, firm or corporation.
Signature: __________________________________________________________________________________
Printed name: ______________________________________ Title: ___________________________________
Date: _________________________________
E-mail Address____________________________________________________
File details come from the government source that posted it. Updated .