ESBD_File_343291_Exhibit C Bid Execution Page.pdf
PDF 120 KB Posted
- Attached to
- Credentialing Software and Maintenance
- Solicitation number
- HHS0013596
- Issued by
- Travis County, Austin City, Texas
About this file
This document is an Exhibit C - Bid Execution Page related to a solicitation by the Texas Health and Human Services Commission for a credentialing software and maintenance contract. The solicitation number is HHS0013596, with a posting date of November 21, 2023, and a response due date of December 11, 2023 at 10:30 A.M. The scope of work includes procuring and implementing a cloud-based credentialing system that meets the standards of the Centers for Medicare & Medicaid Services, The Joint Commission, and the Texas Medical Board. The contract will directly affect the ongoing validation of practitioner competency. The jurisdictions involved in this opportunity include Travis County and various locations within the City of Austin.
The bid execution page requires the respondent to agree to comply with all Contract Affirmations, Data Use Agreement, and Uniform Terms and Conditions - Vendor. The respondent can claim preferences for goods produced or offered by a Texas bidder, agricultural products grown or offered by a Texas bidder, services offered by a Texas bidder, and various other preferences outlined in the document. The respondent must provide their Texas Vendor ID or Federal Employer's ID, business information, and 24-hour contact details.
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Text version
Exhibit C – Bid Execution Page 03/14/2022
Exhibit C – Bid Execution Page
TEXAS HEALTH AND HUMAN SERVICES COMMISSION
Solicitation No.: S1olicitation Post Date: Response Due Date: Response Due Time:
HHS0013596 November 21, 2023 December 11, 2023 10:30 A.M.
By submitting the Response, Respondent represents and warrants that the individual submitting this document and the documents made part of this Response is authorized to sign such documents on behalf of the Respondent and to bind the Respondent under any contract that may result from the submission of the Response. Respondent agrees to comply with all Contract Affirmations, Data Use Agreement, and Uniform Terms and Conditions – Vendor which are attached and incorporated into this document.
Check below if preference claimed under Texas Administrative Code (TAC), Title 34, Part 1, Chapter 20, Subchapter D, Division 2, Rule §20.306:
□ Goods produced or offered by a Texas bidder that is owned by a Texas resident service-disabled veteran
□ Goods produced in Texas or offered by a Texas bidder that is not owned by a Texas resident service-disabled veteran
□ Agricultural products grown in Texas
□ Agricultural products offered by a Texas bidder
□ Services offered by a Texas bidder that is owned by a Texas resident service-disabled veteran
□ Services offered by a Texas bidder that is not owned by a Texas resident service-disabled veteran
□ Texas Vegetation Native to the Region
□ USA produced supplies, materials or equipment
□ Products of persons with mental or physical disabilities
□ Products made of recycled, remanufactured, or environmentally sensitive materials including recycled steel
□ Energy Efficient Products
□ Rubberized asphalt paving material
□ Recycled motor oil and lubricants
□ Products produced at facilities located on formerly contaminated property
□ Products and services from economically depressed or blighted areas
□ Vendors that meet or exceed air quality standards
□ Recycled or Reused Computer Equipment of
Other Manufacturers
□ Foods of Higher Nutritional Value.
RESPONDENT MUST COMPLETE ALL ITEMS:
X Signature of Vendor or Authorized Representative (Must be signed; failure to sign may disqualify response.)
Print Name:
Texas Vendor ID No. (or Federal Employer’s ID):
Name of Business:
Street Address:
City-State-Zip Code:
Telephone Number:
Fax Number:
E-Mail Address:
24-Hour Contacts – Must list a minimum of 2:
Contact 1 Name Phone Email Contact 2 Name Phone Email
By signing this bid, bidder certifies that if a Texas address is shown as the address of the bidder, bidder qualifies as a Texas Bidder as defined in Tex. Gov’t Code § 2155.444(c)(2)
Exhibit C – Bid Execution Page
File details come from the government source that posted it. Updated .