Exhibit A-2 - Transmittal Letter.docx

DOCX document 36 KB Posted

Attached to
Statewide Health Information Exchange (HIE) Service
Solicitation number
ITN-08969
Issued by
Leon County, Florida

About this file

This document is the Transmittal Letter for responding to an Invitation to Negotiate (ITN) issued by the State of Florida Agency for Health Care Administration (AHCA) to procure a Statewide Health Information Exchange (HIE) Service. The letter outlines the required information and signatures from the respondent, including an official contact person and an alternate contact person who each have the authority to bind the respondent to a contract. Failure to submit this signed letter may result in the rejection of the response. The related state and local contract opportunity is for the provision of the Statewide HIE Service, which encompasses the jurisdictions of Leon County and Tampa City in the state of Florida. The solicitation was posted on 5/6/2024, and an Addendum No. 1 was issued on 6/4/2024 to provide the Agency's responses to written questions and to replace Exhibit A-4.

The document does not provide details on pricing terms, set asides, incumbents, the current environment, funding requirements and sources, or other salient information. The focus is solely on the required transmittal letter and the contacts who have the authority to bind the respondent to the contract.

View the file

Other files

File Type Posted
Exhibit A-1 - Questions Template.xlsx XLSX spreadsheet
AHCA ITN 012-2324 - Addendum No. 2.pdf PDF
Exhibit A-4-V2.docx DOCX document
Exhibit A-3.docx DOCX document
AHCA ITN 012-23.24 - Addendum No.1.pdf PDF
AHCA ITN 012-23.24 - Statewide HIE Services.pdf PDF
Exhibit A-6.doc DOC document
AHCA ITN 012-2324 - Addendum No. 3.pdf PDF

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Text version

EXHIBIT A-2

TRANSMITTAL LETTER

All respondents to this solicitation shall utilize Exhibit A-2, Transmittal Letter, for submission of its response.

DATE:Click or tap to enter a date.

RESPONDENT NAME:

RESPONDENT ADDRESS:

RESPONDENT FEDERAL EMPLOYER IDENTIFICATION NUMBER (FEID):

The respondent shall provide an official contact and an alternate contact. Both the official contact person and the alternate contact person must have the authority to bind the respondent to a contract. Both person’s signatures must be included.

OFFICIAL CONTACT PERSON:

NAME:

TITLE:

ADDRESS:

EMAIL ADDRESS:

TELEPHONE NUMBER:

SIGNATURE: _____________________________________________________

ALTERNATE CONTACT PERSON:

NAME:

TITLE:

ADDRESS:

EMAIL ADDRESS:

TELEPHONE NUMBER:

SIGNATURE: _____________________________________________________

Failure to submit, Exhibit A-2, Transmittal Letter, signed by authorized officials who each have the authority to bind the respondent to a contract, may result in the rejection of response. If the respondent is invited to negotiations, at least one authorized official listed above must be present at each negotiation session.

AHCA ITN 012-23/24, Attachment A, Exhibit A-2, Page 1 of 1

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