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 an Exhibit A-2 Transmittal Letter for a solicitation issued by the State of Florida Agency for Health Care Administration to procure a Statewide Health Information Exchange (HIE) Service. The solicitation requires respondents to utilize the provided Exhibit A-2 Transmittal Letter for submission, which must be signed by authorized officials who have the authority to bind the respondent to a contract. The solicitation is open to all respondents, and at least one authorized official from the respondent must be present at any negotiation sessions if the respondent is invited to negotiations.

The solicitation for the Statewide HIE Service covers the jurisdiction of Leon County, Florida. No additional details are provided in the document regarding the specific products or services requested, quantities, response or award dates, contract term, or renewal options.

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Other files

File Type Posted
Exhibit A-2 - Transmittal Letter.docx DOCX document
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 .