Exhibit A-2 - Transmittal Letter.docx
DOCX document 36 KB Posted
- Solicitation number
- ITN-08969
- Issued by
- Leon County, Florida
About this file
This document is Exhibit A-2 Transmittal Letter template for the Florida Agency for Health Care Administration's Statewide Health Information Exchange (HIE) Service solicitation. The template requires respondents to provide their organization's name, address, and Federal Employer Identification Number (FEID), along with contact information for two authorized officials who have the authority to bind the respondent to a contract.
The document specifies that failure to submit the signed transmittal letter by both authorized officials may result in rejection of the response. Additionally, if invited to negotiations, at least one of the listed authorized officials must be present at each negotiation session. The template includes fields for both officials' names, titles, addresses, email addresses, telephone numbers, and signatures.
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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 | ||
| Exhibit A-4-V2.docx | DOCX document | |
| Exhibit A-3.docx | DOCX document | |
| AHCA ITN 012-23.24 - Addendum No.1.pdf | ||
| AHCA ITN 012-23.24 - Statewide HIE Services.pdf | ||
| Exhibit A-6.doc | DOC document | |
| AHCA ITN 012-2324 - Addendum No. 3.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 .