Exhibit A-2 - Transmittal Letter.docx
DOCX document 36 KB Posted
- Attached to
- Medicaid Population Data Review Solution State and local contract opportunity
- Solicitation number
- ITN-12126
- Issued by
- Leon County, Florida
About this file
The document is Exhibit A-2, a Transmittal Letter template for the Florida Agency for Health Care Administration's (AHCA) Invitation to Negotiate (ITN) 007-24/25 for a Medicaid Population Data Review Solution. The solicitation requires respondents to complete this standardized form, which includes spaces for official and alternate contact persons with full contact details and signatures. The transmittal letter is crucial for submission, and failure to submit a properly signed document may result in response rejection. Respondents must ensure that both contact persons have the authority to bind the organization to a contract, and at least one authorized official must be present during potential negotiation sessions.
The transmittal letter is part of a comprehensive procurement process for a cloud-based interactive dashboard solution, with responses due on April 24, 2025, at 2:00 p.m. The anticipated contract term is from June 16, 2025, through June 15, 2026, with potential renewals for up to three additional years. The contract is funded through Specific Appropriation 194 of the General Appropriations Act, with an estimated contract value of $3,100,000.00. Notably, managed care organizations and their contractors are prohibited from responding, and vendors must complete various certification forms, including E-Verify registration, Drug-Free Workplace Program certification, and comprehensive legal and ethical attestations.
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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 007-24/25, Attachment A, Exhibit A-2, Page 1 of 1
File details come from the government source that posted it. Updated .