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 transmittal letter requires respondents to provide comprehensive contact information, including an official and alternate contact person, both of whom must have the authority to bind the respondent to a contract. Both contacts must sign the document, and failure to submit a properly signed transmittal letter may result in response rejection. If invited to negotiations, at least one authorized official must be present at each negotiation session.
The transmittal letter is part of a solicitation for a cloud-based interactive dashboard for Medicaid population health analytics, 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 amount of $3,100,000.00. Vendors must be registered with E-Verify, have not had previous contracts terminated for non-compliance, and are subject to various certifications, including a Drug-Free Workplace Program certification and compliance with Florida state statutes. The procurement specifically prohibits managed care organizations or vendors contracted with such organizations from responding.
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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 .