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 template 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. Failure to submit the signed Transmittal Letter may result in response rejection, and at least one authorized official must be present during negotiation sessions. The solicitation was posted on March 27, 2025, with responses due on April 24, 2025, at 2:00 p.m., and the Agency plans to select four top-ranked respondents for negotiations.
The contract is structured as a fixed-price, unit-cost arrangement with an estimated value of $3,100,000.00 for the original term, which runs from June 16, 2025, through June 15, 2026, with potential renewals for up to three additional years. Funding will come from Specific Appropriation 194 of the General Appropriations Act. Vendors must meet specific requirements, including E-Verify registration, no previous contract terminations, and compliance with Florida state statutes. The solicitation explicitly prohibits managed care organizations or their contracted vendors from responding and requires vendors to complete multiple certification forms, including a 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 .