Exibit C Signature Page .doc
DOC document 41 KB Posted
- Solicitation number
- RFP IHJA 2015000204 5
- Issued by
- Pueblo County, Colorado
About this file
This is a Request for Proposal signature page issued by the Colorado Department of Human Services, Southern District Procurement office, for the procurement of an Automated Immunochemistry Analyzer. The RFP number is IHJA 201500204, with proposals due on May 4, 2015, at 2:30 p.m. at the Pueblo office located at 1600 West 24th Street. Inquiries regarding the solicitation should be directed to Jamie Gott at 719-546-4431 or jamie.gott@state.co.us. All proposals must be accompanied by this signature page, properly marked with the RFP number, date, and hour of opening. Offerors are required to review the entire RFP document before submission.
Proposals must include payment terms of 45 days or longer, with pricing to remain effective for 180 days following award. All proposals should be quoted F.O.B. destination to the specified delivery location. Vendors submitting proposals must provide a Federal Employer Identification Number (FEIN) or Social Security Number (SSN) as registered on Colorado VSS and must confirm receipt of any amendments and addenda. The award notice will be published on ColoradoVSS, and authorized officers or agents of the vendor must sign proposals in ink on this signature page.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Exhibit B HIPAA BA RFP .pdf | ||
| Questions and Answers.pdf | ||
| 12.67-Medical_Record_Management.doc | DOC document | |
| Exhibit A State Contract.pdf | ||
| RFP Final .pdf | ||
| 16.50-Patients_Rights.doc | DOC document | |
| 24.05 policy replacment for 22.05.pdf |
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Text version
STATE OF COLORADO
DEPARTMENT OF HUMAN SERVICES
REQUEST FOR PROPOSAL SIGNATURE PAGE
Date: April 2, 2015
RETURN RFP TO:
RFP NO: IHJA 201500204
Jamie Gott
DIRECT INQUIRIES TO: Jamie Gott
Department of Human Services
Phone: 719-546-4431
Southern District Procurement 1600 West 24th
E-Mail: jamie.gott@state.co.us
Pueblo, CO 81003
| DATE DUE: |
| May 4, 2015 @ 2:30 |
Proposals properly marked as to RFP NO., DATE and HOUR of opening, subject to the conditions herein stipulated and in accordance with the specifications set forth and/or attached hereto, will be accepted at the address listed above, prior to the date and time listed for the RFP opening. All proposals shall be quoted F.O.B. destination, unless otherwise specified, to the delivery location or jobsite listed herein.
REQUEST FOR PROPOSAL
| TITLE: |
| Automated Immunochemistry Analyzer |
| AGENCY: |
| Colorado Department Of Human Services |
SEE ATTACHED PAGES FOR TERMS AND CONDITIONS AND PROPOSAL REQUIREMENTS.
IMPORTANT: Proposals submitted in response to this RFP MUST be accompanied by this “REQUEST FOR PROPOSAL” sheet.
Offerors should read the entire RFP document before submitting a proposal.
PROPOSALS MUST BE SIGNED IN INK
TERMS____________________________
Payment Terms of less than 45 days
Will not be considered.
| TYPED OR PRINTED SIGNATURE |
| Pricing shall be effective for 180 days after award. |
VENDOR
| _____________________________ |
| NAME |
| Handwritten Signature by Authorized Officer or Agent of Vendor |
| ADDRESS ____________________________ |
TITLE
ZIP
PHONE
DATE
| ____ Confirm that you are aware that the award notice will be published on ColoradoVSS. |
Confirm # _____ OF AMENDMENTS
RECEIVED.
FAX
| Confirm # _____ OF ADDENDA RECEIVED |
| FEIN or SSN |
^Enter your FEIN or SSN as registered on Colorado VSS.
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