ITB538 State Signature Page.pdf

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Attached to
ANTITUBERCULOSIS MEDICATION
Solicitation number
538
Issued by
Kootenai County, Idaho

About this file

This document is a Signature Page for Invitation to Bid (ITB) No. 538 issued by the Idaho Department of Health and Welfare for Antituberculosis Medication. The ITB sets forth the terms, conditions, and requirements for vendors to submit bids for the requested medications. Vendors must review and acknowledge the included State of Idaho Standard Contract Terms and Conditions as well as any issued addendums. The ITB title, number, and vendor information must be provided on the signature page, which binds the vendor to the solicitation terms upon signature.

The related state and local contract opportunity is for the purchase of Antituberculosis Medication by the State of Idaho. No additional details about quantities, response dates, award information, or contract term are provided in the given documentation.

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Text version

BRAD LITTLE - Governor ALEX J. ADAMS - Director

Staci Phelan, Administrator Division of Management Services

450 West State Street, 9th Floor PO Box 83720 Boise, Idaho 83720-0036

PHONE 208-334-5578

FAX 208-334-5694

SIGNATURE PAGE

NO LIABILITY WILL BE ASSUMED BY THE DEPARTMENT OF HEALTH AND WELFARE FOR A VENDOR’S

FAILURE TO OBTAIN THE TERMS AND CONDITIONS AND ANY PROPERLY ISSUED SOLICITATION

ADDENDUMS IN A TIMELY MANNER FOR USE IN THE VENDOR’S RESPONSE TO THIS SOLICITATION

OR ANY OTHER FAILURE BY THE VENDOR TO CONSIDER THE TERMS, CONDITIONS, AND ANY

ADDENDUMS IN THE VENDOR’S RESPONSE TO THE SOLICITATION.

ATTACH IN THE QUESTIONS PAGE OF THIS SOLICITATION IN IPRO

This ITB response is submitted in accordance with all documents and provisions of the specified ITB Number and Title provided below. By my signature I accept the terms, conditions and requirements contained in the solicitation, including, but not limited to, the STATE OF IDAHO STANDARD CONTRACT TERMS AND CONDITIONS, and the SOLICITATION INSTRUCTIONS TO VENDORS in effect at the time this ITB was issued, as incorporated by reference into this solicitation; as well as any SPECIAL TERMS AND CONDITIONS incorporated in the solicitation documents. As the undersigned, I certify I am authorized to sign and submit this response for the named Vendor. I further acknowledge I am responsible for reviewing and acknowledging any addendums that have been issued for this solicitation.

ITB Number_____ITB538________ ITB Title:__Antituberculosis Medication______________

VENDOR (Company

Name)___________________________________________________________________

ADDRESS________________________________________________________________

CITY, STATE, ZIP_______________________________________________________________________

PHONE__________________ FEIN/SSN# ___________________________ E-Mail ______________________

Signature Date

Printed Name Title

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