Proposal Form.docx
DOCX document 17 KB Posted
- Attached to
- Request for Proposals for banking institutions to operate an Automated Teller Machine in Wayne County.
- Solicitation number
- SPO-96-13D29
- Issued by
- Watauga County, Hallsboro CDP, North Carolina
About this file
This is a proposal form for an Automated Teller Machine (ATM) lease opportunity issued by the North Carolina Department of Health and Human Services, Cherry Hospital, located in Goldsboro. The solicitation seeks proposals from qualified vendors to provide ATM services at the hospital facility. Proposals must be submitted electronically through https://evp.nc.gov/ with a deadline of October 21, 2026, at 4:00 P.M. EST. The lease term must be a minimum of three years, with the option for renewal periods to be negotiated between the proposer and the State. The proposal evaluation will be based on the desirability of the proposal relative to complementing the hospital's operations, the proposer's demonstrated ability to execute the proposal, evidence of sufficient financial resources, the rental amount offered, and other relevant factors affecting the public interest.
Proposers must submit a flat-rate annual rental figure for year one of the lease, with annual increases of a minimum of 2 percent beginning in year two. Selected proposers must register as a legal entity under North Carolina law before the transaction is placed on the Council of State agenda. All proposals must comply with North Carolina General Statutes 133-32 and Executive Order 24, which prohibit gifts or inducements from contractors to State employees. Only electronically submitted proposals will be considered; mailed, emailed, and faxed proposals are not acceptable. The proposal form requires signature attestation from authorized representatives confirming acceptance of all specifications and attachments outlined in the request for proposals.
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Other files
| File | Type | Posted |
|---|---|---|
| 96-13D29 DHSS PO-27.pdf |
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Text version
PO-28 ATM PROPOSAL FORM
(Must be submitted before the deadline for proposal to be accepted)
Name:
Firm Name:
Address:
Telephone:
Email:
Lease term _________ years (3 years minimum) effective ____________________, or a date satisfactory to the State plus ___________(# of renewal periods) renewal period(s) of _______________ year(s) each (# of years in each renewal period) upon mutual agreement to by both parties.
I. Rental: I propose the following minimum annual rental during year one (1) of the lease. Rental for the year must be expressed as a flat rate. The annual rental increases will begin in year 2 of the agreement.
Year 1 _______________
Annual increases of ___% beginning in Year 2 for the term and renewals (2% minimum).
II. The selected proposer must register as a legal entity, if applicable, under North Carolina Law before the transaction is placed on the Council of State agenda. Failure to register may result in a delay in the approval process or rejection of the proposal.
III. I have read and accepted the request for proposals (specifications) on pages 2. through 7. and all attachments and stipulate that this proposal is made in keeping with the requirements therein. I understand that this proposal will be evaluated on the basis of the desirability of the proposal as to how it will complement the total operation of the Cherry Hospital, the demonstrated ability of the proposer(s) to execute the proposal submitted, demonstration of sufficient funds for the execution of the proposal submitted, the amount of rent offered, and all relevant factors that might affect the public interest. I further realize that the State may reject this proposal for any reason it deems warranty.
N.C.G.S. § 133-32 and Executive Order 24 prohibit the offer to, or acceptance by, any State Employee of any gift from anyone with a contract with the State, or from a person seeking to do business with the State. By execution of this proposal, you attest, for your entire organization and its employees or agents, that you are not aware that any gift has been offered, accepted, or promised by any employee of your organization.
This proposal is made in compliance with the specifications furnished by the Department of Administration, State Property Office. I have read and accepted the request for proposal (specifications-PO-27) and all attachments and stipulate the proposal is made in keeping with the requirements therein. I understand that this proposal will be evaluated because of the desirability of the proposal as to how it will complement the total operation of the market.
Signature________________________________ Date ______________________ Signature________________________________ Date ______________________ SPECIAL NOTE: To be considered, this proposal must be submitted electronically to https://evp.nc.gov/ Deadline: October 21, 2026, 4:00 P. M. EST. MAILED, EMAILED, AND FAXED PROPOSALS NOT ACCEPTABLE Department: NC DHHS Division: Cherry Hospital City: Goldsboro Agent: Allen Meadows
SPO#: 96-13D29
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