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-SPO-96-13D29
Issued by
Watauga County, Greensboro City, North Carolina

About this file

This is a Proposal Form for the North Carolina Department of Health and Human Services, Division of Cherry Hospital, located in Goldsboro, Wayne County, seeking banking and financial institutions to manage and operate a free-standing Automated Teller Machine (ATM) near the hospital facility. Proposals must be submitted electronically through the North Carolina eVendor Portal (https://evp.nc.gov/) with a deadline of October 21, 2026, at 4:00 P.M. EST. Mailed, emailed, and faxed proposals will not be accepted. The lease term must be a minimum of three years effective on a date satisfactory to the State, with the option for renewal periods as mutually agreed upon by both parties. The solicitation agent is Allen Meadows, and the State Property Office reference number is 96-13D29.

Proposers must submit a flat-rate annual rental amount for year one of the lease, with annual increases beginning in year two at a minimum of two percent. The selected proposer must register as a legal entity under North Carolina law before the transaction is placed on the Council of State agenda; failure to register may result in delays or proposal rejection. Evaluation criteria include the desirability of the proposal relative to its fit with Cherry Hospital's operations, the proposer's demonstrated ability and sufficient funds to execute the proposal, the rental amount offered, and all relevant factors affecting public interest. Proposers must attest compliance with North Carolina General Statutes 133-32 and Executive Order 24 prohibiting gifts to State employees from contractors or prospective contractors.

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96-13D29 DHHS RFP (PO-27).pdf 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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