Proposal_Form.pdf
PDF 798 KB Posted
- Attached to
- Substance Abuse Treatment Services 2026
- Solicitation number
- 26-RFP-012
- Issued by
- Glades County, Brownsville CDP, Florida
About this file
This is a Proposal Form for a Substance Abuse Treatment Services contract opportunity issued by the Flagler County Department of Health and Human Services in Florida. The form requires vendors to certify their understanding of the Request for Proposals specifications and confirm their ability to furnish products and/or services in accordance with the detailed technical specifications and scope of work. Proposers must declare that they are duly authorized to execute the proposal and any resulting contracts, and they acknowledge that electronic submission serves as an official record with Flagler County. The form also requires vendors to commit to providing required insurance upon notification of award recommendation and authorizes the County to negotiate with selected vendors for additional items of similar nature that may not have been identified at the time of proposal closing.
The proposal form requests standard vendor information including firm name, authorized signatory details, company address, telephone, fax, email, Dun & Bradstreet number, and Federal ID number. Funding for this opportunity derives from the Alcohol and Drug Abuse Trust Fund, generated from court fees in accordance with Florida Statutes Sections 938.13 and 893.165. The minimum request is $10,000 with a maximum award of $35,000 as a one-time award, though a subsequent one-year renewal may be executed if funds become available. Flagler County seeks proposals from local and regional non-profit organizations with experience in substance use prevention, substance abuse treatment, or related services, with priority given to agencies not currently funded by Flagler County Health and Human Services.
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Text version
PROPOSAL FORM
The undersigned hereby declare(s) that [firm name] ____________________________________ has carefully examined the specifications to furnish the products and/or services detailed in the technical specifications or scope of work and will furnish said product or services according to the specifications or scope of work detailed within this RFP.
I hereby certify that I have read and understand the requirements of this Request for Proposals and that I, as the proposer, will comply with all requirements, and that I am duly authorized to execute this proposal/offer document and any contract(s) and/or other transactions required by award of this RFP.
Vendor hereby acknowledges that the submittal has been approved by an authorized signatory with the firm who is authorized to execute contracts/agreements with Flagler County Board of County Commissioners. Vendor further agrees that by submitting the proposal electronically, the authorized signatory does thereby accept and acknowledge use as an official record with Flagler County.
Further, as attested to by below signature, I will provide the required insurance, per the Required
Types of Insurance, upon notification of recommendation of award.
The County reserves the right to negotiate with the award vendor(s) for additional items similar in nature not known at time of closing.
The vendor acknowledges that information provided in this proposal is true and correct:
Signature / Authorized Signatory
Printed Name
Title Date
Company Name
Full Address
Telephone Fax E-mail Address
Dun & Bradstreet # Federal I.D. #
Date
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| Full Address: |
| Dun Bradstreet: |
| Telephone: |
| Federal ID: |
| Email Address: |
| Fax: |
| Firm Name: |
| Date: |
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