RFP 280-22-0571 Attachment 7_Proposal Intent Response Form.docx
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- Solicitation number
- 280-22-0571
About this file
This document contains a proposal intent response sheet for Request for Proposal 280-22-0571 from the Substance Abuse and Mental Health Services Administration. The purpose of the solicitation is to provide behavioral health case management and behavioral health services to members of the Ms. L and Ms. JP class action lawsuits, including mental health assessments, treatment, and case management for parents, legal guardians, and children separated under the Zero-Tolerance Policy. Offerors must submit their intent to propose by September 28, 2021 by returning the response sheet via email to the Division of Contracts Management, indicating whether they intend to submit a proposal or not and including any planned collaborators.
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Text version
RFP No. 280-22-0571 ATTACHMENT 7: Proposal Intent Response Sheet
PROPOSAL INTENT RESPONSE SHEET
RFP No. 280-22-0571
TITLE: “Behavioral Health Case Management & Behavioral Health Services for Separated Families”
PLEASE REVIEW THE ATTACHED REQUEST FOR PROPOSAL. FURNISH THE INFORMATION REQUESTED BELOW AND RETURN THIS PAGE BY THE EARLIEST PRACTICABLE DATE, BUT NOT LATER THAN September 28, 2021. YOUR EXPRESSION OF INTENT IS NOT BINDING BUT WILL GREATLY ASSIST US IN PLANNING FOR PROPOSAL EVALUATION. IF AFTER SUBMISSION YOU RECONSIDER PLEASE SUBMIT A REVISED INTENT. ONLY THE PRIME CONTRACTOR NEEDS TO SUBMIT THE INTENT FOR THEIR SUBMISSION.
[ ] DO INTEND TO SUBMIT A PROPOSAL
[ ] DO NOT INTEND TO SUBMIT A PROPOSAL FOR THE FOLLOWING REASONS:
Company /Institution Name
Name and Title
Email Address
Company / Institution Phone Number
Company / Institution Fax Number
| Date Submitted |
| Original Submission Revised |
PLANNED COLLABORATORS/CONSULTANTS/SUBCONTRACTORS
(PROVIDE NAME(S) AND ORGANIZATION)
RETURN TO:
Substance Abuse and Mental Health Services Administration Division of Contracts Management Attention: Khaled Gohar
Send to SAMHSAContracts@samhsa.hhs.gov reference in the subject line: RFP No. 280-22-0571 – INTENT
PLEASE RETURN THIS PAGE BY September 28, 2021
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