RFR 248431 Medical insturment and implants Response Cover Sheet Attachment A 2 1 24.doc
DOC document 41 KB Posted
- Attached to
- RFR 248431 Medical instrument and implants
- Solicitation number
- BD-24-1031-LSH00-LSH01-97662
- Issued by
- Suffolk County, Massachusetts
About this file
This document is an Attachment A: Response Cover Sheet for a Request for Response (RFR 248431) issued by the Massachusetts Department of Public Health for Medical Instruments and Implants. The RFR seeks bids from vendors to provide these products to the Lemuel Shattuck Hospital. The cover sheet requires bidders to provide their contact information, including Federal Employee Identification Number, address, and contact details. Bidders must also include their current price list, three business references, a standard contract form, a Contractor Authorized Signatory Listing, a Supplier Diversity Plan, and a Prompt Payment Discount Form with their response.
The RFR does not specify quantities, response dates, due dates, site visits, bidder's meetings, award dates, or contract term and renewal options. The document also does not provide details on pricing terms, set asides, incumbents, funding requirements and sources, or any other salient information beyond the required bid submission materials.
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Text version
Attachment A:
Lemuel Shattuck Hospital
Massachusetts Department of Public Health Request for Response RFR248431 Medical Instruments and Implants Response Cover Sheet Bidder Contact Information:
Vendor Name: _____________________________________________________________ Federal Employee Identification Number (FEIN):__________________________________
Vendor Address: ___________________________________________________________ City/Town/State____________________________________________________________ Zip Code: _______________________________ Phone: ( ) __________________ ext.________
Fax: ( ) _____________________________ Email address: ____________________________________________________________
Please include the following with your response:
FORMCHECKBOX
Bidder Contact Information (cover sheet: attachment A)
FORMCHECKBOX
Current Price List (submit on company letterhead, see specifications for required information)
FORMCHECKBOX
Business Reference Form (please provide three (3) references)
FORMCHECKBOX
Standard Contract Form
FORMCHECKBOX
Contractor Authorized Signatory Listing (CASL)
FORMCHECKBOX
Supplier Diversity Plan
FORMCHECKBOX
Prompt Payment Discount Form (submit completed form) Signature: _______________________________________________________________
Print Name: ______________________________________________________________ Date: ____________________________________________________________________
File details come from the government source that posted it. Updated .