Sample Project Deliverable Sign Off.doc

DOC document 44 KB Posted

Attached to
Certified Community Behavioral Healthcare Centers - Quality Incentive Payments
Solicitation number
40DHHS-S1724
Issued by
Churchill County, Nevada

About this file

This document is a Sample Project Deliverable Sign-Off from a state contract between an unnamed Contractor and the State. The Deliverable is for a Data Conversion Report, due on February 1, 2016 per the contract. The Deliverable went through three submission and review cycles, with the State providing feedback and eventually approving the final version on March 18, 2016.

The related state and local contract opportunity is for Certified Community Behavioral Healthcare Centers - Quality Incentive Payments in the state of Nevada, specifically in the jurisdiction of Carson City. No additional details about the pricing, set-asides, incumbents, funding, or other salient information are provided in the given documents.

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Text version

SAMPLE PROJECT DELIVERABLE SIGN-OFF

DELIVERABLE INFORMATION (To be completed by the Contractor)

CONTRACTOR:

PROJECT NAME:

DELIVERABLE #:
15.6.3.6
DELIVERABLE TITLE:
Data Conversion Report
DUE DATE PER CONTRACT:
February 1, 2016

DELIVERABLE SUBMISSION AND REVIEW HISTORY (To be completed by the State)

Deliverable Submission #
Date and Time Received From Contractor
Date Returned to Contractor
Notes / Comments
1
02/01/16

4:30 PM

02/15/16
Refer to comments attached
2
02/22/16

3:00 PM

03/01/16
State accepts revisions made, except for attached comments
3
03/08/16

1:00 PM

03/18/16
All revisions accepted by State

STATE FINAL APPROVAL AND ACCEPTANCE OF DELIVERABLE

APPROVED BY:
SIGNATURE
DATE

Agency Project Manager:

Agency Business Lead:

Quality Assurance, if applicable:

Distribution
Original:

Contractor

Copies:

Project Office

Agency Contract Monitor

File details come from the government source that posted it. Updated .