Signature-Page-RFQ.docx
DOCX document 85 KB Posted
- Solicitation number
- 488
- Issued by
- Ada County, Idaho
About this file
This document is a Signature Page for submitting a Request for Quotation (RFQ) response to the State of Idaho Department of Administration Division of Purchasing. The signature page outlines the terms and conditions of the solicitation, including the incorporation of the State of Idaho Standard Contract Terms and Conditions, Solicitation Instructions to Vendors, and any Special Terms and Conditions. Vendors are required to review and acknowledge any addendums issued for the solicitation. The RFQ Number and Title are to be provided by the vendor submitting the response.
The related state and local contract opportunity is a Request for Information (RFI) for an Idaho Medicaid External Quality Review Organization Contract Budget. The Idaho Department of Health and Welfare, Division of Medicaid, Bureau of Care Management is seeking information to refine the requirements for a potential future Request for Proposal (RFP), assist in projecting a budget for acquiring the services, and to identify potential vendors who may be interested in providing a competitive proposal.
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Text version
BRAD LITTLE
Governor
STEVEN BAILEY
Director
VALERIE BOLLINGER
Administrator
State of Idaho Department of Administration Division of Purchasing
304 N 8th Street, Rm 403 (83702) P. O. Box 83720 Boise, ID 83720-0075 Telephone (208) 327-7465 Fax: 208-327-7320 http://purchasing.idaho.gov
SIGNATURE PAGE for Use with a Manually Submitted Request for Quotation Response
NO LIABILITY WILL BE ASSUMED BY THE STATE OF IDAHO DIVISION OF PURCHASING FOR A VENDOR’S FAILURE TO OBTAIN THE TERMS AND CONDITIONS AND ANY PROPERLY ISSUED SOLICITATION ADDENDUMS IN A TIMELY MANNER FOR USE IN THE VENDOR'S RESPONSE TO THIS SOLICITATION OR ANY OTHER FAILURE BY THE VENDOR TO CONSIDER THE TERMS, CONDITIONS, AND ANY ADDENDUMS IN THE VENDOR'S RESPONSE TO THE SOLICITATION.
This RFQ response is submitted in accordance with all documents and provisions of the specified RFQ Number and Title provided below. By my signature I accept the terms, conditions and requirements contained in the solicitation, including, but not limited to, the STATE OF IDAHO STANDARD CONTRACT TERMS AND CONDITIONS and the SOLICITATION INSTRUCTIONS TO VENDORS in effect at the time this RFQ was issued, as incorporated by reference into this solicitation; as well as any SPECIAL TERMS AND CONDITIONS incorporated in the solicitation documents (e.g. Software, Telecommunications, Banking, etc.). As the undersigned, I certify I am authorized to sign and submit this response for the named Vendor. I further acknowledge I am responsible for reviewing and acknowledging any addendums that have been issued for this solicitation.
RFQ Number: RFQ Title: VENDOR(CompanyName) ADDRESS CITY, ST, ZIP PHONE: FAX: FEIN:
E-Mail:
Signature Date
Printed Name Title
RETURN THIS SIGNATURE PAGE WITH YOUR QUOTE
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