Solicitation Concurrence Table.docx
DOCX document 16 KB Posted
- Solicitation number
- 36C25026Q0292
About this file
This is a Vendor Acknowledgment and Concurrence Table, a required form for vendors responding to Solicitation No. 36C25026Q0292 for Contingency Hazardous Compounding Services for VHA VISN 10 VA Medical Facilities. The table serves as a compliance document where vendors must acknowledge receipt of the original solicitation and all amendments, indicating concurrence (Yes/No) for each document and providing an authorized signature and date.
Vendors are required to complete the table by documenting their acknowledgment of the original solicitation and any amendments issued (Amendment 1, Amendment 2, Amendment 3, and any additional amendments as needed). The form explicitly notes that failure to acknowledge receipt of all amendments or to indicate concurrence may result in proposal rejection. Vendors must also clearly state any exceptions or deviations from the solicitation terms, conditions, and changes in their quote submission. The form requires vendor information including company name, SAM UEI, point of contact, authorized signature, and date.
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Other files
| File | Type | Posted |
|---|---|---|
| 36C25026Q0292.pdf | ||
| Guidance Documents for Outsourcing of Compounded Sterile Products.docx | DOCX document | |
| Vendor Cover Page Template.docx | DOCX document | |
| 26Q0292 - PPQ - Vendor Name.pdf | ||
| Price-Cost_Schedule - 26Q0292.xlsx | XLSX spreadsheet |
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Text version
VENDOR ACKNOWLEDGMENT AND CONCURRENCE TABLE
Please complete the following table to indicate your acknowledgment and concurrence with the solicitation terms, conditions, and amendments:
| Document |
| Dated |
| Concurrence (Yes/No) |
| Authorized Signature |
| Date |
Original Solicitation
Amendment 1*
Amendment 2*
Amendment 3*
All Terms and Conditions
*Please add rows to the table as you see fit.
By signing above, the vendor acknowledges receipt of the solicitation and all amendments, and concurs with all terms, conditions, and changes specified therein. Any exceptions or deviations must be clearly stated in the quote.
Note: Failure to acknowledge receipt of all amendments or to indicate concurrence may result in the rejection of the proposal.
Solicitation No: ____36C25026Q0292_____________________________________
Company Name: ______________________________________________________
SAM UEI: ____________________________________________________________
Point of Contact: ______________________________________________________
Signature: ____________________________________ Date: ___________________
File details come from the government source that posted it. Updated .