Solicitation Concurrence Table.docx

DOCX document 16 KB Posted

Attached to
Q517--Contingency Hazardous Compounding Services VHA VISN 10 VA Medical Facilities
Solicitation number
36C25026Q0292
Issued by

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

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36C25026Q0292.pdf PDF
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26Q0292 - PPQ - Vendor Name.pdf PDF
Price-Cost_Schedule - 26Q0292.xlsx XLSX spreadsheet

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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 .