SOW_CONTACT_INFORMATION.pdf
PDF 250 KB Posted
- Attached to
- 1219 Strategic Planning
- Solicitation number
- 0000039310
- Issued by
- California
About this file
This document is a Statement of Work contact information form for the California Department of State Hospitals' Request for Quotation (I1219) regarding Strategic Planning and Software consulting services and goods. The form serves as a template for bidders to provide essential contact information that will be maintained throughout the contract duration. The document requires submission of primary point of contact details, including full legal business name, mailing address, telephone number, and email address. Additionally, bidders must identify a Chief Privacy Officer and Chief Information Security Officer point of contact, or indicate if these positions do not exist within their organization, in which case the primary contact information will be used to fill these fields.
The contact information collected through this form is designated for use during the entire contract term and is a required component of the Statement of Work. The document does not contain specific information regarding project scope details, pricing terms, performance timelines, or contract award dates, as it functions solely as a data collection instrument for identifying key personnel responsible for contract administration and communication.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit_A_-SOW_Final_Draft.pdf | ||
| I1219_Strategic_Planning_-_RFQ.pdf | ||
| pd_843.pdf | ||
| Commercially_Useeful_Function_Documentation.pdf | ||
| COVER_SHEET.pdf | ||
| Exhibit_B-1_Cost_Table.xlsx | XLSX spreadsheet |
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Text version
SOW CONTACT INFORMATION
Street City State Zip
POC Email
Please complete the following information regarding the Primary, Chief Privacy Officer*, and Chief Information Security Officer* Point of Contact (POC). These contacts will be used for the duration of the contract. This information is required and will be used to complete the Statement of Work.
1 Full Legal Business Name:
2 Primary POC for Duration of Contract:
POC Mailing Address:
Street City State Zip
POC Telephone POC Email
5 Chief Privacy Officer (POC):
POC Mailing Address:
Full Name and Title
Full Name and Title
Chief Information Security Officer (POC):
POC Mailing Address:9
Street City State Zip
POC Telephone POC Email
Full Name and Title
*If there is no Chief Privacy Officer or Chief Information Security Officer, please leave the contact information blank. The Primary POC information will be used to fill these fields.
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