Colorado Department of

Health Care Policy and Financing

SOLICITATION #:

HCPFRFPCW14BIDM

Business Intelligence and Data Management Services

(BIDM)

Appendix J – Signature Page

STATE OF COLORADO

DEPARTMENT OF HEALTH CARE POLICY AND FINANCING

SIGNATURE PAGE

RETURN THIS PAGE WITH YOUR PROPOSAL

DATE OF ORIGINAL POSTING TO BIDS: / October 25, 2013 / DELIVER PROPOSAL TO:
SOLICITATION NUMBER:
SOLICITATION TITLE: / HCPFRFPCW14BIDM
Business Intelligence and Data Management Services (BIDM) / Cindy Ward
Department of Health Care Policy & Financing
1570 Grant Street
Denver, Colorado 80203-1818
DIRECT INQUIRIES TO: / Cindy Ward
E-MAIL: /
PROPOSAL DUE DATE/TIME: / Monday, February 3, 2014 at 3:00 PM (MT)
Proposals properly marked as to OFFEROR’S NAME, SOLICITATION NUMBER and DUE DATE, subject to the conditions of the solicitation documents, will be accepted at the address listed above on or prior to the DUE DATE and TIME listed above. In the event that the DUE DATE and TIME are revised via a modification, the modified DUE DATE and TIME shall take precedence over the DUE DATE and TIME listed above. All proposals shall be quoted F.O.B. Destination, unless otherwise specified in the solicitation documents, to the delivery location listed above.
Offerors should read the most recent solicitation and appendices for requirements and terms and conditions.
Offerors must be registered with Colorado BIDS by the proposal submission due date and time.
IMPORTANT: Proposals MUST be accompanied by this Signature Page.
MUST BE SIGNED IN INK
Handwritten Signature of Authorized Officer or Agent who is legally authorized to execute contractual obligations for Offeror / FULL LEGAL NAME OF OFFEROR:
ADDRESS:
PHONE:
E-MAIL:
FEIN OR SSN:
Typed or printed name of Authorized Officer or Agent
Title of Authorized Officer or Agent
Date Signed
CONFIRMATIONS
Check to confirm the following:
Offeror is registered with Colorado BIDS and has obtained all solicitation modifications.
Offeror’s complete proposal remains a firm offer 180 days.
Offeror is willing to enter into a contracting document containing the terms and conditions or substantially similar terms and conditions to the draft contract and the requirements of the solicitation without exception, deletion, qualification or contingency.

Appendix J SOLICITATION #: HCPFRFPCW14BIDM

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