RFP Template >$75,000 – May, 2010
Request for Proposal
Confidential Reporting Service
Vancouver Island Health Authority (VIHA) RFP Number
April 8, 2011
VIHA Contact Person Closing time and location
Proposals must be sent by mail/courier/hand delivered. Proposalsshould be clearly marked with the name and address of the Proponent,the Request for Proposal number, and the project or program title.
Two (2) complete copies of the proposal as well as oneelectronic version on a compact disk should be providedand the proposal must be received no later than 2:00 PMPacific Time on: May 6
, 2011, to the followingaddress:
All enquiries related to this Request for Proposal are to be directed, inwriting, to the following person. Information obtained from any other source is not official and should not be relied upon. Enquiries and anyresponses will be recorded and may be distributed to all Proponents atthe VIHA’s option.
Attention:Mr. Jim DempseyManager, Contract Policy & StandardsVancouver Island Health Authorityjim.email@example.comPhone - 250-755-7691 ext. 54098Fax - (250) 740-2619
Attention:Mr. Jim DempseyManager, Contract Policy & StandardsVancouver Island Health AuthorityNanaimo General Hospital Receiving1200 Dufferin CrescentNanaimo, V9S 2B7Phone - 250-755-7691 ext. 54098Fax - (250) 740-2619
A person authorized to sign on behalf of the Proponent, and to bind the Proponent to statements made in responseto this Request for Proposal, must complete and return this Proponent Section by mail/courier/hand delivered, leaving the rest otherwiseunaltered, and return one original with the first copy of the proposal.
The undersigned agrees that enclosed proposal is submitted in response to the above-referenced Request for Proposal, including anyaddenda. Through submission of this proposal we agree to all of the terms and conditions of the Request for Proposal and agree that anyinconsistent provisions in our proposal will be as if not written and do not exist. We have carefully read and examined the Request forProposal, and have conducted such other investigations as were prudent and reasonable in preparing the proposal. We agree to bebound by statements and representations made in our proposal
Signature:Legal Name of Proponent, and Doing Business As Name If Applicable:Printed Name:Title:Address:Date: