Attachment I
Transmittal Letter
Enclose this letter with the Technical Proposal
I attest to the following bid requirements:
The bidding entity has a minimum of ten years’ experience in quality improvement and utilization
review, and has experience with:



coordination and support of a statewide quality improvement program
review of professional credentials and qualifications
NYS contracting and funding procedures.
The bidding entity has a minimum of five years of expertise in quality improvement and utilization
review.
Circle one:
Yes
No
The bidding entity has the ability to develop, modify and manage an electronic data system that will be
used to analyze and report monitoring data; can demonstrate the ability to hire or subcontract on a
statewide basis with qualified personnel to conduct the activities outlined in the RFP.
Circle one:
Yes
No
Does the bidding entity or its proposed subcontractors have a business relationship(s) and / or
ownership interest that may represent a potential conflict of interest for the bidder as described by the
Conflict of Interest specifications of Section C.1. of the RFP?
Circle one:
Yes
No
If yes, please attach to this transmittal letter a description of all such relationships with a brief narrative
of how the potential conflict of interest and / or the disclosure of confidential information relating to this
contract will be avoided.
*Answering yes to the above question will not automatically disqualify the bidder. Each business
relationship detailed will be reviewed to determine if a conflict of interest exists that would prohibit the
Department from awarding the contract to the bidder.
Name of Bidder (Legal name as it would appear on a contract)
Person authorized to obligate this firm in matters regarding this proposal or the resulting
contract:
Printed Name (First, Last):
Title:
Telephone number:
Fax number:
E-mail:
(CORPORATIONS) Name/Title of person authorized by the Board of Directors to sign this
proposal on behalf of the Board:
Printed Name (First, Last):
Title:
Signature of Bidder or Authorized Representative
Date: