request for proposal no. 1004-rehab - Nevada Department of ...

10. SUBMISSION CHECKLISTThis checklist is provided for vendor’s convenience only and identifies documents that must besubmitted with each package in order to be considered responsive. Any proposals receivedwithout these requisite documents may be deemed non-responsive and not considered forcontract award.Documents to be submitted with proposal:Completed1. Requested number of copies of technical proposals packaged separately __________2. Requested number of copies of cost proposals packaged separately __________3. Page 1 of the RFP completed and signed __________4. Primary Vendor Attachment A signed with confidentiality and exceptions noted __________5. Subcontractor Attachment A signed with confidentiality and exceptions noted __________6. Primary Vendor Information provided __________7. Subcontractor Information provided (if applicable) __________8. Reference forms sent out for Primary Vendor __________9. Reference forms sent out for Subcontractors (if applicable) __________10. Verification of licensure for Primary Vendor (if applicable) __________11. Verification of licensure for Subcontractors (if applicable) __________12. Certificate of Insurance _____________________________________________________13. (other)____________________________________________________________________Primary Vendor’s Company Name: ______________________________________ORIENTATION VIDEO PRODUCTION RFP No. 1004-REHAB Page 15