RFA #34347-97426 Tobacco Program ROI Application

Applicant Information

1. Applicant Contact Information *This question is required.

First Name
Last Name
Title
Agency/Company/Organization Name
Street Address
Apt/Suite/Office
City
State
Zip
Email Address
Confirm Email Address
Phone Number
Mobile Phone Number

2. Are you a registered vendor in Edison? *This question is required.

No. If no, please register as a vendor with the State of Tennessee using the following link: https://www.tn.gov/generalservices/procurement/central-procurement-office--cpo-/supplier-information.html You will also need to complete the Supplier Maintenance SDDA Access form and the W9 form. These forms are available for download on the Funding Opportunities website. Please follow instructions on page 5 of the RFA document to submit these forms.

3. If yes, what is your Edison ID Number?

3. Competitive Requirements

Please upload the completed and signed Competitive Requirements document posted with this funding opportunity. The Competitive Requirements must be signed by someone with signatory authority. This question is required.
*This question is required.

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4. It is imperative that each applicant review the entire Sample Grant Contract with their legal counsel prior to applying and notify the State in advance if they cannot accept any terms or conditions.

Do you take any exceptions to the Sample Grant Contract language? *This question is required.

*This question is required.

5. If yes, please upload a document that provides the sections of the contract and the exceptions. *This question is required. *This question is required.

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