RFGP #34349-52926 Ryan White Part B Oral Health Services

Proposer Information

1. Contact Information: *This question is required.

2. Do you have an Edison ID Number? *This question is required.

No. If no, please register as a vendor for the State of TN using the following link: https://www.tn.gov/generalservices/procurement/central-procurement-office--cpo-/supplier-information.html. Please also submit the Supplier Maintenance SDDA Access form and W9 form. These forms can be downloaded from the TDH Funding Opportunities website. The Supplier Maintenance SDDA Access Form is submitted per the instructions at the bottom of the form. The W9 form must be emailed to Supplier.Maintenance@tn.gov.

Edison ID #

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

If yes, please upload a document stating your exceptions.

4. Please upload your signed Competitive Requirements document. *This question is required.