Camden County Home Care RFP

RFP Homecare

SENIOR CITIZENS' SERVICES FUND BOARD

SENIOR SERVICES PROPOSAL

FOR ORGANIZATIONS Not a Senior Center OR In-Home Health Care Org.

This document constitutes a proposal by the Provider, indicated below, to furnish services to persons, sixty years of age or older, who reside in Camden County, Missouri.

IMPORTANT

This proposal must be received NO LATER THAN:
Second Friday November
TIME: 4:00 pm.
Late proposals are subject to rejection or penalty.

Original Proposal

must be securely sealed, clearly marked SENIOR SERVICES PROPOSAL, and mailed or hand-carried to:

Camden County Senior Fund Board
RFP
PO BOX 44
Sunrise Beach, Mo 65079

View Instructions for completing this Form Print Empty Form

TO BE COMPLETED BY PROVIDER

Date of Proposal:

Organization Name:

Telephone:

Mailing Address:

Email address:

Organizational Status:

Check whether your organization is for profit or is non-profit:

Profit

Non-Profit

The Provider hereby agrees to provide the following services for those persons, sixty years of age or older, who reside in Camden County, Missouri:

Specify the dollar amount requested:

Indicate the Contract period (not to exceed the projected fiscal year), for the dollar amount requested:

Person to contact:

Sign

Print name

Title