Development of digital platform for hosting the
mHealth Assessment and Planning for Scale (MAPS) Toolkit
Bid Ref RFP_2015-FWC-HRP-GM003
Acceptance Form
Development of digital platform for hosting the mHealth Assessment and
Planning for Scale (MAPS) Toolkit: Bid Ref RFP_2015-FWC-HRP-GM003
Acceptance Form
The Undersigned, ……………………….., confirms to have read, understood and accepted the terms of
the Provision of Technical Assistance in building the mRegistry Web Platform for classification and
standardization of mHealth Projects Request for Proposals (RFP) No. 2014/FWC/RHR/GM002
and its accompanying documents. If selected by WHO for the work, the Undersigned undertakes, on
its own behalf and on behalf of its possible partners and contractors, to Provision of Technical
Assistance in building the mRegistry Web Platform for classification and standardization of mHealth
Projects in accordance with the terms of this RFP and any corresponding contract between WHO and
the Undersigned, for the following sums:
Item
Cost (Indicate Currency)
One-Time Costs
Total Proposed Manpower Costs by Phase (check only)
Total Proposed Manpower Costs by Resource
Total Proposed Operating System Costs
Total Proposed Networking Costs
Total Proposed Database Costs
Total Proposed Application Costs
Total Proposed Per-Module Costs
Total Proposed Admin, User, Customer License Costs
Total Proposed Maintenance Support Costs
Total Other Costs
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total Proposed On-Time Cost
0.00
Recurring Costs
Total Proposed Operating System Costs
Total Proposed Networking Costs
Total Proposed Database Costs
Total Proposed Application Costs
Total Proposed Per-Module Costs
Total Proposed Admin, User, Customer License Costs
Total Proposed Maintenance Support Costs
Total Other Costs
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
Total Proposed Recurring Cost
0.00
The enclosed Proposal is valid for _______________ days from the date of this form.
Agreed and accepted, in four (4) original copies on _______________ [date]
Bidder Name:
Mailing Address:
Name and Title of
duly authorized
representative:
Signature:
Date:
Bidder's Stamp
or Seal (if relevant):
Doc. Ref: RFP V-1-2011