TECHNICAL REQUIREMENTS AGENCY APPLICATION INSTRUCTIONS and FORMS APPLICATION CONTENTS I. INITIAL SUBMISSION – This content summary must be attached immediately after the cover letter. Technical Requirements Application Page # of Check Appli- Each Item Item # Item Description cation Included INTRODUCTION 1 Cover Letter 2 Application Summary Sheet SECTION 2, RFP INFORMATION NO SUBMISSIONS REQUIRED – SECTION 3, PROPOSAL SELECTION AND PROCESS NO SUBMISSIONS – REQUIRED SECTION 4, PART 1 AGENCY APPLICATION To be completed for ALL – – proposals: Application Contents 3 Authorization To File NA NA 5 Board of Directors, Owners, Stockholders Demographic Summary 6 Ownership, Independence and Governance NA NA 7 Agency Owners/Stockholders/Officers NA NA 10 Licenses and Certificates NA NA 11 Indemnity, Data And Information, and Compliance Statement 13a Related Party Disclosure
TECHNICAL REQUIREMENTS AGENCY APPLICATION INSTRUCTIONS and FORMS APPLICATION CONTENTS – I. INITIAL SUBMISSION This content summary must be attached immediately after the cover letter. Technical Requirements Item Description Application Item # Check Each Item Included Page # of Appli- cation INTRODUCTION 1 Cover Letter 2 Application Summary Sheet SECTION 2, RFP INFORMATION – NO SUBMISSIONS REQUIRED SECTION 3, PROPOSAL SELECTION AND PROCESS – NO SUBMISSIONS REQUIRED SECTION 4, PART 1 – AGENCY APPLICATION – To be completed for ALL proposals: Application Contents 3 Authorization To File NA NA 5 Board of Directors, Owners, Stockholders Demographic Summary 6 Ownership, Independence and Governance NA NA 7 Agency Owners/Stockholders/Officers NA NA 10 Licenses and Certificates NA NA 11 Indemnity, Data And Information, and Compliance Statement 13a Related Party Disclosure