STATE OF CONNECTICUT
RFP ADDENDUM                                                                                         ...
RESPONSES TO RFP #06PSX0346 & #06PSX0347 QUESTIONS
             EMT-BASIC AND PARAMEDIC TESTING – RFP ADDENDUM #1

Questio...
Question 7:
Please verify the timeline for both project startups. Page 7 in both
RFPs mentions "no later than three months...
Question 11:
Attachment B, Section C.2 in the EMT RFP requires two references, yet
the Submittal Requirements on page 21 (...
STATE OF CONNECTICUT
REQUEST FOR PROPOSAL
RFP-11 Rev. 3/06
(Prev. Rev. 10/03)
                                  DEPARTMENT...
STATE OF CONNECTICUT
PROPOSER’S CHECKLIST                                                                               RF...
STATE OF CONNECTICUT
 PROPOSAL                                                                                            ...
STATE OF CONNECTICUT
PROPOSAL                                                                                             ...
STATE OF CONNECTICUT
PROPOSAL                                                                                             ...
STATE OF CONNECTICUT
PROPOSAL                                                                             THIS FORM AND
RF...
STATE OF CONNECTICUT
STANDARD RFP                                                                                         ...
STATE OF CONNECTICUT
STANDARD RFP                                                                                         ...
STATE OF CONNECTICUT
STANDARD RFP                                                                                         ...
STATE OF CONNECTICUT
STANDARD RFP                                                                                         ...
STATE OF CONNECTICUT
STANDARD RFP                                                                                         ...
STATE OF CONNECTICUT
VENDOR AUTHORIZATION                                                                              BID...
STATE OF CONNECTICUT
VENDOR AUTHORIZATION                                                                              BID...
STATE OF CONNECTICUT
EMPLOYMENT                                                                                           ...
STATE OF CONNECTICUT
OSHA COMPLIANCE                                                                                   RFP...
STATE OF CONNECTICUT
PROPOSER                                                                                    RFP Numbe...
STATE OF CONNECTICUT
PROPOSER                                                                                             ...
State of Connecticut




Request
for Proposals

Emergency Medical Technician Testing
Service
          Department of Admin...
State of Connecticut
          Department of Administrative Services

        Announcement of Request for Proposals to pro...
TABLE OF CONTENTS


OVERVIEW______________________________________________________________4

SCOPE OF SERVICES ___________...
Request for Proposals
Emergency Medical Technician Testing Service
Overview

The State of Connecticut Department of Public...
Scope of Services

The State of Connecticut requires a ready supply of properly trained, competent EMS professionals to pr...
Product and/or Service Specifications

SECTION I – PROPOSAL CONTENT REQUIREMENTS

Proposals must be submitted on the Depar...
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
Microsoft Word - RFP ADDENDUM 1
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Microsoft Word - RFP ADDENDUM 1

  1. 1. STATE OF CONNECTICUT RFP ADDENDUM RFP NO.: RFP-18 NEW 6/98 06PSX0347 DEPARTMENT OF ADMINISTRATIVE SERVICES Susanne Hawkins PROCUREMENT SERVICES Proposal Due Date: Buyer Name 165 Capitol Avenue, Room 5th Floor South 26 October 2006 (860) 713-5064 PO Box 150414 Buyer Phone Number HARTFORD, CT 06115-0414 RFP ADDENDUM #1 DESCRIPTION: RFP to provide initial certification testing at the Emergency Medical Technician Basic Level. FOR: The Connecticut Department of Public Health 410 Capitol Avenue Hartford, CT 06134 PROPOSERS NOTE: Attached are the responses for submitted RFP questions that were due on 10/11/06. This Addendum must be Signed & Returned with your Proposal. Authorized Signature of Proposer Company Name APPROVED_________________________________ SUSANNE HAWKINS Contract Specialist (Original Signature on Document in Procurement Files) Date Issued: 13 October 2006
  2. 2. RESPONSES TO RFP #06PSX0346 & #06PSX0347 QUESTIONS EMT-BASIC AND PARAMEDIC TESTING – RFP ADDENDUM #1 Question 1: Will the State consider combining the two separate RFPs into one? Response: No. Question 2: Are there any fee caps for either exam? Response: Fees charged for examinations is one of the areas that will be considered when awarding the bid; no cap has been set in the RFP. Question 3: Are there any items currently available for either exam? If so, how many per topic? Are there current job analyses available for review? Response: No test bank for initial certification exists currently in Connecticut; the current vendor of testing services has published a practice analysis that does not reference Connecticut’s EMS system. Question 4: Is a committee-based job analysis sufficient for the state part of the test, or is a test on the state curriculum sufficient? Response: The examination should test for competence at the designated level in terms of nationally recognized standards and should be supported by a job / practice analysis that can be demonstrated as applicable to Connecticut’s EMS system. Question 5: Does the State use the national registry test for EMT or Paramedic or both? Response: Currently Connecticut uses the National Registry test for both the EMT-Basic and the Paramedic level. Question 6: It is not clear who determines eligibility for these programs; please verify. If the State determines eligibility, in what format is the electronic file for eligibility notification? Response: The State authorizes training programs, and verifies candidate eligibility to sit for examinations. Currently the process is pen and paper driven, although transition to electronic transmission of information via MS Office based formats is in progress.
  3. 3. Question 7: Please verify the timeline for both project startups. Page 7 in both RFPs mentions "no later than three months from the date at which the State awards the Contract," and other sections mention a January 1, 2007 start date. When will the award notification take place? Response: Award will be made after all the evaluations are completed. Our goal is to have this contract awarded as quickly as possible to the bidder whose proposal most comprehensively and appropriately addresses the State’s testing needs in a cost effective fashion so we can try to reach the January 1, 2007 start date. Testing is to be conducted beginning January 1, 2007; Computer Based Testing would ideally begin on that date. However, a provider of testing services has a paper-based examination that meets acceptable standards and a viable plan to implement computer based testing in Connecticut with three months (April 01, 2007) may be considered. Question 8: Page 8 in both RFPs requires 150-item exams; how much time is allowed for these exams? Response: The expected time frame for examination is two and one-half (2.5) hours; the expectation is that the vendor would indicate the appropriate and acceptable time frames for the test. Question 9: Page 9 in both RFPs requires that the exam items "contain four distractors labeled a), b), c), and d)." It is more user-friendly to use 1), 2), 3), and 4) for the alternatives rather than a), b), c), and d); is that acceptable? Response: Yes Question 10: Attachment B, page 1 (both RFPs): How are we to calculate the total program cost line item? If the cost of the contract is to be covered only by candidate fees, what volume of candidates should bidders use? How is the $20 to be billed to the State included (or not included) in this line item? Response: The state will issue a separate purchase order to the awarded vendor for their fee portion. The vendor will need to invoice the state directly for their testing fee portion. The invoice will need to include the following candidate testing information (last name, first name, hometown, phone number, test name and the date the test was taken). The current number of candidates is, for the EMT- Basic, approximately 2,500; for the Paramedic, approximately 150. The numbers have been increasing at approximately five to ten percent (5-10%) per year over the past three to five years.
  4. 4. Question 11: Attachment B, Section C.2 in the EMT RFP requires two references, yet the Submittal Requirements on page 21 (as well as Attachment B, Section C.2 of the Paramedic RFP) requires three; please clarify. Response: Three Question 12: Attachment B (both RFPs): Does the State want bidders to list all company personnel in the required sections? If not, which positions would the State like listed in these sections? Response: Please list the Chief Executive Officer, and key individuals in the following process: contract negotiations; the examination development; examination implementation and administration; examination results reporting; State customer service issues; and emergency contact person (in the event of sudden, unanticipated test delivery / scoring problems. Question 13: Attachment B, Budget Summary Sheet, page 5 (both RFPs): Is this level of budget information necessary if we are submitting a cost proposal based on per candidate fees? Response: Yes. Question 14: Proposal Schedule (both RFPs): There is mention of a "Pre-registered manual (paper/pencil) testing and scoring option," yet the RFPs mention only CBT. Paper testing brings up serious security concerns. Does the State intend to offer paper tests as an option, other than for ADA accommodations? Response: As in Response to Question 7, pen and paper tests are to be considered as an interim examination process only pending “ramp-up” to computer based testing capability; computer based testing to be implemented by April 01, 2007 is the RFP goal. Managing security of examinations, regardless of test delivery format, is part of the RFP specifications.
  5. 5. STATE OF CONNECTICUT REQUEST FOR PROPOSAL RFP-11 Rev. 3/06 (Prev. Rev. 10/03) DEPARTMENT OF ADMINISTRATIVE SERVICES Susanne Hawkins PROCUREMENT SERVICES Contract Specialist 165 Capitol Avenue, 5th Floor South PO Box 150414 (860)713-5064 Telephone Number HARTFORD, CT 06115-0414 NOTICE TO VENDORS: www.das.state.ct.us/busopp.asp Logon to: DAS CT State Web Site http://www.das.state.ct.us/busopp.asp susanne.hawkins@ct.gov select the Bidder Notification System & Contract Specialist E-mail Address complete the form to automatically receive a synopsis (860) 622-2914 of new Bids & RFP’s via e-mail. Fax Number Addresses for undeliverable e-mail will be deleted. Request for Proposal (RFP) SPECIFICATIONS & PROPOSAL DOCUMENTS ATTACHED RFP Number: 06PSX0347 RFP Due Date & Time: 26 October 2006 at 2:00 pm Eastern Time DESCRIPTION: RFP to provide initial certification testing at the Emergency Medical Technician Basic Level. Special Instructions: RFP Questions must be submitted in writing by noon on or before October 11, 2006 NOTE: RFP’s are not opened in public on the due date. NOTE: Always use mailing label at left SEALED RFP NO.: 06PSX0347 on all packages when returning the RFP DUE DATE/TIME: 26 October 2006 ORIGINAL & ONE COPY of your bid 2:00 PM response. Bids must be time & date stamped by Return Proposal To: DAS Procurement & cannot be accepted after specified Bid Opening Time. Allow sufficient time if mailing your bid. PROCUREMENT SERVICES Hand-delivered bids must be brought to: DEPARTMENT OF ADMINISTRATIVE SERVICES DAS Customer Service, Room 110 STATE OF CONNECTICUT 165 Capitol Avenue, Hartford, CT 165 CAPITOL AVE 5th FLOOR SOUTH Vendors will not be admitted to state PO BOX 150414 buildings without a valid photo ID. HARTFORD CT 06115-0414
  6. 6. STATE OF CONNECTICUT PROPOSER’S CHECKLIST RFP Number: RFP-20 REV. 12/05 06PSX0347 PROPOSER’S CHECKLIST READ CAREFULLY THIS FORM IS NOT TO BE RETURNED WITH YOUR PROPOSAL. HOWEVER, IT IS SUGGESTED THAT YOU REVIEW AND CHECK OFF EACH ACTION AS YOU COMPLETE IT. ____ 1. The Proposal (RFP-26) must be signed by a duly authorized representative of the company. ____ 2. The proposal prices you have offered have been reviewed and verified. ____ 3. The payment terms are Net 45 Days. Net Terms for periods less than 45 days (Ex. Net 30) may result in proposal rejection. (You may offer cash discounts for prompt payment.) Exception: State of CT Small Business Set-Aside proposal payment terms shall be in accordance with CGS 4a-60j. ____ 4. Any technical or descriptive literature, drawing or proposal samples that are required have been included with the proposal. ____ 5. If required, the amount of proposal surety has been checked and the surety has been included. ____ 6. Any addenda to the proposal have been signed and included. ____ 7. The pre-addressed mailing label has been used on your return mailing envelope or the envelope has been: a. marked with the Proposal Number and RFP Due Date & b. addressed to: State of Connecticut Department of Administrative Services Procurement Services 165 Capitol Avenue, 5th Floor South PO Box 150414 Hartford, CT 06115-0414 ____ 8. The proposal number on the pre-addressed mailing label or on your hand marked return envelope exactly matches the RFP number inside the envelope. ____ 9. Mail or hand-deliver your proposal in-time to be received and date stamped by DAS Procurement no later than the designated RFP due date and time. Hand-delivered proposals must be delivered to the DAS Customer Service Desk, Room 110, 165 Capitol Avenue, Hartford, CT. Late proposals are not accepted under any circumstances. Allow ample time if mailing in your proposal. ____ 10. Form DAS-45 Employment Information Form must be completed entirely regardless of the number of employees, even if the company is family owned and/or operated and must be submitted with each proposal or proposal may be rejected.
  7. 7. STATE OF CONNECTICUT PROPOSAL THIS FORM AND RFP-26 Rev. 04/03 REQUIRED PROPOSAL (Prev. Rev. 11/02) DEPARTMENT OF ADMINISTRATIVE SERVICES SCHEDULE FORMS Susanne Hawkins PROCUREMENT SERVICES MUST BE RETURNED Contract Specialist 165 Capitol Avenue, 5th Floor South (860)713-5064 PO BOX 150414 Read & Complete Telephone Number HARTFORD, CT 06115-0414 Carefully Page 1 of 4 RFP NO: RFP DUE DATE: RFP DUE TIME: RFP SURETY: DATE ISSUED: 06PSX0347 26 October 2006 2:00 PM Eastern Time $0.00 2 October 2006 DESCRIPTION: RFP to provide initial certification testing at the Emergency Medical Technician Basic Level. FOR: The Connecticut Department of Public Health TERM OF CONTRACT / DELIVERY DATE REQ’D: 410 Capitol Avenue Date of Award through January 1, 2010 Hartford, CT 06134 Agency Requisition Number(s): REQUEST FOR PROPOSAL: Pursuant to the provisions of Section 4a-57 of the General Statutes of Connecticut as amended, sealed proposals will be received by Procurement Services for the State of Connecticut, at the address above for furnishing the commodities and/or services herein listed to state agencies. NOTE: Proposer means Individual/Sole Proprietor, Partnership or Corporation name. IMPORTANT: ALL pages of this form, Sections 1 through 4 must be completed, signed and returned by proposer as part of the proposal package. Failure to submit both pages constitutes grounds for rejection of your proposal. Section 1 of 4 - PROPOSER INFORMATION COMPLETE PROPOSER LEGAL BUSINESS NAME Taxpayer ID # (TIN): SSN FEIN WRITE/TYPE SSN/FEIN NUMBER ABOVE BUSINESS NAME , TRADE NAME, DOING BUSINESS AS (IF DIFFERENT FROM ABOVE) BUSINESS ENTITY: CORPORATION LLC CORPORATION LLC PARTNERSHIP LLC SINGLE MEMBER ENTITY NON-PROFIT PARTNERSHIP INDIVIDUAL/SOLE PROPRIETORSHIP NOTE: IF INDIVIDUAL/SOLE PROPRIETOR, INDIVIDUAL’S NAME (AS OWNER) MUST APPEAR IN THE LEGAL BUSINESS NAME BLOCK ABOVE. BUSINESS TYPE: A. SALE OF COMMODITIES B. MEDICAL SERVICES C. ATTORNEY FEES D. RENTAL OF PROPERTY (REAL ESTATE & EQUIPMENT) E. OTHER (DESCRIBE IN DETAIL) UNDER THIS TIN, WHAT IS THE PRIMARY TYPE OF BUSINESS YOU PROVIDE TO THE STATE? (ENTER LETTER FROM ABOVE) UNDER THIS TIN, WHAT OTHER TYPES OF BUSINESS MIGHT YOU PROVIDE TO THE STATE? (ENTER LETTER FROM ABOVE) NOTE: IF YOUR BUSINESS IS A PARTNERSHIP, YOU MUST ATTACH THE NAMES AND TITLES OF ALL PARTNERS TO YOUR BID SUBMISSION. NOTE: IF YOUR BUSINESS IS A CORPORATION, IN WHICH STATE ARE YOU INCORPORATED? WRITTEN SIGNATURE OF PERSON AUTHORIZED TO SIGN PROPOSALS ON BEHALF OF THE ABOVE NAMED PROPOSER DATE EXECUTED SIGN HERE TYPE OR PRINT NAME OF AUTHORIZED PERSON TITLE OF AUTHORIZED PERSON IS YOUR BUSINESS CURRENTLY A DAS CERTIFIED SMALL BUSINESS ENTERPRISE? YES (ATTACH COPY OF CERTIFICATE) NO IF YOU ARE A STATE EMPLOYEE, INDICATE YOUR POSITION, AGENCY & AGENCY ADDRESS.
  8. 8. STATE OF CONNECTICUT PROPOSAL THIS FORM AND RFP-26 Rev. 04/03 REQUIRED PROPOSAL (Prev. Rev. 11/02) DEPARTMENT OF ADMINISTRATIVE SERVICES SCHEDULE FORMS Susanne Hawkins PROCUREMENT SERVICES MUST BE RETURNED Contract Specialist 165 Capitol Avenue, 5th Floor South (860)713-5064 PO BOX 150414 Read & Complete Telephone Number HARTFORD, CT 06115-0414 Carefully Page 2 of 4 Section 1 of 4 - PROPOSER INFORMATION (CONTINUED) PROPOSER ADDRESS STREET CITY STATE ZIP CODE Add Additional Business Address & Contact information on back of this form. PROPOSER E-MAIL ADDRESS PROPOSER WEB SITE REMITTANCE INFORMATION: INDICATE BELOW THE REMITTANCE ADDRESS OF YOUR BUSINESS. SAME AS PROPOSER ADDRESS ABOVE. REMIT ADDRESS STREET CITY STATE ZIP CODE CONTACT INFORMATION: NAME (TYPE OR PRINT) 1ST BUSINESS PHONE: Ext. # HOME PHONE: ND 2 BUSINESS PHONE: Ext. # 1ST PAGER: CELLULAR: 2ND PAGER: 1ST FAX NUMBER: TOLL FREE PHONE: ND 2 FAX NUMBER: TELEX: WRITTEN SIGNATURE OF PERSON AUTHORIZED TO SIGN BIDS ON BEHALF OF THE ABOVE NAMED PROPOSER DATE EXECUTED SIGN HERE TYPE OR PRINT NAME OF AUTHORIZED PERSON TITLE OF AUTHORIZED PERSON IS YOUR BUSINESS CURRENTLY A DAS CERTIFIED SMALL BUSINESS ENTERPRISE? YES (ATTACH COPY OF CERTIFICATE) NO IF YOU ARE A STATE EMPLOYEE, INDICATE YOUR POSITION, AGENCY & AGENCY ADDRESS. FOR PURCHASE ORDER DISTRIBUTION: 1) CHECK ONLY ONE BOX BELOW 2) INPUT E-MAIL ADDRESS OR FAX # (IF CHECKED) E-MAIL FAX USPS MAIL EDI If EDI was selected, give us a person to contact in your company to set up EDI: NAME: E-MAIL ADDRESS: TELEPHONE NUMBER: FOR REQUEST FOR QUOTATION (RFQ) DISTRIBUTION: 1) CHECK ONLY ONE BOX BELOW 2) INPUT E-MAIL ADDRESS OR FAX # (IF CHECKED) E-MAIL FAX USPS MAIL ADD FURTHER BUSINESS ADDRESS, E-MAIL & CONTACT INFORMATION BELOW IF REQUIRED
  9. 9. STATE OF CONNECTICUT PROPOSAL THIS FORM AND RFP-26 Rev. 04/03 REQUIRED PROPOSAL (Prev. Rev. 11/02) DEPARTMENT OF ADMINISTRATIVE SERVICES SCHEDULE FORMS Susanne Hawkins PROCUREMENT SERVICES MUST BE RETURNED Contract Specialist 165 Capitol Avenue, 5th Floor South (860)713-5064 PO BOX 150414 Read & Complete Telephone Number HARTFORD, CT 06115-0414 Carefully Page 3 of 4 Section 2 of 4 - IMPORTANT INFORMATION FOR PROPOSERS AFFIRMATION OF PROPOSER: The abovesigned proposer affirms and declares: 1. That this proposal is executed and signed by said proposer with full knowledge and acceptance of the provisions of Form RFP-19 of current issue and in effect on the date of proposal issue. Form RFP-19, entitled Standard Proposal and Contract Terms and Conditions are made a part of the contract. 2. That this proposal is executed and signed by said bidder with full knowledge and acceptance of the provisions of all Special Proposal and Contract Terms and Conditions attached hereto. 3. That should any part of this proposal be accepted in writing by Procurement Manager within ninety (90) calendar days from the proposal due date unless an earlier date for acceptance is specified by proposer in proposal schedule, said proposer will furnish and deliver the commodities and/or services for which this proposal is made, in the quantities and at the prices proposed, and in compliance with the provisions of the STANDARD PROPOSAL AND CONTRACT TERMS AND CONDITIONS, COMMODITY SPECIFICATION, PROPOSAL SCHEDULE AND SPECIAL PROPOSAL AND CONTRACT TERMS AND CONDITIONS. Should award of any part of this proposal be delayed beyond the period of ninety (90) days or an earlier date specified by proposer in proposal schedule, such award shall be conditioned upon proposer’s acceptance. 4. Acceptance of the conditions set forth herein, agreement in strict accordance therewith, and will furnish and deliver the commodities and/or services to the state agency or agencies named in the PROPOSAL SCHEDULE at the prices proposed therein. 5. Should Procurement Services determine that proposer has not completed Section 1 - Proposer Debarment and/or Suspension included as part of this document, then such determination may be just cause for disqualification from the evaluation of this proposal. Section 3 of 4 - PROPOSER DEBARMENT AND/OR SUSPENSION The abovesigned proposer further affirms and declares that neither the proposer and/or any company official nor any subcontractor to the proposer and/or any company official has received any notices of debarment and/or suspension from contracting with the State of Connecticut or the Federal Government. YES NO The abovesigned proposer further affirms and declares that neither the proposer and/or any company official nor any subcontractor to the proposer and/or any company official has received any notices of debarment and/or suspension from contracting with other states within the United States. YES NO If the abovesigned proposer and/or any company official or any subcontractor to the proposer and/or any company official has received notices of debarment and/or suspension from contracting with the State of Connecticut, other states within the United States or Federal Government, said notices must be attached to this document when submitting this proposal. Number of notices attached Section 4 of 4 – OTHER NOTICES Notice regarding Package Handling at 165 Capitol Avenue As part of new security processes, all mail, packages and parcels, including RFP’s, delivered to the State Office Building at 165 Capitol Avenue will be opened and examined by trained mail handling staff. RFP’s will then be resealed and forwarded to Procurement Services. This procedure also applies to hand- carried packages. Proposers, note that additional time will be required to carry out these procedures. Allow extra time for processing of mail or personally delivered bids to Procurement Services. Remember, RFPs cannot be accepted after the RFP Due Date & Time specified on the RFP.
  10. 10. STATE OF CONNECTICUT PROPOSAL THIS FORM AND RFP-26 Rev. 04/03 REQUIRED PROPOSAL (Prev. Rev. 11/02) DEPARTMENT OF ADMINISTRATIVE SERVICES SCHEDULE FORMS Susanne Hawkins PROCUREMENT SERVICES MUST BE RETURNED Contract Specialist 165 Capitol Avenue, 5th Floor South (860)713-5064 PO BOX 150414 Read & Complete Telephone Number HARTFORD, CT 06115-0414 Carefully Page 4 of 4 NOTE: ALWAYS USE MAILING LABEL INCLUDED WITH EACH RFP ON ALL PACKAGES WHEN RETURNING THE ORIGINAL & ONE COPY OF YOUR RFP RESPONSE. SIGNATURE OF AUTHORIZED PERSON IN SECTION 2 CONSTITUTES AGREEMENT WITH ALL PROCEDURES INDICATED ABOVE.
  11. 11. STATE OF CONNECTICUT STANDARD RFP RFP NO.: TERMS AND CONDITIONS RFP-19 Rev. 08/06 06PSX0347 Prev. Rev. 02/06 DEPARTMENT OF ADMINISTRATIVE SERVICES Susanne Hawkins PROCUREMENT SERVICES Buyer Name 165 Capitol Avenue, 5th Floor South (860)713-5064 PO Box 150414 Buyer Phone Number HARTFORD, CT 06115-0414 Standard Request for Proposal (RFP) and Contract Terms and Conditions - Page 1 of 5 All Requests for Proposal issued by the Department of of excise, transportation and sales taxes imposed by the Federal Administrative Services, Procurement Services will bind Government and/or the State. Such taxes must not be included Proposers to the terms and conditions listed below, unless in proposal prices. specified otherwise in any individual Request for 8. In the event of a discrepancy between the unit price and Proposal. the extension, the unit price shall govern. Incorporated by reference into this contract are 9. By its submission the proposer represents that the applicable provisions of the Connecticut General Statutes proposal is not made in connection with any other proposer including but not limited to Sections 4a-50 through 4a-80 submitting a proposal for the same commodity or commodities and applicable provisions of the Regulations of and is in all respects fair and without collusion or fraud. Connecticut State Agencies including but not limited to Sections 4a-52-1 through 4a-52-22. 10. All proposals are subject to public inspection upon award. The contractor agrees to comply with the regulations Guaranty or Surety referred to in this section as they exist on the date of this 11. Proposal and or performance bonds may be required. proposal and as they may be adopted or amended from Bonds must meet the following requirements: Corporation - time to time during the term of this contract and any must be signed by an official of the corporation above their amendments thereto. official title and the corporate seal must be affixed over the signature; Firm or Partnership - must be signed by all the Submission of Proposals partners and indicate they are “doing business as”; Individual - 1. Proposals must be submitted on forms supplied by must be signed by the owner and indicated as “Owner”. The Procurement Services. Telephone or facsimile proposals will surety company executing the bond or countersigning must be not be accepted in response to a Request for Proposal. licensed in Connecticut and the bond must be signed by an 2. The time and date proposals are due is given in each RFP official of the surety company with the corporate seal affixed issued. Proposals received after the specified due date and over their signature. Signatures of two witnesses for both the time of RFP given in each RFP shall not be considered. RFP principal and the surety must appear on the bond. Power of envelopes must clearly indicate the RFP number as well as the attorney for the official signing the bond for the surety date and time that the RFP is due. The name and address of company must be submitted with the bond. the Proposer should appear in the upper left hand corner of Samples the envelope. 12. Accepted proposal samples do not supersede specifications 3. Incomplete RFP forms may result in the rejection of the for quality unless sample is superior in quality. All deliveries proposal. Amendments to proposals received by Procurement shall have at least the same quality as the accepted proposal Services after the due date and time specified, shall not be sample. considered. An original and one copy of the proposal 13. Samples are furnished free of charge. Proposer must schedule shall be returned to Procurement Services. Proposals indicate if their return is desired, provided they have not been shall be computer prepared, typewritten or handwritten in made useless by test. Samples may be held for comparison with ink. Proposals submitted in pencil shall be rejected. All deliveries. proposals shall be signed by a person duly authorized to sign Award proposals on behalf of the proposer. Unsigned proposals may 14. Award will be based on quality of the articles or services to be rejected. Errors, alterations or corrections on both the be supplied, their conformance with specifications, delivery original and copy of the proposal schedule to be returned terms, price, administrative costs, past performance, and must be initialed by the person signing the proposal or their financial responsibility. authorized designee. In the event an authorized designee initials the correction, there must be written authorization 15. Procurement Services may reject any proposer in default of from the person signing the proposal to the person initialing any prior contract or guilty of misrepresentation or any the erasure, alterations, or correction. Failure to do so shall proposer with a member of its firm in default or guilty of result in rejection of the proposal for those items erased, misrepresentation. altered or corrected and not initialed. 16. Procurement Services may correct inaccurate awards 4. Conditional proposals are subject to rejection in whole or resulting from clerical or administrative errors. in part. A conditional proposal is defined as one which limits, Contract modifies, expands or supplements any of the terms and 17. Section 51 of Public Act No. 05-287 (the “Act”) requires that conditions and/or specifications of the Request for Proposal. this solicitation include a notice of the consulting affidavit requirements described in the Act. Accordingly, pursuant to 5. Alternate proposals will not be considered. An alternate the Act, vendors are notified as follows: proposal is defined as one which is submitted in addition to (a) No state agency shall execute a contract for the purchase of the proposers primary response to the Request for Proposal. goods or services, which contract has a total value to the state 6. Prices should be extended in decimal, not fraction, to be of fifty thousand dollars or more in any calendar or fiscal year, net, and shall include transportation and delivery charges unless the state agency obtains the written affidavit described fully prepaid by the Contractor to the destination specified in in subsection (b) of this section. the proposal, and subject only to cash discount. (b) (1) The chief official of the vendor awarded a contract described in subsection (a) of this section or the individual 7. Pursuant to Section 12-412 of the Connecticut General awarded such contract who is authorized to execute such Statutes, the State of Connecticut is exempt from the payment contract, shall attest in an affidavit as to whether any
  12. 12. STATE OF CONNECTICUT STANDARD RFP RFP NO.: TERMS AND CONDITIONS RFP-19 Rev. 08/06 06PSX0347 Prev. Rev. 02/06 DEPARTMENT OF ADMINISTRATIVE SERVICES Susanne Hawkins PROCUREMENT SERVICES Buyer Name 165 Capitol Avenue, 5th Floor South (860)713-5064 PO Box 150414 Buyer Phone Number HARTFORD, CT 06115-0414 Standard Request for Proposal (RFP) and Contract Terms and Conditions - Page 2 of 5 consulting agreement has been entered into in connection open market. The Contractor agrees to promptly reimburse the with such contract. Such affidavit shall be required if any State for excess cost of these purchases. The purchases will be duties of the consultant included communications concerning deducted from the contracted quantities. business of such state agency, whether or not direct contact 23. Rejected commodities must be removed by the Contractor with a state agency, state or public official or state employee from State premises within 48 hours. Immediate removal may was expected or made. "Consulting agreement" means any be required when safety or health issues are present. written or oral agreement to retain the services, for a fee, of a consultant for the purposes of (A) providing counsel to a 24. Contractor agrees to: hold the State harmless from liability contractor, vendor, consultant or other entity seeking to of any kind for the use of any copyright or un-copyrighted conduct, or conducting, business with the State, (B) composition, secret process, patented or un-patented invention contacting, whether in writing or orally, any executive, furnished or used in the performance of the contract; guarantee judicial, or administrative office of the state, including any their products against defective material or workmanship; department, institution, bureau, board, commission, repair damages of any kind, for which they are responsible to authority, official or employee for the purpose of solicitation, the premises or equipment, to their own work or to the work of dispute resolution, introduction or requests for information or other contractors; obtain and pay for all licenses, permits, fees (C) any other similar activity related to such contract. etc. and to give all notices and comply with all requirements of “Consulting agreement” does not include any agreements city or town in which the service is to be provided and to the entered into with a consultant who is registered under the State of Connecticut; to carry proper insurance to protect the provisions of Chapter 10 of the Connecticut General Statutes State from loss. concerning the State’s Codes of Ethics, as of the date such 25. Notwithstanding any provision or language in this contract affidavit is submitted. (2) Such affidavit shall be sworn as true to the contrary, the Commissioner may terminate this contract to the best knowledge and belief of the person signing the whenever he/she determines in his/her sole discretion that certification on the affidavit and shall be subject to the such termination is in the best interests of the State. Any such penalties of false statement. (3) Such affidavit shall include termination shall be effected by delivery to the Contractor of a the name of the consultant, the consultant's firm, the basic written notice of termination. The notice of termination shall be terms of the consulting agreement, a brief description of the sent by registered mail to the Contractor address furnished to services provided, and an indication as to whether the the State for purposes of correspondence or by hand delivery. consultant is a former state employee or public official. If the Upon receipt of such notice, the Contractor shall both consultant is a former state employee or public official, such immediately discontinue all services affected (unless the notice affidavit shall indicate his or her former agency and the date directs otherwise) and deliver to the State all data, drawings, such employment terminated. (4) Such affidavit shall be specifications, reports, estimates, summaries, and such other amended whenever the vendor awarded the contract enters information and materials as may have been accumulated by into any new consulting agreement during the term of the the Contractor in performing his duties under this contract, contract. whether completed or in progress. All such documents, (c) If a vendor refuses to submit the affidavit required under information, and materials shall become the property of the subsection (b) of this section, then the state agency shall not State. In the event of such termination, the Contractor shall be award the Contract to such vendor and shall award the entitled to reasonable compensation as determined by the contract to the next highest ranked vendor or the next lowest Commissioner of the Department of Administrative Services, responsible qualified proposer or seek new bids or proposals. however, no compensation for lost profits shall be allowed. 18. Pursuant to the requirements of Section 37(c) of Public Delivery Act No. 05-287, the summary of State ethics laws developed 26. All products and equipment delivered must be new unless by the State Ethics Commission pursuant to section 1-81b of otherwise stated in the proposal specifications. the Connecticut General Statutes is incorporated by reference 27. Delivery will be onto the specified State loading docks by into and made a part of this Agreement as if the summary had the Contractor unless otherwise stated in the proposal been fully set forth in this Agreement. specifications. 19. The existence of the contract shall be determined in 28. Deliveries are subject to re-weighing on State sealed scales. accordance with the requirements set forth above. However, 29. Payment terms are net 45 days after receipt of goods or the award of the contract is not an order to ship. invoice, whichever is later, unless otherwise specified. 20. The Contractor shall not assign or otherwise dispose of 30. Charges against a Contractor shall be deducted from their contract or their right, title or interest, or their power to current obligations. Money paid to the State by the Contractor execute such contract to any other person, firm or corporation shall be payable to the Treasurer, State of Connecticut. without the prior written consent of Procurement Services. Tangible Personal Property 21. Proposers have ten days after notice of award to refuse 31. For the entire term of the Agreement and any and all of its acceptance of the award; after ten days the award will be extensions, the Contractor, on its own behalf and on behalf of binding on the Contractor. If the Contractor refuses to accept all of its Affiliates, shall comply fully with the provisions of the award within the ten day period, the award will be made Conn. Gen. Stat. §12-411b, including, but not limited to, the to the next lowest responsible qualified proposer. following: 22. Failure of a Contractor to deliver commodities or perform (a) The Contractor and its Affiliates shall collect and remit to services as specified will constitute authority for Procurement the State of Connecticut, Department of Revenue Services, on Services to purchase these commodities or services on the behalf of its customers any Connecticut use tax due under the
  13. 13. STATE OF CONNECTICUT STANDARD RFP RFP NO.: TERMS AND CONDITIONS RFP-19 Rev. 08/06 06PSX0347 Prev. Rev. 02/06 DEPARTMENT OF ADMINISTRATIVE SERVICES Susanne Hawkins PROCUREMENT SERVICES Buyer Name 165 Capitol Avenue, 5th Floor South (860)713-5064 PO Box 150414 Buyer Phone Number HARTFORD, CT 06115-0414 Standard Request for Proposal (RFP) and Contract Terms and Conditions - Page 3 of 5 provisions of Chapter 219 of the Connecticut General Statutes shall not copyright the printed matter produced under the for items of tangible personal property sold by the Contractor contract. or by any of its Affiliates in the same manner as if the 36. The Contractor assigns to the State all rights title and Contractor and such Affiliates were engaged in the business of interests in and to all causes of action it may have under selling tangible personal property for use in Connecticut and Section 4 of the Clayton Act, 15 USC 15, or under Chapter 624 had sufficient nexus under the provisions of Chapter 219 to of the general statutes. This assignment occurs when the be required to collect Connecticut use tax; Contractor is awarded the contract. (b) A customer’s payment of a use tax to the Contractor or its Affiliates relieves the customer of liability for the use tax; 37. Contractor agrees that it is in compliance with all (c) The Contractor and its Affiliates shall remit all use taxes applicable federal, state and local laws and regulations, they collect from customers no later than the last day of the including but not limited to Connecticut General Statutes month of the calendar quarter that follows the effective date of Sections 4a-60 and 4a-60a. The Contractor also agrees that it this Agreement or the last day of the tax collection period will hold the State harmless and indemnify the State from any during which the tax was collected, whichever is later. action which may arise out of any act by the contractor Notwithstanding the previous sentence, if the Agreement concerning lack of compliance with these laws and regulations. provides for an earlier date, then that earlier date shall All purchases will be in compliance with Section 22a-194 to control; Section 22a-194g of the Connecticut General Statutes related to (d) The Contractor and its Affiliates are not liable for use tax product packaging. billed by them but not paid to them by a customer; and Executive Orders (e) If the Contractor or its Affiliates fail to remit use taxes 38. This Agreement is subject to the provisions of Executive collected on behalf of their customers by the date required Order No. 7B of Governor M. Jodi Rell, promulgated November above, then they shall be subject to the interest and penalties 16, 2005, concerning contracting reforms, Executive Order No. provided for persons required to collect sales tax under Three of Governor Thomas J. Meskill, promulgated June 16, Chapter 219 of the Connecticut General Statutes. 1971, concerning labor employment practices, Executive Order For purposes of this section of the Agreement, the word No. Seventeen of Governor Thomas J. Meskill, promulgated “Affiliate” means any person, as defined in Conn. Gen. Stat. February 15, 1973, concerning the listing of employment §12-1, that controls, is controlled by, or is under common openings and Executive Order No. Sixteen of Governor John G. control with another person. A person controls another Rowland promulgated August 4, 1999, concerning violence in person if the person owns, directly or indirectly, more than the workplace, all of which are incorporated into and are made ten per cent of the voting securities of the other person. The a part of this agreement as if they had been fully set forth in it. word “voting security” means a security that confers upon the For complete text of said documents, please go to: holder the right to vote for the election of members of the http://www.das.state.ct.us/Purchase/Info/Executive_Orders.pdf board of directors or similar governing body of the business, or that is convertible into, or entitles the holder to receive, Records, Files, and Information upon its exercise, a security that confers such a right to vote. 39. The contract resulting from the RFP is subject to the “Voting security” includes a general partnership interest. provisions of §1-218 of the Connecticut General Statutes, as it may be modified from time to time. In accordance with this 32. The Contractor represents and warrants that each of its section, each contract in excess of two million five hundred Affiliates has vested in the Contractor plenary authority to so thousand dollars between a public agency and a person for the bind the Affiliates in any agreement with the State of performance of a governmental function shall (1) provide that Connecticut. The Contractor on its own behalf and on behalf the public agency is entitled to receive a copy of records and of its Affiliates shall also provide, no later than 30 days after files related to the performance of the governmental function, receiving a request by the State’s contracting authority, such and (2) indicate that such records and files are subject to the information as the State may require to ensure, in the State’s Freedom of Information Act and may be disclosed by the public sole determination, compliance with the provisions of Chapter agency pursuant to the Freedom of Information Act. No request 219 of the Connecticut General Statutes, including, but not to inspect or copy such records or files shall be valid unless the limited to, §12-411b. request is made to the public agency in accordance with the Saving Clause Freedom of Information Act. Any complaint by a person who is 33. The Contractor shall not be liable for losses or delays in denied the right to inspect or copy such records or files shall be the fulfillment of the terms of the contract due to wars, acts of brought to the Freedom of Information Commission in public enemies, strikes, fires, floods, acts of God or any other accordance with the provisions of sections 1-205 and 1-206 of acts not within the control of or reasonably prevented by the the Connecticut General Statutes. Contractor. The Contractor will give written notice of the cause and probable duration of any such delay. 40. Incorporated by reference into this contract is Section 4- 61dd(g)(1) and 4-61dd(3) and (f) of the Connecticut General Advertising Statutes which prohibits contractors from taking adverse action 34. Contractors may not reference sales to the State for against employees who disclosed information to the Auditors of advertising and promotional purposes without the prior Public Accounts or the Attorney General. approval of Procurement Services. Health Insurance Portability and Accountability Act (HIPAA) Rights 41. Under the Health Insurance Portability and Accountability 35. The State has sole and exclusive right and title to all Act (HIPAA) of 1996, Proposers are expected to adhere to the printed material produced for the State and the contractor same standards as the state agency/covered entity as to Protected Health Information (PHI), to maintain compliance with
  14. 14. STATE OF CONNECTICUT STANDARD RFP RFP NO.: TERMS AND CONDITIONS RFP-19 Rev. 08/06 06PSX0347 Prev. Rev. 02/06 DEPARTMENT OF ADMINISTRATIVE SERVICES Susanne Hawkins PROCUREMENT SERVICES Buyer Name 165 Capitol Avenue, 5th Floor South (860)713-5064 PO Box 150414 Buyer Phone Number HARTFORD, CT 06115-0414 Standard Request for Proposal (RFP) and Contract Terms and Conditions - Page 4 of 5 Title 45 CFR Part 164.504, Uses and Disclosures: consulting agreement has been entered into in connection with Organizational Requirements, Proposer Contracts. Protected such contract. Such affidavit shall be required if any duties of Health Information (PHI) includes information related to the consultant included communications concerning business claims, health services, federal and state tax information, of such state agency, whether or not direct contact with a state financials, criminal/court related information and other agency, state or public official or state employee was expected personally identifiable records. Proposer agrees that it shall or made. "Consulting agreement" means any written or oral be prohibited from using or disclosing the PHI provided or agreement to retain the services, for a fee, of a consultant for made available by the state agency/covered entity or viewed the purposes of (A) providing counsel to a contractor, vendor, while on the premises for any purpose other than as expressly consultant or other entity seeking to conduct, or conducting, permitted or required by this Contract. These uses and business with the State, (B) contacting, whether in writing or disclosures must be within the scope of the Proposer’s orally, any executive, judicial, or administrative office of the services provided to the state agency/covered entity. state, including any department, institution, bureau, board, Proposers shall establish and maintain reasonable safeguards commission, authority, official or employee for the purpose of to prevent any use or disclosure of the PHI, other than as solicitation, dispute resolution, introduction or requests for specified in this Contract or required by law. Proposer agrees information or (C) any other similar activity related to such that anytime PHI is provided or made available to any contract. “Consulting agreement” does not include any subcontractors or agents, Proposer must enter into a agreements entered into with a consultant who is registered subcontract, which contains the same terms, conditions and under the provisions of Chapter 10 of the Connecticut General restrictions on the use and disclosure of PHI as contained in Statutes concerning the State’s Codes of Ethics, as of the date this Contract. Proposer agrees to make available and provide such affidavit is submitted. (2) Such affidavit shall be sworn as a right of access to PHI by the individual for whom the true to the best knowledge and belief of the person signing the information was created and disclosed. Proposer agrees to certification on the affidavit and shall be subject to the penalties make information available as required to provide an of false statement. (3) Such affidavit shall include the name of accounting of disclosures. Proposer agrees to make its the consultant, the consultant's firm, the basic terms of the internal practices, books, and records relating to the use or consulting agreement, a brief description of the services disclosure of PHI received from, or created or received by provided, and an indication as to whether the consultant is a Proposer on behalf of the state agency/covered entity, former state employee or public official. If the consultant is a available to the Secretary of Health and Human Services former state employee or public official, such affidavit shall (HHS) for purposes of determining compliance with the HHS indicate his or her former agency and the date such Privacy Regulations. At termination of this Contract, Proposer employment terminated. (4) Such affidavit shall be amended agrees to return or destroy all PHI received from, or created by whenever the vendor awarded the contract enters into any new the state agency/covered entity. If not feasible, extend the consulting agreement during the term of the contract. protections of this agreement to the PHI and limit further uses (c) If a vendor refuses to submit the affidavit required under and disclosures. Proposer will have procedures in place for subsection (b) of this section, then the state agency shall not mitigating any harmful effects from the use or disclosure of award the Contract to such vendor and shall award the contract PHI in a manner contrary to this Contract or the HHS Privacy to the next highest ranked vendor or the next lowest responsible Regulations. Proposer must develop and implement a system qualified proposer or seek new bids or proposals. of sanctions for any employee, subcontractor or agent who violates this Contract or the HHS Privacy Regulations. The 43. Conn. Gen. Stat. § 4-252 (the “Statute”) requires that the PHI shall be and remain the resources of the state Request for Proposal, of which these Terms and Conditions are agency/covered entity. Proposer agrees that it acquires no a part, include a notice of the vendor certification requirements title or rights to the information, including any de-identified described in the Statute. Accordingly, pursuant to the Statute, information, as a result of this Contract. Proposer agrees that vendors are notified as follows: the state agency/covered entity has the right to immediately (a) The terms “gift,” “quasi-public agency,” “state agency,” “large terminate this Contract if the state agency/covered entity state contract,” “principals and key personnel” and “participated determines that Proposer has violated a material term of this substantially” as used in this section shall have the meanings HIPAA Compliance Agreement above. set forth in the Statute. (b) No state agency or quasi-public agency shall execute a large Other Requirements state contract unless the state agency or quasi-public agency 42. Conn. Gen. Stat. § 4a-81 (the “Act”) requires that the obtains the written certifications described in this section. Each Request for Proposal of which these Terms and Conditions are such certification shall be sworn as true to the best knowledge a part include a notice of the consulting affidavit requirements and belief of the person signing the certification, subject to the described in the Act. Accordingly, pursuant to the Act, penalties of false statement. vendors are notified as follows: (c) The official of the person, firm or corporation awarded the (a) No state agency shall execute a contract for the purchase contract, who is authorized to execute the contract, shall certify of goods or services, which contract has a total value to the on such forms as the State shall provide: state of fifty thousand dollars or more in any calendar or fiscal (1) That no gifts were made between the date that the state year, unless the state agency obtains the written affidavit agency or quasi-public agency began planning the project, described in subsection (b) of this section. services, procurement, lease or licensing arrangement covered (b) (1) The chief official of the vendor awarded a contract by the contract and the date of execution of the contract, by (A) described in subsection (a) of this section or the individual such person, firm, corporation, (B) any principals and key awarded such contract who is authorized to execute such personnel of the person, firm or corporation, who participated contract, shall attest in an affidavit as to whether any substantially in preparing the bid or proposal or the negotiation
  15. 15. STATE OF CONNECTICUT STANDARD RFP RFP NO.: TERMS AND CONDITIONS RFP-19 Rev. 08/06 06PSX0347 Prev. Rev. 02/06 DEPARTMENT OF ADMINISTRATIVE SERVICES Susanne Hawkins PROCUREMENT SERVICES Buyer Name 165 Capitol Avenue, 5th Floor South (860)713-5064 PO Box 150414 Buyer Phone Number HARTFORD, CT 06115-0414 Standard Request for Proposal (RFP) and Contract Terms and Conditions - Page 5 of 5 of the contract, or (C) any agent of such person, firm, key personnel, official, employee or agent of the person, firm or corporation or principals and key personnel, who participated corporation to provide a gift to any such public official or state substantially in preparing the bid or proposal or the employee; and negotiation of the contract, to (i) any public official or state (3) That the person, firm or corporation made the bid or employee of the state agency or quasi-public agency soliciting proposal without fraud or collusion with any person. bids or proposals for the contract, who participated (d) Any bidder or proposer that does not make the certifications substantially in the preparation of the bid solicitation or required under subsection (c) of this section shall be request for proposals for the contract or the negotiation or disqualified and the state agency or quasi-public agency shall award of the contract, or (ii) any public official or state award the contract to the next highest ranked proposer or the employee of any other state agency, who has supervisory or next lowest responsible qualified proposer or seek new bids or appointing authority over such state agency or quasi-public proposals. agency; (e) The date that the state agency or quasi-public agency began (2) That no such principals and key personnel of the person, planning the project, services, procurement, lease or licensing firm or corporation, or agent of such person, firm or arrangement to be covered by the contract is 1 November corporation or principals and key personnel, knows of any 2005. action by the person, firm or corporation to circumvent such prohibition on gifts by providing for any other principals and
  16. 16. STATE OF CONNECTICUT VENDOR AUTHORIZATION BID NO.: GUIDELINES RFP-28 NEW 3/06 06PSX0347 DEPARTMENT OF ADMINISTRATIVE SERVICES Susanne Hawkins PROCUREMENT SERVICES Contract Specialist 165 Capitol Avenue, 5th Floor South (860)713-5064 PO Box 150414 Telephone Number HARTFORD, CT 06115-0414 Vendor Authorization Guidelines- Page 1 of 2 All contracts must include appropriate vendor documentation that does the following three things: A. Authorizes the vendor to enter into contracts, B. Authorizes a particular officer to execute contracts on behalf of the vendor and C. Evidences that the officer signing in fact holds his/her office. CORPORATIONS - Appropriate vendor documentation usually involves a certificate from the Secretary or other appropriate officer setting forth a copy of a board resolution. Sometimes this is not possible, in which case the vendor should observe the following: 1) In lieu of the secretary’s certificate, the vendors must submit: a) a current certified copy of the applicable section of the corporation’s bylaws which authorizes the execution of contracts by the signing person and b) a current certification that the officer signing the assignment agreement in fact holds that office. 2) In lieu of the certified resolution or bylaws, the vendor must include a certified copy of the corporate minutes of their respective boards of directors, which must specifically authorize the person signing the assignment agreement to execute it. NOTE: If the bylaws or resolutions cannot be found, a formal legal opinion must be obtained attesting to: a. the authority of the company and b. the officer's ability to bind the company to enter into a contract. LIMITED LIABILITY CORPORATIONS (LLC’S) – LLC’s that do not have boards of directors, must submit the following: 1) a document indicating unanimous consent from all members or managers or 2) a certified copy of all of those relevant portions of their management agreement or operations agreement that identify which members or managers have the authority to bind the LLC in contracts. The certification must also show that the signing party is in fact a manager/member or that a manager/member has duly (in accordance with the management agreement or operations agreement) delegated signatory authority to the signing person. If the company can’t find the management agreement or operations agreement , a formal legal opinion must be obtained attesting to: a. the authority of the company and b. the signing party’s ability to bind the company to enter into a contract.
  17. 17. STATE OF CONNECTICUT VENDOR AUTHORIZATION BID NO.: GUIDELINES RFP-28 NEW 3/06 06PSX0347 DEPARTMENT OF ADMINISTRATIVE SERVICES Susanne Hawkins PROCUREMENT SERVICES Contract Specialist 165 Capitol Avenue, 5th Floor South (860)713-5064 PO Box 150414 Telephone Number HARTFORD, CT 06115-0414 Vendor Authorization Guidelines- Page 2 of 2 PARTNERSHIPS – Partnerships, like LLC’s, do not have boards of directors. Generally, any general partner can bind the partnership. However, it is prudent to make every effort to obtain a partnership authorization that includes some evidence of a partner's authority to bind the partnership. This can include partnership resolutions that read very much like a corporation’s resolutions or a copy of the partnership agreement (or all relevant sections) that address the authority of partners to bind the partnership, again taking into account any limitations, or a consent from the appropriate partners. The partnership agreement governs in the same way as the LLC’s management or operations agreement. SOLE PROPRIETORS - Sole Proprietors do not need to submit any documentation with regards to vendor authorization or certification. Sole Proprietors must submit a letter on company letterhead stating: 1) that the company holds Sole Proprietor status, 2) the name(s) of those authorized to execute contracts on behalf of the company and 3) the signature of Sole Proprietor. NOTE: You may review and/or download the Vendor Authorization Guidelines and Samples from the DAS/Procurement website www.das.state.ct.us/busopp.asp. Scroll down until you see the heading “Vendor” on the far right side of the screen. Then click on “Vendor Authorization Guidelines and Samples”.
  18. 18. STATE OF CONNECTICUT EMPLOYMENT RFP Number: INFORMATION FORM (DAS-45) 06PSX0347 COMMISSION ON HUMAN RIGHTS AND OPPORTUNITIES (CHRO) REV 2/98 WORKPLACE ANALYSIS AFFIRMATIVE ACTION REPORT EMPLOYMENT INFORMATION FORM Company Name Contact Person Phone Number Date Street Address City State Report all permanent full-time or part-time employees, including apprentice and on-the-job trainees. Enter the number on all lines and in all columns. JOB CATEGORY A B C D E F OVERALL TOTALS WHITE BLACK HISPANIC ASIAN / PACIFIC AMERICAN INDIAN OR (Sum of all columns, (NOT OF HISPANIC (NOT OF HISPANIC ISLANDER ALASKAN NATIVE A-F ORIGIN) ORIGIN) Male & Female Male Female Male Female Male Female Male Female Male Female Officials/Managers Professionals Technicians Sales Workers Office/Clerical Craft Workers (Skilled) Operatives(Semi-skilled) Laborers (Unskilled) Service Workers TOTALS ABOVE Do you use minority businesses as subcontractors or suppliers? Explain: Yes No Do you use an Affirmative Action Plan? Yes No Explain: Describe your recruitment, hiring, training and promotion anti-discrimination practices.
  19. 19. STATE OF CONNECTICUT OSHA COMPLIANCE RFP Number: RFP-12 NEW 6/98 06PSX0347 Certificate of Compliance with Connecticut General Statute Section 31 - 57b I hereby certify that all of the statements herein contained below have been examined by me, and to the best of my knowledge and belief are true and correct. The __________________________________________________________________ HAS / HAS NOT Company Name (Cross out Non-applicable) been cited for three (3) or more willful or serious or serious violations of any Occupational Safety and Health Act (OSHA) or of any standard, order or regulation promulgated pursuant to such act, during the three year period preceding the RFP, provided such violations were cited in accordance with the provisions of any State Occupational Safety and Health Act of 1970, and not abated within the time fixed by the citation and such citation has not been set aside following appeal to the appropriate agency of court having jurisdiction or HAS / HAS NOT (Cross out Non-applicable) received one or more criminal convictions related to the injury or death of any employee in the three-year period preceding the RFP. The list of violations (if applicable) is attached. ______________________________________________________ (Name of Firm, Organization or Corporation) Signed: ______________________________________________________ Written Signature: ______________________________________________________ Name Typed: (Corporation Seal) Title: ______________________________________________________ (Title of Above Person, typed) Dated: ________________________ State of ) County of ) ss: A.D., 20_________ ) Sworn to and personally appeared before me for the above, ________________________________________________, (Name of Firm, Organization, Corporation) Signer and Sealer of the foregoing instrument of and acknowledged the same to be the free act and deed of _______________________________________________, and his/her free act and deed as (Name of Person appearing in front of Notary or Clerk) _______________________________________________. (Title of Person appearing in front of Notary or Clerk) My Commission Expires: _______________________________________________ (Notary Public) (Seal)
  20. 20. STATE OF CONNECTICUT PROPOSER RFP Number: QUALIFICATIONS RFP-14 NEW 6/98 06PSX0347 PROPOSER’S STATEMENT OF QUALIFICATIONS Page 1 of 2 THIS FORM WILL BE USED IN ASSESSING A PROPOSER’S QUALIFICATIONS AND TO DETERMINE IF THE PROPOSAL SUBMITTED IS FROM A RESPONSIBLE PROPOSER. STATE LAW DESIGNATES THAT CONTRACTS BE AWARDED TO THE LOWEST RESPONSIBLE QUALIFIED PROPOSER. FACTORS SUCH AS PAST PERFORMANCE, INTEGRITY OF THE PROPOSER, CONFORMITY TO THE SPECIFICATIONS, ETC. WILL BE USED IN EVALUATING PROPOSALS. ATTACH ADDITIONAL SHEETS IF NECESSARY COMPANY NAME: & ADDRESS: NUMBER OF YEARS COMPANY HAS BEEN ENGAGED IN BUSINESS UNDER THIS NAME: __________YEARS LIST ANY CONTRACT AWARDS TO YOUR COMPANY BY THE STATE OF CONNECTICUT WITHIN THE LAST THREE (3) YEARS, THAT YOU ACTUALLY PERFORMED SERVICE AGAINST. INDICATE WHICH STATE AGENCY, AND PROVIDE CONTRACT NAME AND NUMBER, AND THE NAME AND TELEPHONE NUMBER OF THE PURCHASING AGENT ADMINISTERING THE CONTRACT. CONTRACT NO. CONTRACT NAME STATE AGENCY PURCHASING AGENT TEL. NO. ______________ ________________________ _____________________ ______________________ _______________ ______________ ________________________ _____________________ ______________________ _______________ ______________ ________________________ _____________________ ______________________ _______________ LIST ANY CONTRACT AWARDS TO YOUR COMPANY BY THE STATE OF CONNECTICUT WITHIN THE LAST THREE (3) YEARS. INDICATE WHICH STATE AGENCY, AND PROVIDE CONTRACT NAME AND NUMBER, AND THE NAME AND TELEPHONE NUMBER OF THE PURCHASING AGENT ADMINISTERING THE CONTRACT. CONTRACT NO. CONTRACT NAME STATE AGENCY PURCHASING AGENT TEL. NO. ______________ ________________________ _____________________ ______________________ _______________ ______________ ________________________ _____________________ ______________________ _______________ ______________ ________________________ _____________________ ______________________ _______________ ______________ ________________________ _____________________ ______________________ _______________ LIST OTHER NAMES YOUR COMPANY GOES BY: _____________________________________________________________________ LIST PREVIOUS COMPANY NAME (S)_______________________________________________________________________________ LIST AT LEAST THREE COMPLETED PROJECTS SIMILAR IN NATURE TO THIS REQUEST FOR PROPOSAL WHICH DEMONSTRATES YOUR COMPANY’S ABILITY TO PERFORM THE REQUIRED SERVICES. Company Name and Address Telephone No.: Dollar Value: 1. ______________________________________________________ _____________________ ______________________ ______________________________________________________ _____________________ ______________________ 2. ______________________________________________________ _____________________ ______________________ ______________________________________________________ _____________________ ______________________ 3. ______________________________________________________ _____________________ ______________________ ______________________________________________________ _____________________ ______________________
  21. 21. STATE OF CONNECTICUT PROPOSER RFP Number: QUALIFICATIONS RFP-14 NEW 6/98 06PSX0347 PROPOSER’S STATEMENT OF QUALIFICATIONS Page 2 of 2 COMPANY NAME: SIZE OF COMPANY OR CORPORATION: NUMBER OF EMPLOYEES: FULL TIME _______________________ PART TIME _______________________ COMPANY VALUE: EQUIPMENT ASSETS ________________ TOTAL ASSETS ___________________ IS YOUR COMPANY REGISTERED WITH THE OFFICE OF THE CONNECTICUT SECRETARY OF STATE? YES NO REGISTRATION DATE, IF AVAILABLE: ____________________________ IF REQUESTED, WOULD YOUR COMPANY PROVIDE A “GOOD STANDING” CERTIFICATE ISSUED BY THE CONNECTICUT SECRETARY OF STATE’S OFFICE? YES NO LIST OF EQUIPMENT TO BE USED FOR THIS SERVICE (INCLUDE MODEL, YEAR & MANUFACTURER): MODEL YEAR MANUFACTURER ___________________________ _____________ __________________________________________ ___________________________ _____________ __________________________________________ ___________________________ _____________ __________________________________________ ___________________________ _____________ __________________________________________ (Attach additional sheets if necessary) LIST ANY RELEVANT CERTIFICATIONS, LICENSES, REGISTRATIONS, ETC. WHICH QUALIFY YOUR COMPANY TO MEET THE REQUIREMENTS OF THIS RFP. (Attach additional sheets if necessary) LIST ANY CRIMINAL CONVICTIONS AGAINST YOUR COMPANY AND ANY OF YOUR COMPANY’S OFFICERS, PRINCIPAL SHAREHOLDERS, DIRECTORS, PARTNERS, LLC MEMBERS AND LLC MANAGERS. (Attach additional sheets if necessary) LIST ANY ADMINISTRATIVE ACTIONS EITHER PENDING REVIEW BY THE STATE OR DETERMINATIONS THAT THE STATE HAS MADE REGARDING YOUR COMPANY OR ANY OF YOUR COMPANY’S OFFICERS, PRINCIPAL SHAREHOLDERS, DIRECTORS, PARTNERS, LLC MEMBERS OR LLC MANAGERS. THIS WOULD INCLUDE COURT JUDGEMENTS, ACTIONS, SUITS, CLAIMS, DEMANDS, INVESTIGATIONS AND LEGAL, ADMINISTRATIVE OR ARBITRATION PROCEEDINGS PENDING IN ANY FORUM. INCLUDE A LISTING OF OSHA VIOLATIONS AND ANY ACTIONS OR ORDERS PENDING OR RESOLVED WITH ANY STATE AGENCY SUCH AS THE DEPARTMENT OF CONSUMER PROTECTION, THE DEPARTMENT OF ENVIRONMENTAL PROTECTION, ETC. DETAIL THIS INFORMATION ON A SEPARATE SHEET OF PAPER. SUCH INFORMATION SHOULD BE FOR THE LAST THREE (3) YEARS. ________________________________________________________________________________________________________________________ (Attach additional sheets if necessary) I HEREBY CERTIFY UNDER PENALTY OF FALSE STATEMENT THAT ALL THE INFORMATION SUPPLIED IS COMPLETE AND TRUE. ________________________________________________________ ___________________________ SIGNATURE DATE _______________________________________________________________________ TITLE
  22. 22. State of Connecticut Request for Proposals Emergency Medical Technician Testing Service Department of Administrative Services Date: October 2, 2006
  23. 23. State of Connecticut Department of Administrative Services Announcement of Request for Proposals to provide initial certification testing at the Emergency Medical Technical Basic Level RFP Date: October 2, 2006 RFP No. #06PSX0347 The State of Connecticut is committed to provide Emergency Medical Technician Testing Services. To that end, the Department of Administrative Services is seeking proposals for initial certification testing at the Emergency Medical Technician basic level on behalf of The Department of Public Health (DPH) for the State of Connecticut. The Department of Administrative Services welcomes the opportunity to work with our customers and suppliers to provide Emergency Medical Technician Testing Services to the State of Connecticut as outlined throughout this RFP document. We invite you to be part of this effort. PAGE 2
  24. 24. TABLE OF CONTENTS OVERVIEW______________________________________________________________4 SCOPE OF SERVICES ____________________________________________________5 PRODUCT AND/OR SERVICE SPECIFICATIONS___________________________ 6 - 13 PROPOSAL/CONTRACT REQUIREMENTS ______________________________ 14 - 16 SELECTION CRITERIA _______________________________________________ 17 - 18 INSTRUCTIONS TO PROPOSERS ______________________________________ 19 - 20 SUBMITTAL REQUIREMENTS _____________________________________________21 SPECIAL TERMS AND CONDITIONS ___________________________________ 22 - 26 INDEX OF ABBREVIATIONS ______________________________________________27 ATTACHMENTS: 1. ATTACHMENT A - CONTRACT TEMPLATE ___________________________ 28 - 40 2. ATTACHMENT B - (DPU FORMS) ____________________________________41- 53 PAGE 3
  25. 25. Request for Proposals Emergency Medical Technician Testing Service Overview The State of Connecticut Department of Public Health, Office of Emergency Medical Services (OEMS) seeks a provider of examination services that will serve as the initial competency examination for individuals seeking certification at the entry level Emergency Medical Technician – Basic level of Emergency Medical Service Scope of Practice. The Examination will assure that successful candidates possess knowledge of sufficient breadth, depth, and competence in the knowledge, skills and behaviors described as essential by the US Department of Transportation National Standard Curriculum EMT-Basic that they can safely and effectively fulfill the roles of EMT-Basics in Connecticut’s emergency medical service system and can be officially credentialed to do so. The Examination also will reliably, validly, consistently, securely and defensibly assure that successful candidates specifically, and the Connecticut’s EMS Educational System generally, meet national and state standards by demonstrating that the Examination is constructed, validated and evaluated in conformance with recognized standards. Finally, the provider of the examination must be able to provide services in such a way to meet the volume, distribution and capacities of candidates seeking certification at the EMT-Basic level and to report the outcomes of the examinations in a format and time frame that meets the needs of the State. PAGE 4
  26. 26. Scope of Services The State of Connecticut requires a ready supply of properly trained, competent EMS professionals to provide emergency medical care to the citizens of the State. Certification testing is the culmination of an initial training process, and the test must validly, reliably, securely, reflect both the degree of an individual’s readiness to provide care and the ability of the educational system’s ability to properly prepare him or her to provide that care. Connecticut provides testing opportunities for approximately 100 to 125 individuals on 22 to 25 dates per year (approximately 2200 to 2500 tests per year) at the EMT Basic. To qualify for the examination, the student must apply for certification at the successful completion of an authorized course of instruction. This proof of successful completion takes the form of the Training Program Coordinator’s signature on the person’s Application for Certification (202 Form). The Training Program Coordinator may also submit a Course Completion Form (T4 Form), identifying which individuals successfully completed a specific course of instruction. The proposed testing format will be computer based, accessible to the majority of candidates regardless of location or work schedule, compliant with standards necessary to address appropriately defined special needs, and available from secure, monitored and reasonably convenient test sites. Reporting test results in the most timely, efficient fashion to the key stakeholders in the process, including the candidates, the Training Program Coordinators and the State Office of Emergency Medical Services is of vital importance to sound education, proper certification, effective quality assurance, and undisrupted delivery of care. The provider of testing services will maximize the utility of available technologies to make the examinations, their results, and appropriate reports available to the Office of Emergency Medical Services in a timely fashion and in formats that are reasonably convenient to the State’s needs. The Test Provider must demonstrate its willingness and ability to consult with the State OEMS, and be responsive in their efforts to promote Quality Improvement activities while preserving the examination’s validity, reliability, integrity and security. The Test Provider will illustrate its ability to defend the examination items in terms of their conformance with the National Standard Curriculum learning objectives, presence in multiple, commonly available EMS texts, and psychometrically appropriate degree of difficulty for reading and comprehension levels expected of entry level technicians in Connecticut. The Test Provider will also describe the mechanism by which it will cooperate with the Department of Public Health, OEMS to address: a. specific test items with fail rates greater than a defined threshold; b. State specific Scope of Practice issues; c. changes in national standards that may evolve over the course of the contract. PAGE 5
  27. 27. Product and/or Service Specifications SECTION I – PROPOSAL CONTENT REQUIREMENTS Proposals must be submitted on the Department of Administrative Forms and the Department of Public Health Forms incorporated in this RFP package and all proposal requirements of this RFP must be met. Content requirements not addressed by the application forms must be submitted in narrative form with numbered pages. A. Applicant Information The application must contain the official name, address and phone number of the applicant, the principal contact person for the application, and the name and signature of the person (or persons) authorized to execute the contract. B. Contractor Information In order for the State of Connecticut to communicate effectively with the contractor, it is necessary to have accurate information about contractor staff that is responsible for certain functions. Please provide the name, title, address, telephone and FAX number of staff persons responsible for the completion and submittal of: 1. Contract and legal documents/forms 2. Program progress reports 3. Financial expenditure reports Accurate information is needed by the State of Connecticut concerning the applicant’s legal status. Please indicate whether or not the agency is incorporated, the type of agency applying for funding, the fiscal year for the applicant agency, the agency’s federal employer ID number and/or town code number, the applicant’s Medicaid provider status and Medicaid number, if any. C. Services to be provided: The contractor must provide the following services and the contractor’s approach must be addressed in the proposal: For the specifications listed below, the Contractor must demonstrate a minimum of three year’s experience meeting the terms of the specification. For any of the contract specifications for which the contractor feels and exception is necessary, the Contractor must describe the need for the exception and the planned alternative that addresses the terms of the specification. 1. Delivery of examinations serving as a competency assuring, certification examination of the knowledge, skills and behaviors appropriate to entry-level EMT-Basic providers. a) Computer Based PAGE 6

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