05._Exhibit_1-BidderResponse_Template_CZ.xlsx
XLSX spreadsheet 34 KB Posted
- Attached to
- DMH-Community Based Prevention Services
- Solicitation number
- EV00000945
- Issued by
- Hobart City, Oklahoma
About this file
This is a Bidder Response Template (Exhibit 1) for Request for Proposals EV00000945 issued by the Oklahoma Department of Mental Health and Substance Abuse Services (ODMHSAS) for Community Based Prevention Services. The RFP solicits proposals from qualified organizations to implement evidence-based substance misuse prevention and mental health promotion services across 39 Oklahoma counties and county-specific focus areas (including separate cannabis and opioid initiatives in Tulsa and Oklahoma counties). Bidders must provide comprehensive responses addressing community identification and demographic profiling, documentation of service needs and gaps, relationships with Certified Community Behavioral Health Clinics (CCBHCs) and Federally Qualified Health Centers (FQHCs), community partnership strategies, project implementation goals and measurable objectives, required activities including needs assessments and logic models, first-year realistic timelines, organizational capacity and staffing qualifications, and evaluation and data collection methodologies. Mandatory submission requirements include completed OMES forms (CP Form 076 and CP Form 004), signed amendments, certificates of insurance meeting specified standards, disclosure of conflicts of interest, and letters of commitment from partner organizations. Bidders may submit responses for single or multiple counties, with incomplete submissions for specific counties subject to disqualification.
The template requires bidders to complete all sections fully, with blank responses resulting in disqualification from further evaluation. Bidders must identify whether any portion of their bid should be held confidential and disclose any requested exceptions to contract terms using tracked changes in Word format. Key personnel positions must be identified, including a Project Director and Data Analyst, with detailed descriptions of roles, levels of effort, and qualifications for serving target populations. The submission format utilizes yellow response boxes with provisions for clearly labeled supplemental responses if needed. All bidders must maintain active OMES Supplier Registration and provide tax identification numbers, Secretary of State filing numbers, and designated contact personnel for contract administration and post-award management. The template indicates that Sections 9 (Value-Added Products), 10 (Financial Information), and 12 (3rd Party Supplier Information) are intentionally omitted, with pricing information to be submitted separately via the Cost Template Checklist (Exhibit 2).
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Bidder ResponseTemp-Exhibit 1
| Request for Proposals for EV00000945 | |
| RFP Description | Community Based Prevention Services |
| Issued by the State of Oklahoma | |
| *Sections 9, 10, and 12 are Intentionally Omitted |
| EXHIBIT 1: BIDDER RESPONSE WORKSHEET | ||
| Instructions: BIDDER must provide complete and succinct responses to each item below. Insert your responses into this worksheet directly into the yellow boxes If your response does not fit into the boxes below a clearly labeled response (Example: 7.2.etc). will be considered. BIDDER should provide all information necessary to demonstrate BIDDER’s ability to meet the requirements of this RFP and the RFP’s Scope of Work. Responses to the below questions in this Attachment are mandatory and will be evaluated. Failure to respond to any question may result in your proposal being deemed nonresponsive. | ||
| Section One: Cover Page | ||
| Bidders Instructions | Entity | Record Responses Below |
| 7.1.a | Legal Name: | |
| 7.1.b | DBA Name: | |
| 7.1.c | Business Address: | |
| 7.1.d | Contract Contact Name, Title: | |
| 7.1.e | Contract Contact Email: | |
| 7.1.f | Contract Contact Phone: | |
| 7.1.g | Contract Approving Authority Name, Title: | |
| 7.1.h | Contract Approving Authority Email: | |
| 7.1.i | Post Award Contact Name, Title: | |
| 7.1.j | Post Award Contact Email: | |
| 7.1.k | Post Award Contact Phone: | |
| 7.1.l | Tax Identification Number: | |
| 7.1.m | Secretary of State Filing Number: | |
| 7.1.n | Active OMES Supplier Registration ID or Bidder ID (PeopleSoft ID, assigned during supplier registration) |
| EXHIBIT 1: BIDDER RESPONSE WORKSHEET | ||
| Any bidder responses left blank to any of the below requirements will not proceed further in the evaluation phase. | ||
| Section Two: Executive Summary and Company Information | ||
| Bidders Instructions | Record Responses Below | |
| 7.2.2.a | Length of time the bidder has been in business. | |
| 7.2.2.b | Brief description of the company. | |
| 7.2.2.c | Number of years the bidder has been providing products and/or services of the type requested. (must be at least 36months) |
| EXHIBIT 1: BIDDER RESPONSE WORKSHEET | ||||
| Items listed below will be filled out and returned on the documents provided | ||||
| 7.3.1. | Completed “Responding Bidder Information” Provided- OMES CP Form 076. | |||
| 7.3.2. | Completed “Certification for Competitive Bid, or Non-Collusion Certificate” Provided- OMES CP Form 004 | |||
| 7.3.3. | Signed Amendments to the solicitation. These documents are generated in the event system and are accessible as soon as they are posted by the contracting officer. They need to be signed and returned by the bidder to ensure acknowledgement of any changes or additional information. | |||
| Any bidder responses left blank to any of the below requirements will not proceed further in the evaluation phase. Insert NA if nothing to report. | ||||
| Section Three: Required Forms, Certificates, Disclosures | ||||
| Bidders Instructions | Record Responses Below | |||
| 7.3.4.a | Any public contract terminated by a governmental entity or suits or claims against the Bidder for failure to perform in connection with a public contract (including any company which a Bidder has merged with or acquired that will be performing services or providing products if awarded the Contract). | |||
| 7.3.4.b | Any contractual relationship or any other relevant contact with any State personnel or another Bidder or Supplier involved in the development of a Bidder’s response to the Solicitation. | |||
| 7.3.4.c | The name of any officer, director or agent of the Bidder who is also an employee of the State or any of its agencies. | |||
| 7.3.4.d | The name of any state employee who owns, directly or indirectly, an interest of five percent (5%) or more in the Bidder firm or any of its branches; and | |||
| 7.3.4.e | Any activity or interest that conflicts or may conflict with the best interest of the State, including but not limited to any person or entity currently under contract with or seeking to do business with the State, its employees or any other third-party individual or entity awarded a contract with the State. Any conflict of interest shall, in the sole discretion of the State, be grounds for rejection of the Bid or partial or whole termination of the Contract. | |||
| 7.3.5. | Certificate of Insurance to meet standards set forth in Attachment B, Section 8, State General Terms. | Bidders Certificate of Insurance to be returned with bid response. |
| EXHIBIT 1: BIDDER RESPONSE WORKSHEET | ||
| Section Four: Bid Portions Requested to be Held Confidential | ||
| Any bidder responses left blank to any of the below will not proceed further in the evaluation phase. Insert NA if nothing to report. | ||
| Bidders Instructions | Record Responses Below | |
| 7.4 | Is any Portion of the bid requested to be held confidential? |
| EXHIBIT 1: BIDDER RESPONSE WORKSHEET | ||
| Section Five: Requested Exceptions to Terms | ||
| Any bidder responses left blank to any of the below will not proceed further in the evaluation phase. Insert NA if nothing to report. | ||
| Bidders Instructions | Record Responses Below | |
| 7.5 | Are there any requested exceptions to the terms set forth? | |
| 7.5.1 | If yes, requested exception or revision to terms or conditions provided are redlined in Word format using track changes. | Name of additional documentation, please attach to bid response |
| EXHIBIT 1: BIDDER RESPONSE WORKSHEET | ||
| Section Six: Additional Bidder Terms | ||
| Any bidder responses left blank to any of the below will not proceed further in the evaluation phase. Insert NA if nothing to report. | ||
| Bidders Instructions | Record Responses Below | |
| 7.6 | Are there any additional Bidder Terms? |
| EXHIBIT 1: BIDDER RESPONSE WORKSHEET | |
| BI.7.7 | Section Seven: Response to Specifications and Requirements |
| Offeror must provide complete and succinct responses to each item below. Insert your responses into this worksheet directly into the yellow boxes If your response does not fit into the boxes below a clearly labeled response (Example: 7.2.etc). will be considered. Offeror should provide all information necessary to demonstrate Offeror’s ability to meet the requirements of this RFP and the RFP’s Scope of Work. Responses to the below questions in this Attachment are mandatory and will be evaluated. Failure to respond to any question may result in your proposal being deemed nonresponsive. Bidders are not required to provide all vehicles or services but must comply and return all requested documentation for any of the services of bid application. A bid offer for a vehicle must be present for an offer for installation, maintenance or repair to be considered. |
| Any bidder responses left blank to any of the below requirements will not proceed further in the evaluation phase. | |||
| Category of Bid | Use Dropdown box to indicate with an X for each bidder offering below. Must move your cursor over each row in Coulmn D to see the drop down. | ||
| 85111617 | Community Based Prevention Services | ||
| Exhibit 4 OR in Attachment A | Location of Services | ||
| See tab 2 | |||
| Exhibit 3 | Bidder Acknowledges Mandatory Specifications | ||
| 1 | Expectations | ||
| 2 | Staffing Requirements | ||
| Attachment A | Technical Response Questions | Record Responses Below- please type below for each row in column D | |
| 3.1.1 | Identify and describe the identified community where the project will be implemented and the population(s) that will be impacted by the infrastructure development in the targeted systems or agencies. Provide a demographic profile of the community of focus in the catchment area in terms of demographics. | ||
| 3.1.2 | Document the need to help reduce the onset and progression of substance misuse and its related problems by supporting the development and delivery of community-based substance misuse prevention and mental health promotion services in the proposed catchment area. This includes information on the service gaps and other problems related to the need for infrastructure development. Identify the source of the data. Briefly describe your understanding of substance use prevention and provide a brief overview of how you propose implementing this project in your community. | ||
| 3.1.3 | Briefly describe the relationship and projects between your organization and the Certified Community Behavioral Health Clinic(s) (CCBHC) and the Federally Qualified Health Center(s) (FQHC) operating in the proposed service area. If no relationship currently exists, how will you develop the relationship. | ||
| 3.1.4 | Please describe your community partners and discuss your understanding of how to leverage shared risk and protective factors in addressing priority substances in your community. Please provide an example of how you have implemented this method in the past and if you have no prior experience in this matter, please provide an example of how you would implement this in your priority community. | ||
| 3.1.5 | Proposed Implementation: Describe the goals and measurable objectives of your proposed project and align them with the Statement of Need. | ||
| 3.1.6 | Describe how you will implement the Required Activities: 1-Needs Assessment, 2-Strategy Selection, 3-Community epidemiological profile, 4-Coalition, organizational, and community readiness assessment, 5-Planning, 6-Logic model, 7-Work Plan, 8-Implementation, 9-Capacity Building (community and coalition), 10-Evaluation | ||
| 3.1.7 | Provide a chart or graph depicting a realistic timeline for the first year of the project period showing dates, key activities, and responsible staff. The timeline cannot be more than two pages. | ||
| 3.1.8 | Capacity: Staff and Organizational Experience. Describe the experience of your organization with reducing the onset and progression of substance misuse and its related problems by supporting the development and delivery of community-based substance misuse prevention and mental health promotion services and similar projects to the population(s) of focus. Identify any other organization(s) that will partner in the proposed project. Describe their specific roles and responsibilities in this project. If applicable, Letters of Commitment from each partner must be included in your bid reponse submission. If you are not partnering with any other organization(s), indicate in response. 2. Provide a complete list of staff positions for the project, including the Key Personnel (Project Director, Data Analyst) and other significant personnel. For each staff member describe their: Role, Level of Effort, and Qualifications, including their experience providing services to the communities(s) of focus. (Letters of Commitment) are to be included as referenced in the Bidder Response Worksheet – Exhibit 1 section 3.1.8 (line 85). | This is for references | |
| 3.1.9 | Evaluation: Data Collection and Performance Measurement 1. Provide specific information about how you will collect the required data for this program and how such data will be utilized to manage, monitor, and enhance the program. Describe your quality improvement efforts and explain how you will use the data to address your identified population of focus and close the gap(s). |
| EXHIBIT 1: BIDDER RESPONSE WORKSHEET |
| Section Eight: Pricing |
| Items listed below will be filled out and returned on the documents provided- Bidder instruction section 7.8 |
| See Cost Template Checklist for explanation of all documents that compose, Exhibit 2: Cost Templates |
| EXHIBIT 1: BIDDER RESPONSE WORKSHEET | |
| Section Nine: Value-Added Products | |
| (Intentionally Omitted) |
| EXHIBIT 1: BIDDER RESPONSE WORKSHEET | |
| Section Ten: Financial Information | |
| (Intentionally Omitted) |
| EXHIBIT 1: BIDDER RESPONSE WORKSHEET | |
| Section Eleven: 3rd Business References | |
| Items listed below will be filled out and returned on the documents provided | |
| Letters of Commitment are to be included as referenced in the Bidder |
Response Worksheet – Exhibit 1 section 3.1.8 (line 85)
| EXHIBIT 1: BIDDER RESPONSE WORKSHEET | |
| Section Twelve: 3rd Party Supplier Information | |
| (Intentionally Omitted) |
Tab 2 for Each Counties
| This tab is provided for the sole purpose of bidding on more than one county | ||||||||||
| EXHIBIT 1: Tab #2 - BIDDER RESPONSE WORKSHEET | ||||||||||
| Instructions: BIDDER must provide complete and succinct responses to each item below. Insert your responses into this worksheet directly into the yellow boxes If your response does not fit into the boxes below a clearly labeled response (Attachment #2). will be considered. BIDDER should provide all information necessary to demonstrate BIDDER’s ability to meet the requirements of this RFP and the RFP’s Scope of Work. Responses to the below questions in this Attachment are mandatory and will be evaluated. Failure to respond to any question may result in your proposal being deemed nonresponsive. You must submit a complete set of responses for each individual county you are bidding on. Incomplete submissions for a specific county may be disqualified from consideration. | ||||||||||
| In Exhibit 1 Section 3.1.1 ( line 78) | From Exhibit 1 Section 3.1.2 (line 79) | Exhibit 1 Section 3.1.3 (line 80) | Exhibit 1 Section 3.1.4 (line 81) | Exhibit 1 Section 3.1.5 (line 82) | Exhibit 1 Section 3.1.6 (line 83) | Exhibit 1 Section 3.1.7 (line 84) | Exhibit 1 Section 3.1.8 (line 85) | Exhibit 1 Section 3.1.9 (line 86) | ||
| Technical Response | Identify and describe the identified community where the project will be implemented and the population(s) that will be impacted by the infrastructure development in the targeted systems or agencies. Provide a demographic profile of the community of focus in the catchment area in terms of demographics. | Document the need to help reduce the onset and progression of substance misuse and its related problems by supporting the development and delivery of community-based substance misuse prevention and mental health promotion services in the proposed catchment area. Include information on the service gaps and other problems related to the need for infrastructure development. Identify the source of the data. Briefly describe your understanding of substance use prevention and provide a brief overview of how you propose implementing this project in your community. | Briefly describe the relationship and projects between your organization and the Certified Community Behavioral Health Clinic(s) (CCBHC) and the Federally Qualified Health Center(s) (FQHC) operating in the proposed service area. If no relationship currently exists, how will you develop the relationship. | Please describe your community partners and discuss your understanding of how to leverage shared risk and protective factors in addressing priority substances in your community. Please provide an example of how you have implemented this method in the past and if you have no prior experience in this matter, please provide an example of how you would implement this in your priority community. | Proposed Implementation: Describe the goals and measurable objectives of your proposed project and align them with the Statement of Need. | Describe how you will implement the Required Activities: Needs Assessment, Strategy Selection, Community epidemiological profile, Coalition, organizational, and community readiness assessment, Planning, Logic model, Work Plan, Implementation, Capacity Building (community and coalition) and Evaluation | Provide a chart or graph depicting a realistic timeline for the first year of the project period showing dates, key activities, and responsible staff. The timeline cannot be more than two pages. | Capacity: Staff and Organizational Experience. Describe the experience of your organization with reducing the onset and progression of substance misuse and its related problems by supporting the development and delivery of community-based substance misuse prevention and mental health promotion services and similar projects to the population(s) of focus. Identify any other organization(s) that will partner in the proposed project. Describe their specific roles and responsibilities in this project. If applicable, Letters of Commitment from each partner must be included in your bid response as as referenced in the Bidder Response Worksheet – Exhibit 1 section 3.1.8 (line 93). If you are not partnering with any other organization(s), indicate in response. 2. Provide a complete list of staff positions for the project, including the Key Personnel (Project Director, Data Analyst) and other significant personnel. For each staff member describe their: Role, Level of Effort, and Qualifications, including their experience providing services to the communities(s) of focus.(Letters of Commitment) are to be included as referenced in the Bidder Response Worksheet – Exhibit 1 section 3.1.8 (line 93). | Evaluation: Data Collection and Performance Measurement 1. Provide specific information about your how you will collect the required data for this program and how such data will be utilized to manage, monitor, and enhance the program. Describe your quality improvement efforts and explain how you will use the data to address your identified population of focus and close the gap(s). | |
| Locations | County | |||||||||
| 1 | Cherokee | |||||||||
| 2 | Craig | |||||||||
| 3 | Creek | |||||||||
| 4 | Kiowa | |||||||||
| 5 | Oklahoma | |||||||||
| 6 | Pawnee | |||||||||
| 7 | Stephens | |||||||||
| 8 | Tulsa - Cannabis | |||||||||
| 8 | Tulsa - Opiods | |||||||||
| 9 | Wagoner | |||||||||
| 10 | Washington | |||||||||
| 11 | Blaine | |||||||||
| 12 | Cimarron | |||||||||
| 13 | Cotton | |||||||||
| 14 | Dewey | |||||||||
| 15 | Ellis | |||||||||
| 16 | Grant | |||||||||
| 17 | Greer | |||||||||
| 18 | Love | |||||||||
| 19 | Murray | |||||||||
| 20 | Noble | |||||||||
| 21 | Caddo | |||||||||
| 22 | Choctaw | |||||||||
| 23 | Hughes | |||||||||
| 24 | Johnston | |||||||||
| 25 | Mayes | |||||||||
| 26 | McCurtain | |||||||||
| 27 | Ofuskee | |||||||||
| 28 | Okmulgee | |||||||||
| 29 | Pittsburg | |||||||||
| 30 | Pushmataha | |||||||||
| 31 | Canadian | |||||||||
| 32 | Carter | |||||||||
| 33 | Comanche | |||||||||
| 34 | Jefferson | |||||||||
| 35 | McIntosh | |||||||||
| 36 | Oklahoma - Cannabis | |||||||||
| 36 | Oklahoma - Opiods | |||||||||
| 37 | Osage | |||||||||
| 38 | Pottawatomie | |||||||||
| 39 | Seminole |
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