08DOA-S2294 RFQ NV Workers Compensation Brokers~5.docx

STATE OF NEVADA

DEPARTMENT OF ADMINISTRATION

Purchasing Division 515 East Musser Street, Suite 300 │ Carson City, NV 89701 Phone: 775-684-0170 │ Fax: 775-684-0188

Request for Qualifications: 08DOA-S2294 For Nevada Workers’ Compensation Brokers

Release Date: 02/13/2022 Deadline for Submission and Opening Date and Time: 03/21/2023 @ 2:00 pm

Single point of contact for the solicitation:

Joel Smedes, Purchasing Officer Phone, 775-684-0172 Email Address, j.smedes@admin.nv.gov

(TTY for Deaf and Hard of Hearing, 800-326-6868 Ask the relay agent to dial, 1-775-515-5173/V.)

TABLE OF CONTENTS

APPLICABLE REGULATIONS GOVERNING PROCUREMENT

All applicable Nevada Revised Statutes (NRS) and Nevada Administrative Code (NAC) documentation can be found at: www.leg.state.nv.us/law1.cfm.

Prospective vendors are advised to review Nevada’s ethical standards requirements, including but not limited to NRS 281A, NRS 333.800, and NAC 333.155.

PROJECT OVERVIEW

The State of Nevada Purchasing Division, on behalf of the Department of Administration’s Risk Management Division is seeking proposals that identify insurance brokers with the appropriate qualifications and experience to assist the Risk Management Division in marketing and structuring its Workers’ Compensation Insurance Program pursuant to NRS 331.184(3) as described in the Request for Qualifications (refer to Section 3) and attachments.

The State intends to establish a small pool of qualified brokers, minimum of two (2) and maximum of five (5) for this purpose. Although up to five (5) brokers may be selected, the Risk Management Division is not obligated to select a specific number of brokers for this purpose. The Risk Management Division will manage any contracts resulting from this Request for Qualifications.

The awarded brokers will be eligible to solicit insurance policy quotes, assist in the development of RFP’s for a variety of unbundled program services such as Claims Administration, Managed Care, Loss Control, Safety Training, Captive Management etc., provide oversight and monitoring of awarded contracts, and provide recommendations regarding program structure at the request of the Risk Manager. Insurance quotations and recommendations may be under varied plans, to include self-insurance.

The State implements a comprehensive Safety/Return to Work Program Report and assistance in the monitoring and development of enhancements to this program may be included as service requests.

Insurance quotations received by the Risk Manager will not be subject to competitive selection.

Use of the broker pool will be at the Risk Manager’s discretion. It is possible that a broker who is selected for inclusion in the broker pool will not be asked to submit insurance response quotes or to provide available services.

The Risk Manager reserves the right to reject any or all responses and purchase insurance directly from an insurer or its agents, without the use of broker services.

The Nevada System of Higher Education (NSHE) may also solicit insurance policy quotes specific to the colleges and universities needs and access related services from brokers selected for this pool.

Brokers may talk to markets on a conceptual basis. A broker’s discussions with a market must not block that market from working with another broker if assigned. Blocking markets will be grounds for disqualifying your firm from further consideration and/or could result in a termination of your contract.

The Risk Manager will assign markets if more than one broker is asked to obtain policy quotes in any given policy period. In this situation, every effort will be given to assign the broker their first-choice preference.

Generally, insurance markets will be assigned as requested by the broker. However, if more than one (1) broker requests the same market, the broker that has the higher premium volume with the requested market, at the time, will be assigned the market. If premium share is relatively equal, market assignments will be determined by lottery. This process, if necessary, will be witnessed by a representative from the State Purchasing Division.

The Risk Management Division may request access to any number of available workers’ compensation services from the firms selected for the broker pool that are available on a fee basis, within budgetary allocations, for the term of the contract or any given policy year within the contract period.

The State’s current program is a large deductible fully insured plan ($2,000,000 per occurrence) that includes police/fire and road construction/maintenance exposure.

Multi-year programs are desirable for the benefit of cost stability during the biennial budget cycle.

The State intends to award multiple contracts in conjunction with this Request for Qualifications (RFQ), as determined in the best interests of the State. The Risk Management Division shall administer the contract(s) resulting from this RFQ. The resulting contract(s) are expected to be for a contract term of five years, anticipated to begin on July 1, 2023, subject to Board of Examiners approval.

AGENCY BACKGROUND

The mission of Risk Management is to preserve and protect State property and personnel. This is achieved by integrating agency programs that systematically identify and analyze exposures to risk, selecting and implementing appropriate risk control strategies, financing anticipated or incurred losses and regular monitoring for continual improvement and enhancement. Please see attachments in section 5.1.2 through 5.1.6 for an overview of the States Workers’ Compensation Program.

REQUEST FOR QUALIFICATIONS

RFQ PROCESS

The process by which RFQ Responses shall be considered for award under this RFQ consists of two (2) distinct stages.

The first stage is a determination of whether the vendor qualifies under the set of General Minimum Qualifications (refer to Section 3.2). If a vendor is determined to not meet any one of the General Minimum Qualifications, the RFQ response in its entirety shall not be considered for award.

The second stage is if the vendor meets all the General Minimum Qualifications, the proposal shall be evaluated to determine if it meets the Technical Minimum Qualifications (refer to Section 3.3). RFQ responses that do not contain the required information shall not be considered for award. Each RFQ response shall be reviewed independently in the Technical Minimum Qualification section.

GENERAL MINIMUM QUALIFICATIONS

Brokerage firms or brokers must demonstrate experience in structuring and obtaining a workers’ compensation insurance program or major components of a program for at least one (1) State government, one (1) large public or governmental entity (3,000+ employees), or one (1) large public entity pool that includes firemen, police and/or corrections, within the past five (5) years. Describe your company’s related experience.

Brokerage firms or brokers must demonstrate experience in negotiating and managing a large deductible plan, a captive plan, a self-insured plan, or major components of a plan such as Claims Administration or Loss Control Services for a large public entity or public/private employer “pool” within the past five (5) years. Describe your company’s related experience.

Brokerage firms or brokers must demonstrate experience and knowledge of the State of Nevada’s unique workers’ compensation laws and an understanding of the legislative reforms that have occurred over the past ten (10) to twelve (12) years. Demonstrate this experience and knowledge in a brief narrative response.

Brokers and key staff must be available to the Risk Management Division during regular business hours (8:00 a.m. – 5:00 p.m., Pacific Time, Monday-Friday, excluding State holidays) and must agree to allow the Risk Manager or designee to communicate directly with the insurer and underwriters upon request. Acknowledge your understanding and agreement with this requirement.

Brokers and key staff must be able to respond to requests and inquiries from the Risk Manager or designee within one (1) business day. Acknowledge your understanding and agreement with this requirement.

Brokers and key staff must be able to meet at least annually or as outlined in the service agreement and provide a stewardship report to discuss goals, outcomes, past performance of vendors or insurers, and any other items related to the state’s workers’ compensation program. The report shall contain a thorough review of the contract deliverables provided and major accomplishments. The meeting’s minutes will be provided to the Risk Manager. Acknowledge your understanding and agreement with this requirement.

Brokers and key staff must be able to submit to a background check or provide a letter of attestation that their employees have had a background check.

Brokerage firms or brokers assigned to work on the State’s account must not have been issued a “Cease and Desist Order” from the Insurance Commissioner in the State of Nevada for any reason within the past five (5) years. Acknowledge this requirement.

The State must place its excess insurance or fully insured plan through a broker who is licensed to do business in the State of Nevada. Acknowledge your understanding of this requirement.

TECHNICAL MINIMUM QUALIFICATIONS

It is mandatory that each component listed below in the Technical Minimum Qualifications be addressed. Failure to address each component shall result in disqualification of the RFQ response.

Vendors proposing to receive funding through this RFQ must provide a detailed description of their proposal service plan, which must include, at a minimum, the following information for each target population for which funding is requested. Please respond to the following items. Please keep your answers concise and number your responses to correspond with each question.

Company Background

Provide a brief history and description of your firm. The description should include the number of employees who specialize in Workers’ Compensation and ancillary fields. Provide the same information and the physical location of offices in Nevada. Please provide copies of appropriate licenses.

Describe the special expertise your firm has in providing Workers’ Compensation insurance and program services to states, large public entities, public entity pools or large self-insured entities.

Describe the variety and types of insurance program plans that individuals who would be designated to work on this account have placed within the past five (5) years.

Provide the State with the names and a summary of the experience of each individual who would be assigned to work on the State account. This should include account executives, marketing personnel, loss control, claims’ administration consulting personnel and others that would actively work on the State account. A resume for each individual must be provided. Identify the individual within your firm who would have overall responsibility for the State account and the office in which each account team member is located.

Provide the names and telephone numbers of at least three (3) references if your company has not previously provided Workers’ Compensation Program services to the State within the past five (5) years. These references must include a state government, large governmental or public entity or other large organization. For each reference also show coverages placed, dates of service (i.e., starting and ending dates) and any additional services that were provided. If your company is already providing one (1) of these program services to the State, you are required to provide only one (1) reference. (Refer to Section 9.8, Business References).

Describe your understanding of some of the unique Workers’ Compensation laws that Nevada has adopted that affect the State of Nevada’s risks, and the unique challenges that you expect the State of Nevada to experience in the administration of its program.

Describe your firm’s policy regarding client-insurer relations and the availability of staff.

Please list the top five (5) insurance carriers you write Workers’ Compensation insurance for in Nevada, and in other States, and your premium volume with each of them.

Describe how you will participate in the continuing development and enhancement of the State’s Workers’ Compensation Program, including recommendations on coverage changes, program design and program adjustments as needed.

Has your firm or any of the brokers who will be assigned to work on the State’s account been issued a “Cease and Desist” order from the Insurance Commissioner in the State of Nevada within the past five (5) years?

Services

Identify your ability to provide any of the following services, vendors must provide enough information for the State to fully understand their ability to provide these services. Identify the current source of the service and at least one (1) client to whom you currently offer the service. In addition, identify a range for the commission or fee for service in Cost- Reimbursement Schedule attachment.

Insurance Policy Procurement

Describe your ability to provide current unbiased information about market conditions and optional programs that would be of interest to the State.

Identify what components of the program you would manage including provision of accurate and timely binders, invoices, claims’ runs, certificates of insurance and other insurance-related documents.

Describe what process and methods you would utilize to market the State’s program to prospective insurers. Keep in mind that the A.M. Best’s Rating of a prospective insurer must be at least an A-VII.

Claims Administration Services

Describe your company’s knowledge and ability to assist in the development of RFP’s and oversight/monitoring services for the various components of a comprehensive claims administration program. This should include such components as Third-Party Administrator (TPA), Managed Care Organization (MCO), Claims Audits, Cost Recoveries, Employer Representation at Hearings and Appeals, etc. = Identify key components and requirements of this program.

Loss Control/Industrial Hygiene and Safety Program Services

Describe Loss Prevention Services including audits, training course (in-person and online) Describe your company’s knowledge and ability to assist in the development of RFP’s and oversight/monitoring services for the various components of an effective program.

Identify if this service is available within your company, if you would provide a subcontractor (and if so, who that would be) or if you would prefer to assist with an RFP.

Actuarial Services/Budget Forecasting.

Claims Management Software Systems/Loss Reporting.

Claims Audits to include Subsequent Injury Review and Subrogation.

Employer representation at Hearings/Appeals/District Court or Supreme Court.

Act as a “pass-through” for issuance and payment of vendor invoices.

Vendor management/oversight services.

Independent medical evaluations/expert medical witnesses.

Vocational Rehabilitation services.

Training and coordination with agency liaisons and Customer Service surveys.

Wellness Programs.

Any other service that may be beneficial/important to the State’s Workers’ Compensation Program.

Conceptual Approach

Describe alternate Workers’ Compensation Programs and approaches you think would be beneficial for the State.

Generally, the State Budget Office requires a cash flow program with a low level of reserves. If practical, use charts or graphs to depict the design of the program.

Discuss important coverage extensions including those for foreign and out-of-state exposures.

Identify any other important program features that distinguish your firm’s qualifications from those of other firms.

Identify and describe any program or enhancement of a current program that would assist in increasing loss prevention and loss control efforts.

Specify the information you would need from the State to market the program.

Describe the method/process you use to determine solutions you recommend to us to improve our overall claim outcomes. Provide three success stories.

What are the most important metrics you recommend we use to determine the outcome our claim process is generating? Explain why they are important to the success of our claim management program and provide us with a visual as to how this information is presented.

How do you evaluate the quality/level of service of a TPA/carrier? What metrics do you use?

How do you monitor the on-going performance of a TPA/carrier and ensure they continue to provide quality performance? Provide an example of any reports you provide to clients during this process.

Describe the method/process you will use to reduce our workers compensation medical costs? Provide an example of three success stories and the metrics you used to confirm success.

Describe the process you use to select a TPA/claim management provider that best fits our needs.

Describe the pros and cons of accelerating our claim closure rate and the factors you recommend we consider when this course of action is under consideration. What analytical models do you employ to aid us in this decision-making process – describe its benefits to our decision-making process.

Describe the extent to which you believe insurers will:

Submit to a background check or provide a letter of attestation that their staff/underwriters have submitted to a background check.

Describe the extent to which you believe insurers will allow the State to:

Designate an independent claims administration firm that the insurer would contract with to provide claims administration services.

Establish claims administration criteria for the insurer such as a dedicated claims unit, claims unit set up and housed with the Risk Management Office or in Carson City, maximum caseload, bonuses for claims adjusters and supervisor reviews.

Insurance Companies

List the insurers (showing the complete name of each), in order of preference that you would approach for providing insurance coverage to the State.

List their current A.M. Best’s rating.

Use the exhibit in Insurance Market Requests attachment to provide the requested information.

Cost – Reimbursement Schedule

FEES AND/OR COMMISSIONS

Fees and/or commissions for any of the Services identified in Section 3.3.4, Services that are requested by the Risk Manager from the contractor, will be negotiated on an annual or multi-year basis, or as identified by the Risk Manager to address the needs of a specific project.

SERVICE REQUEST

Each service request will be documented by the Risk Manager to the contractor through a General Document identified as Service Request A, B, C, etc. This document will identify the terms that are negotiated and agreed to and will be confirmed via authorized signature by both parties.

Services under this contract may be requested by individual agencies through the Risk Manager via the process identified above. In this situation, the Risk Manager, the agency head or designed representative, and the contractor must all sign a document that identifies the services, the negotiated fee, the identified time frame for the service and the method of processing billing and payment for services.

Brokers can be paid a fee or by commission for the insurance brokerage services. What method does your firm prefer and why? Please provide an estimate of the cost of service or percentage of commission fee that would be expected for providing all services related to the State’s Workers’ Compensation Program.

TOTAL COST OF SERVICES/COMMISSION FEES

The total cost of services/commission fees will not exceed $1,000,000 in any fiscal year from the time frame of July 1 through June 30 of the identified year and is subject to budget authority of the affected budgets.

ATTACHMENTS

ATTACHMENTS INCORPORATED BY REFERENCE. To be read and not returned.

Terms and Conditions for Services Current Workers Compensation Program State Administration Manual - Sections 0521 & 0524 State Workers' Compensation Statistics Summary of Exposures State NV Employees by County

ATTACHMENTS FOR REVIEW. To be read and not returned (unless redlining).

Contract Form Insurance Schedule

PROPOSAL ATTACHMENTS. To be completed and returned.

Cost Schedule Insurance Market Requests Proposed Staff Resume Reference Questionnaire Attachments for Signature

Vendor Information Response Vendor Certifications Certification Regarding Lobbying Confidentiality and Certification of Indemnification

TIMELINE

QUESTIONS. All questions regarding this solicitation shall be submitted using the Bid Q&A feature in NevadaEPro.

TIMELINE. The following represents the proposed timeline for this project.

All times stated are Pacific Time (PT).

These dates represent a tentative schedule of events.

The State reserves the right to modify these dates at any time.

EVALUATION

Evaluation and scoring are conducted in accordance with NRS 333.335 and NAC 333.160-333.165.

Proposals shall be kept confidential until a contract is awarded.

In the event the solicitation is withdrawn prior to award, proposals remain confidential.

The evaluation committee is an independent committee established to evaluate and score proposals submitted in response to the solicitation.

Financial stability shall be scored on a pass/fail basis.

Proposals shall be consistently evaluated and scored based upon the following factors and relative weights.

Cost proposals will be evaluated based on the following formula.

Cost Factor Weight x (Lowest Cost Submitted by a Vendor / Proposer Total Cost) = Cost Score

NEVADA-BASED BUSINESS PREFERENCE

The State awards a five percent (5%) preference to Nevada-based businesses pursuant to NRS 333.3351 to 333.3356, inclusive.

Nevada-based business is defined in NRS 333.3352(1).

The term ‘principal place of business’ has the meaning outlined by the United States Supreme Court in Hertz Corp v. Friend, 559 U.S. 77 (2010), typically meaning a business’s corporate headquarters.

To claim this preference a vendor must indicate it on their vendor account and submitted Quote in NevadaEPro.

This preference cannot be combined with any other preference, granted for the award of a contract using federal funds, or granted for the award of a contract procured on a multi-state basis.

INVERSE PREFERENCE

The State applies an inverse preference to vendors that have a principal place of business in a state other than Nevada and that state applies an in-state preference not afforded to Nevada based vendors, pursuant to AB28 passed in the 81st session of the Nevada Legislature.

The amount of the inverse preference is correlated to the amount of preference applied in the other state.

Vendors who meet this criterion must indicated it on their submitted Quote in NevadaEPro.

This preference cannot be combined with any other preference, granted for the award of a contract using federal funds, or granted for the award of a contract procured on a multi-state basis.

MANDATORY MINIMUM REQUIREMENTS

Pursuant to NRS 333.311 a contact cannot be awarded to a proposal that does not comply with the requirements listed in this section. Proposal shall include confirmation of compliance with all mandatory minimum requirements.

NEVADA LAW AND STATE INDEMNITY. Pursuant to NRS 333.339, any contract that is entered into may not: (1) Require the filing of any action or the arbitration of any dispute that arises from the contract to be instituted or heard in another state or nation; or (2) Require the State to indemnify another party against liability for damages.

NO BOYCOTT OF ISRAEL. Pursuant to NRS 333.338, the State of Nevada cannot enter a contract with a company unless that company agrees for the duration of the contract not to engage in a boycott of Israel. By submitting a proposal or bid, vendor agrees that if it is awarded a contract, it will not engage in a boycott of Israel as defined in NRS 333.338(3)(a).

INDEMNIFICATION. Required contract terms on Indemnification: "To the fullest extent permitted by law, Contractor shall indemnify, hold harmless and defend, not excluding the State’s right to participate, the State from and against all liability, claims, actions, damages, losses, and expenses, including, without limitation, reasonable attorneys’ fees and costs, arising out of any breach of the obligations of Contractor under this contract, or any alleged negligent or willful acts or omissions of Contractor, its officers, employees and agents. Contractor’s obligation to indemnify the State shall apply in all cases except for claims arising solely from the State’s own negligence or willful misconduct. Contractor waives any rights of subrogation against the State. Contractor’s duty to defend begins when the State requests defense of any claim arising from this Contract."

LIMITED LIABILITY. Required contract terms on Limited Liability: "The State will not waive and intends to assert available NRS Chapter 41 liability limitations in all cases. Contract liability of both parties shall not be subject to punitive damages. Damages for any State breach shall never exceed the amount of funds appropriated for payment under this Contract, but not yet paid to Contractor, for the Fiscal Year budget in existence at the time of the breach. Contractor’s tort liability shall not be limited."

CONTRACT RESPONSIBILITY. Awarded vendor shall be the sole point of contract responsibility. The State shall look solely to the awarded vendor for the performance of all contractual obligations which may result from an award based on this solicitation, and the awarded vendor shall not be relieved for the non-performance of any or all subcontractors.

DATA ENCRYPTION. State IT requires that data be encrypted in transit and in rest.

STATESIDE DATA. State IT requires that State data assets must be maintained in the United States and data will not be held offshore.

NEVADA BUSINESS LICENSE. Pursuant to NRS 353.007, prior to contract execution awarded vendor must hold a state business license pursuant to NRS chapter 76 unless exempted by NRS 76.100(7)(b).

DISCLOSURE. Each vendor shall include in its proposal a complete disclosure of any alleged significant prior or ongoing contract failures, contract breaches, any civil or criminal litigation or investigations pending which involves the vendor or in which the vendor has been judged guilty or liable.

CRITICAL ITEMS

In addition to the Request for Qualifications (Section 3) and Attachments, the items listed in this section are critical to the success of the project. These items will be used in evaluating and scoring the proposal. Vendor proposal should address items in this section in enough detail to provide evaluators an accurate understanding of vendor capabilities. Proposals that fail to sufficiently respond to these items may be considered non-responsive.

CONTRACT FORM. The State strongly prefers vendors agree to the terms of the attached Contract Form as is. Ability to agree to contract terms is a high priority to the State. Vendors who cannot agree to the contract as is must include a redlined Word version of the attached Contract Form with their proposal response. To the extent a vendor has prior contractual dealings with the State, no assumption should be made that terms outside those provided herein have any influence on this project.

INSURANCE SCHEDULE

The State strongly prefers vendors agree to the terms of the attached Insurance Schedule as is. Vendors who cannot agree must explain which areas are causing non-compliance and attach a red line if necessary.

Awarded vendor shall maintain, for the duration of the contract, insurance coverages as set forth in the fully executed contract.

Work on the contract shall not begin until after the awarded vendor has submitted acceptable evidence of the required insurance coverages.

Failure to maintain any required insurance coverage or acceptable alternative method of insurance shall be deemed a breach of contract.

VENDOR BACKGROUND

Company background/history and why vendor is qualified to provide the services described in this solicitation.

Provide a brief description of the length of time vendor has been providing services described in this solicitation to the public and/or private sector.

VENDOR STAFF RESUMES

A resume shall be included for each proposed key personnel, see Proposed Staff Resume.

A resume shall also be included for any proposed key subcontractor personnel.

SUBCONTRACTORS

Subcontractors are defined as a third party, not directly employed by the contractor, who shall provide services identified in this solicitation. This does not include third parties who provide support or incidental services to the contractor.

Proposal should include a completed Vendor Information Response form for each subcontractor.

Vendor shall not allow any subcontractor to commence work until all insurance required of the subcontractor is provided to the vendor.

Vendor proposal shall identify specific requirements of the project for which each subcontractor shall perform services.

How the work of any subcontractor(s) shall be supervised How channels of communication shall be maintained How compliance with contracts terms and conditions will be assured Previous experience with subcontractor(s)

VENDOR FINANCIAL INFORMATION

The information requested in this section is designated as confidential business information by the Administrator pursuant to NRS 333.020(5)(b) and is not public information pursuant to NRS 333.333.

This information should be submitted as a separate attachment, flagged as confidential in NevadaEPro.

Proposing vendor shall provide the following financial information and documentation:

Dun and Bradstreet Number Federal Tax Identification Number The last two (2) full years and current year interim:

1. Profit and Loss Statements

2. Balance Statements

BUSINESS REFERENCES

The information requested in this section is designated as confidential business information by the Administrator pursuant to NRS 333.020(5)(b) and is not public information pursuant to NRS 333.333.

Vendors shall provide a minimum of three (3) business references from similar projects performed for private and/or public sector clients within the last five (5) years, see Reference Questionnaire.

The purpose of these references is to document relevant experience and aid in the evaluation process.

Business references should return Reference Questionnaire directly to Single Point of Contact via email.

Business references will not be accepted directly from proposing vendor.

The State will not disclose submitted references but will confirm if a reference has been received.

The State reserves the right to contact references during evaluation.

SUBMISSION CHECKLIST

This section identifies documents that shall be submitted to be considered responsive. Vendors are encouraged to review all requirements to ensure all requested information is included in their response.

Proposals must be submitted as a Quote through NevadaEPro, https://NevadaEPro.com.

Vendors are encouraged to submit a single file attachment per proposal section if possible.

Technical proposal information and Cost proposal information shall not be included in the same attachment.

Cost proposal attachment shall not be flagged as confidential in NevadaEPro.

Additional attachments may be included but are discouraged and should be kept to a minimum.

TECHNICAL PROPOSAL

Title Page Table of Contents Response to Mandatory Minimum Requirements Response to Critical Items Response to Request for Qualifications (Section 3) Proposed Staff Resumes Other Informational Material

PROPRIETARY INFORMATION. If necessary. Attachment should be flagged confidential in NevadaEPro.

Title Page Table of Contents Trade Secret information, cross referenced to the technical proposal

COST PROPOSAL

VENDOR FINANCIAL INFORMATION. Attachment should be flagged confidential in NevadaEPro.

SIGNED ATTACHMENTS

Vendor Information Response Vendor Certifications Confidentiality and Certification of Indemnification Certification Regarding Lobbying

OTHER ATTACHMENTS. If necessary, not recommended.

REFERENCE QUESTIONNAIRES. Not submitted directly by vendor.

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