1-HR130437 Onsite Primary Clinic RFP - FINAL.pdf
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- SLCo HR130437 Onsite Primary Medical Clinic
- Solicitation number
- SLCo HR130437 - RFP
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- Salt Lake County, Salt Lake City, Utah
About this file
Summary
This Request for Proposals (RFP) is issued by Salt Lake County's Human Resources Division to solicit qualified healthcare organizations to manage, staff, and operate the County's onsite primary care clinic at the Government Center (2001 South State Street). The County seeks a single provider to deliver comprehensive onsite clinical services including primary care, preventive screenings, chronic disease management, care coordination, and population health management. The RFP was publicly posted on April 9, 2026, with a pre-proposal conference scheduled for April 16, 2026. The deadline for proposal submission is May 7, 2026, at 1:00 p.m. through the Utah Public Procurement Place (U3P) system. Proposers are required to submit three separate PDFs: a program proposal (not exceeding 30 pages), a pricing proposal, and supplemental attachments. The selection committee will conduct proposer presentations and site visits on May 19-20, 2026, with committee meetings on May 21, 2026, and notifications on May 22, 2026. The anticipated contract term is July 1, 2026, through June 30, 2031 (five years), with an option to renew for one additional two-year term under the same terms and conditions.
Proposers must demonstrate a minimum of five years of experience managing onsite or near-site employer-sponsored clinics and financial stability. Pricing must be guaranteed through December 31, 2028, with any requested adjustments thereafter submitted by July 30 for the following calendar year and subject to County approval. The program proposal accounts for 75 percent of the scoring, evaluated across five criteria: Business Model, Qualifications & Experience (15%); Services, Operations & Management (25%); Technology, Data & Analytics (15%); Compliance & Risk Management (15%); and Implementation (5%). Pricing accounts for 25 percent of the scoring. Required insurance includes workers' compensation, commercial general liability ($500,000 per occurrence/$1,000,000 aggregate), and professional liability ($1,000,000 per occurrence/$3,000,000 annual aggregate). The County serves approximately 4,000 eligible employees and their dependents enrolled in self-funded health plans. The County anticipates transitioning to a new campus facility at 799 Coliseum Way, Midvale, within two years. Proposals must address all requirements outlined in the Scope of Work and respond to questions in the Submission and Scoring Questionnaire (Exhibit A).
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Text version
REQUEST FOR PROPOSALS
SALT LAKE COUNTY
Onsite Primary Medical Clinic
RFP # HR130437
Date of Issue: April 9, 2026
Division of Human Resources
Benefits Department
TABLE OF CONTENTS
Part 1: Overview and Instructions
1.1 Purpose of RFP
1.2 Deadline for Proposal Submission
1.3 Projected Schedule for the RFP Process
1.4 Pre-Proposal Conference
1.5 Question Submission
Part 2: Scope of Work and Requirements
2.1 Background
2.2 Scope of Work and Tasks to be Completed
2.3 Length of Agreement
2.4 Fee and Escalation Clause
2.5 Insurance Requirements
2.6 Proposal Format / Submission Requirements
Part 3: Response Evaluation and Notice to Proposers
3.1 Evaluation and Scoring Criteria
3.2 Written Agreement Requirements
3.3 Notice to Proposers
EXHIBIT A – Submission and Scoring Questionnaire
EXHIBIT B – Sample Agreement Acceptance
Attachments
• ATTACHMENT A- Proposal Cover Summary
• ATTACHMENT B - Request for Protected Status
• ATTACHMENT C- Procurement Preference System
• ATTACHMENT D- Environmental Compliance Practices
• ATTACHMENT E- Sample Agreement
Census data and other confidential employee information may be requested through the County’s Benefits Consultant: Gordon Brown, GBS Benefits (gordon.brown@gbsbenefits.com) mailto:gordon.brown@gbsbenefits.com
PART 1: OVERVIEW AND INSTRUCTIONS
1.1 Purpose of the RFP
Salt Lake County, on behalf of its Human Resources Division (“County”), is soliciting proposals from qualified healthcare organizations (“Proposers”) to manage, staff, and operate the County’s onsite primary care clinic located at the Government Center (2001 South State Street).
The current contract is expiring, and as a public sector entity, the County is issuing this new solicitation to identify interested Proposers for services anticipated to begin July 1, 2026.
The County seeks a Proposer that delivers high-quality clinical care, cost-effective services, and overall value. Proposers must demonstrate financial stability and a minimum of five (5) years of experience managing onsite or near-site employer-sponsored clinics.
The selected Proposer should provide:
• Competitive, transparent pricing for administrative and clinical services
• Proven strategies to reduce total cost of care and optimize appropriate utilization
• High standards of clinical quality, patient safety, and regulatory compliance (e.g., HIPAA, OSHA)
• Strong patient engagement and customer service approaches
• Robust reporting capabilities, including key performance indicators (KPIs), health outcomes, and return on investment (ROI) metrics
The County’s objectives include improving employee health outcomes, providing convenient access to care, and reducing overall healthcare costs. Services should emphasize preventive care, chronic disease management, mental health support, and alignment with County health promotion initiatives.
Proposers must demonstrate the ability to deliver comprehensive onsite clinical services, including:
• Primary care
• Preventive screenings
• Chronic condition management (e.g., diabetes, hypertension)
• Care coordination and navigation with community providers
• Data reporting, outcomes tracking, and population health management
It is anticipated that this RFP will result in a contract award to a single provider. This document provides the information necessary for Proposers to submit responsive proposals while allowing flexibility to present additional value-added services. Proposers are encouraged to expand upon the specifications but must address all requirements outlined in the Purpose and Scope of Work.
Any services or enhancements beyond the minimum requirements will be awarded at the County’s sole discretion and, if approved, will be identified and incorporated into the final contract.
1.2 Deadline for Proposal Submission
Proposals must be uploaded before Thursday, May 7, 2026 at 1:00pm in the County’s online solicitation system, the Utah Public Procurement Place (U3P) powered by Jaggaer SciQuest. No proposals will be accepted after the closing date and time.
The proposals may not exceed 30 pages of narrative. Please only include pertinent information related to the specific parameters of this RFP. Reports, sample materials, etc.
should be marked as Exhibits.
1.3 Projected Schedule for the RFP Process
County reserves the right to modify the following schedule at its discretion.
ACTIVITY DATE
Public Posting of RFP April 9, 2026
Pre-Proposal Conference April 16, 2026
Final Day to Submit Questions April 23, 2026
Proposal Due May 7, 2026
Proposer Presentations and Site Visits May 19-20, 2026
Committee Meeting May 21, 2026
Notifications May 22, 2026
Contract Negotiations Completed June 26, 2026
1.4 Pre-Proposal Conference
Interested Proposers are invited to participate in a pre-proposal WebEx meeting to discuss the project and to ask questions about this RFP. It will be held April 16, 2026 at . Please contact Michael Emery at memery@saltlakecounty.gov request the WebEx meeting information.
Proposers are encouraged to submit their questions in writing before the meeting through the County’s online solicitation system the Utah Public Procurement Place (U3P) powered by Jaggaer SciQuest. The meeting is for informational purposes only and is not binding. If the RFP needs to be modified or clarified, the County will issue a written amendment on U3P.
1.5 Question Submission
Questions may be submitted through U3P until the deadline for questions submission, which is Thursday, April 23, 2026 at 1:00pm. Answers to the questions will be posted in U3P for everyone to view. Do not contact County officers or employees, or selection committee members.
mailto:memery@saltlakecounty.gov
PART 2: SCOPE OF WORK AND REQUIREMENTS
2.1 Background
Salt Lake County is a government agency providing benefits to approximately 4000 eligible employees and their dependents. Eligible employees work 20-40 hours weekly, and include individuals in Elected, Appointed and Time-Limited positions.
Clinical services are available to employees, dependents, adult designees, early retirees (under age 65) and their dependents who are enrolled in the County’s medical plans. The County offers a self-funded health plan with both Traditional and High-Deductible options, currently administered by PEHP and Select Health. The onsite clinic is a voluntary benefit designed to provide convenient, high-quality care at a lower cost and be a resource to our employees at-risk for or managing chronic conditions such as diabetes, high blood pressure, etc.
Employees work a variety of schedules, including onsite, remote and hybrid arrangements.
The County has acquired a new campus, 799 Coliseum Way, Midvale, which includes a dedicated facility for a clinic, daycare, and fitness center. Transition to this location is anticipated within the next two years.
2.2 Scope of Work and Tasks to be Completed
The County’s objectives are to reduce healthcare cost trends, improve productivity, provide convenient access to both episodic and ongoing care, and enhance overall employee health outcomes.
The selected Proposer will be expected to deliver high-quality clinical services and administrative support consistent with industry best practices. Key expectations include:
• Cost-effective service delivery and operational efficiency
• Responsive account management and issue resolution
• Accurate and timely reporting
• Ongoing identification of program improvements and value-added services
Proposers must demonstrate the ability to:
• Deliver comprehensive onsite clinical services aligned with the County’s needs
• Support population health initiatives and improve care utilization
• Provide accurate, timely reporting and performance metrics
• Maintain high standards of service, compliance, and patient experience
Additional requirements:
• Participation in the County’s vendor onboarding system (PaymentWorks*) is required;
vendors unable to comply must disclose this in their proposal
*PaymentWorks is a supplier registration & management tool, used in verifying addresses, TIN/Name combinations and bank account information. PaymentWorks is not a payment portal.
Proposals must address the minimum requirements outlined in this Scope of Work and respond to the questions in Exhibit A: Worksheet Questionnaire. Proposers may also include alternative approaches or enhancements, provided all material differences are clearly noted or otherwise identified.
An employee census and other utilization data will be made available upon request for underwriting purposes only. The recipient of any such information agrees to indemnify, defend and hold harmless the County from any claims relating to the recipient’s improper use or disclosure of this protected data.
2.3 Length of Agreement
The County intends to enter into an agreement for the period July 1, 2026, through June 30, 2031, with the option to renew for one (1) additional two-year term under the same terms and conditions. A mutually agreed-upon transition period will be established upon contract award.
The County makes no guarantee of contract award or extension and reserves the right to evaluate performance and costs throughout the contract term, including negotiating pricing or service modifications as needed.
2.4 Fee and Escalation Clause
Pricing must be guaranteed through at least December 31, 2028. Any requested price adjustments thereafter must:
• Include an equivalent guarantee period
• Be submitted by July 30 for the following calendar/budget year (e.g., July 30, 2028, for
January 1, 2029)
• Be supported by sufficient documentation
All pricing changes are subject to County approval and must be formalized through a written contract amendment. The County will receive the benefit of any market reductions or improved pricing during the contract term.
2.5 Insurance Requirements
Insurance will be required for the amounts listed below. Please refer to the attached example agreement for information concerning insurance requirements.
A. Workers' compensation and employer's liability insurance as required by the State of Utah.
B. Commercial general liability insurance in the minimum amount of $500,000 per occurrence with a $1,000,000 general policy aggregate.
C. Professional liability insurance in the minimum amount of $1,000,000 per occurrence with a $3,000,000 annual policy aggregate limit.
D. The Contractor shall not operate a vehicle in connection with any services rendered under this Agreement. Inasmuch as the Contractor agrees not to operate a vehicle in connection with services rendered under this Agreement, the County shall not require the Contractor to provide commercial automobile liability insurance
2.6 Proposal Format / Submission Requirements
Proposals should be submitted via the online solicitation system (U3P). All proposals should be formatted as three (3) separate PDFs: a program proposal, pricing proposal, and supplemental exhibits. NO MORE THAN THREE (3) SEPARATE DOCUMENTS SHOULD BE
SUBMITTED.
Proposals must respond to the elements outlined in 3.1 Evaluation and Scoring Criteria and conform to the following submission requirements:
PDF #1: Program Proposal
A. The narrative response, which may not exceed 30 pages.
a. The narrative is requested to include a 1 or 2-page executive summary highlighting the key features of the proposal. The reader should be able to determine the essence of the proposal by reading this executive summary.
B. The proposal should include all exhibits which do not count toward the narrative limit.
C. The program PDF is limited to 10 MB to allow for electronic distribution.
PDF #2: Pricing Proposal
PDF #3: Attachments
A. Attachment A (Required)
B. Attachments B, C, D, E (Optional)
1. If requesting preferences, include a completed Attachment C and proof.
(Refer to Section 3.1/3.1.C)
2. If requesting alterations per Section 3.2 of this RFP, include a PDF of items requested and reasonable alteration desired.
3. If requesting protected record status as allowed, include Attachment B and a redacted program proposal. (Refer to Section 3.3.A of this RFP for details.)
Failure to provide a redacted copy, or otherwise comply with the requirements, waives your request for protected records.
All documents submitted in response to this RFP will be treated as public records in accordance with GRAMA unless a claim of business confidentiality is submitted.
PART 3: RESPONSE EVALUATION AND NOTICE TO PROPOSERS
3.1 Evaluation and Scoring Criteria
The program proposal will be evaluated, scored, and ranked by a Selection Committee. Each member of the committee will be provided a score sheet to complete the evaluation using the point system listed below. Committee Members individually score the proposals and rank them according to their total score. The following point system is utilized:
• Excellent (5): If the proposal offer exceeds expectations, with an excellent probability of success in achieving all requirements of the RFP, and is very detailed in providing innovative ideas, new concepts, or optional features applicable to the project; a score of "5" is given.
• Good (4): If the proposal offers a very good probability of success, achieves all requirements of the RFP in a reasonable fashion and provides some innovative ideas, new concepts, or optional features applicable to the project; a score of "4” is given.
• Acceptable (3): If the proposal offers a reasonable probability of success, but some of the requirements may not be met and does not include innovative ideas, new concepts, or optional features applicable to the project; a score of "3" is given.
• Poor (1-2): If the proposal falls short of expectations and has a low probability of success; a score of "1” or “2" is given.
• Unacceptable: If the approach completely fails the requirements; a score of “0" is given.
Proposals will be evaluated, scored, and ranked on the following criteria.
A. Program Proposal
The program proposal will be evaluated, scored, and ranked by a Selection Committee. Proposals should address the minimum requirements stated in the Scope of Work and questions asked in Exhibit A: Worksheet Questionnaire.
The evaluation criteria and weighting are shown below. Each member of the committee will be provided with a score sheet to complete the proposal evaluation.
The program proposal accounts for 75% of the scoring in the finalist selections.
15% | Business Model, Qualifications & Experience
25% | Services, Operations & Management
15% | Technology, Data & Analytics
15% | Compliance & Risk Management
5% | Implementation
B. Pricing Proposal
Pricing shall account for the remaining evaluation criteria and weighting as shown below. The pricing proposal should be set forth as a total annual cost. Pricing should include the cost of delivering all services required to set up and deliver ongoing administration. Pricing for ad hoc or supplemental services should be included in the proposal. No additional reimbursement beyond the annual cost will be considered unless the County agrees to additional service fees as listed in the pricing proposal.
25% | Price
C. Preference System
Salt Lake County may adjust scoring pursuant to its Preference System established by ordinance and policy. Please refer to the preference system attachment and include the preference information in the pricing proposal if requesting.
D. Interview, Demonstration, and Site Visit.
The Selection Committee may invite Proposers for an interview, demonstration, or conduct a site visit. The purpose is clarification and verification of the written proposal. The Selection Committee may re-score the proposal after the interview, demonstration, or site visit.
E. Recommended Award
After the Selection Committee has completed their evaluation process, the Selection Committee will then present a recommendation for award to the proper signing authority for authorization to negotiate a contract with the top-ranked Proposer.
F. Debrief Meetings
Debrief meetings with the selection committee members will not be allowed, however, a Proposer may discuss the RFP process with the chair/facilitator of the committee at any time.
3.2 Written Agreement Requirements
The selected Proposer must agree to all requirements in the RFP scope of work. The selected Proposer must also be willing to enter into a written agreement with County and agree to all the terms set forth in the Example Agreement, attached to this RFP.
If you wish to request alterations to the RFP, including any of the terms of the example RFP Agreement, or any of the exhibits, attachments, or addenda, the alterations must be specifically identified in your proposal with reasonable alternatives presented. Any such exceptions must be submitted in a separate sealed envelope, and clearly marked as "Requested Alterations." Only those alterations so specified will be available for discussion or negotiation. Proposer understands that deviations from the Example Agreement are made at the County's sole discretion.
Proposers are advised that the County is not bound by the terms of the RFP until a written agreement is fully executed and any activity taken on by the Proposer prior to full execution of a written agreement is done at the Proposer's sole risk.
3.3 Notice to Proposers
By submitting a proposal to this RFP, Proposer understands and agrees to the following:
A. Government Records Access and Management Act (GRAMA}: County is a governmental entity subject to the Utah Government Records Access and Management Act ("GRAMA"), Utah Code Ann. §§ 63G-2-101 to -901. As a result, County is required to disclose certain information and materials to the public, upon request. Generally, any document submitted to County is considered a "public record" under GRAMA. Any person who provides to County a record that the person believes merits protection under subsection 63G-2-305(1) or (2) must submit with their proposal both: (1) a written claim of business confidentiality and (2) a concise statement of reasons supporting the claim of business confidentiality. Generally, GRAMA only protects against the disclosure of trade secrets or commercial information that could reasonably be expected to result in unfair competitive injury. For your convenience, County has provided a Business Confidentiality Request Form which is attached to this RFP as Attachment B. All documents submitted in response to this RFP will be treated as public records in accordance with GRAMA, unless a claim of business confidentiality has been properly made and approved by County. All proposed costs/pricing/fees submitted to the county are public records. An entire proposal cannot be identified as "PROTECTED," "CONFIDENTIAL," or "PROPRIETARY" and may be considered non-responsive if marked as such.
B. Copyrighted Material Waiver: In the event that the proposal contains copyrighted or trademarked materials, by submitting its proposal the Proposer grants the County the right to use, reproduce, and publish the copyrighted or trademark materials in any manner the County deems necessary for conducting County business and for allowing public access to the responses under GRAMA or otherwise, including but not limited to photocopying, County Intranet/Internet postings, broadcast faxing, and direct mailing.
If the proposal contains materials whose copyright or trademark is held by a third party, it is the Proposer's sole responsibility to obtain permission from that third party for the County to reproduce and publish the information.
By submitting its proposal, the Proposer certifies that it owns or It has obtained all necessary approvals for the reproduction or distribution of the contents of the proposal and agrees to indemnify, protect, save and hold the County, its representatives and employees harmless from any and all claims arising from all intellectual property claims related or connected to the proposal and agrees to pay all legal fees incurred by the County in the defense of any such action.
C. Restrictions On Communications: From the issue date of this solicitation until a Proposer is selected and the selection is announced, Proposers are prohibited from communications regarding this procurement with agency staff, evaluation committee members, or other associated individuals EXCEPT the Buyer overseeing this procurement. Failure to comply with this requirement may result in disqualification.
D. RFP Cancellation: This RFP may be cancelled at any time prior to the execution of a written agreement if deemed in the best interests of County. This includes cancellation of the RFP after an award has been made, but prior to the execution of a written contract. Proposer is not entitled to recover any costs related to the preparation of the proposal due to cancellation of the RFP or withdrawal of an award prior to the execution of a written agreement.
E. Firm Pricing: All prices, quotes, or proposals are to remain firm for 120 days after the closing date, unless a different period is stated in County's RFP. Any proposal that does not offer to remain firm for the required period may be considered non-responsive.
F. Costs: Proposer bears all costs and expenses related to this RFP including, but not limited to, preparation and delivery of the proposal, attending the pre-proposal conference, and attending the interview.
G. Licensing: All applicable federal, state, and local licenses must be acquired before the contract is entered into between County and the selected Proposer. Licenses must be maintained throughout the entire contract period. Persons doing business as an Individual, Association, Partnership, Corporation, or otherwise must be registered with the Utah State Division of Corporations and Commercial Code. NOTE: Forms and information on registration may be obtained by calling (801) 530-4849 or toll free at 877-526-3994, or by accessing: www.commerce.utah.gov.
H. Changes or Modifications: Any changes or modification to the RFP will be made by written addendum. Proposers submitting a proposal based on any information other than that contained in County's RFP and any addenda, do so at their own risk.
I. Receiving Proposals: Contracts and Procurement will administer receipt and opening of all proposals. Proposals will be held, unopened, by Contracts and Procurement in the same condition as received if delivered prior to the date and closing time designated in the RFP. After the closing time, only the identity of each Proposer will be made public. If only one proposal is received in response to County request, Contracts and Procurement, in coordination with the agency requesting the project, may recommend entering a contract to the single Proposer if the conditions cited above are met.
Alternatively, Contracts and Procurement may resolicit for the purpose of obtaining additional proposals.
J. Modifying or Withdrawing Proposals: Proposer may modify or withdraw their proposals at any time prior to the closing time. Requests to modify a proposal before the closing time must be made in writing to the County.
K. Rejection of Proposals: Any proposal containing significant deviations from the specifications of the RFP will be considered non-responsive and may be rejected in whole or in part.
L. Protests: Pursuant to Salt Lake County Code of Ordinances § 3.20.150, a protest regarding the RFP document must be submitted in writing prior to the RFP closing date.
All other protests must be submitted in writing within five (5) business days after notification of the award is posted on U3P. A protester may file only one (1) protest http://www.commerce.utah.gov/ after the RFP closing date. Protest letters must specifically and completely state the facts that the protester believes constitute error in the RFP document or the award.
M. Free and Competitive Selection: Any agreement or collusion among prospective Proposers to fix a price or limit competition will render the proposal void, and such conduct is unlawful and subject to criminal sanction. By submitting a proposal, the Proposer hereby certifies that no one in its firm or company has either directly or indirectly restrained free and competitive selection, participated in any collusion, or otherwise taken any action unauthorized by County Purchasing Ordinances or applicable law.
N. Ethical Standards: Proposer represents that it has not: (a) provided an illegal gift to any County officer or employee, or former County officer or employee, or to any relative or business entity of a County officer or employee, or relative or business entity of a former County officer or employee; (b) retained any person to solicit or secure this contract upon an agreement or understanding for a commission, percentage, brokerage or contingent fee, other than bona fide employees of bona fide commercial agencies established for the purpose of securing business; (c) breached any of the ethical standards set forth in State statute or Salt Lake County Code of Ordinances§ 2.07; or (d) knowingly influenced, and hereby promises that it will not knowingly influence, any County officer or employee or former County officer or employee to breach any of the ethical standards set forth In State statute or Salt Lake County ordinances.
O. Campaign Contributions: The Salt Lake County campaign finance disclosure ordinance limits campaign contributions by Proposers to County candidates. Salt Lake County Code of Ordinances § 2. 72A. Proposer acknowledges and understands those limitations on campaign contributions mean tat any person, business, corporation, or other entity that enters a contract or is engaged in a contract with County is prohibited from making campaign contributions in excess of $100 to County candidates during the term of the contract and during a single election cycle as defined in the ordinance. Proposer further acknowledges that violation of those provisions governing campaign contributions may result in criminal sanctions as well as termination of this Agreement.
P. Reasonable Accommodations: Reasonable accommodations for qualified individuals to attend meetings may be provided upon receipt of a request with two (2) working days' notice. Please contact Contracts and Procurement at 385.468.0306. TTY users may call 711.
Q. Environmentally Responsible Procurement Practices: In compliance with Executive Order #2013-4, County has implemented environmentally responsible procurement practices. Please refer to Attachment D.
R. Notice to Retirees of Utah Retirement Systems ("URS"): County is a URS "participating employer." Entering into an agreement with County may affect a URS retiree's retirement benefits including, but not limited to, cancellation of the retiree's "retirement allowance” due to "reemployment" with a “participating employer'' pursuant to Utah Code Ann.§ 49-11-504 to -505. In addition, Proposer is required to notify County immediately if a retiree of URS is the Proposer, or an owner, operator, or principal of the Proposer. Proposer may refer the URS retiree to the URS Retirement Department at 801-366-7770 or 800-695-4877 for all questions about post-retirement employment regulations.
S. Employee Status Verification System: Proposer shall register and participate in the Status Verification System before entering a contract with County as required by Utah
Code Ann.§63G-12-302. The Status Verification System is an electronic system operated by the federal government, through which an authorized official of a state agency or a political subdivision of the state may inquire by exercise of authority delegated pursuant to 8 U.S.C. § 1373 to verify the citizenship or immigration status of an individual within the jurisdiction of the agency or political subdivision. Proposer is individually responsible for verifying the employment status of only new employees who work under Proposer's supervision or direction and not those who work for another Proposer or subcontractor, except each Proposer or subcontractor who works under or for another Proposer shall certify to the main Proposer by affidavit that the Proposer or subcontractor has verified, through the Status Verification System, the employment status of each new employee of the respective Proposer or subcontractor. The Proposer shall comply in all respects with the provisions of Utah Code Ann. § 63G-12-302.
Proposer's failure to comply with this requirement may result in the immediate termination of its contract with County.
Created 3/2026
Salt Lake County RFP for Onsite Primary Medical Clinic
Exhibit A – Submission and Scoring Questionnaire
Program Proposal Criteria & Weighting:
• Business Model, Qualifications & Experience | 15%
• Services, Operations & Management | 25%
• Technology, Data & Analytics | 15%
• Compliance & Risk Management | 15%
• Implementation | 5%
1. Organizational Experience & Qualifications
• Provide a brief overview of your organization, including history, business philosophy, and management structure.
• Describe your experience managing onsite or employer-sponsored clinics of similar size and scope?
• How long have you been providing clinic management services?
• How many primary care clinics have you managed for five (5) or more years?
• How many of your clients are in the public sector or have a similar workforce?
• What differentiates your organization from competitors?
2. Staffing Model & Provider Management
• Describe your approach to recruiting, credentialing, and retaining providers.
• How do you ensure continuity of care and minimize provider turnover?
• How is provider performance measured and managed?
• How do you measure and monitor patient satisfaction?
3. Financial Model & Pricing
• Describe your pricing structure (e.g., PEPM, administrative fees) and insurance billing process.
• Clearly identify included vs. excluded services and costs.
• Is your pricing fully transparent? Identify any additional or variable fees.
• How do you measure and report return on investment (ROI), and how frequently?
• Do you offer performance guarantees?
4. Scope of Services & Care Model
• Describe your standard clinic management model, including services offered (e.g., primary care, preventive care, urgent care, occupational health, behavioral health).
• How do you determine the appropriate scope of services for a given population?
• Describe your approach to chronic condition management and preventive care.
• Do you offer virtual care or telehealth? If so, describe capabilities and integration.
• Based on a 40-hour (Monday–Friday) clinic, describe your recommended staffing model.
• Provide role descriptions and minimum qualifications (licenses, certifications, experience) for each proposed staff role.
• Will the County have input in the selection of clinic staff?
• Can you consider retaining our current providers?
5. Operations & Clinic Management
• Describe day-to-day clinic operations, including scheduling, walk-ins, and same-day access.
• What are your standard hours of operation and flexibility options?
• What appointment lengths do you recommend, including for chronic care visits?
Clinical Services & Programs
• Provide a list of primary care services offered.
• Describe disease management programs and physician involvement.
• At what ages are dependents eligible for care?
Diagnostics & Labs
• List onsite diagnostic and lab services, including biometric screenings.
• What are typical turnaround times for lab results?
Pharmacy & Medications
• Do you dispense medications onsite? If yes:
o How are medications selected and managed?
o Are costs pass-through or included in management fees?
o How do you ensure patient safety (e.g., interaction checks, counseling)?
o What are storage and handling requirements?
Patient Fees & Billing
• Do you collect payment at the time of service?
• What payment methods are accepted (cash, card, HSA/FSA)?
• What is your process if a patient is unable to pay at the time of service?
• Do you charge a missed appointment fee? If so, how is this collected?
Additional Services
• Do you provide drug testing in compliance with Utah Drug-Free Workplace requirements? If yes, describe.
• Do you support occupational health services (e.g., injury care, return-to-work)?
Facilities & Supplies
• How are medical equipment, supplies, and biohazard waste managed?
• What items are included in the management fee?
Engagement & Account Management
• How do you promote clinic utilization and engage hard-to-reach populations?
• Describe your account management structure, including key contacts, location, and experience.
6. Data, Reporting & Analytics
• What key performance indicators (KPIs) do you track?
• Describe your reporting capabilities, including frequency and standard reports.
• How do you measure outcomes such as cost savings, utilization, and health improvements?
• Do you provide benchmarking against similar populations?
• What data is available for third-party analysis (e.g., encounters, biometrics, labs, medications)?
• Are reporting and data services included in the management fee?
7. Technology & Integration
• What electronic medical record system do you use?
• Can your systems integrate with employer benefits, health plans, or third-party data analytics vendors?
• How do you ensure data security and HIPAA compliance?
• Do you offer patient portals, mobile apps, or digital engagement tools?
8. Compliance & Risk Management
• How do you ensure compliance with federal, state, and local regulations?
• What is your approach to clinical governance and oversight?
• How do you manage risk, liability, and malpractice coverage?
o Do you carry professional liability insurance for all staff members?
• Please disclose any past or pending compliance issues or litigation.
• Please disclose any conflicts of interest that exist or may exist in the future
9. Performance Guarantees & Accountability
EXHIBIT B – Sample Agreement Acceptance or Alternate Proposed
Choose the option below that applies regarding acceptance of the sample agreement included in the Request for
Proposal (RFP).
(___) 1. Proposer affirms acceptance of the Request for Proposal (RFP) and included sample agreement, and Proposer takes no exception, nor will put forth any additional or conflicting terms and conditions, contracts, or third-party agreements for consideration should the Proposer be awarded the contract.
(___) 2. Proposer takes exception to the sample agreement included in the Request for Proposal and includes those exceptions below along with proposed terms and conditions, additional contracts, or third-party agreements the Proposers requests County to consider should the Proposer receive an award of the contract. Proposer understands that deviations from the Example Agreement are made at the County’s sole discretion.
REQUIRED IF EXCEPTIONS TAKEN: A concise written statement below detailing exceptions to the sample agreement included as part of the Request for Proposal. Include additional pages and attachments as necessary such as terms and conditions, contracts, and/or third-party agreements also to be considered.
NOTE: Failure to submit this exhibit as part of proposal will be considered affirmation of acceptance of the
Request for Proposal (RFP) and included sample agreement and Proposer takes no exception, nor will put forth any terms and conditions, contracts, or third-party agreements for consideration should the Proposer be awarded the contract.
County reserves its right to award the next highest ranked proposer should an acceptable agreement cannot be reached between Proposer and County.
Attachment A - Request for Proposals Cover Summary t
Legal Name
Doing Business As (if applicable)
Address City State Zip Code
Contact Person after contract award Telephone Number
E-mail Contact
I certify that to the best of my knowledge the information contained in this proposal is accurate and complete and that I have the legal authority to commit this organization to a contractual agreement. I realize the final funding for any service is based upon funding levels and the approval of the Mayor for Salt Lake County.
Proposer Authorized Representative Type or Print Name
Date
Position or Title
Signature required when submitting hard copy.
Electronic signature acceptable if an electronic proposal is allowed.
X
Proposer
Please include one or two e-mail address for notification of an interview.
Name, telephone number, E-mail address
Attachment B
REQUEST FOR PROTECTED RECORD
(Business Confidentiality Claim)
I request that the attached/enclosed information (record) provided to Salt Lake County, or any of its agencies (divisions or programs), be considered confidential and given protected status as defined in Utah’s Government Records Access and Management Act (“GRAMA”).
Name and Address of business and representative making this confidentiality claim:
Description of the information (record) which is to be covered by this confidentiality claim and which you believe qualifies for protected status:
The following reasons support this claim of business confidentiality and protected status under Utah Code Ann. § 63G-2-305 (please check all of the following that apply):
(___) 1. The record provided is a trade secret as defined in Utah Code Ann. § 13-24-2 (See Utah Code Ann. §§ 63G-2-305(1) and 63G-2-309).
(___) 2. The record is commercial or non-individual financial information and: (a) disclosure of the information could reasonably be expected to result in unfair competitive injury to the person submitting the information or would impair the ability of Salt Lake County, or its agencies, to obtain necessary information in the future; and (b) the interest of the provider in prohibiting access to the information is greater than the interest of the public in obtaining access. (See Utah Code Ann. §§ 63G-2-305(2) and 63G-2-309).
REQUIRED: A concise written statement supporting a business confidentiality claim, as required by Utah Code Ann. § 63G-2-309(1). Attach additional sheets if necessary.
NOTE: Claimant shall be notified if a record claimed to be protected is classified public or if the determination is made that the record should be disclosed because the interests favoring access outweigh the interests favoring restriction of access. Records claimed to be protected under this business confidentiality claim may not be disclosed until the period in which to bring an appeal expires or the end of the appeals process, including judicial appeal, unless the claimant, after notice, has waived the claim by not appealing within thirty (30) calendar days. See Utah Code Ann § 63G-2-309(2). The procedure to appeal a GRAMA classification within thirty (30) calendar days is described in Countywide Policy 2040, which can be found on the County’s website www.slco.org or by typing the following link into your address bar:
https://slco.org/globalassets/1-site-files/policies/countywide/2040.pdf?v=03282022114310737.
Signature of Claimant Representative: _________________________________ Date: ____________________
Claimant Representative Name and Title: ________________________________________________________ http://www.slco.org/ https://slco.org/globalassets/1-site-files/policies/countywide/2040.pdf?v=03282022114310737
Preference System Updated 5.5.23
SALT LAKE COUNTY CONTRACTS & PROCUREMENT
ATTACHMENT C - PREFERENCE SYSTEM
Salt Lake County may award bids or adjust scoring to a proposal through a preference system. One or more preferences may accrue to vendors who submit responsible, responsive offers if other factors are met.
Vendors may request the following preferences:
• Employee Health Care Preference
• Veterans and Companywide Hiring Preference
Employee Health Care Preference The Health Care Preference shall accrue to vendors who currently provide and will maintain the following through the term of the contract with the County:
• A health benefit plan, as defined by Utah Code Ann. § 26-40-115(1), made available to the vendor’s covered employees and their dependents.
• A copy of the health benefits certificate or a letter signed by the vendor's carrier detailing coverage and dates of coverage of the health care benefits.
Veterans and Companywide Hiring Preference The Veterans and Companywide Hiring Preference shall accrue to vendors who currently provide and will maintain all of the following through the term of the contract with the County:
For veterans:
• A completed and signed certificate explaining its program to actively recruit and employ veterans that includes the success rate of its program by listing the percentage of its workforce that qualifies as veterans under this policy;
• A completed and signed certificate verifying that a vendor has employed, and is currently employing, at least one veteran under its recruitment program;
Companywide:
• A drug and alcohol testing policy that applies to all covered individuals employed or hired by the vendor and requires covered individuals to submit to random testing;
• A job training program recognized by a federal, state, or local governmental entity; and,
• A job safety program that complies with job safety and health standards of the Occupation and Safety Health Administration (OSHA) or the state standards which are at least as effective as the federal standards.
https://le.utah.gov/xcode/Title26/Chapter40/26-40-S115.html?v=C26-40-S115_2019051420190514
Preference System Updated 5.5.23
REQUIREMENTS
If required certification form and preference documentation is not received with the proposal, the County will not consider the preference request.
The County maintains the right to monitor the vendor's compliance of any preference status. Violation of this contract condition shall be the basis for immediate termination of the contract for default by the vendor.
Request for Proposals (RFPs) A proposer may receive one (1) point added to the total score of its proposal for each of the preferences offered herein for which the proposer qualifies.
Updated 5.5.23 Preference System
PREFERENCE CERTIFICATION FORM
YOU MUST CHECK THE BOX FOR EACH PREFERENCE OPTION CLAIMED
If you do not include this completed certification form along with required documentation with your bid or proposal submission, your preference request will not be considered.
Employee Health Care Preference – Currently provide and will maintain qualifying health benefits to covered employees and dependents through the term of the contract with the county. A copy of the health benefits certificate or a letter signed by the vendor's carrier detailing coverage and dates of coverage of the health care benefits must accompany the bid or proposal to have the preference request accepted.
Veterans and Companywide Hiring Preference – Currently provide and will maintain all of the following programs through the term of the contract with the county:
Veterans and Companywide Hiring Preference Certification Form
Company Name:
Explanation of Program to Actively Recruit and Employ Veterans*:
Percentage of workforce that qualifies as veterans:
Vendor has employed, and is currently employing, at least one Veteran under its recruitment program. Yes No *For purposes of this section of County Policy, a veteran is an individual who has served on active duty in the armed forces of the United States for more than 180 consecutive days; or, was a member of a reserve component who served in a campaign or expedition for which a campaign medal has been authorized and who has been separated or retired under honorable conditions; or, has incurred an actual service-related injury or disability in the line of duty.
Vendor maintains a drug and alcohol testing policy that applies to all covered individuals employed or hired by the vendor and requires covered individuals to submit to random testing. Yes No
Updated 5.5.23 Preference System
Vendor maintains a job training program recognized by a federal, state, or local governmental entity. Yes No
Vendor offers a job safety program that complies with job safety and health standards of the Occupation and Safety Health Administration (OSHA) or the state standards which are at least as effective as the federal standards. Yes No
By signing below, vendor certifies that the information provided on this Veterans and Companywide Hiring Preference Certification Form is true and correct as of the time of submitting this bid or proposal.
Vendor’s Signature:
Attachment D - Environmental Compliance Practices
Vendor Compliance Statement and Non-Debarment Certification
1. Salt Lake County has implemented environmentally responsible procurement practices. The County requires all persons, businesses, corporations and other entities doing business or entering into a contract with the County to comply with all federal, state and local environmental laws, rules and regulations. Compliance with environmental laws, rules and regulations is a relevant factor in evaluating the integrity and responsibility of a business. The county, in its sole discretion, may not solicit proposals from, award contracts to, procure, or otherwise enter into business arrangements with any person, business, corporation or other organization that is noncompliant. If a vendor is suspended, proposed for debarment, debarred, ineligible or excluded from contracting with another government entity due to environmental non-compliance, the County in its sole discretion, may deem the vendor non-responsible and decline to award a contract.
2. Based on the foregoing, the vendor certifies, to the best of its knowledge, that neither the vendor nor any owner, officer or agent of the vendor:
2.1 is presently debarred, suspended, proposed for debarment, declared ineligible, or excluded from the award of a contract or purchase by any federal, state or local agency based on a finding, determination, notice of violation or order of environmental non-compliance;
2.2 is presently indicted or charged by a government entity in a criminal, civil or administrative proceeding with the commission of any offense, violation, or failure to comply with any federal, state, or local environmental law, rule or regulation, indicating a lack of business integrity or business honesty affecting its responsibility as a county vendor;
2.3 has, within the last three (3) years, been convicted, or had a civil judgment or administrative order rendered against it for any offense or violation, including but not limited to environmental noncompliance, indicating a lack of business integrity or business honesty affecting its responsibility as a county vendor;
2.4 has, within the last three (3) years, had a contract/purchase terminated due to an act or omission, including but not limited to environmental non-compliance, demonstrating a lack of business integrity or business honesty affecting its responsibility as a county vendor.
3. Vendor shall require any sub-vendor to disclose in writing, whether at the time of the award of the subcontract, the sub-vendor complies with the certification requirements in subparagraphs 2.1, 2.2, 2.3 and 2.4 above.
4. Vendor shall immediately notify the county in writing if, at any time before the award, the vendor learns that its certification was erroneous when submitted or has since become erroneous because of changed circumstances.
5. If it is later determined that vendor knowingly rendered an erroneous certification under this provision, in addition to other available remedies, the county in its sole discretion, may terminate the contract/purchase for default.
Revised Sept 2019
County Contract No. _________
Agreement between Salt Lake County and _____________________________ for
__________________ Software
This Agreement is between Salt Lake County, a body corporate and politic of the State of
Utah (“County” or “Licensee”) and
_______________________________________________________ (“Contractor” or
“Licensor”). County and Contractor may be referred to as “the parties.”
RECITALS
A. On ________________________, 20______, County issued RFP #
_________________ for _____________________________________, including Amendment 1 and Amendment 2 (the “RFP”).
B. On ________________________, 20____________, Contractor submitted a proposal and corresponding pricing proposal in response to County’s RFP (“Contractor’s
Response”).
C. On ____________________, 20_____, the mayor or designee approved the recommendation of the RFP selection committee to enter into this Agreement with Contractor.
THEREFORE, the parties covenant and agree as follows:
1. SCOPE OF SERVICES
1.1. The Salt Lake County Standard Information Technology Terms and Conditions (“Terms and Conditions”), attached hereto as Addendum 1, is incorporated by reference into this
Agreement.
1.2. Contractor agrees to provide ______________________________________________
(the “System”), as requested and required in the RFP, attached and hereby incorporated into this Agreement as Addendum 2, as outlined in Contractor’s Response attached and hereby incorporated into this Agreement as Addendum 3.
1.3. The Agreement and the addenda are complementary, and what is called for by any one of them shall be as binding as if called for by all. Although certain provisions of
Addendum 1, 2, and 3 are not expressly set forth in this Agreement, those provisions shall have the same force and effect as though fully set forth unless said provisions conflict, either directly or indirectly, with other provisions stated in this Agreement or in any other Attachment. In the event of inconsistency between any provision of the
Addenda with the provisions in any other Addendum or in this Agreement, the provisions that control shall be determined in accordance with the order of precedence set forth in Paragraph 34 of this Agreement.
1.4. SOFTWARE [Actual provisions may vary based on type of software services purchased.]
ATTACHMENT E - Example Agreement
1.4.1. “Software” means _______________________ [clearly define using Vendor name, software name, version number, formatting, and platform (windows, OSX, Linux].
1.4.2. (Choose the grant of license language based on the type of software we are purchasing: Installed on local machines/servers; Web based software; development
Software.)
1.4.2.1. Locally installed: [Contractor hereby grants County a nonexclusive license to reproduce and use _ copies of the Software for the purposes identified in the
RFP, subject to the restriction set forth in Section 1.4.2.2.] or [Contractor hereby grants County a…
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