122125 O3 Attachment 6 - Deviations Form to Section VI.docx.docx

Attachment 6 Deviations to Section VI of the RFP 122125 O3 Program Integrity Case Management System

Important Instructions:

If Bidder has any deviations to the requirements outlined in Section (VI) of the Request for Proposal (RFP) including any attachments referenced under this section, all must be listed and included with the proposal response. Deviations to Section(VI) will be factored into the scoring. The evaluation committee will rely upon the information provided to assist in ascertaining responsiveness and/or determining whether a proposed alternative will be acceptable and discern its impact on the System. The State reserves the right to determine if proposed alternatives, individually or collectively, have a material impact on the system. Submitting deviations that do not conform to the system requirements may result in your proposal response being deemed as a “Non-Responsive Solicitation Response”.

Any deviations to requirements outlined in Section (VI) of the RFP are to be tabulated and submitted in a separate PDF file, clearly labeled “Deviations to Section (VI)(_)(_)” – see Exhibit 1 directly below for the sample format.

When submitting, use the respective Part(s) provided within this attachment for each section and attachments as labeled. There are three parts within this document and they are as follows:

i. Part I - Deviations to Section (VI)(A)(Except Section (VI)(A)(4)(a), (VI)(A)(4)(b)) , (VI)(B), (VI)(D) and (VI)(E).

ii. Part II- Deviations to Section (VI)(A)(4)(a) – Attachment 2 – Functional Specifications

iii. Part III -Deviations to Section (VI)(A)(4)(b) – Attachment 3 – Technical Specifications.

Additional rows may be added or deleted under the table provided in OPTION 2 - “DEVIATIONS” in all three parts of this document. Bidder must provide a signature either under OPTION 1 - “NO DEVIATIONS” or under OPTION 2 - “DEVIATIONS” in each respective Parts of deviations.

Note: Please do not include any of your acknowledgements and/or deviations to Sections II. through IV. of the RFP in Attachment 6. Acknowledgements and/or deviations to those sections are to be clearly labeled and need to be submitted in accordance with the instructions outlined in the RFP.

Exhibit 1 – Sample Format Program Integrity Case Management System

Identify RFP Section:

Section (VI)(_)(_) Requirement Description: [Indicate the requirement as listed in the RFP document]

Provide information regarding why requirement cannot be met and/or provide the proposed alternative for evaluation and approval or rejection:

Bidder’s Response:

[Provide an explanation as to why the specification/requirement cannot be met and your proposed alternative and/or information for consideration.]

RFP 122125 O3 Bidder’s Name: ________________________________

Part I - Deviations to Section (VI)(A) (Except Section (VI)(A)(4)(a), (VI)(A)(4)(b)), (VI)(B), (VI)(D), and (VI)(E) Bidder to complete the appropriate OPTION that reflects either “NO DEVIATIONS” or “DEVIATIONS” to the requirements as outlined in Sections (VI) (A, B, C, D & E) of the RFP using the format provided. OPTION 1 – NO DEVIATIONS

Our company declares that our response to the Request for Proposal (RFP) does not contain any deviations to Sections (VI) (A, B, C, D, & E) ) (Except Section (VI)(A)(4)(a), (VI)(A)(4)(b) and Section (VI)(A)(4)(c)). We can meet all the requirements as outlined in the RFP for these specific sections.

[Signature of Duly Authorized Representative]

OPTION 2 – DEVIATIONS

Our company is submitting deviations to the requirements as outlined in Sections (VI) (A, B, C, D & E) ) (Except Section (VI)(A)(4)(a) and (VI)(A)(4)(b)) of the RFP. The deviations for consideration are outlined in the tables below. In submitting deviations for consideration, we understand and agree that proposed deviations need to be completed in the correct format using the tables provided and any associated costs must be reflected in the Cost Proposal. Further, we understand proposed deviations will be reviewed by the evaluation committee to determine approval or rejection and any impact on responsiveness:

(Note: To receive due consideration for approval or denial of proposed deviations, complete the tables below for any respective requirement(s) that are not being met as indicated in the RFP for the above-mentioned section.)

Program Integrity Case Management System

Identify RFP Section:

Section (VI)(_)(_) Requirement Description: [Indicate the requirement as shown in the RFP document]

Bidder’s Response:

[Provide an explanation as to why the specification cannot be met and include detailed information about any proposed alternative.]

RFP 122125 O3 Bidder’s Name: ________________________________

Part II - Deviations to Section (VI)(A)(4)(a) Bidder to complete the appropriate OPTION that reflects either “NO DEVIATIONS” or “DEVIATIONS” to the requirements as outlined in Sections (VI) (A, B, C, D & E) of the RFP using the format provided. OPTION 1 – NO DEVIATIONS

Our company declares that our response to the Request for Proposal (RFP) does not contain any deviations to Section (VI)(A)(4)(a) (Attachment 2 – Functional Specifications) .We can meet all the requirements as outlined in the RFP for these specific sections.

Our company is submitting deviations to the requirements as outlined in Section (VI)(A)(4)(a) (Attachment 2 – Functional Specifications) of the RFP. The deviations for consideration are outlined in the tables below. In submitting deviations for consideration, we understand and agree that proposed deviations need to be completed in the correct format using the tables provided and any associated costs must be reflected in the Cost Proposal. Further, we understand proposed deviations will be reviewed by the evaluation committee to determine approval or rejection and any impact on responsiveness:

(Note: To receive due consideration for approval or denial of proposed deviations, complete the tables below for any respective requirement(s) that are not being met as indicated in the RFP for the above-mentioned section.)

Program Integrity Case Management System

Identify RFP Section:

Section (VI)(_)(_) Requirement Description: [Indicate the requirement as shown in the RFP document]

Bidder’s Response:

[Provide an explanation as to why the specification cannot be met and include detailed information about any proposed alternative.]

RFP 122125 O3 Bidder’s Name: ________________________________

Part III - Deviations to Section (VI)(A)(4)(b) Bidder to complete the appropriate OPTION that reflects either “NO DEVIATIONS” or “DEVIATIONS” to the requirements as outlined in Sections (VI) (A, B, C, D & E) of the RFP using the format provided. OPTION 1 – NO DEVIATIONS

Our company declares that our response to the Request for Proposal (RFP) does not contain any deviations to Section (VI)(A)(4)(b) (Attachment 3 – Technical Specifications) .We can meet all the requirements as outlined in the RFP for these specific sections.

Our company is submitting deviations to the requirements as outlined in Section (VI)(A)(4)(b) (Attachment 3 – Technical Specifications) of the RFP. The deviations for consideration are outlined in the tables below. In submitting deviations for consideration, we understand and agree that proposed deviations need to be completed in the correct format using the tables provided and any associated costs must be reflected in the Cost Proposal. Further, we understand proposed deviations will be reviewed by the evaluation committee to determine approval or rejection and any impact on responsiveness:

(Note: To receive due consideration for approval or denial of proposed deviations, complete the tables below for any respective requirement(s) that are not being met as indicated in the RFP for the above-mentioned section.)

Program Integrity Case Management System

Identify RFP Section:

Section (VI)(_)(_) Requirement Description: [Indicate the requirement as shown in the RFP document]

Bidder’s Response:

[Provide an explanation as to why the specification cannot be met and include detailed information about any proposed alternative.]