2-Acknowledgements Preferences.pdf
PDF 86 KB Posted
- Attached to
- Medical Navigation Program
- Solicitation number
- RFP260124
- Issued by
- Bath County, Kentucky
About this file
This is an Acknowledgements & Preference Application form for Louisville Metro Government, Kentucky, related to a 911 Medical Call Diversion Program procurement. The Medical Navigation Program seeks qualified vendors to divert low-acuity medical calls from Emergency Medical Services to appropriate alternative care pathways. The program involves triaging callers who meet defined criteria with medical professionals over the phone, developing individualized care pathways, and arranging transportation to designated care facilities. Care pathway options include in-home instructions, appropriate medical care facility referrals, primary care physician contact, and telehealth services. The application form requires vendors to acknowledge receipt of any addenda issued for the solicitation.
The form presents two preference certifications available to eligible vendors. The Minimum Wage Preference allows businesses certifying that all full-time employees earn at least $10.10 per hour to receive consideration, with liability of 30 percent of the contract award amount if false information is provided under Louisville Metro Code 37.56. The Local Vendor Preference is available to businesses meeting local vendor requirements as defined in the proposal, with a penalty of 25 percent of the total contract value if the preference is granted based on false information, as specified in Louisville Metro Code 37.03. Vendors must select yes or no for each preference certification in the application.
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Other files
| File | Type | Posted |
|---|---|---|
| 5-Vendor Information.pdf | ||
| 7-Submission Instructions - RFP260124.pdf | ||
| 3-Ban the Box Compliance Checklist.pdf | ||
| 1-RFP260124 Specifications.pdf | ||
| 6-W9.pdf | ||
| 4-GFE Docs.xlsx | XLSX spreadsheet |
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Text version
ACKNOWLEDGEMENTS & PREFERENCE APPLICATION
I acknowledge receipt of the following Addenda:
Addendum #1:
Addendum #2:
Any Additional Addenda: # ______________________
Minimum Wage Preference: I certify that my business pays all full-time employees of the company, regardless of position or location, at least $10.10 per hour and wish to be certified as a minimum wage business for this Proposal. Further, I acknowledge that if awarded the contract and if it is later discovered that such information was falsely provided, my business will be liable to the Louisville Metro Government equal to 30% of the amount of the contract so awarded. (LMCO §37.56) Yes: No:
Local Vendor Preference: I certify that my business meets the requirements for designation as a local vendor as described in Section I of this Proposal and wishes to receive the Metro Government’s Local Vendor Preference. Further, I acknowledge that if it is discovered that Local Vendor Preference was granted based upon false information provide by Vendor, Vendor shall be subject to a fine equal to 25% of the total contract. (LMCO §37.03) Yes: No:
| Any Additional Addenda: |
| #2: Off |
| #1: Off |
| Y1: Off |
| N1: Off |
| Y2: Off |
| N2: Off |
File details come from the government source that posted it. Updated .