2-BPM006391_Attachment_A_Offer.pdf

PDF 293 KB Posted

Attached to
Registry Staffing for the Arizona State Hospital
Solicitation number
BPM006391
Issued by
Maricopa County, Phoenix City, Arizona

About this file

This is an Offer and Acceptance document for Request for Proposal No. BPM006391 submitted to the Arizona Department of Health Services for Registry Staffing Services at the Arizona State Hospital. The contractor, First Connect Center LLC dba First Connect Health, offers to provide Behavioral Health Technicians (BHTs) and Registered Nurses (RNs) on an as-needed, if-needed basis to supplement the hospital's existing staffing resources. The solicitation was posted on February 24, 2025, with proposals due by March 10, 2025, and covers services in Maricopa County, specifically the Phoenix City jurisdiction. The hospital's primary staffing need is approximately twenty (20) Registry BHTs per shift across all shifts. The contract is anticipated to require multiple contractors to ensure an adequate candidate pool, with no guaranteed volume of service utilization specified by ADHS.

The offeror, First Connect Center LLC dba First Connect Health, located at 24 Commerce Street, #434, Newark, New Jersey 07102, certifies compliance with all terms, conditions, and specifications of the solicitation. The offer certifies that the organization is committed to non-discrimination policies in accordance with Federal Executive Order 11246, State Executive Order 2009-9, and Arizona Revised Statutes 411461 through 1465, and confirms that no economic opportunities or gifts have been offered to public servants in connection with this offer. The contractor's UEI number is 611798823, with contact information provided as (866) 495-4770 and Govt@firstconnecthealth.com. The document does not specify pricing terms, set-asides, or incumbent vendor information, with the contract to become effective upon official acceptance by the State of Arizona's Chief Procurement Officer or Designee.

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Text version

ATTACHMENT A

Offer and Acceptance

REQUEST FOR PROPOSAL

No.: BPM006391

ARIZONA DEPARTMENT OF

HEALTH SERVICES

150 North 18th Avenue, Suite 530 Phoenix, AZ 85007

REGISTRY STAFFING FOR THE ARIZONA STATE

HOSPITAL

TO THE STATE OF ARIZONA:

The Undersigned hereby offers and agrees to furnish the material, service or construction in compliance with all terms, conditions, specifications and amendments in the Solicitation and any written exceptions in the offer.

Company Name Signature of Person Authorized to Sign Offer

Address Printed Name

City State Zip Title

UEI Number Phone & Email Address

By signature in the Offer section above, the Offeror certifies:

1. The submission of the Offer did not involve collusion or other anticompetitive practices.

2. The Offeror shall not discriminate against any employee or applicant for employment in violation of Federal Executive Order 11246, State Executive

Order 2009-9 or A.R.S. §§ 41−1461 through 1465.

3. The Offeror has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or service to a public servant in connection with the submitted offer. Failure to provide a valid signature affirming the stipulations required by this clause shall result in rejection of the offer. Signing the offer with a false statement shall void the offer, any resulting contract and may be subject to legal remedies provided by law.

4. The Offeror certifies that the above referenced organization IS/ IS NOT a small business with less than 100 employees or has gross revenues of $4 million or less.

ACCEPTANCE OF OFFER

The Offer is hereby accepted.

The Contractor is now bound to sell the materials or services listed by the attached contract and based upon the solicitation, including all terms, conditions, specifications, amendments, etc., and the Contractor’s Offer as accepted by the State.

This Contract shall henceforth be referred to as Contract No.:

The effective date of the Contract is

The Contractor is cautioned not to commence any billable work or to provide any material or service under this contract until Contractor receives purchase order, contact release document or written notice to proceed.

State of Arizona Awarded this _ day of 2025

Chief Procurement Officer or Designee

First Connect Center LLC DBA First Connect Health

24 Commerce St. #434 Panky Garia

Newark NJ 07102 Director

611798823 (866) 495-4770, Govt@firstconnecthealth.com

First Connect Center LLC DBA First Connect Health Attachment A Offer RFP Number BPM006391

File details come from the government source that posted it. Updated .