2-DHHS26117 Attachment H Submission Checklist.docx

This submission checklist document outlines the required documentation for vendors responding to DHHS26117, a solicitation issued by the Utah Department of Health and Human Services (DHHS) for mobile MRI and CT services at Utah State Correctional Facility. The solicitation requires vendors to provide self-contained mobile Computed Tomography and Magnetic Resonance Imaging services at the correctional facility. Responses must be submitted through the Bonfire platform and should contain only documentation specifically requested in the solicitation; DHHS will not review any submitted information that falls outside the requested scope.

Vendors must submit a complete response package that includes either Attachment C(a) (Conflict of Interest Disclosure Statement) or Attachment C(b) (Governmental Entity Conflict of Interest Certification for government agencies and related entities), Attachment D (W-9 form, unless the vendor currently holds a contract with DHHS), Attachment E (Technical Response Form), Attachment G (Cost Proposal Sheet), proof of certification and professional licensing, and resumes demonstrating experience with ARRT-certified Utah-licensed technologists, prior experience providing MRI and CT services at correctional facilities, and any additional experience referenced in the technical response questionnaires. Vendors are advised to use the provided checklist table to ensure their responses are complete before submission.