2. ASO2027 Cover Sheet-Checklist.docx
DOCX document 75 KB Posted
- Attached to
- DCF Administrative Services Organization
- Solicitation number
- BD-27-1034-0009-DSS94-134809
- Issued by
- Massachusetts
About this file
This is a Request for Responses (RFR) cover sheet and checklist issued by the Commonwealth of Massachusetts Department of Children and Families (DCF) for the selection of an Administrative Services Organization (ASO) to serve as a statewide vendor providing administrative support to a network of Family Resource Centers (FRCs) across Massachusetts. The RFR number is DCF ASO2027. Bidders must submit completed response materials beginning with this cover sheet, including Attachment B (Response Form), Attachment C (Proposed Fiscal Year Program Budget), and required supporting documents such as a cover letter, conflict of interest statement, example submitted reports, resumes and organizational profiles, an organizational chart, an initial implementation period workplan, a prompt pay discount form, and an SDP Plan Commitment form. The document specifies that certain additional documentation, including the Commonwealth Standard Contract Form, subcontract information forms, authorization for electronic funds payment, W-9 forms, and contractor authorized signatory listings, must be completed only upon contract award and during subsequent negotiations.
The cover sheet functions as a standardized submission document requiring bidders to provide organizational information, including bidder type (provider organization or individual provider), bidder name, contact information, vendor code or FEIN, and authorization signatures from the bidder's submittal approver. The document does not contain specific information regarding pricing terms, set-asides, incumbents, funding amounts, response deadlines, or contract term details, as these elements are presumably detailed in the related RFR solicitation documents and attachments referenced in the checklist.
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Other files
| File | Type | Posted |
|---|---|---|
| 6. Attachment D - Evaluation Sheet.pdf | ||
| 4. Attachment B - General Response Sheet.docx | DOCX document | |
| 3. Attachment A - Supplemental Contract.pdf | ||
| 7. SDP Plan Form.xlsx | XLSX spreadsheet | |
| 1. ASO2027 RFR.pdf | ||
| 5. Attachment C - Proposed Fiscal Year Program Budget.xlsx | XLSX spreadsheet |
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Text version
COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF CHILDREN AND FAMILIES (DCF)
RFR COVERSHEET AND CHECKLIST
PLEASE USE THIS COVERSHEET AND CHECKLIST AS THE FIRST
PAGE OF YOUR RESPONSE MATERIALS
RFR Title: Administrative Services Organization RFR Number: DCF ASO2027
BIDDER INFORMATION
Bidder Type: (Select appropriate box to indicate whether Bidder is a Provider Organization or an Individual Provider)
☐ Provider Organization (including but not limited to for- and non-profit organizations and sole proprietorships) ☐ Individual Provider
Bidder Name: Enter text here.
Main Phone Number (if applicable): Enter text here.
Vendor Code (if available): Enter text here. FEIN (if no VC): Enter text here.
Contact Name and Title: Enter text here.
Email Address: Enter text here. Phone Number: Enter text here.
RFR DOCUMENTS; Select All (Click on appropriate box to indicate completed document)
| Document |
| Provider/Organization |
| RFR Cover Sheet and Checklist |
| ☐ |
| Attachment B: Response Form |
| ☐ |
| Attachment C: Proposed Fiscal Year Program Budget |
| ☐ |
Attachments:
1. Cover Letter
2. Conflict of Interest Statement
3. Example of a Submitted Report
4. Resumes and Profiles
5. Organizational Chart
6. Initial Implementation Period Workplan
7. Prompt Pay Discount Form
| SDP Plan Form #1 – SDP Plan Commitment |
| ☐ |
RBMS27: APPENDIX A PAGE 2 | 2
The following documents are NOT Submitted with the Initial Proposal Bid, but must be completed upon contract award and negotiations:
· Commonwealth Standard Contract Form & incorporated Commonwealth Terms and Conditions
· Subcontract Information Form (when applicable and upon request)
· Authorization for Electronic Funds Payment Form (mandatory if not already on EFT)
· Request for Taxpayer Identification Number & Certification Form (W-9) (if not on file)
· Contractor Authorized Signatory Listing Form
· Other terms and conditions the contractor agreed to as part of contract negotiations
BIDDER’S SUBMITTAL APPROVER
| Enter text here. | Enter text here. |
| Name | Title |
Click to enter date.
Date image1.png
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