2025 Jail Medical RFP.doc

Request for Proposal (RFP) #2024-14 For

Inmate Medical & Mental Health Care Services at the Dunn County Jail Posting Date:

August 26, 2024

Response Deadline:

Oct 25, 2024 2:00 p.m. Local Time To:

A. Sifia Jevne Assistant Finance Director Department of Admin, Dunn County, WI Menomonie, Wisconsin 54751 Table of Contents

PROJECT OVERVIEW

OBJECTIVE

BACKGROUND

TENTATIVE PROJECT TIMELINE

RFP DUE DATE

PRE-PROPOSAL CONFERENCE/TOUR

RFP QUESTIONS AND ANSWERS

ADDENDUMS

RFP SUBMISSIONS REQUIREMENTS

SCOPE OF SERVICES

VENDOR REQUIREMENTS

MANDATORY PROPOSAL REQUIREMENTS

TERMS AND CONDITIONS

PAYMENT TERMS

AWARD CRITERION

OTHER

PROJECT CHANGES

ATTACHMENT A

ATTACHMENT B

ATTACHMENT C

I. PROJECT OVERVIEW

Dunn County is accepting proposals from qualified service providers with specific experience in correctional facilities to provide medical and mental health services for the inmates within the Dunn County Jail (DUSJ) located at 615 Stokke Parkway, Menomonie, Wisconsin. The health care services shall include on-site health care personnel, direct medical and mental health services for inmates, and coordination of off-site medical care, hospitalization, dental and other services that may be needed.

II. OBJECTIVE

The objective of this RFP is to identify and select the most competent and qualified firm, individual, partnership, or corporation capable of providing inmate medical and mental health services for Dunn County. From this selection process, it is anticipated Dunn County and the selected vendor will enter into a contract for a three (3) year period commencing January 1, 2025 at 12:01 AM, and may be renewed or extended with an option of up to two (2) two-year renewal options at the County’s discretion for a potential contract term not to exceed seven (7) years.

III. BACKGROUND

The Dunn County Jail is a 160-bed facility. Populations are as follows:

· 2021 DUSJ Average Daily Population (ADP) was 77 (2021 Huber and EM Average of 17), with a low of 61 and a high of 87.

· 2022 DUSJ Average Daily Population (ADP) was 70 (2022 Huber and EM Average of 19), with a low of 64 and a high of 81.

· 2023 DUSJ Average Daily Population (ADP) was 85 (2023 Huber and EM Average of 20), with a low of 75 and a high of 94.

· 2024 through Junes Average Daily Population is 93 (Huber and EM Average of 20) with a low of 84, and a high of 100.

Huber/EM (Electronic Monitoring) inmates are generally responsible for their own health care. For the purpose of this proposal and any subsequent agreement ADP will be defined as not including Huber/EM inmates. This contract will primarily focus on services for the inmates and indigent/unemployed Huber (work release) inmates. The contract will also include the overseeing of all inmate medications within the Jail.

All Providers submitting proposals must have the ability to provide services onsite at the Dunn County Jail. The Provider will be responsible for the medical care and treatment of inmates and detainees housed at the Jail in accordance with state jail (DOC 350) and national standards (NCCHC).

Dunn County’s Health & Human Services Department of Clinical Services unit and Northwest Connections provide adjunct services as related to mental health crisis intervention and safety planning. The healthcare services under this RFP will work in collaboration with those community interventions. The mental health services to be provided under this RFP will includes crisis intervention, assessment/evaluation, and treatment planning by a qualified mental health professional in accordance with state jail (DOC 350) and national standards (NCCHC). Services and participation in forums such as mental health court will be included.

IV. TENTATIVE PROJECT TIMELINE

RFP posted by 4:30 p.m.

Aug 26, 2024 Registration Due by 12:00 p.m.

Sept 20, 2024 Pre-Proposal Conference and Tour

Sept 26, 2024 10:00 a.m. local time Addendums, if any, posted by 4:30 p.m.

Oct 7, 2024 RFP responses due

Oct 25, 2024 2:00 p.m. local time

V. RFP DUE DATE

Responses to this RFP shall be submitted to A. Sifia Jevne at the Dunn County Administration Office no later than 2:00 p.m. CST on October 25, 2024. Submissions shall be clearly labeled RFP #2024-14 – Inmate Medical and Mental Health Services and submitted to the location/address listed below. Faxed and/or email proposals will not be accepted.

Delivery Address for Hand Delivery, USPS, UPS, DHL, Fed X:

A. Sifia Jevne, Asst. Finance Director Dunn County Administration Office 3001 US Hwy 12 E. Suite 225 Menomonie, Wisconsin 54751 Each proposal must be received by the due date and time set for this RFP. A submission received after the established deadline will not be considered.

VI. Pre-Proposal Conference/Tour

A non-mandatory pre-proposal conference and tour will be held at 10:00 a.m. CST, on Thursday, September 26, 2024 in the Sheriff’s Office EOC room of the Dunn County Law Enforcement Center located at 615 Stokke Parkway, Menomonie, WI 54751. Vendors are to meet in the lobby area.

The conference will be for the purpose of answering questions related to the RFP and the services to be contracted. A tour of the Dunn County Jail facility will also be included. Registration is required for the tour. Registration form must be submitted by 12:00 p.m. Friday, September 20, 2024.

VII. RFP QUESTIONS AND ANSWERS

Any questions in regards to this RFP must be submitted via e-mail to ajevne@co.dunn.wi.us. Clearly mark the e-mail “RFP #2024-14 – Inmate Medical and Mental Health Services”. Phone calls or faxed questions will not be accepted.

VIII. ADDENDUMS

Any significant changes or clarifications to the RFP will be posted as an addendum on the Dunn County website https://dunncountywi.gov no later than 4:30 p.m. on October 7, 2024. If an addendum is posted, an addendum sheet will be attached and will be required to be submitted with the response. Calls for assistance with the website may be made to (715) 231-6515.

IX. RFP SUBMISSION REQUIREMENTS

The Request for Proposal shall be sealed and labeled with the following information:

· Name of Vendor

· Address

· Contact Person

· Telephone and Facsimile Number

· E-mail Address

One original response and 5 copies of the RFP are required to be submitted.

Jump/thumb drive The proposal must include:

Attachment B – Vendor References (3) Attachment C – Statement of Understanding Proposal Upon award of the contract, the selected vendor will be required to submit a federal W-9 Form and payment address to Dunn County. Vendors previously established with the county may have this requirement waived.

The submission shall be prepared with a straightforward, concise delineation of the vendor’s capabilities to satisfy the requirements of this RFP.

Dunn County is also requesting that the financial/cost aspects of the RFP be kept separate from the main RFP as cost is evaluated separately.

A vendor may withdraw or modify its proposal prior to the proposal due date. Any changes or withdrawals must be made in writing prior to the proposal due date.

Dunn County will not be liable for any costs incurred by the vendors in the preparation of proposals in response to this RFP, for any oral presentations/interviews or participation in any discussions or negotiations.

X. SCOPE OF SERVICES

Dunn County is requesting formal competitive proposals for the provision of on-site inmate medical services to provide health care services for the Dunn County Sheriff’s Office, Jail Division. The health care services shall include health care personnel, direct medical and mental health services for inmates, and coordination of off-site medical care, hospitalization, dental and other services that may be needed. The successful firm shall be able to provide these services for the Dunn County Sheriff’s Office Jail Division which has a capacity of 160 Adult inmates.

This contract will primarily focus on services for the inmates and indigent/unemployed Huber (work release) inmates. The contract will also include the overseeing of all inmate medications within the Jail.

XI. VENDOR REQUIREMENTS

As a part of the ensuing contractual agreement, the vendor shall:

· Deliver and maintain high quality, cost effective health care and mental health services. Implement policies, procedures, and protocols with clear objectives for the Dunn County Jail that meet the standards and requirements of Wisconsin Department of Corrections Administrative Code (Chapter 350), standards of the National Commission on Correction Health Care (NCCHC) and the American Correctional Association (ACA).

· Comply with all requirements of HIPAA to the extent that HIPAA applies to the Jail.

· It is mutually understood and agreed that an independent contractor relationship is established under the terms and conditions of the agreement; that employees of the selected provider are not nor shall be deemed employees of the Dunn County Jail and that employees of the Dunn County Jail are not nor shall be deemed to be employees of the selected provider.

· Operate the inmate medical and mental health care services program using properly licensed/certified and professionally trained personnel to perform all aspects of conventional health care in a correctional setting. This includes medical providers, nurses, and mental health professionals.

· Provide a licensed physician, physician assistant or mid-level practitioner available to provide consultation with Dunn County Jail Staff 24 hours/day, 7 days/week, 365 days/year, when healthcare staff is not present at the facility. A physician or physician assistant shall respond within a reasonable about of time. Also, provide backup call coverage.

· Maintain a quality assurance program and provide information on the same. At a minimum quarterly meetings shall be scheduled with vendor staff and Jail Administration to review issues, statistical information, suggested changes, and provide feedback about the medical and mental health services being provided by the vendor.

· Offer a comprehensive annual training program for medical and mental healthcare education for the Dunn County Sheriff’s Deputies and Jail Staff. Training topics to be reviewed with the Dunn County Jail Administrator and will comply with the Administration Standards of the Wisconsin Department of Corrections, and standards of the National Commission on Correctional Health Care (NCCHC).

· Maintain an open, collaborative relationship with the administration and staff of the Dunn County Jail, and Dunn County Health and Human Services staff that provide services to Dunn County inmates.

· Conduct an ongoing health education programs for adult inmates. Topics shall include but not be limited to: personal hygiene, nutrition, alcohol and drug abuse, sexually transmitted diseases, effects of smoking and anger management.

· Operate the health services program in a humane manner with respect to inmate’s rights to basic healthcare services.

· Maintain confidential, complete and accurate records of care. Electronic record keeping system is preferred. Collect and analyze healthcare statistics on a daily basis for generation of monthly and annual reports. Analysis should include information that will assist all parties in justifying current services and identify any need for enhanced services. These and all records of care will be the property of the Dunn County Sheriff’s Office and will be maintained in accordance with Wisconsin Department of Corrections standards.

· Allow the Jail Administrator or designee total access to the onsite medical files, reports, schedules, grievances, charts, etc.

· Vendor will be responsible for re-pricing of off-site medical claims. Once claims are received, vendor will calculate the applicable discount (if any) and confirm the integrity of the claim prior to payment.

· Vendor will provide or contact and pay for mobile services to come to the jail for inmates that may require those services.

Staff Schedule

Vendor must provide adequate healthcare personnel required for the services listed in this request for proposal. Vendor is must provide the following staffing

· Physician/Physician Assistant – A prescriber will visit the facility weekly (or as otherwise agreed upon by the county and vendor) and will stay until all work is completed. Will be available by telephone 24 hours/7 days a week.

· Nurses –RN on site coverage to include 40 total hours per week, with fill in nursing available to fill leave time. If vendor is unable to find a replacement nurse, the County will receive credit to be determined.

· Wisconsin licensed Mental Health professional-on site coverage Sixteen hours (16) per week. With the same guidelines as the RN position, if the County doesn’t receive 16 hours of coverage a credit is issued to be determined.

· Healthcare and mental health staff response to requests within 15 minutes.

· Medical services contract manager on site supervisory visits at least quarterly.

· Mental health services contract manager on site supervisory visit at least twice per year.

The proposal must include a specific schedule including the number of positions, position titles, and number of hours (FTEs) worked by each position.

Any deviations from expected staffing levels must be approved by Jail Administration Personnel

All personnel shall be required to pass a background investigation conducted by the Dunn County Sheriff’s Office prior to placement at the job site. The cost of the background investigation will be the responsibility of Dunn County.

The successful provider’s staff shall also be subject to all security regulations and procedures of the Dunn County Jail.

Continued assignment of staff shall be subject to the approval of the Dunn County Sheriff’s Office through the Jail Administrator.

Only appropriately Wisconsin licensed, certified, and professionally trained medical and mental health personnel shall provide professional coverage.

The successful provider shall provide appropriate in-service training and education programs as required by law and/or license regulations for their staff. Vendor must provide comprehensive training to their staff on how to work effectively, professionally, and safely in a correctional facility.

All personnel shall comply with current and future state, federal and local laws, regulations, court orders, administrative regulations, administrative directive, and policies and procedures of the Dunn County Sheriff’s Office.

Required Services and Supplies

· Correctional staff currently completes the medical and mental health screening during the booking process. Those screenings must be reviewed within 72 hours by the vendor’s medical staff. A medical and mental health plan will be documented by the vendor for each inmate as deemed necessary.

· A health appraisal examination must be completed by the vendor’s qualified healthcare professional for each inmate within fourteen (14) days of an initial confinement. Examinations must be completed within the guidelines of the Wisconsin Department of Corrections Administrative Code standards of the National Commission on Correctional Health Care (NCCHC).

· The vendor shall obtain all prescription and non-prescription medications, medical supplies and other supplies. The jail physician shall order all medications and must maintain all administration records. Prescribing, dispensing, and administering of medications shall comply with all State and Federal laws and regulations. All costs will be the responsibility of the successful firm.

· The vendor’s medical staff are responsible for making an initial review and set up a of the inmate’s Medication Administrative Record (MAR). When staff is not on duty, jail personnel may set up the MAR for the inmate. Medical review will be completed by the vendor staff as soon practical.

· The vendor’s medical staff when on site shall respond to inmate sick calls daily.

· The vendor’s medical staff when on site shall make daily segregation and receiving cells visits daily.

· In addition, the vendor is required to provide the following medical services and supplies:

· Pharmacy services to include the cost of all prescription and non-prescription over-the counter

Medications prescribed by a duly licensed prescriber. Prescribing, dispensing, and administering of medications shall comply will all State and Federal laws and regulations.

· Pathology/radiology services

· Medical and mental health staff when on site shall be available for crisis intervention services

· Removal and proper disposal of medical waste

· Other general health care services such oral screening, and emergency dental

· Medical supplies

· TB assessment and possible testing of all inmates that are still in the jail for 14 days or longer

· Doctor’s orders in writing

· All medical and mental health services to inmates housed from other counties or government agencies

· On-site emergency medical treatment to inmates

· Healthcare services to pregnant inmates. Healthcare services for infants following birth and delivery are not the vendor’s responsibility

· Conduct an ongoing health education program for adult inmates and detainees. Health education includes patient education in self-care skill, posters and pamphlets. Topics shall include, but not limited to: personal hygiene, nutrition, AIDS, effects of smoking, anger management and similar education. Topics will be assessed based on the needs of the inmates and approved by Jail Administrator or designee.

· Provide training for Dunn County Sheriff Department employees offering a comprehensive program for continuing healthcare education of Sheriff Department staff. Training to include, but not limited to, First Aid, Blood Borne pathogens, Communicable diseases, Diabetes, Illicit Drugs & Effects, medication passing, and suicide prevention, and similar topics.

· Vendor must provide procedures for handling inmate grievances.

· Stock first aid kits/emergency response kits, sharps disposal boxes, spill kits, protective gowns, booties, facemasks, and other similar supplies.

Vendor Responsibilities

Vendor is responsible for all of the following services and shall:

· Submit schedules and staffing patterns for all medical services that reflect coverage as per the agreement.

· Manage and maintain inmate medical records.

· Provide statistical and management reporting systems as required by Dunn County and Department of Corrections.

· Implement a Medical Grievance Procedure program.

· Submit copies of all employee evaluations annually to the Dunn County Sheriff’s Department.

· Educate/train corrections staff and inmates.

· Adhere to Jail security procedures and codes of conduct.

· Maintain a collaborative working relationship with DUSJ staff and with Dunn County’s Health & Human Clinical Services staff providing services to DUSJ.

Vendor is not responsible to provide the following services:

· Elective medical care to DUSJ inmates. For purposes of the Agreement, “elective medical care” means medical care that, if not provided, would not, in the opinion of the vendor’s medical doctor, cause the inmate’s health to deteriorate or cause definite harm to the inmate’s wellbeing.

· Healthcare services for infants following birth and delivery.

Optional / Alternate Service Plans Vendor may include the following optional service packages as separate costs to their proposals. They must include a detailed description of the services being provided with each option.

· Option A – Extended Health Services As an option to Staffing – Vendor may propose additional on-site nursing and/or mental health services. Vendor must list this as an additional option in the response. Vendor must also disclose the additional cost for this option. Vendor shall disclose the need for such additional services.

· Option B – 24 Hours / Day Crisis Intervention

As an option – Vendor shall provide 24 hours / 7 days/week, 365 days/year crisis intervention, when healthcare staff is not present at the facility. Qualified staff that meet the requirements to work with mentally ill patients per the NCCHC and ACA standards shall respond by phone within 15 minutes of initial contact, and within two hours in person.

· Option C – Hospitalization Vendor will arrange and bear the cost of hospitalization related to medical services for an inmate who, in the opinion of the treating physician and/or vendor’s chief medical officer or designee, requires hospitalization.

· Option D - Alternate Service Plans

Vendor may include alternate service plans as separate proposals. Any alternate proposal shall be in the reviewed by the evaluation committee using the same award criteria as in this proposal

XII. MANDATORY PROPOSAL REQUIREMENTS

Proposal Requirements

Minimum submission requirements include:

1. Table of contents.

2. Certification of Vendor - firm name, address, telephone number, facsimile number, and primary contact person (see page 19). Please make this the first page of your proposal package.

3. Copy of current certificate of insurance.

4. Brief history of the firm.

5. Proposal for the cost of base services. Options A – D are not mandatory, but will be reviewed in the same manner.

6. Comprehensive transition implementation plan.

7. Certification that the submitted proposal will remain valid from the proposal submission date for a period of 120 days.

8. Resumes for all key personnel to be assigned and actually provide services under contract with Dunn County.

9. Job descriptions of all staffing positions providing services under contract with Dunn County. All project personnel assigned by the vendor will be required to undergo a criminal history background check to be performed by the Dunn County Sheriff’s Department and must be approved by the Sheriff.

10. A detailed list of all projects and clients for the last five (5) years. The client list must include both current and former contracts and include appropriate contact person names and title, agency (city, county, state, and federal), location with address and telephone number as well as facsimile number and e-mail address. Each contract must be identified as current or former. Locations must be included where services were provided even if no executed agreement was ever reached.

11. Minimum of three (3) references identified by the company with the information listed immediately above. Forms are included within this RFP for this specific purpose and must be submitted with the proposal. This information must be provided or the submission may be disqualified.

12. Full disclosure of all lawsuits and claims filed against the vendor, or its predecessors, in the past 48 calendar months.

13. A list of the vendor’s standard coverage for insurance including liability and malpractice.

14. A list of specific provisions that need to be included in the contract or a copy of vendor’s standard contract if available.

Vendors are to list in their proposal any consultants or subcontractors that may be used in the provision of the services of this request. Dunn County’s Jail Administrator must approve any subcontracted providers that are hired by the selected provider.

Transition and Implementation Plan

Each vendor must submit a comprehensive Transition Implementation Plan. The quality, breadth and depth of the Plan are critical to the success of the contract start-up and the conversion from current provider.

· Plan Components – The plan must describe activities during the thirty (30) days prior to the initiation of on-site services in preparation for the start-up and for the first sixty (60) days of the contract implementation to ensure uninterrupted service delivery and continuity of care. The Plan must be approved by Dunn County. The Plan must address key aspects that are critical to the success of the transition.

Inmate Medical and Mental Health Services – Base Service Plan

Vendor is to clearly define the services being provided and describe any minor changes that vendor feels are necessary. Vendor’s responsibility hereunder as to each individual inmate/detainee of DUSJ shall commence immediately upon the commitment of such person to the control of the Sheriff at the DUSJ.

Implied Requirements

Products and services that are not specifically addressed in this RFP but which are necessary to provide functional capabilities proposed by the respondent must be included in the proposal.

Additional Data with Proposal

Vendors may submit, on the firm’s letterhead only, additional data and information deemed advantageous to Dunn County. Consideration of such data and information is to be held optional to Dunn County.

XIII. TERMS AND CONDITIONS

Responsibility of Dunn County

Dunn County shall provide office space, appropriate furniture and equipment as exists in the DUSJ medical office. A list of such equipment and supplies is attached and marked Exhibit A.

It will be the responsibility of Dunn County to maintain and replace county provided equipment if maintenance or replacement is warranted due to normal usage, wear and tear. In the event of damage or replacement due to neglect or intentional misuse by the vendor, the vendor will be responsible for replacement or repair.

Responsibility of Vendor

It is the responsibility of the vendor to view existing equipment during the site pre-proposal meeting September 26, 2024.

The successful vendor at their expense shall be responsible for providing any and all additional furniture, fixtures, and equipment deemed necessary by the vendor to fulfill the requirements of service under this RFP.

Insurance Requirements

It is preferred that vendor agrees to maintain the following insurance coverage at all times during the term of this agreement:

Coverage Limits Medical Professional Liability $1,000,000 per loss

$5,000,000 aggregate Comprehensive General Liability $1,000,000 per occurrence

Business Automobile $1,000,000 per occurrence

Worker’s Compensation Statutory Cov. A.

(Employees Only) $500,000, $500,000 liability Umbrella General Liability $10,000,000 per occurrence

$10,000,000 aggregate This insurance shall name the vendor, its employees, officers, agents, and independent vendors within the coverage and limits stated above. Said insurance coverage shall provide it will survive the termination of this Agreement and will provide coverage at any date a claim is made against any of the insured whether or not any relationship exists between Dunn County and the vendor. The vendor and its subcontractors shall also maintain, at their expense, Worker’s Compensation for all employees in the statutory amounts.

Certificates of Insurance: Within thirty (30) days of award, the vendor shall deliver to Dunn County certificates of insurance naming Dunn County and the Dunn County Sheriff as additional insured parties for each of the above specified types of insurance. Certificate shall be addressed to:

Jail Administrator Dunn County Jail

615 Stokke Parkway Menomonie, WI 54751 Changes In Insurance Coverage: The vendor shall notify Dunn County of changes in insurance coverage in writing within thirty (30) days, but under no circumstances will the types or amounts of coverage be changed without the prior written consent of Dunn County.

Insurance Rating: All of the above-specified types of insurance shall be obtained from companies that have at least a triple “A” rating in Best’s Guide or the equivalent.

XIV. PAYMENT TERMS

Pricing Structure

DUSJ proposal pricing shall be an annual lump sum amount using the Jail ADP (see section III. Background for Average Daily Population for Pricing).

1. Monthly invoices shall be submitted by the vendor for one-twelfth of the proposed total lump sum amount during the term of this agreement and any extensions of the agreement.

2. Per Diem credit/cost adjustments for ADP shall not be made.

Billing/Payments Vendor shall submit monthly invoices to Dunn County Jail for one-twelfth of the total lump sum amount during the term of this agreement and any extensions of the agreement.

Payment will be made to the vendor within thirty (30) days of invoice receipt.

XV. AWARD CRITERION

Award shall be made to the vendor whose proposal is determined to be in the best interest of Dunn County, taking into consideration cost and other evaluation factors listed in the RFP.

Proposals submitted will be evaluated based on criteria including, but not limited to the following:

1. Experience & Qualifications:

20%

a. Firm Profile

b. Proposer’s Team Information

c. Other

2. Technical Approach

40%

a. Recruiting & Screening

b. Positions filled timely

c. Conducting initial interviews

d. Training & Certifications

e. Hiring & Firing Employees & Other legal matters

f. Personnel Policies & Procedures

g. Insurances

h. Misc.

3. References

5%

4. Costs

35%

XVI. OTHER

All work shall conform to all applicable industry standards, federal, state laws, local laws, codes and ordinances.

No vendor will be provided with financial and/or competitive vendor information on this Proposal until after the award of contract has been made. At that time, all Proposals will be available for review in accordance with the Wisconsin Open Records Law. Dunn County shall not be held liable for any claims arising from disclosure required under the Wisconsin Open Records Law.

Dunn County and its departments are exempt from payment of all federal, state and local taxes on its purchases except Wisconsin excise taxes.

Any contract between vendor and Dunn County shall be subject to the laws of the State of Wisconsin. In connection with the performance of work under such contract, the vendor agrees not to discriminate against any employee or applicant for employment because of age, race, religion, color, handicap, sex, physical condition, developmental disability, sexual orientation, or national origin.

By responding to this Proposal, prospective vendors acknowledge and accept the attachments, including insurance requirements and service template contract sample attached.

Unless otherwise specified, all proposals submitted shall be binding for One hundred twenty (120) calendar days following bid opening.

Dunn County may require oral presentations from selected vendors. If presentations are needed, the vendor will be contacted to arrange a date and time.

XVII. PROJECT CHANGES

Dunn County reserves the right to make changes to the project. Any changes in the scope of services shall be mutually agreed upon in writing by the Vendor and the County.

XVIII. ATTACHMENT

ATTACHMENT A

VENDOR LETTER OF REGISTRATION FOR PRE-PROPOSAL MEETING

FOR: RFP# 2024-14

INMATE MEDICAL & MENTAL HEALTH SERVICES

The undersigned intends to attend the pre-proposal conference at 10:00 a.m., September 26, 2024 at the Dunn County Law Enforcement Center, 615 Stokke Parkway, Menomonie, WI 54751. Meet in Lobby Area.

Representative’s Signature Date

Representative’s Printed Name

Company Name and Legal Name for Business within Wisconsin

Telephone Number and Extension Facsimile Number

E-Mail Address

The following individuals listed below are planning to attend the pre-proposal meeting:

Full Name Date of Birth Title

1. ___________________________________________________________________

2. ___________________________________________________________________

3. ___________________________________________________________________

Note: This form is mandatory and is required to obtain security clearance for individuals scheduled to attend the pre-proposal conference. While any firm interested in potentially submitting a proposal may attend, it is not mandatory. No more than three individuals may participate for any one vendor. Neither this letter of intent nor the company’s participation in the pre-proposal conference obligates the vendor to actually submit a proposal in response to the RFP for INMATE MEDICAL & MENTAL HEALTH SERVICES. Official photo identification is required to enter the facility.

EMAIL TO: ajevne@co.dunn.wi.us NO LATER THAN 12:00 p.m. Friday, September 20, 2024.

ATTACHMENT B, PAGE 1

RFP# 2024-14 - INMATE MEDICAL & MENTAL HEALTH SERVICES

VENDOR REFERENCES

1) Agency Name__________________________________________________________________ Agency Address ________________________________________________________________ Contact Person ______________________Contact Number _____________________________ E-Mail _____________________________ Fax Number ____________________________ Number of Sites _____________________ Number of Inmates _______________________ Number of WI Sites___________________

Facility Type

_____Jail _____Prison _____Juvenile _____Other

Accreditation

_____ACA

_____NCCHC

_____Other

Contract Term (original, extensions, renewals, rebids) __________________________________ __________________Current Contract

__________________Prior Contract

Contract End Date

If terminated, specify by whom _____agency _____vendor

Reason ______________________________________________________________________

____Lost in Rebid, if so specify award recipient __________________________

____Other, specify (i.e. returned to self-operated, transition to University)

ATTACHMENT B, PAGE 2

RFP# 2024-14 - INMATE MEDICAL & MENTAL HEALTH SERVICES

VENDOR REFERENCES

2) Agency Name__________________________________________________________________

Agency Address ________________________________________________________________

Contact Person ______________________Contact Number _____________________________

E-Mail _____________________________ Fax Number ____________________________

Number of Sites _____________________ Number of Inmates _______________________

Number of WI Sites___________________

Facility Type

_____Jail _____Prison _____Juvenile _____Other

Accreditation

_____ACA

_____NCCHC

_____Other

Contract Term (original, extensions, renewals, rebids) __________________________________

__________________Current Contract

__________________Prior Contract

Contract End Date

ATTACHMENT B, PAGE 3

RFP# 2024-14 - INMATE MEDICAL & MENTAL HEALTH SERVICES

VENDOR REFERENCES

3) Agency Name__________________________________________________________________

Agency Address ________________________________________________________________

Contact Person ______________________Contact Number _____________________________

E-Mail _____________________________ Fax Number ____________________________

Number of Sites _____________________ Number of Inmates _______________________

Number of WI Sites___________________

Facility Type

_____Jail _____Prison _____Juvenile _____Other

Accreditation

_____ACA

_____NCCHC

_____Other

Contract Term (original, extensions, renewals, rebids) __________________________________

__________________Current Contract

__________________Prior Contract

Contract End Date

ATTACHMENT C

RFP# 2024-14 - INMATE MEDICAL & MENTAL HEALTH SERVICES

Statement of Understanding of Proposal

Vendor name

Vendor’s address

City

State

Zip code

Contact person’s name & position

Contact person’s e-mail address

Vendor’s Phone number

Vendor’s Fax Number

We have read the County’s Request for Proposals (RFP) for RFP#24-XXX Inmate Medical and Mental Health Services and fully understand its intent. We certify that we have adequate personnel, equipment, and license to perform said services. We understand our ability and fitness to perform shall be judged solely by Dunn County. In addition, we certify that:

(a) Our proposal is not made in the interest or on behalf of any person not named therein;

(b) We have not directly or indirectly induced or solicited any person to submit a false or misleading proposal or to refrain from proposing;

(c) We have not in any manner sought by collusion to secure an advantage over any other vendor;

(d) We have thoroughly examined the RFP requirements, and our proposed fees cover all costs for service/equipment we have proposed; and

(e) We acknowledge and accept all the terms and conditions included in the RFP

Signature of Vendor or Vendor’s Representative

Date