239965-event.pdf

Awarded To: EZ Way, Inc

Med Shop LLC

Performance Mobility

ARJO CENTURY DISTRIBUTING, INC.

B & N Mobility, LLC

101 Mobility Utah

Mobility Solutions Inc.

Patient and Wheelchair Lifts State of Utah Division of Purchasing Patient and Wheelchair LIft

Released 6/26/2017 4:00 PM MST Type Request for Statement of Qualifications (RFSQ/SOIQ)

Open 6/28/2017 8:00 AM MST Number ZC17086

Close 7/28/2017 6:00 PM MST Currency US Dollar

Sealed Until 7/28/2017 6:00 PM MST

Contacts

Zac Christensen zchristensen@utah.gov

Commodity Codes

Commodity Code Description

42192 Patient transport products including wheelchairs and patient scooters and accessories

42190 Medical supplies and medical facility products including hospital intercom systems and infant or child security transmitter and surgical compressed air tanks and medical instrument storage cabinets or chests and patient lifts

Description

25 August 201725 August 2017 mailto:zchristensen@utah.gov mailto:zchristensen@utah.gov mailto:zchristensen@utah.gov

Issuing Procurement Unit State of Utah Division of Purchasing Conducting Procurement Unit State of Utah Division of Purchasing

REQUEST FOR STATEMENT OF QUALIFICATIONS

PATIENT ANDWHEELCHAIR LIFTS

SOLICITATION #ZC17086

This Request for Statement of Qualifications (“RFSQ”) is issued in accordance with State of Utah Procurement Code, Utah Code Annotated (UCA) Chapter 63G-6a, and applicable Rules found in the Utah Administrative Code (UAC). If any provision of this RFSQ conflicts with the UCA or UAC, the UCA or UAC will take precedence.

Purpose of this Solicitation

The State of Utah, Division of Purchasing has issued this RFSQ to obtain statements of qualifications from companies interested in providing patient and wheelchair lifts with the intent to establish an open-ended approved vendor list. Vendors approved during this process will be prequalified for a period of 12 months after which time an approved vendor must resubmit qualifications for evaluation and renewal. The State retains the right to reopen the solicitation to allow additional vendors to submit responses at any time, but no longer than every twelve months, during the term of this open-ended approved vendor list. The RFSQ can be reopened for any reason the State deems appropriate.

Issuing Procurement Unit, Conducting Procurement Unit, and Solicitation Number

The State of Utah Division of Purchasing is the issuing procurement unit and conducting procurement unit for this RFSQ (referred to as “the State”). The reference number for this RFSQ is Solicitation #ZC17086. This solicitation number must be referred to on all bids, correspondence, and documentation submitted to the State relating to this RFSQ.

Evaluation of Statements of Qualifications

Each Statement of Qualifications received shall be evaluated for responsiveness in as outlined in the Utah Procurement Code.

Pursuant to Section 63G-6a-407 of the Utah Procurement Code this RFSQ shall be evaluated by the objective criteria described in this RFSQ. Statements of Qualifications submitted must comply with the prerequisites and questions sections of this RFSQ.

Any Statement of Qualification that does not comply with the prerequisite and questions sections will be deemed non-responsive and will be rejected.

Any exceptions to the content of this RFSQ, including the prerequisites, must be protested in writing to the Division of Purchasing prior to the closing date.

To be responsive and responsible Vendors must review and respond to the following sections of this RFSQ: Prerequisites, Buyer Attachments, and Questions.

• The Prerequisites Section contains the objective criteria that will be used to evaluate the bids, including the mandatory minimum requirements and general requirements that Vendors must certify that they have read, understand, and agree in order to submit a bid.

• The Buyer Attachments Section contains the required State of Utah Terms and Conditions of the RFSQ, which are non-negotiable, the General Provisions which apply to this RFSQ, and any additional required forms.

• The Questions Section contains the questions that Vendors are required to answer in order to submit their Statement of Qualifications.

Vendors must review each section carefully.

Required to View Event

Prerequisites Required to Enter Bid

25 August 201725 August 2017

1. Review the attached General Provisions.

2.

The mandatory minimum requirements are the objective criteria in which the conducting procurement unit will evaluate proposals. Vendors must upload a document which provides a point by point response to the mandatory minimums listed in this prerequisite.

3. To determine which firms are qualified under this RFSQ, the evaluation committee will evaluate each Statement of Qualification that has not been disqualified or rejected using the criteria listed in this section.

4.

All Statements of Qualifications in response to this RFSQ will be evaluated in a manner consistent with the Utah Procurement Code, Administrative Rules, policies and the evaluation criteria in this RFSQ. Vendors bear sole responsibility for the items included or not included within the Statement of Qualifications submitted by the Vendor. Each area of the evaluation criteria must be addressed in detail in the Statement of Qualifications.

Buyer Attachments

1. Claim of Business Confidentiality Form

2. Vendor Response Form

3. Vendor Qualification Reference Form

4. Score Sheet

5. Terms and Conditions for Goods & Services (Cooperative Contracts)

Questions Required Questions

1. Acceptance of Prerequisites

1.1.

Is Vendor presently or has Vendor ever been debarred, suspended, proposed for debarment, or declared ineligible by any governmental department or agency, whether international, national, state, or local?

1.2.

Vendor acknowledges that it must acquire and maintain all applicable federal, state, and local licenses before the contract is entered into. Licenses must be maintained throughout the entire contract period. Persons doing business as an Individual, Association, Partnership, Corporation, or otherwise shall be registered with the Utah State Division of Corporations and Commercial Code.

NOTE: Forms and information on registration may be obtained by calling

(801) 530-4849 or toll free at 877-526-3994, or by accessing:

www.commerce.utah.

gov.

25 August 201725 August 2017 https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/239965-385387088confidentialityclaimform%20%281%29.doc?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1566766991&Signature=eAHlOGXczj%2B7%2BRl5ENXt42I%2FMM0%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/239965-385387088confidentialityclaimform%20%281%29.doc?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1566766991&Signature=eAHlOGXczj%2B7%2BRl5ENXt42I%2FMM0%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/239965-532684913Vendor%20Response%20Form%20%282%29.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1566766991&Signature=FUwCq12w0xuIYcRRqwCPR5iUcXM%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/239965-532684913Vendor%20Response%20Form%20%282%29.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1566766991&Signature=FUwCq12w0xuIYcRRqwCPR5iUcXM%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/239965-452375934Vendor%20Qualification%20Reference%20Form.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1566766991&Signature=snDZdJNDLv46KDhD7PXKvytUbCQ%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/239965-452375934Vendor%20Qualification%20Reference%20Form.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1566766991&Signature=snDZdJNDLv46KDhD7PXKvytUbCQ%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/239965-532684921ZC17086%20Score%20Sheet.xls?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1566766991&Signature=kyfXxVcbkaQhk4e%2B5zSejlsikUs%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/239965-532684921ZC17086%20Score%20Sheet.xls?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1566766991&Signature=kyfXxVcbkaQhk4e%2B5zSejlsikUs%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/239965-485664153TCCoopGoodsServices-1.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1566766991&Signature=3DVQHnH6vDZ9WGO4XendST9L2j8%3D https://s3.amazonaws.com/solutions-selectsite-documents/Sourcingevent/239965-485664153TCCoopGoodsServices-1.docx?AWSAccessKeyId=AKIAJ5HNJE5DFBZ5ONSA&Expires=1566766991&Signature=3DVQHnH6vDZ9WGO4XendST9L2j8%3D

1.3.

Vendor acknowledges that it has uploaded a document providing a point-by-point response to the following prerequisites: the mandatory minimum requirements prerequisite, the technical requirements prerequisite, and any other prerequisite that required a document to be uploaded.

1.4.

Does Offeror have an outstanding tax lien in the State of Utah? If yes, Offeror must provide a statement regarding its debarment or suspension.

1.5.

Is Offeror an employee of the State of Utah? If yes, then Offeror must submit an external employment form signed by Offeror's manager at the State of Utah.

2. Vendor Information

2.1.

Please provide your firm's legal company name.

2.2.

Please provide your federal tax identification number.

(If the vendor is sole proprietor please do not provide your social security number.)

2.3.

Please provide your firm's contact information for this contract, including the name, phone number, and email address of your firm's authorized representative.

2.4.

Please provide your ordering address and the remit to address.

Please clearly identify each address.

2.5.

Please provide your firm's State of Utah Sales Tax ID Number.

If you do not have a State of Utah Sales Tax ID Number, please write "N/A".

2.6. Identify your firm's

type of business.

3. RFSQ Required Responses

3.1.

Identify which regions you are willing to serve.

3.2.

Vendor has provided at least 3 references who may be contacted OR 3 Vendor Qualification Reference Form.

3.3.

Upload completed copy of Vendor Response Form.

3.4.

Vendor acknowledges that they have identified the categories for which they are applying, and have provided the requested demonstration of capability for each category.