2513-876 Att D Bid Resp Form.docx

Competitive Solicitation RFP # 2513-876 Attachment D, Bidder Response Form Bidder Name _____________________

ATTACHMENT D: BIDDER RESPONSE FORM

This form is broken into Seven sections: Section 1. Administrative Response; Section 2. EO 18-03 Response; Section 3. Washington Small Business; Section 4. Certified Washington Veteran-owned Business; Section 5. Management Response; Section 6. Technical Response; and Section 7. Quotation/Cost Proposal. Bidders must respond to all questions in the order and in the expandable space provided. If a question requires Bidder to submit additional documents, please attach them to this document and label them clearly as part of your response to this Attachment D.

Bidder’s response to the questions in this Section 1, combined with the information provided in Bidder’s Submittal Letter and Certifications and Assurances, comprise Bidder’s Administrative Response to this Solicitation. While the Administrative Response is not given a number score, the information provided as part of Bidder’s Administrative Response may cause the Bid to be disqualified and may be considered in evaluating Bidder’s qualifications and experience.

MAXIMUM TOTAL POINTS

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NOT SCORED

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NOT SCORED

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NOT SCORED

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J Please describe any programs, policies or activities of your organization that support human health and environmental sustainability in your business practices. If a program, policy or activity is specifically applicable to this Contract, please indicate so.

NOT SCORED

ANSWER:

K Indicate the service areas for which you are applying:

Urban, Suburban or Rural, and which County(ies)

NOT SCORED

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L

ANSWER: Yes or No:

M

ANSWER: Yes or No:

L

ANSWER: Yes or No:

EO

Are your employees required to sign, as a condition of employment, a mandatory individual arbitration clause and/or a class or collective action waiver?

Please Note: Points for this question will be awarded to bidders who respond that they do not require these clauses and waivers. If you certify here that your employees are NOT required to sign these clauses and waivers as a condition of employment, and you are the successful Bidder, a term will be added to your Contract certifying this response and requiring notification to DSHS if you later require your employees to agree to these clauses or waivers during the term of the Contract.

ANSWER:

Are you a Washington Small Business as defined under RCW 39.26.010?

According to Chapter 39.26.010 RCW, to qualify as a Washington Small Business, Bidder must meet three requirements:

a. Location. Bidder’s principal office/place of business must be located in and identified as being in the State of Washington. A principal office or principal place of business is a firm’s headquarters where business decisions are made and the location for the firm’s books and records as well as the firm’s senior management personnel.

b. Size. Bidder must be owned and operated independently from all other businesses and have either: (a) fifty (50) or fewer employees; or (b) gross revenue of less than seven million dollars ($7,000,000) annually as reported on Bidder’s federal income tax return or its return filed with the Washington State Department of Revenue over the previous three consecutive years.

c. WEBS Certification. Bidder must have certified its Washington Small Business status in Washington’s Electronic Business Solution (WEBS).

ANSWER:

Are you a Certified Washington Veteran-Owned Business as defined under RCW 43.60A.190?

According to Chapter 43.60A.190 RCW, to qualify as a Certified Washington Veteran-Owned Business, Bidder must meet four requirements:

a. 51% Ownership. Bidder must be at least fifty-one percent (51%) owned and controlled by:

1. A veteran is defined as every person who at the time he or she seeks certification has received a discharge with an honorable characterization or received a discharge for medical reasons with an honorable record, where applicable, and who has served in at least one of the capacities listed in RCW 41.04.007;

2. A person who is in receipt of disability compensation or pension from the Department of Veteran’s Affairs; or

3. An active or reserve member in any branch of the armed forces of the United States, including the national guard, coast guard, and armed forces reserves.

b. Washington Incorporation/Location. Bidder must be either an entity that is incorporated in the state of Washington as a Washington domestic corporation or, if not incorporated, an entity whose principal place of business is located within the State of Washington.

c. WEBS Certification. Bidder must have certified its Veteran-Owned business status in Washington’s Electronic Business Solution (WEBS).

d. WDVA Certification. Bidder must have provided certification documentation to the Washington Department of Veterans’ Affairs WDVA) and be certified by WDVA and listed as such on WDVA’s website (WDVA – Veteran-Owned Businesses).

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1) Mediation – both voluntary and mandatory

2) Development of parenting plans

3) Development of guidelines for visitation and alternative custody arrangements

4) Visitation enforcement – includes monitored visitation, supervised visitation and neutral dropp off and pick up

5) Education – includes effective co-parenting strategies, the effects of separation and diviroce on children and families, the impact of parental conflict on children, improving parenting skills, how to put a parenting agreement into effect, court procedures for filing a motion for visitation, custody and compliance issues. Include information as to whether the curriculum is evidence-based.

6) Counseling

If you plan to subcontract, describe your organization’s procedure for procuring and establishing subcontracts, and the procedure your organization will use to monitor the subcontracts and services provided to ensure program compliance.

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For services other than supervised visitation/neutral exchange, describe how your organization will incorporate a domestic violence informed approach for parenting time services, including a description of current and planned collaborations with domestic violence experts, a detailed description of screening and intake procedures, and your procedure for reporting domestic violence.

If your organization plans to provide supervised visitation and/or neutral drop-off and pick-up services. Including details of the operational standards you will use to ensure client safety.

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Provide a description of how your organization will ensure the collection of the necessary data to complete the reports.

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Consider the following goals in your response, and list all relevant research that supports your organization’s approach:

1) Prepare unmarried parents to set goals to promote and create a healthy future for their children.

2) Help unmarried parents establish a co-parenting relationship that enables them to work together raising their child.

3) Provide services that lead to increased noncustodial parenting time.

4) Ensure the ongoing and sustained involvement of both parents in the child’s life.

5) Encourage the ongoing payment of child support and provision of other forms of support by the noncustodial parent.

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For allocated cost detail, attach a separate sheet or describe details below.

ANSWER, Total Maximum Quotation Amount:

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Attachement D Template update 07-20-2023 7