3688_Nov_4_24_solicitation_doc.pdf

Solicitation Number: 3688

DOC Inmate Medical Services - Death Review

Request for Proposal (RFP)

Correction, Dept. of

September 01, 2021 - November 19, 2021

Page:2

General Header Information

No. 3688 Title: DOC Inmate Medical Services - Death Review Start Date: September 01, 2021 at 3:00:00 PM EDT End Date: November 19, 2021 at 3:00:00 PM EST Vendor Q&A Start Date: September 01, 2021 at 3:15:00 PM EDT Vendor Q&A End Date: October 13, 2021 at 3:30:00 PM EDT Estimated Total Value:

Who can respond to this bid? : All Vendors Description: CT Department of Correction (CTDOC) is seeking to contract with an organization or individual that will review untimely death medical files (documentation) on the following topics in the areas of medical and mental health care.

Delivery Terms: Free On Board Destination Payment Terms: Vendor Specified Contact Information: Correction, Dept. of

Salina Hargrove 24 Wolcott Hill Road Wethersfield CT, 06109 United States Tel: 8606927480 Salina.Hargrove@ct.gov

Contact Details: If you have any questions, please contact:

Salina Hargrove 24 Wolcott Hill Road Wethersfield CT, 06109 United States Tel: 8606927480 Salina.Hargrove@ct.gov

Selected Categories:

Page:3

Questionnaire:

Company Information Description: Please provide responses to the following questions.

Detail full name and title of the individual legally authorized to sign solicitations on behalf of the company.

Type TEXT Is Required Y

Is your company a micro-business or Veteran's owned micro-business? Upon identifying your company as micro-business or veteran owned micro-business, pertinent documents must be returned with this solicitation as described in the “Requirements” tab;

“Solicitation Selection Criteria”; “Micro-business Preference”.

Contractors that do not include the required documentation with their bid submission will not be considered for this preference.

Type DROP DOWN Is Required Y

If you are a state employee, what is your position, agency, agency address. If you are not a State Employee, enter N/A

Type TEXT Is Required Y

Contractor Debarment and/or Suspension Description: Please provide responses to the following questions.

Is the Contractor, any company official, or any subcontractor to the Contractor, currently debared, disqualified or suspended from proposing or contracting with the State of Connecticut, the Federal Government or any other governmental entity?

Type YES/NO Is Required Y

Does the Contractor, any company official, or any subcontractor to the Contractor, have a debarment, disqualification or suspension proceeding pending with the State of Connecticut, the Federal Government or any other governmental entity?

Page:4

Type YES/NO Is Required Y

Has the Contractor, any company official or any subcontractor to the Contractor received notices of debarment and/or suspension from contracting with the State of Connecticut, the Federal Government or any governmental entity. If yes, said notices must be attached when submitting this solicitation response.

Type YES/NO Is Required Y

Disclosure Statement of Criminal Convictions and/or Disciplinary Action Description: Please provide responses to the following questions.

Is the Contractor, any company official, or any subcontractor to the Contractor, subject to any criminal convictions, guilty pleas or nolo contenderes against your company and any of your company’s officers, principal shareholders, directors, partners, LLC members and LLC managers. Any criminal convictions must be disclosed in a attachment when submitting this solicitation response.

Type YES/NO Is Required Y

Has your company or any of your company’s officers, principal shareholders, directors, partners, LLC members or LLC managers been subject to administrative actions either pending review by the state or determinations that the state has made against your company or any of your company’s officers, principal shareholders, directors, partners, LLC members or LLC managers? This would include court judgements, actions, suits, claims, demands, investigations and legal, administrative or arbitration proceedings pending in any forum. Include a listing of any actions or orders pending or resolved with any state agency such as the Department of Consumer Protection, the Department of Energy and Environmental Protection, etc. Such information should be for the last three (3) years. The listing must be attached when submitting this solicitation response.

Type YES/NO

Page:5

Is Required Y

Nondiscrimination Description: Nondiscrimination Affirmation

Does the Contractor understand its obligations under C.G.S. Section 4a-60 Nondiscrimination and affirmative action provisions in awarding agency, municipal public works and quasi-public agency project contracts and C.G. S. Section 4a-60a, Provisions re nondiscrimination on the basis of sexual orientation required in awarding agency, municipal public works and quasi-public agency project contracts including that Contractor will be required to maintain a policy for the duration of the contract to assure that the contract will be performed in compliance with the nondiscrimination requirements of C.G.S. Sections 4a-60 and 4a-60a? --------------------- ----------- Note: State agency or quasi-public agency cannot execute a state contract unless supplier provides an affirmative response in accordance with CGS Sections 4a-60 and 4a-60a.

Type YES/NO Is Required Y

Page:6

Documents:

Appendix F G H Budget Forms.xlsx

Death Review RFP 2021DOC-IMSDR-RFPSH.pdf

RFP Death Review Q A.pdf corrected Appendix G H I Budget Forms.xlsx

Page:7

Item Specifications Solicitation has been designated as having no line items.

Page:8