5. Schedule A - Statement of Work RFP 260000002364.docx

Enter your company name Schedule A – Statement of Work Request for Proposal No. 260000002364 Occupational Therapy Services at Michigan School for the Deaf This schedule identifies the anticipated requirements of any Contract resulting from this RFP. The term “Contractor” in this document refers to a bidder responding to this RFP, as well as the Contractor who is awarded the contract. The term “bidder” is used to identify where specific responses to the RFP are required. Yellow fields are also used to identify areas where a bidder response is required.

The Contractor must respond to each requirement or question and explain how it will fulfill each requirement. Attach any supplemental information and reference it appropriately within your response.

Background This is a flat rate contract for the provision of Occupational Therapy Services for the Michigan School for the Deaf. Services may be provided by either a licensed Occupational Therapist or a Certified Occupational Therapy Assistant, under the supervision of a licensed Occupational Therapist.

The Michigan School for the Deaf (MSD) is a residential facility for deaf/hard of hearing students. It is a PreK-12 through 26 years old educational program, serving students who are identified with a hearing loss that impacts on educational access. In addition to deafness there are students with multiple impairments in our population. The school operates a 24-hour residential program from Sunday at 4:30 p.m. through Friday at 12:30 p.m., with approximately 50 students in the dormitory, as well as approximately 70-day students for a total of 130 students approximately. The classroom program begins at 7:50 a.m. and ends at 3:22 p.m.

The school is located at 1235 W Court Street, Flint, MI 48503 Scope The Contractor must provide direct or consultative occupational therapy services (as required in the IEP) for MSD students on campus of MSD as ordered by a prescribing physician. All services must be provided as specified and at intervals indicated. This includes assessments and/or evaluations as requested or prescribed including IEP reports and goals and objectives.

Mandatory Minimums

1. Licensed Occupational Therapist.

2. If a Certified Occupational Therapy Assistant, then they must be under the supervision of a Licensed Occupation Therapist.

3. American Sign Language (ASL) is the primary language for all MSD students and many of the staff. The Contractor will be required to have proficiency in ASL or if not will be required to attend ASL classes. Sign language classes will be offered at no charge on the campus of Michigan School for the Deaf. Participation in sign language classes is not a billable service to the school.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Bidder must describe how they meet the mandatory minimums. Bidder must provide current license for occupational therapy with no restrictions and certificate for certified occupational therapy assistant.

Describe how you will comply with the requirement(s)

General Requirements Contractor must provide Deliverables/Services and staff, and otherwise do all the things necessary for or incidental to the performance of work, as set forth below:

Provide occupational therapy treatment for MSD students on the campus of MSD as ordered by a prescribing physician. All services must be provided as specified by the IEP Team and at intervals indicated by the IEP Team.

Provide assessments and/or evaluations when permission is obtained through the evaluation plan as prescribed by MSD-IEP Team. Work with other team members (i.e., teachers) to assist MSD Staff in learning skills needed to provide support activities of the physical therapy plan in the classroom setting.

Be responsible for confirming that current signed medical scripts are on file for each student receiving services and provide a monthly written list of any missing prescriptions to the MSD Program Manager or designee.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Bidder must describe how they will comply with the above requirement(s) including the process in which they will share reports and communicate with the MSD Program Manager or designee.

Describe how you will comply with the requirement(s)

Provide a written evaluation report including annual goals and objectives if services are recommended. Contractor must also complete a physician script form provided by MSD Program Manager or designee including diagnosis and recommendations for Occupational Therapy services.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Bidder must provide example (sample) of a written evaluation report and describe how they will comply with the above requirement(s):

Describe how you will comply with the requirement(s)

Must be available for services, consultations, and any required MSD training or meetings during the periods of time students are in school at MSD. Normal school hours are between 7:50am and 3:22pm Monday through Thursday and 7:50 am and 11:55 am Friday, except State Holidays.

MSD Program Manager or designee and Contractor will collaborate on determining the appropriate schedule weekly/monthly. Any proposed schedule change by the Contractor must be submitted in writing no later than two 2 weeks prior to the proposed change. MSD Program Manager and or designee must provide final authorization of any schedule change in writing before implementation. Authorization is not guaranteed and will be determined by the State.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Bidder must describe how they will comply with the above requirement(s):

Describe how you will comply with the requirement(s)

Provide a written schedule for student’s occupational therapy services and submit to the MSD Program Manager or designee for approval within two (2) weeks of the start of the school year. Any changes in schedule must be submitted to the MSD Program Manager or designee in writing within two (2) weeks of the start of the school year. Any changes in student schedule must be submitted to the MSD Program Manager and or designee in writing within two (2) weeks of the student IEP meeting. Schedule implementation will be affirmed after IEP meeting.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Bidder must describe how they will comply with the above requirement(s):

Describe how you will comply with the requirement(s)

Complete a monthly log of services provided to each student for billing purposes. Contractor must submit monthly billing invoices & logs for school based occupational therapy services to be billed for tuition services. Documentation must be submitted to the MSD Business Office by the 5th of the month for services provided during the previous month. The logs must be entered in MSD required format which will be provided to Contractor upon award. Contractor must match the invoice and the logs before submitting them to the MSD business office for payment. ESY (Extended School Year) services are to be logged & invoiced separately from all other provided services.

Complete a daily and monthly log of services provided to each student for Medicaid billing purposes. Original logs are to remain on the campus of Michigan School for the Deaf in a designated area as determined by MSD Program Manager or designee. The logs must be entered into the MSD required format which will be provided to Contractor upon award.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Provide written progress reports at end of each marking period, end of school year and for inclusion in the IEP (Individual Education Program) or case conferences. Progress reports are to include suggestions for home and school support for the therapy plan. The submitted progress report must be entered in the MSD required format which will be provided to Contractor upon award.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Bidder must describe how they will comply with the above requirement(s) including providing an example of a completed progress report:

Describe how you will comply with the requirement(s)

Be available to attend IEP meetings and case conferences for students at the request of MSD Program Managers, designee or MSD administration as required.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Inform parents and staff of any significant changes in student progress that may require further consultation or a change in the service plan.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Maintain a log for each student containing all contacts with stakeholders regarding student progress must be noted on the student’s contact log. Log must include date, time, and description of contact. The logs must be entered in MSD required format which will be provided to Contractor upon award.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Bidder must describe how they will comply with the above requirement(s) including providing an example of a completed student log:

Describe how you will comply with the requirement(s)

Notify MSD Program Manager, designee, and Administration, as specified in the MSD School Abuse Policy when any student has a suspected physical injury, abuse, or neglect that may become evident in the course of the provision of services.

All assigned personnel must attend all mandatory training required by MSD. Contractor personnel must comply with all student abuse reporting, prevention, training, and documentation requirements established by MSD and all applicable laws. Failure to meet requirements will result in an investigation and may lead to immediate removal of personnel involved and/or further applicable action as determined. Per section ____ of Standard Contract Terms and Conditions.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Maintain confidentiality of student information including all Family Educational Rights and Privacy Act (FERPA), Health Insurance Portability and Accountability Act (HIPAA), and MSD/State of Michigan Policy. All paper or electronic reports, evaluations, and assessments will remain the property of the Michigan School for the Deaf.

MSD Program Manager and designees will collaborate with the Contractor to determine how specific reports, logs, evaluations, student records, and other documentation is to be submitted. All work product resulting from services will be owned by the State and upon termination of services all work product and records including development materials must be transferred to the State and not remain with Contractor.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Bidder must describe how they will comply with the above requirement(s) including how confidentiality of student information will be stored, maintained, and secured:

Describe how you will comply with the requirement(s)

Follow established procedures set by MSD Program Manager, designee, or Administration when on-site to provide services. MSD reserves the right to update and or change requirements as deemed necessary.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Provide a substitute occupational therapist to perform the services according to the prescribed schedule during any absence of the primary assigned physical therapist(s). Contractor is required to inform the MSD Program Manager and designee of any absences and name of substitute physical therapist in accordance with MSD Call In Procedure which requires notice by 6:30 am. on the given school day on which the absence takes place. Call In Procedure will be provided upon award of contract.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Bidder must describe how they will comply with the above requirement(s) including current number of physical therapists on staff, policy and procedures for absences and notice:

Describe how you will comply with the requirement(s)

Electronically file service records for school based occupational therapy services to be billed to Medicaid by the 15th of the month for services provided during the previous month.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Required to attend a mandatory MSD Back to School In-Service Training for Staff and Contractors. This In-Service Training will be for five business days (Monday – Friday) prior to the start of school. Information including dates, and times will be provided annually to the Contractor fourteen (14) calendar days prior to the start of each school year.

Additional trainings may be required throughout the school year. The State reserves the right to adjust and add trainings as required.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Bidder must describe how they will comply with the above requirements.

Project Plan The Contractor will carry out this project under the direction and control of the Michigan School for the Deaf Program Manager.

For this proposal: Specific information including names/address of therapists providing direct services to MSD must be provided within 30 calendar days of effective date. Daily schedule with student’s names and treatment times will be provided in accordance with IEP.

Upon Contract Award: A final project plan must be submitted for final approval within 30 calendar days of the Effective Date. The plan must also include: (a) the Contractor's organizational chart with names and title of personnel assigned to the project, which must align with the staffing stated in accepted proposals; and (b) the project breakdown showing sub-projects, tasks, and resources required.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Bidder must describe project plan as described above.

ADA Compliance The State is required to comply with the Americans with Disabilities Act of 1990 (ADA), including its accessibility standard for websites, applications, content and documents. All Contract Activities created, provided, or made available by Contractor under this Contract in a digital format, including but not limited to, websites, applications, software, mobile applications, text, images, sounds, videos, controls, animations, links, and documents (including files in the following formats: PDF, word processing, presentation, and spreadsheet) must comply with the accessibility standards provided in the Digital Accessibility Standards, located at SOM Digital Standards.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Bidder must describe how they will comply with the above requirements.

Customer Service Number The Contractor must specify its telephone number for the State to make contact with the Contractor Representative. The Contractor Representative must be available for calls during the hours of 8:00 a.m. and 3:00 p.m. EST.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Bidder must describe how they will comply with the above requirement.

Work Hours The Contractor must be available for service and consultation during the periods of time students are in school at MSD. Normal school hours are between 7:50am and 3:22pm (Eastern Standard Time) Monday through Thursday and 7:50 am and 11:55 am (Eastern Standard Time) Friday, except State Holidays, as necessary to provide services to all students per IEP requirements Bidder Response

☐ I confirm the above requirement(s) and agree with no exception(s)

Reporting The Contractor must submit to the MSD Program Manager and or designee the following reports in the following format and time frame:

• The Contractor must provide signed, typed evaluation reports following special education timelines (within 30 school days of MSD’s receipt of parent permission). Original copies are to be presented at the Annual IEP, given to the student’s case manager or Student Services Supervisor, and then filed in the student’s permanent school record in the Student Services Office.

• Student logs must be submitted in an Excel Format with the spreadsheet parameters provided by MSD. The invoice and the log must match. Both the invoice & the log must be submitted by the 5th business day of the month for the previous month using an agreed upon electronic submission system.

• Logs that include dates of service and progress for Medicaid billing purposes will be completed in the MSD Academic Network monthly or as required.

• Contractor is responsible for all necessary and required work product determined by MSD in the course of business.

Other written reports that are required by the Contractor include:

Contractor must provide the following:

• Enter Evaluation Data or Present Level information into the MSD Academic Network portal at minimum annually but can be more for IEP purposes. MSD will provide the needed training and access as required.

• Enter individualized annual goals, objectives, and recommendations for service time for each student receiving services in the MSD Academic Network at minimum annually but can be more for IEP purposes.

• Report progress on IEP goals and objectives and enter progress data into the MSD Academic Network quarterly following the report card schedule.

• A letter to a physician that includes Physical therapy diagnosis and recommendations must be documented on a fillable form that will be provided to the Contractor by MSD. The form will be in both an electronic format and hard copy for use and must be used as required. Form must be turned into the student’s case manager or Student Services Supervisor within five (5) business days of a student’s IEP meeting.

Bidder Response

Explain your reporting capabilities, including use of Excel, any reporting that is included in your proposal, and any additional reporting capabilities.

Describe how you will comply with the requirement(s)

Training The Contractor must explain its training capabilities and any training that is included in its proposal as it relates to occupational therapy services.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Bidder must explain its training capabilities and any training that is included in its proposal. Bidder must explain experience providing training to families and school staff on various physical therapy strategies:

Meetings The Contractor must attend the following meetings:

1. Kick-off meeting to be scheduled within 30 calendar days of the Effective Date of the contract.

2. All Staff return to school week (mandatory trainings).

3. IEP Meetings.

4. Meetings as requested by MSD Staff or required by MSD.

The State may request other meetings/trainings as it deems appropriate.

Bidder Response

☐ I confirm the above requirement(s) and agree with no exception(s)

Contractor Program Manager The Contractor must appoint one (1) individual specifically assigned to State of Michigan accounts who will respond to State inquiries regarding the Contract Activities, answer questions related to ordering and delivery, etc. (the “Contractor Program Manager”).

The Contractor must notify the Contract Administrator at least 14 calendar days before removing or assigning a new Contractor Program Manager.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Bidder must provide Program Manager’s name and information.

Key Personnel See Attachment 1- Key Personnel for requirements related to the key personnel.

Organizational Chart Bidder Response

Provide an overall organizational chart that details staff members, by name and title, and subcontractors.

Add your org chart here or insert the label or filename if you are adding it as a separate attachment.

Disclosure of Subcontractors If the Contractor intends to utilize subcontractors, the Contractor must disclose the following:

The legal business name; address; telephone number; a description of subcontractor’s organization and the services it will provide; and information concerning subcontractor’s ability to provide the Contract Activities.

The relationship of the subcontractor to the Contractor.

Of the total bid, the price of the subcontractor’s work.

Whether the Contractor has a previous working experience with the subcontractor. If yes, provide the details of that previous relationship.

A complete description of the Contract Activities that will be performed or provided by the subcontractor.

Required Subcontractor information. Bidders must complete the table below for each anticipated subcontractor. Copy the table as many times as needed for each subcontractor. Complete the second table with the percentage of work that will be completed by all subcontractors involved.

The legal business name, address, telephone number of the subcontractor(s).

A description of subcontractor’s organization and the services it will provide and information concerning subcontractor’s ability to provide the Contract Activities.

The relationship of the subcontractor to the Bidder.

Is the subcontractor a GDBE?

Whether the Bidder has a previous working experience with the subcontractor.

A complete description of the Contract Activities that will be performed or provided by the subcontractor.

Of the total bid, the price of the subcontractor’s work.

Work performed by subcontractors

Total percentage of work that will be performed by subcontractors: Insert %

Total percentage of subcontracted work that will be performed by GDBE subcontractors: Insert %

Security The Contractor will be subject the following security procedures:

· Background check identification as required by MSD must be completed prior to start for all contracted personnel.

· Identification must be visible at all times.

· Contracted staff must only enter or exit through employee entrance doors.

· The Contractor must explain any additional security measures in place to ensure the security of State facilities.

Bidder Response

☐ I have reviewed the above requirement(s) and agree with no exceptions.

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Bidder must describe how they will comply with the above requirement and explain any additional security measures.

Price Term Pricing is firm for the entire length of the Contract.

Bidder Response

☐ I confirm the above requirement(s) and agree with no exception(s)

Price Changes Adjustments will be based on changes in actual Contractor costs. Any request must be supported by written evidence documenting the change in costs. The State may consider sources, such as the Consumer Price Index; Producer Price Index; other pricing indices as needed; economic and industry data; manufacturer or supplier letters noting the increase in pricing; and any other data the State deems relevant.

Following the presentation of supporting documentation, both parties will have 30 days to review the information and prepare a written response. If the review reveals no need for modifications, pricing will remain unchanged unless mutually agreed to by the parties. If the review reveals that changes are needed, both parties will negotiate such changes, for no longer than 30 days, unless extended by mutual agreement.

The Contractor remains responsible for Contract Activities at the current price for all orders received before the mutual execution of a Change Notice indicating the start date of the new Pricing Period.

Bidder Response

☐ I confirm the above requirement(s) and agree with no exception(s)

Authorizing Document The appropriate authorizing document for the Contract will be a Delivery Order (DO).

Bidder Response

☐ I confirm the above requirement(s) and agree with no exception(s)

Invoice Requirements All invoices submitted to the State must include: (a) date; (b) delivery order number; (c) hours worked; (d) dates of service; and (e) total price. Overtime, holiday pay, and travel expenses will not be paid. The corresponding monthly Excel Spreadsheet Student Log (Format parameters provided by MSD) is required at the time invoices are submitted to the MSD Business Office.

ESY (Extended School Year) services must be invoiced monthly and separately from all other services. MSD upon contract execution will provide the appropriate contact for the submission of all invoices and corresponding student logs.

Bidder Response

☐ I confirm the above requirement(s) and agree with no exception(s)

Payment Methods The State will make payment for Contract Activities via EFT.

Bidder Response

☐ I confirm the above requirement(s) and agree with no exception(s)

Procedure The Contractor is required to follow the following procedures when submitting invoices and corresponding student logs:

Student logs must be submitted in Excel Spreadsheet Format parameters provided by MSD. The invoice and the student log must match. Both the invoice and the student log must be submitted to the MSD Billing Office to the Business Manager or designee by the 5th business day of each month for the previous month’s services. Student logs must be submitted using an agreed upon electronic submission system.

Bidder Response

☐ I confirm the above requirement(s) and agree with no exception(s)

Liquidated Damages Late or improper completion of the Contract Activities will cause loss and damage to the State and it would be impracticable and extremely difficult to fix the actual damage sustained by the State. Therefore, if there is late or improper completion of the Contract Activities the State is entitled to collect liquidated damages in the amount of $5,000 and an additional $100 per day for each day Contractor fails to remedy the late or improper completion of the Work.

Bidder Response

☐ I confirm the above requirement(s) and agree with no exception(s)

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

Enter your company name

RFP 260000002364 1

Schedule A – Attachment 1 – Key Personnel

1. Key Personnel The Contractor must appoint one individual who will be directly responsible for the day-to-day operations of the Contract (“Key Personnel”). Key Personnel must be specifically assigned to the State account, be knowledgeable on the contractual requirements, and respond to State inquiries within 24 hours.

Contractor must also provide a substitute Occupational Therapist to perform the services according to prescribed schedule during any absence. Inform the Contract Administrator & Program Manager of such absences and the name of substitute Occupational Therapist prior to the beginning of the school day on which they take place.

Contractor’s Key Personnel must be on-site at Michigan School for the Deaf - 1235 W. Court Street, Flint, MI when providing Occupational Therapy.

The State has the right to recommend and approve in writing the initial assignment, as well as any proposed reassignment or replacement, of any Key Personnel. Before assigning an individual to any Key Personnel position, Contractor will notify the State of the proposed assignment, introduce the individual to the State’s Project Manager, and provide the State with a resume and any other information about the individual reasonably requested by the State. The State reserves the right to interview the individual before granting written approval. In the event the State finds a proposed individual unacceptable, the State will provide a written explanation including reasonable detail outlining the reasons for the rejection. The State may require a 30-calendar day training period for replacement personnel.

Contractor will not remove any Key Personnel from their assigned roles on this Contract without the prior written consent of the State. The Contractor’s removal of Key Personnel without the prior written consent of the State is an unauthorized removal (“Unauthorized Removal”). An Unauthorized Removal does not include replacing Key Personnel for reasons beyond the reasonable control of Contractor, including illness, disability, leave of absence, personal emergency circumstances, resignation, or for cause termination of the Key Personnel’s employment. Any Unauthorized Removal may be considered by the State to be a material breach of this Contract, in respect of which the State may elect to terminate this Contract for cause under the Termination for Cause section of the Standard Contract Terms. It is further acknowledged that an Unauthorized Removal will interfere with the timely and proper completion of this Contract, to the loss and damage of the State, and that it would be impracticable and extremely difficult to fix the actual damage sustained by the State as a result of any Unauthorized Removal. Therefore, Contractor and the State agree that in the case of any Unauthorized Removal in respect of which the State does not elect to exercise its rights under Termination for Cause, Contractor will issue to the State the corresponding credits set forth below (each, an “Unauthorized Removal Credit”):

For the Unauthorized Removal of any Key Personnel designated in the applicable Statement of Work, the credit amount will be $10,000.00 per individual if Contractor identifies a replacement approved by the State and assigns the replacement to shadow the Key Personnel who is leaving for a period of at least 30-calendar days before the Key Personnel’s removal.

If Contractor fails to assign a replacement to shadow the removed Key Personnel for at least 30-calendar days, in addition to the $10,000.00 credit specified above, Contractor will credit the State $333.33 per calendar day for each day of the 30-calendar day shadow period that the replacement Key Personnel does not shadow the removed Key Personnel, up to $10,000.00 maximum per individual. The total Unauthorized Removal Credits that may be assessed per Unauthorized Removal and failure to provide 30-calendar days of shadowing will not exceed $25,000.00 per individual.

Contractor acknowledges and agrees that each of the Unauthorized Removal Credits assessed above: (i) is a reasonable estimate of and compensation for the anticipated or actual harm to the State that may arise from the Unauthorized Removal, which would be impossible or very difficult to accurately estimate; and (ii) may, at the State’s option, be credited or set off against any fees or other charges payable to Contractor under this Contract.

Bidder Response

☐ I confirm the above requirement(s) and agree with no exception(s)

☐ I have reviewed the above requirement(s) and have noted any exceptions below.

Exceptions: List all exceptions here

The Contractor must identify the Key Personnel, indicate where they will be physically located, describe the functions they will perform, and provide current chronological résumés.

The Contractor must identify all Key Personnel that will be assigned to this contract and include the following:

Name and title of staff that will be designated as Key Personnel.

Key Personnel years of experience in the current classification.

Identify which of the required key personnel positions they are fulfilling.

Key Personnel’s roles and responsibilities, as they relate to this RFP, if the Contractor is successful in being awarded the Contract. Descriptions of roles should be functional and not just by title.

Identify if each Key Personnel is a direct, subcontract, or contract employee.

Identify if each Key Personnel staff member is employed full-time (FT), part-time (PT) or temporary (T), including consultants used for the purpose of providing information for the proposal.

List each Key Personnel staff member’s length of employment or affiliation with the Contractor’s organization.

Identify each Key Personnel’s percentage of work time devoted to this Contract.

Identify where each Key Personnel staff member will be physically located (city and state) during the Contract performance.

The Contractor must provide detailed, chronological resumes of all proposed Key Personnel, including a description of their work experience relevant to their purposed role as it relates to the RFP.

Qualifications will be measured by education and experience with particular reference to experience on projects similar to that described in the RFP.

Bidder Response

Bidder must identify all required Key Personnel including providing resume, job title, functionality of role/responsibilities, years of experience including providing school based occupational therapy services, copy of license and/or certificate, and information as required above – either in this response box or identified here as an attachment to this RFP labelled as Key Personnel.

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