6-Attachment E - Document Submission Checklist (DHHS26085).docx

23 KB Posted

Attached to
Stabilization and Mobile Response
Solicitation number
DHHS26085
Issued by
Utah

About this file

Written by GovTribe AI ·

This is a document submission checklist for the Utah Department of Health and Human Services (DHHS) in support of a Request for Proposals (RFP) for Stabilization and Mobile Response services in the Western Region. The RFP seeks to establish a five-year contract with a single qualified vendor to provide these services, with services anticipated to begin on September 18, 2026. The scope of work and detailed service requirements are outlined in Attachment A of the RFP.

Vendors submitting responses must include three required documents: Form #1 (Form W-9), Form #2a (Conflict of Interest Disclosure Statement) or Form #2b (Governmental Entity Conflict of Interest Certification for government agencies and public entities), and Form #3 (Proposal Submission Instructions). All submissions must be made through the Bonfire platform, and DHHS will only review documentation that is specifically requested in the solicitation. Vendors are advised to use this checklist to verify that their responses are complete before submission.

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Other files

File Type Posted
10-Form 2a - Conflict of Interest Disclosure Statement (DHHS26085).pdf PDF
2-Attachment A - Scope of Work (DHHS26085).docx DOCX document
5-Attachment D - Utah Family and Children Engagement Tool (DHHS26085).pdf PDF
9-Form 1 - W-9 (DHHS26085).pdf PDF
11-Form 2b - Conflict of Interest Certification UGE (DHHS26085).pdf PDF
8-Form 3 - Technical Proposal (DHHS26085).docx DOCX document
12-RFP - DHHS26085.docx DOCX document
7-Attachment F - Score Sheet (DHHS26085).xls XLS spreadsheet
4-Attachment C - CRISIS and STABILIZATION SPEC 2023 (DHHS26085).pdf PDF
1-General Terms and Conditions - DHHS26085.docx DOCX document
3-Attachment B - SMR POLICY AND PROCEDURES (DHHS26085).pdf PDF
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DHHS26085

Document Submission Checklist

PLEASE SUBMIT DOCUMENTS VIA BONFIRE!

Responses should contain only documentation requested in this solicitation. DHHS will not review information submitted by a vendor that is not requested in this solicitation.

·
Submit the documents specified below. Complete forms as instructed. Vendors are encouraged to use this table as a checklist to ensure that responses are complete.

1. Form #1: Form W-9

2. Form #2a: Conflict of Interest Disclosure Statement

OR

Form #2b: Governmental Entity Conflict of Interest Certification (for government agencies, political subdivisions, municipalities, public schools, etc.)

3. Form #3: Proposal

Submission Instructions Page 1 of 1

File details come from the government source that posted it. Updated .