699032-event.pdf

Awarded To: Self employed

It has been determined by the evaluation team that Amber Wang is qualified to receive a master agreement for the Medical Examiner Locum Tenens RFSQ.

Medical Examiner Locum Tenens, Forensic Pathologists Division of Purchasing; Department of Health; Medical Examiner Locum Tenens; Forensic Pathologists;

SK16005-2AVL; Office of the Medical Examiner for the State of Utah

Open 12/26/2018 2:00 PM MDT Type Request for Statement of Qualifications (RFSQ/SOIQ)

Close 1/16/2019 2:00 PM MDT Number KT19038 Currency US Dollar

Sealed Until 1/16/2019 2:00 PM MDT

Contacts

Windy Aphayrath waphayrath@utah.gov

Commodity Codes

Commodity Code Description

42170 Emergency and field medical services products including emergency or rescue blankets and spine boards and splints and ambulance cots and defibrillators and accessories and first aid supplies and kits

42130 Medical apparel and textiles including patient clothing and medical staff clothing and accessories and surgical drapes and medical gloves and accessories

42200 Medical diagnostic imaging and nuclear medicine products including medical ultrasound imaging products and MRI products and x-ray products

85120 Dentists and physicians generalists and specialists including primary care, OB/GYN, cardiology, psychiatry, dermatology, pediatrics, orthopedics, oncology, physician assistants, podiatry, orthodontics

85121 Health care provider specialist services including lab, medical imaging radiology, pharmacy, chiropractic, medical diagnostics testing, audiology and speech language pathology, physical therapy, occupational therapy, optometry

85122 Mental health, behavioral health, psychotherapist evaluations and services including psychiatry, psychology, and counseling

Description

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

REQUEST FOR STATEMENT OF QUALIFICATIONS

Medical Examiner Locum Tenens, Forensic Pathologists

SOLICITATION #KT19038

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

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The State of Utah Division of Purchasing has issued this RFSQ to obtain statements of qualifications from vendors interested in providing Medical Examiner Locum Tenens and Forensic Pathologists services with the intent to establish an open-ended approved vendor list (AVL). This AVL is established pursuant to Utah Code 63G-6a-113 and 507, and contracts awarded based on established terms. Vendors approved during this process will be prequalified for a period of twelve (12) months after which time an approved vendor must resubmit qualifications for evaluation and renewal.

This is an open-ended approved vendor list with multiple closing dates. Vendors must submit statements of qualifications during this phase by deadlines as posted in SciQuest. The open-ended approved vendor list will include only vendors that submit a responsive statement of qualifications; and meet the minimum mandatory requirements, evaluation criteria, and applicable score thresholds described in this RFSQ. Only vendors on the open-ended approved vendor list will be able to participate in the procurements identified in this RFSQ. The State will allow additional vendors to be qualified and placed on the open-ended approved vendor list on a bi-annual basis. The resultant master agreement for awarded vendors will expire on 12/03/2021.

Background

The Office of the Medical Examiner for the State of Utah is currently seeking qualified Vendors for locum tenens to assist the current board-certified forensic pathologists in Utah's Office of the Medical Examiner central (and only) office in Salt Lake City, Utah. The Office of the Medical Examiner provides medicolegal death investigation services to the three (3) million residents of the State of Utah administered as a statewide medical examiner system. The forensic pathologists in the office are seeking temporary qualified physicians to help with serving the forensic pathology needs of Utah.

Issuing Procurement Unit, Conducting Procurement Unit, and Solicitation Number

The State of Utah Division of Purchasing is the issuing procurement unit for this RFSQ. The State of Utah Department of Health, Office of the Medical Examiner (referred to as "the State") is the conducting procurement unit for this RFSQ. The reference number for this RFSQ is KT19038. This RFSQ number must be referred to on all bids, correspondence, and documentation submitted to the State relating to this RFSQ.

Additional Information

Stages included in this RFSQ--Approved Vendor List process will be as follows:

• Stage 1 - This stage of the RFSQ is the qualification process. Only vendors who are determined to be qualified in this stage will be placed on the approved vendor list resulting from this RFSQ.

• Stage 2 - An approved vendor list is formed whereby contracts are awarded based on established terms.

• Stage 3 - Vendors on the approved vendor list will have work distributed to them on a rotating basis.

The State does not guarantee any purchase amount for Vendors on the approved vendor list resulting from this RFSQ.

Evaluation of Statements of Qualifications

Each statement of qualifications received shall be evaluated for responsiveness 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 qualifications 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 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 tot he following sections of this RFSQ:

• Prerequisites - this section contains the objective criteria that will be used to valuate 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.

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

• Questions - this section contains the questions that Vendors are required to answer in order to submit their statement of qualifications.

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Vendors must review each section carefully.

Required to View Event

Prerequisites Required to Enter Bid

1.

Vendors are encouraged to review this RFSQ prior to the deadline to submit a Statement of Qualifications, even if a proposal has been submitted, in case an addendum has been issued by the issuing procurement unit.

2. All questions must be submitted through SciQuest during the Question and Answer period.

3. Vendors are restricted on communications regarding this solicitation.

4. Statements of Qualification can be submitted through SciQuest.

5. Vendor may take exception and/or propose additional language to the Standard Terms and Conditions that have been attached.

6. Vendors may request that part of its Statement of Qualifications be protected by submitting a Claim of Business Confidentiality Form. See the Buyer Attachments section.

7. If Vendor will have access to certain locations, data, or technology, they may be required to pass a background check.

8. Vendor's Statement of Qualification will become public information.

9.

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.

10. 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

11.

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.

12. The issuing procurement unit may not accept a proposal after the time for submission of a proposal has expired.

13. Responses should be concise, straightforward and prepared simply and economically.

Buyer Attachments

1. Claim of Business Confidentiality Form

2. Attachment A Utah DOH General Provisions

3. Attachment B Special Provisions

4. Attachment C Vendor Compensation Statement

5. Scope of Work Forensic Pathologist Services

6. Interactive Scoresheet

Questions Required Questions

Group 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.

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.

Group 2: Vendor Information

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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.

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