J.6_Subcontractor_Proposal_Checklist.docx
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- Solicitation number
- 75FCMC19R0042
About this file
This document contains a checklist and proposal requirements for subcontractors responding to solicitation number 75FCMC19R0042 from the Centers for Medicare and Medicaid Services for Plan Program Integrity Medicare Drug Integrity Contract services. The solicitation seeks to conduct proactive and reactive data analysis within Medicare Parts C and D to identify program vulnerabilities and provide findings to Medicare Advantage and Prescription Drug Plans. The Centers for Medicare and Medicaid Services will award one cost-plus-fixed-fee contract for five years, consisting of a one-year base period and four one-year option periods. Responses are due 30 days from the September 3, 2019 solicitation release date on the Federal Business Opportunities website. The solicitation is under NAICS code 541990 with a $15 million size standard. Subcontractor proposals must include company information, ownership details if a new entity, lists of any proposed subcontractors, and business size designation.
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Attachment J.6 RFP-75FCMC19R0042 PPI MEDIC
Proposal Checklist - Subcontractor
You are requested to complete the following checklist to allow CMS to more readily identify various aspects of your proposal. Please check the appropriate items and provide an explanation, if necessary.
1) Prime Offeror’s Name: _________________________________
2) Company name, address, point of contact and telephone number
3) If a newly formed company, provide name and address of parent companies forming the new entity and cage codes:
| a. __________________ | b.__________________ | |
| __________________ | __________________ | |
| __________________ | __________________ |
4) List of proposed subcontractors (if applicable):
a. _____________________________________
b. _____________________________________
c. _____________________________________
5) In accordance with the North American Industry Code 541990, indicate the business size of the prime entity/company.
□ Large Business
□ Small Business – check additional categories as applicable:
| ____ Disadvantaged |
| ____ Woman-owned |
| ____ Veteran-owned |
| ____ HUBZone |
6) TIN # _______________
7) DUNS# _______________
8) Cage Code _____________
9) Productive Hours for Exempt and Non-Exempt Employees ________
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