Attach D Subcontractor 10-20.docx

DOCX document 267 KB Posted

Attached to
Public Health Nurse Pilot
Solicitation number
27-DCYF-PPS-109
Issued by
Adams County, Asotin County, Benton County, Chelan County, Clallam County, Clark County, Columbia County, Cowlitz County, Douglas County, Ferry County, Franklin County, Garfield County, Grant County, Grays Harbor County, Island County, Jefferson County, King County, Kitsap County, Kittitas County, Klickitat County, Lewis County, Lincoln County, Mason County, Okanogan County, Pacific County, Pend Oreille County, Pierce County, San Juan County, Skagit County, Skamania County, Snohomish County, Spokane County, Stevens County, Thurston County, Wahkiakum County, Walla Walla County, Whatcom County, Whitman County, Yakima County, Asotin City, Clarkston City, Clarkston Heights-Vineland CDP, West Clarkston-Highland CDP, Benton City, Chelan City, Chelan Falls CDP, Clallam Bay CDP, Lewisville CDP, Rock Island City, Pacific Beach CDP, Whidbey Island Station CDP, Mercer Island City, Pacific City, Bainbridge Island City, Kingston CDP, Kitsap Lake CDP, Kittitas City, Klickitat CDP, Okanogan City, Anderson Island CDP, Fort Lewis CDP, Fox Island CDP, Herron Island CDP, Ketron Island CDP, North Fort Lewis CDP, Raft Island CDP, Stevenson City, Hat Island CDP, Lake Stevens City, Snohomish City, Spokane City, Spokane Valley City, Puget Island CDP, Garfield Town, Yakima City, Washington

About this file

This is a Diverse Business Inclusion Plan template for subcontractors submitted in response to RFP #27-DCYF-PPS-109, issued by the Washington State Department of Children, Youth & Families (DCYF) for Public Health Nursing Services. The solicitation seeks qualified contractors to provide nursing services designed to strengthen families' skills and capacity to promote child safety, support healthy child development, and enhance family stability through nursing assessment, care coordination, evidence-informed home visiting, and connections to appropriate resources and supports. Bidders planning to utilize subcontractors are required to complete this attachment and submit it with their RFP response if awarded a contract.

The template establishes voluntary numerical diversity goals for DCYF competitive solicitations, including ten percent participation by Office of Minority and Woman-Owned Businesses (OMWBE) certified businesses, one percent by Veteran-Owned certified businesses, and twenty percent by Washington Self-Certified Small Businesses. Bidders are required to list their anticipated small and diverse business subcontractors, identify applicable certification numbers, and describe their comprehensive outreach strategy to meet or exceed the stated voluntary participation goals. The template includes sections for bidders to commit to making genuine efforts to achieve proposed subcontract amounts with small and diverse business subcontractors and to designate a primary contact for their Diverse Business Inclusion Plan.

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Other files

File Type Posted
Attached A PHN Draft 09-22-2026.docx DOCX document
Attach B Certs & Assurances 10-20.docx DOCX document
Attach C3 Cost Proposal.xlsx XLSX spreadsheet
Attach C1 BidderResponse 10-20.docx DOCX document
BidderResponseAttachC2 10-19.docx DOCX document
DCYF RFP Solicitation PHN pilot 10-20.docx DOCX document
Attach B1 Small Business Self Cert.docx DOCX document

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ATTACHMENT D - BIDDER RESPONSE TEMPLATE

DIVERSE BUSINESS INCLUSION PLAN - SUBCONTRACTORS (If Subcontracting-Required) RFP # 27-DCYF-PPS-109 Public Health Nurse

Instructions: Bidders must complete this template and attach to their emailed RFP Response if they’re planning on utilizing Subcontractors to perform the Contract, if Awarded. Please thoroughly read all instructions in the RFP before completing.

ADMINISTRATIVE REQUIREMENTS

Bidder Information:

Business Name:

As set forth in the RFP (see section A.1), DCYF in accordance with Washington law and to the maximum extent practicable, encourages and supports small and diverse businesses to compete for and participate in state procurements as contractors and as subcontractors to awarded bidders.

For purposes of this RFP the following terms have the following meanings:

In support of the state’s economic goals and to support a diverse supplier pool, DCYF has established the following voluntary numerical goals for DCYF Competitive Solicitations:

· percent (10%) Office of Minority and Woman Owned Businesses;

· percent (1%) Veteran-Owned Businesses; and

· percent (20%) Washington Small Businesses, Achievement of these goals is encouraged whether directly or through subcontractors.

BIDDER’S ANTICIPATED DIVERSE BUSINESS PARTICIPATION (GOALS)

List Bidder’s anticipated small/diverse business category participation goals for Subcontractor participation, if bidder is awarded a Contract. Bidders may list any goal amount. These goals are aspirational goals for Bidder’s use of small/diverse business subcontractors, if awarded a Contract pursuant to this Competitive Solicitation.

Small/Diverse Business Category
DCYF Goals
Anticipated Percent of Contract Amount (Goals)
OMWBE Certified Business
10%
Veteran Owned Certified Business
1%
Washington Self-Certified Small Business
20%

BIDDER’S DIVERSE BUSINESS SUBCONTRACTING LIST

Provide the Bidder information of the relevant small/diverse business subcontractors that bidder anticipates utilizing, if awarded a Contract pursuant to this RFP. Please identify the names of the firms and provide the firm’s applicable certification numbers (for OMWBE and Veteran-Owned certified businesses).

Small/Diverse Business Category
List of Subcontractors

OMWBE Certified Business

Veteran Owned Certified Business

Washington Self-Certified Small Business

Describe the Bidder’s plan to meet or exceed Bidder’s voluntary DIVERSE BUSINESS INCLUSION PLAN – SUBCONTRACTORS GOALS, including outreach.

Identify Bidder’s primary contact for Bidder’s Diverse Business Inclusion Plan – Subcontractor Goals.

Bidder commits to a make a genuine effort to achieve the proposed subcontract amounts with small/diverse business subcontractors as stated above. Bidder will develop a comprehensive outreach strategy that will engage small/diverse businesses.

Bidder’s Authorized Representative Signature:

Date:

Page 1 of 3 RFP # 27-DCYF-PPS-109 Pubic Health Nurse Diverse Business Inclusion Plan – Subcontractor Goals image1.jpeg

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