Attachment 06_Organization Profile.docx

DOCX document 39 KB Posted

Attached to
Statewide Mobile Diagnostic Imaging Services
Solicitation number
BPM007086
Issued by
Arizona

About this file

This is an Organization Profile attachment form for Solicitation No. BPM007086, issued by the Arizona Department of Administration State Procurement Office for Statewide Mobile Diagnostic Imaging Services. The solicitation establishes contracts to provide mobile diagnostic imaging services, specifically X-Ray, Ultrasound, and Echocardiogram technologies, to all state agencies, universities, boards, commissions, and participating purchase cooperative members. The solicitation was posted on August 25, 2025, with a proposal submission deadline of October 3, 2025, providing vendors approximately six weeks to prepare and submit responses.

The Organization Profile form is a template requiring vendors to provide comprehensive organizational information, including company name, year established, principal address, parent company details, and years of experience providing similar materials or services. Vendors must identify contract representatives with contact information, list relevant licenses and certifications with issuers and expiration dates, and detail capacity information including work locations, staff numbers, and service capacity. While specific pricing terms, set-asides, budget allocations, or funding sources are not detailed in this attachment, the statewide nature of the contract suggests substantial annual procurement value. No incumbent vendor information, renewal options, or contract term details are specified in this document.

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Other files

File Type Posted
Attachment 01_Offer and Acceptance.docx DOCX document
Attachment 04_Key Personnel.docx DOCX document
Attachment 10_Method of Approach.docx DOCX document
BPM007086_Solicitation_Instructions_to_Offerors.pdf PDF
Attachment 09_References.docx DOCX document
Solicitation_Amendment__1.pdf PDF
Attachment 08_Experience and Capacity Questionnaire.docx DOCX document
Attachment 05_Letter of Insurability.docx DOCX document
Attachment 11_Business Associates Addendum (HIPAA).docx DOCX document
BPM007086_Solicitation_Requirements.pdf PDF
Exhibit_A_Utilization_Report.xlsx XLSX spreadsheet
Attachment 02_Confidential Info Designation.docx DOCX document
Attachment 12_Pricing.xlsx XLSX spreadsheet
Attachment 07_Proposed Subcontractors.docx DOCX document
Attachment 03_Conformance Statements.xlsx XLSX spreadsheet
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Text version

Request for Proposal

Solicitation No. BPM007086

Statewide Mobile Diagnostic Imaging Services Arizona Department of Administration State Procurement Office

Attachment 06 – Organization Profile

Organization name:
X
Year established:
X
Principal address (street, city, state, ZIP):
X
Branch or division:
X
Parent company or owner:
X
Years of experience providing Materials or Services similar in type and quantity as required by this Solicitation:
X years
Years of experience performing Services similar in size and scope as required by this Solicitation:
X years
Years the organization has conducted business in Arizona:
X years

Contract Representatives

Name
Title
Phone number
Email address
1.
X
X
X
X
2.
X
X
X
X
3.
X
X
X
X

Licenses/Certifications

Description
Issuer
Number
Expiration
4.
X
X
X
X
5.
X
X
X
X
6.
X
X
X
X
7.
X
X
X
X
8.
X
X
X
X

Capacity

Location
Work performed
Number of staff
Capacity
11.
X
X
X
X
12.
X
X
X
X
13.
X
X
X
X

Solicitation Attachment – Organization Profile | Revision No. 1 | Revised 11-22 image1.jpg

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