Attachment 08_Experience and Capacity Questionnaire.docx
DOCX document 46 KB Posted
- Attached to
- Statewide Mobile Diagnostic Imaging Services
- Solicitation number
- BPM007086
- Issued by
- Arizona
About this file
This is an Experience and Capacity Questionnaire attachment for Arizona's statewide Mobile Diagnostic Imaging Services solicitation. Offerors must provide comprehensive narrative responses demonstrating their understanding of scope requirements and organizational capacity to deliver X-Ray, Ultrasound, and Echocardiogram services to eligible state agencies, universities, boards, commissions, and participating purchase cooperative members. The solicitation was posted August 25, 2025, with a proposal submission deadline of October 3, 2025, representing approximately a six-week procurement timeline. Vendors must address company profile information including incorporation location, main office and satellite office addresses, potential conflicts of interest with state employees, bankruptcy and insolvency history within the past five years, pending Securities and Exchange Commission investigations, open or pending litigation with material impact on service delivery, litigation with public sector clients, termination history on public sector contracts, and disclosure of criminal or civil offenses.
The questionnaire requires offerors to demonstrate specific operational experience, including work within nursing facilities and with elderly and disabled populations, experience with secondary school-aged children, and two documented examples of providing mobile diagnostic imaging services. Offerors must identify key personnel using the designated attachment, document their experience with large local, state, or federal government agencies, submit an organizational chart identifying the primary point of contact, and provide copies of all applicable certificates and licenses supporting their ability to deliver the proposed services. The statewide nature of the contract suggests a multi-vendor procurement designed to serve diverse state locations efficiently, with anticipated substantial annual procurement value, though specific budget ranges and set-aside designations are not detailed in this questionnaire document.
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Other files
| File | Type | Posted |
|---|---|---|
| BPM007086_Solicitation_Instructions_to_Offerors.pdf | ||
| Attachment 09_References.docx | DOCX document | |
| Solicitation_Amendment__1.pdf | ||
| Attachment 05_Letter of Insurability.docx | DOCX document | |
| Attachment 11_Business Associates Addendum (HIPAA).docx | DOCX document | |
| Attachment 01_Offer and Acceptance.docx | DOCX document | |
| Attachment 04_Key Personnel.docx | DOCX document | |
| Attachment 06_Organization Profile.docx | DOCX document | |
| Attachment 10_Method of Approach.docx | DOCX document | |
| BPM007086_Solicitation_Requirements.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
Attachment 08 – Experience and Capacity Response
THE STATE MAY DETERMINE YOUR PROPOSAL NON-RESPONSIVE IF YOU DO NOT FULLY RESPOND.
The Offeror shall provide a narrative response to each section that demonstrates their understanding of the Scope of Work requirements and describes the company’s overall experience and capacity in providing the Services stated in this Solicitation. If there is a section that is not applicable to the Services required by the Scope of Work, you may mark it “N/A”.
Offeror shall provide a response either after each section or in a separate document entitled: “Attachment - Experience and Capacity Response.” If a separate document is used, please clearly designate each section and double-check to ensure that each question has been answered. If any information provided is considered CONFIDENTIAL by Offeror, the information must be specifically included in the Confidential Information Designation Attachment and related documentation to be assessed for confidential treatment under A.A.C. R2-7-103.
1.0 Company Profile. The Offeror must include a narrative description of its organization. The narrative must include the following:
1.1 Location in which the Offeror is incorporated;
1.2 Address of “Main Office” (e.g. Corporate Headquarters and any satellite offices responsible for performance of proposed tasks;
1.3 Full disclosure of any potential conflict of interest between the Offeror and any State employee who functions or has responsibilities in the review or approval of the undertaking or carrying out of the Contract;
1.4 A Statement of whether, in the last five (5) years, the Offeror has filed (or had filed against it) any bankruptcy or insolvency proceeding, whether voluntary or involuntary, or undergone the appointment of a receiver, trustee, or assignee for the benefit of creditors, and if so, an explanation providing relevant details and current status;
1.5 A Statement of whether there are any pending Securities Exchange Commission investigations involving the Offeror, and if such are pending or in progress, an explanation providing relevant details and an attached opinion of counsel as to whether the pending investigation(s) may impair the Offeror’s performance in a Contract under this Solicitation;
1.6 A Statement documenting all open or pending litigation initiated by Offeror or where Offeror is a defendant or party in any litigation that may have a material impact on Offeror’s ability to deliver the contracted Services;
1.7 A Statement documenting all open or pending litigation initiated by Offeror or where Offeror is a defendant or party in any litigation with a public sector client;
1.8 Full disclosure of any public sector contracts terminated for cause or convenience in the past five (5) years;
1.9 Full disclosure of any criminal or civil offense.
Offeror Response:
Click here to enter text.
2.0 Company Experience
Please provide a brief overview of business operations, with an emphasis on experience in regards to the Scope of Work.
a. Describe your experience in working within a nursing facility and with the elderly and disabled.
b. Describe your experience in working with secondary school aged children.
c. Provide two (2) examples that exhibit your experience with providing mobile diagnostic imaging services.
3.0 Key Personnel
| 3.1 | Utilize Attachment 04 to identify Key Personnel to be utilized to perform services within a resultant contract. In addition, also state the Members related experience with large local, state or federal government agencies. |
| 3.2 | Please attach your organizational chart relevant to the Contract, specifically identifying the key point of contact for all questions related to the submitted Offer; |
4.0 Certificates/Licenses
Submit copies of all applicable certificates and licenses that support Offeror’s ability to provide the proposed Materials or Services. At a minimum, this shall include all certifications and licenses referenced in the Solicitation Attachment - Organization Profile.
Solicitation Attachment – Method of Approach | Revision No. 1 | Revised 11-22 image1.jpg
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