Attachment 1-Offeror Qualification Form.corrected.pdf

This is an Offeror Qualification Form for the State of Hawaii Department of Health, Adult Mental Health Division's IT End-User Help Desk and Support Services solicitation (IFB-430-27-01). The form requires bidders to provide comprehensive information including the contractor's legal name, business address, contact information, and details for any applicable subcontractors. Bids are due August 3, 2026 at 2:00 p.m. Hawaii Standard Time with an estimated award date of August 5, 2026. The contract will run from September 1, 2026 through August 31, 2027, with potential extension for up to five additional twelve-month periods at equal or lower pricing. The services encompass IT end-user help desk and support for approximately 1,500 users across the Adult Mental Health Division and Hawaii State Hospital sites on Oahu, requiring a team of five full-time equivalents providing on-site supervisory coverage, technical support, software training, hardware and software installations, emergency callback services with two-hour callback and four-hour on-site response times, weekly and monthly activity reporting, phone call routing, on-demand support for neighboring islands, and a dedicated technical writer for six months to document the Timekeeping and Scheduling application.

The qualification form requires bidders to demonstrate relevant experience and qualifications in a statement section and provide at least three references from firms for whom the offeror has performed pharmacy billing audit work within the past five years. Bidders must hold current CompTIA IT Fundamentals, CompTIA A+, and Microsoft Certified certifications, all completed within four years. The contractor must maintain general liability insurance of $1 million per occurrence and $2 million aggregate, and automobile liability insurance with $1 million per person and per accident limits. The total bid price must include all wages, fringe benefits, taxes, travel time, and mileage for Oahu services. Award will be made to the lowest responsive, responsible offeror, with tied bids awarded to the previous award recipient. Contractors must obtain a Certificate of Vendor Compliance through Hawaii Compliance Express with a name matching the registered business exactly.