Attachment 1 - Request for Qualification for Contractual Services Form.pdf
PDF 73 KB Posted
- Attached to
- Interpreting & Translation Services
- Solicitation number
- 103325-O3
- Issued by
- Blaine County, Nebraska
About this file
This is a Request for Qualification form for contractual services issued by the State of Nebraska Department of Health and Human Services (DHHS) to establish a prequalified pool of contractors for interpreting and translation services. The DHHS seeks to contract with qualified interpreters and translation service providers to deliver language services across multiple divisions and program areas, supporting both DHHS clients and providers. Services will be required in multiple languages, including Spanish, Arabic, American Sign Language, Vietnamese, Kurdish, Persian, and others, with contractors required to demonstrate minimum linguistic proficiency levels using the Interagency Language Roundtable (ILR) scale. The contract term extends from the date of award through October 10, 2025, with potential extension options available. Evaluation will focus primarily on meeting minimum qualifications and submitting the lowest hourly rates, with contractors expected to maintain availability across various DHHS facilities and client locations throughout multiple Nebraska counties.
Pricing is structured on an hourly basis, with current rates established at $40 per hour for standard interpretation, $50 per hour for certified interpretation, and $60 per hour for American Sign Language services, while telephonic interpretation through Language Line Solutions is available at $0.62 per minute. Historical usage data from July 2018 through December 2019 totaled $181,584.14, providing context for anticipated contract values. An incumbent list in Addendum 4 identifies over 50 existing interpreters across various languages currently providing services. Bidders must pass background checks, maintain necessary certifications, comply with confidentiality requirements regarding Medicaid recipient information, and demonstrate financial stability. Contractors must sign the Request for Qualification form using an indelible method (not electronically) and may qualify for preference consideration as Nebraska Contractors, disabled veterans, blind persons, or businesses located in designated enterprise zones. DHHS does not guarantee a minimum number of service requests, and payment will be issued solely based on actual services rendered.
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Text version
Per Nebraska’s Transparency in Government Procurement Act, Neb. Rev Stat § 73-603 DAS is required to collect statistical information regarding the number of contracts awarded to Nebraska Contractors. This information is for statistical purposes only and will not be considered for contract award purposes.
_____ NEBRASKA CONTRACTOR AFFIDAVIT: Bidder hereby attests that bidder is a Nebraska Contractor. “Nebraska Contractor” shall mean any bidder who has maintained a bona fide place of business and at least one employee within this state for at least the six (6) months immediately preceding the posting date of this RFQ.
______I hereby certify that I am a Resident disabled veteran or business located in a designated enterprise zone in accordance with Neb. Rev. Stat. § 73-107 and wish to have preference, if applicable, considered in the award of this contract.
Attachment 1 Request for Qualification for Contractual Services Form
By signing this Request for Qualification for Contractual Services form, the bidder guarantees compliance with the procedures stated in this Request for Qualification, and agrees to the terms and conditions unless otherwise indicated in writing and certifies that bidder maintains a drug free work place.
FORM MUST BE SIGNED USING AN INDELIBLE METHOD (NOT ELECTRONICALLY)
INDIVIDUAL/FIRM NAME:
COMPLETE ADDRESS:
TELEPHONE NUMBER:
EMAIL ADDRESS:
DATE:
SIGNATURE:
TYPED NAME & TITLE OF
SIGNER (FIRMS ONLY):
BIDDER MUST COMPLETE THE FOLLOWING
_____ I hereby certify that I am a blind person licensed by the Commission for the Blind & Visually Impaired in accordance with Neb. Rev. Stat. §71-8611 and wish to have preference considered in the award of this contract.
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