Attachment 2 - DHHS Interpreter Information Request - Individual.pdf
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- Attached to
- Interpreting & Translation Services
- Solicitation number
- 103325-O3
- Issued by
- Blaine County, Nebraska
About this file
This document is an Attachment 2 - Interpreter Information Request for an individual bidder for a contract opportunity with the Nebraska Department of Health and Human Services (DHHS). The document requests the bidder to provide information on their linguistic abilities, including the languages and dialects they can interpret or translate, and the proficiency level for each. The bidder is also required to provide a resume detailing their translation and/or interpreting experience. Additionally, the bidder must indicate their willingness to work at DHHS facilities, offices, and client homes, as well as their availability during weekdays, weekends, and holidays. The bidder must also indicate the counties in Nebraska they are willing to work in.
The related state and local contract opportunity is for interpreting and translation services for DHHS. The State of Nebraska seeks to prequalify a pool of contractors to provide these services, which may include translation and/or interpretation for or on behalf of DHHS program clients and/or providers.
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Text version
ATTACHMENT 2
INTERPRETER INFORMATION REQUEST - INDIVIDUAL
Name:
1. LINGUISTIC ABILITY
In the table below, please list the language(s) and dialect(s) and indicate the level of proficiency the bidder can interpret or translate in language(s). Refer to Attachment 4 – Proficiency Levels. Bidders should also present evidence of proficiency in his/her resume. Bidder can add more lines if necessary.
Language Dialect Interpretation Level of Proficiency
Translation Level of Proficiency
2. RESUME
The bidder should provide a resume detailing his/her translation and/or interpreting experience. DHHS will consider the resume as a key indicator of the bidder’s capability to carry out the requirements of the RFQ in addition to assessing its experience.
Resumes should not be longer than three (3) pages. Resumes should include, at a minimum, professional experience, professional certifications, academic background and degrees, and at least two (2) references (name, address, and telephone number) who can attest to the competence and skill level of the individual. The resume should indicate if the bidder is a native speaker of any language(s).
3. ADDITIONAL INFORMATION
Are you willing to work and travel to the following location(s):
DHHS Facility: ______________ DHHS Office: ______________ Client’s Home: ______________
Are you regularly or periodically availability during any of the following timeframes?
After 5 pm on Weekdays: __________ On Weekends: __________ On Holidays: __________
Are you willing to accept Medicaid fund related referrals, subject to the provisions of Service Attachment B? Y / N
4. COUNTIES
In the table below, please indicate with an ‘X’ in the appropriate box any county you are willing to work.
If you are able to work in ALL counties, indicate with an ‘X’ here: _____________
Adams: Cheyenne: Furnas: Johnson: Nuckolls: Sheridan:
Antelope: Clay: Gage: Kearney: Otoe: Sherman:
Arthur: Colfax: Garden: Keith: Pawnee: Sioux:
Banner: Cuming: Garfield: Keya Paha: Perkins: Stanton:
Blaine: Custer: Gosper: Kimball: Phelps: Thayer:
Boone: Dakota: Grant: Knox: Pierce: Thomas:
Box Butte: Dawes: Greeley: Lancaster: Platte: Thurston:
Boyd: Dawson: Hall: Lincoln: Polk: Valley:
Brown: Deuel: Hamilton: Logan: Red Willow: Washington:
Buffalo: Dixon: Harlan: Loup: Richardson: Wayne:
Burt: Dodge: Hayes: Madison: Pock: Webster:
Butler: Douglas: Hitchcock: McPherson: Saline: Wheeler:
Cass: Dundy: Holt: Merrick: Sarpy: York:
Cedar: Fillmore: Hooker: Morrill: Saunders:
Chase: Franklin: Howard: Nance: Scotts Bluff:
Cherry: Frontier: Jefferson: Nemaha: Seward:
File details come from the government source that posted it. Updated .