Summary of Attachment 6_Victims Compensation Board Claim Form

This document is a claim form associated with the State of Maine's Master Agreement for Sexual Assault Evidence Collection Kits procurement, administered by the Department of Administrative and Financial Services, Office of State Procurement Services on behalf of the Department of Public Safety. The Victims Compensation Board Claim Form serves as a supporting document for victims seeking compensation related to sexual assault incidents, which directly connects to the evidence collection process outlined in the master agreement. The form facilitates the submission of claims by eligible victims to the state's compensation program, with responses to quotations for the evidence collection kits due by May 6, 2026, at 4:00 p.m. Eastern Standard Time through the State of Maine's AdvantageME Vendor Self Service system. The master agreement contract term runs from June 1, 2026, through May 31, 2027, with four optional extension periods extending through May 31, 2031, and vendors must provide complete physical samples of kits for departmental evaluation prior to bid closing.

Pricing for the evidence collection kits will be established through vendor quotations, with quoted prices required to remain firm for a minimum of one year from the initial contract period. The State of Maine reserves the right to make a single award to the lowest-priced qualified bidder or to make multiple or no awards at its discretion. Eligible participants in the Master Agreement include state police, municipal police departments, hospitals and healthcare facilities, and sexual assault crisis centers throughout Maine, with no specific set-asides or organizational restrictions mentioned. The State is exempt from federal, state, and local taxes on articles not for resale and will issue an exemption certificate upon contract execution. No incumbent vendor information, budget ranges, or specific award values are identified in the available procurement documentation.