Attachment B Mandatory Site Visit Verification Form .pdf

118 KB Posted

Attached to
Comprehensive Medical Services
Solicitation number
S000000125
Issued by
Arkansas

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This document is an Attachment B - Mandatory Site Visit Verification Form related to Bid Solicitation Document Bid No: S000000125 for Comprehensive Medical Health Services issued by the State of Arkansas. The form requires prospective contractors to attend mandatory site visits at various correctional facilities across Arkansas on specific dates from October 17-21, 2022, and have a DOC representative sign the form to verify attendance. Prospective contractors must submit the signed form with their technical response packet. The contract is for comprehensive medical services for the Arkansas Department of Corrections across multiple facilities throughout the state.

The pricing terms, set-asides, incumbents, funding requirements, and other salient details are not provided in this document. This form focuses solely on the mandatory site visit requirements for prospective contractors interested in bidding on the Comprehensive Medical Health Services contract with the State of Arkansas.

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Bid Solicitation Document Bid No: S000000125

ATTACHMENT B - MANDATORY SITE VISIT VERIFICATION FORM

• Present this Mandatory Site Visit Verification Form to the DOC representative for signature upon completion of each Mandatory Site Visit.

• Submit the signed Mandatory Site Visit Verification Form with the Technical Response Packet at Bid Submission.

This signed Mandatory Site Visit Verification Form serves as verification that the Prospective Contractor or Contractor’s representatives named below was present and participated in the Mandatory Site Visits as required by the Request for Proposal S000000125, Comprehensive Medical Health Services.

Contact (870) 692-4075 or (870) 267-6331 prior to official start time of each tour for difficulty locating the facility.

Mandatory Site Visit Locations:

Monday, October 17, 2022:

9:00 a.m. Delta Regional Unit, 800 East Gaines, Dermott, AR 71638 11:00 a.m. Varner Unit, 320 Highway 388, Grady, AR 71644 12:30 p.m. Cummins Unit, 2540 Highway 388, Grady, AR 71644

Tuesday, October 18, 2022:

9:00 a.m. Wrightsville/Hawkins Unit, 8400 Highway 386, Wrightsville, AR 72183 1:00 p.m. Tucker Unit, 2400 State Farm Road, Tucker, AR 72168 2:15 p.m. Maximum Security Unit, 2501 State Farm Road, Tucker, AR 72168

Wednesday, October 19, 2022:

11:00 a.m. North Central Unit, 10 Prison Circle, Calico Rock, AR 72519 2 :00 p.m. Grimes Unit, 300 Corrections Circle, Newport, AR 72112 3 :15 p.m. McPherson Unit, 302 Corrections Circle, Newport, AR 72112

Thursday, October 20, 2022:

9:00 a.m. East Central Arkansas CCC, 200 West Tyler Ave., West Memphis, AR 72301 11:00 a.m. East Arkansas Regional Unit, 362 Lee 601, Marianna, AR 72360 2:00 p.m. Randall L. Williams, 7206 West 7th Avenue, Pine Bluff, AR 71603 2:45 p.m. Pine Bluff Unit, 890 Freeline Drive, Pine Bluff, AR 71603 4:00 p.m. Ester Unit, 7500 Corrections Circle, Pine Bluff, AR 71603

Friday, October 21, 2022:

9:00 a.m. Ouachita River Unit, 100 Walco Lane, Malvern, AR 72104 11:15 a.m. Omega Supervised Sanction Center (ACC), 104 Walco Lane, Malvern, AR 72104 1:00 p.m. Benton Work Release, 6701 Highway 67, Benton, AR 72015

PROSPECTIVE CONTRACTOR’S REPRESENTATIVE INFORMATION

Company Name:

Representative’s Printed Name:

Signature:

Representative’s Printed Name:

Signature:

Date:

Day 1, Site 1 – Delta Regional Unit, DOC Authorized Signature: Date

Day 1, Site 2 – Varner Unit, DOC Authorized Signature: Date

Day 1, Site 3 – Cummins Unit, DOC Authorized Signature: Date

Day 2, Site 1 – Wrightsville/Hawkins Unit, DOC Authorized Signature: Date

Day 2, Site 2 – Tucker Unit, DOC Authorized Signature: Date

Day 2, Site 3 – Maximum Security Unit, DOC Authorized Signature: Date

Day 3, Site 1 – North Central Unit, DOC Authorized Signature: Date

Day 3, Site 2 – Grimes Unit, DOC Authorized Signature: Date

Day 3, Site 3 – McPherson Unit, DOC Authorized Signature: Date

Day 4, Site 1 – East Central Arkansas CCC, DOC Authorized Signature: Date

Day 4, Site 2 – East Arkansas Regional Unit, DOC Authorized Signature: Date

Day 4, Site 3 – Randall L. Williams, DOC Authorized Signature: Date

Day 4, Site 4 – Pine Bluff Unit, DOC Authorized Signature: Date

Day 4, Site 5 – Ester Unit, DOC Authorized Signature: Date

Day 5, Site 1 – Ouachita River Unit, DOC Authorized Signature: Date

Day 5, Site 2 – Omega Supv. Sanction Center, DOC Authorized Signature: Date

Day 5, Site 3 – Benton Work Release, DOC Authorized Signature: Date

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