Attachment-F.-Bidder-Offeror-Information-Sheet.pdf

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Attached to
MDOA-SP-27-04 Statewide Nursing Home Resident Council Consultation
Solicitation number
BPM058847
Issued by
Maryland

About this file

This is a Bidder-Offeror Information Sheet for the Maryland Department of Aging (MDOA), specifically related to contract opportunity MDOA-SP-27-04 for establishing a Statewide Nursing Home Resident Council Consultation. The project seeks a consultant to organize and launch a statewide nursing home resident council to comply with federal Medicare/Medicaid requirements mandating resident council rights in participating facilities. The consultant will provide technical assistance to nursing home resident councils as required by the Older Americans Act and federal regulations, with the goal of directing ombudsman systemic advocacy efforts across Maryland. The contract is administered through the Maryland Long-Term Ombudsman Program within MDOA.

The information sheet serves as a standard template for potential bidders and offerors to submit required organizational and operational information as part of their proposal submissions. It functions as a critical document for establishing bidder qualifications, company details, and relevant experience before formal proposal evaluation. Specific pricing terms, contract duration, set-asides, and funding amounts would be detailed in the primary solicitation documents rather than this information sheet, which primarily collects organizational and bidder eligibility information for evaluation purposes.

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Text version

Attachment F. Bidder/Offeror Information Sheet effective date: July 2024

Bidder/Offeror

Company Name

Street Address

City, State, Zip Code

Contractor Federal Employer Identification Number

(FEIN)

Contractor eMM ID Number As of the Bid/Proposal submission date, are you registered to do business with the State of Maryland?

SBE / MBE/ VSBE Certification

SBE Number:

Expiration Date:

VSBE Number:

Expiration Date:

MBE Number:

Expiration Date:

Categories to be applied to this solicitation (dual certified firms must choose only one category).

Bidder/Offeror Primary Contact

Name

Title

Office Telephone Number (with area code)

Cell Telephone Number (with area code)

E-mail Address

Authorized Bid/Proposal Signatory

Name

Title

Office Telephone Number (with area code)

Cell Telephone Number (with area code)

E-mail Address

Signature to authorized commit of the Bidder/Offeror to its Bid/Proposal

Attachment F. Bidder/Offeror Information Sheet

Attachment F. Bidder/Offeror Information Sheet effective date: July 2024

File details come from the government source that posted it. Updated .