Attachment M List-of-Current-or-Prior-State-Contracts.pdf

PDF 164 KB Posted

Attached to
DBM Billing and COBRA Administration System
Solicitation number
BPM057552
Issued by
Maryland

About this file

This is an attachment to a State of Maryland solicitation that requires bidders to provide a comprehensive list of current or prior state contracts performed within the last five years. The document serves as a past performance and responsibility evaluation tool, enabling the Procurement Officer to assess bidder qualifications and experience. Bidders must document all contracts with the State of Maryland and provide specific details for each identified contract, including the contracting entity, description of goods and services delivered, contract dollar value, contract term, the relevant state employee contact person with direct oversight responsibilities, and disclosure of any early contract terminations or unexercised renewal options.

The attachment includes template sections for documenting multiple state contracts, with State Contract #1 listing a sample entry for "Billing and Consolidated Omnibus Budget Reconciliation Act (COBRA) Administration System" (Contract No. BPM057552) as an example format. Bidders must complete all required fields including state contracting entity name and address, state employee contact information with telephone and email details, contract title and number, total contract value, contract performance dates, and a detailed description of goods or services provided. The information gathered through this attachment directly influences the Procurement Officer's determination of bidder responsibility and serves as a critical component of the experience and past performance evaluation criteria for the solicitation.

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Other files

File Type Posted
DBM Billing and COBRA Administration RFP IT Supplemental FINAL.pdf PDF
Appendix 1 Abbreviations and Definitions.pdf PDF
Attachment D MBE-Forms.pdf PDF
Exhibit-1.-MBE-VSBE-and-SBR-Research-Factors-Template.pdf PDF
Attachment A Bid-Proposal-Affidavit.pdf PDF
Attachment E-VSBE Forms.pdf PDF
Attachment-Y.-Data-Usage-Agreement.pdf PDF
Appendix 5 VSBE Participation Goal.pdf PDF
Appendix 10 Explanations and Deviations Attachment.docx DOCX document
Attachment-1.-No-Bid_Proposal-Notice_Vendor-Feedback-Form.docx DOCX document
Attachment K.-Location-of-the-Performance-of-Services-Disclosure.pdf PDF
RFP BPM DBM Billing and COBRA Administration 7.15.2026.pdf PDF
Attachment F Bidder-Offeror-Information-Sheet.pdf PDF
Appendix 6 Living Wage Requirements.pdf PDF
Attachment U.-Contract-Affidavit.pdf PDF
Exhibit-2-Sample-Contract .pdf PDF
Attachment B - Billing and COBRA RFP Financial Proposal.xlsx XLSX spreadsheet
Attachment S.-Non-Disclosure-Agreement-Contractor.pdf PDF
Amendment 2 DBM Cobra BPM057552 8.17.2026.pdf PDF
Attachment Q Labor Form.docx DOCX document
Attachment P. Prime Contractor List of ALL Subcontractors.xlsx XLSX spreadsheet
Attachment-O.-Payment-of-Employee-Healthcare-Expenses-Certification.pdf PDF
Attachment I Conflict-of-Interest-Affidavit.pdf PDF
Amendment 3 DBM Cobra BPM057552 8.21.2026.pdf PDF
Attachment T.-HIPAA-Business-Associate-Agreement 07-08-26.pdf PDF
Attachment V.-DHS-Hiring-Agreement.pdf PDF
Attachment N.-Legal-Action-Summary.pdf PDF
Attachment L Reference-Checks.pdf PDF
Attachment R.-Corporate-Diversity-Addendum.pdf PDF
Amendment 1 DBM Cobra BPM057552 8.5.2026 FINAL.pdf PDF
Appendix 8 Economic Benefit Factors.pdf PDF
Appendix 4 MBE Participation Goal.pdf PDF
Attachment G Maryland-Living-Wage-Requirements-Affidavit-of-Agreement.pdf PDF
Attachment-2.-Pre-Bid_-Pre-Proposal-Conference-Response-Form.pdf PDF
Attachment-2.-Pre-Bid_-Pre-Proposal-Conference-Response-Form.pdf PDF
Attachment-2.-Pre-Bid_-Pre-Proposal-Conference-Response-Form.pdf PDF
Attachment-2.-Pre-Bid_-Pre-Proposal-Conference-Response-Form.pdf PDF
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Text version

Attachment M. List of Current or Prior State Contracts effective date: July 2024

ATTACHMENT M. LIST OF CURRENT OR PRIOR STATE CONTRACTS

Solicitation Title:

Solicitation Number:

Name of Company/Firm (Bidder/Offeror):

List of Current or Prior State Contracts. Provide a list of all contracts with the State of Maryland for which the Bidder/Offeror is currently performing or has performed within the last five (5) years. For each identified contract, the Bidder/Offeror is to provide:

1) The State contracting entity;

2) A brief description of the goods and services provided;

3) The dollar value of the contract;

4) The term of the contract;

5) The State employee contact person that directly oversaw contractor (name, title, telephone number, and, if possible, e-mail address); and

6) Whether the contract was terminated before the end of the term specified in the original contract, including whether any available renewal option was not exercised.

Information obtained regarding the Bidder/Offeror’s level of performance on State contracts will be used by the Procurement Officer to determine the responsibility of the Bidder/Offeror and considered as part of the experience and past performance evaluation criteria of the solicitation.

State Contract #1

State Contracting Entity Name:

Address:

City: State: Zip Code:

State Employee Contact Person - Name and Title:

Phone No. for Contact Person: Email Address for Contact Person:

Contract Title/Project Title & Contract No.: Contract Value: $

BPM057552

Billing and Consolidated Omnibus Budget Reconciliation Act (COBRA) Administration System

Attachment M. List of Current or Prior State Contracts effective date: July 2024

Contract Term/Date(s) contract was performed:

State Contract #2

State Contracting Entity Name:

Address:

City:

State Employee Contact Person - Name and Title:

Phone No. for Contact Person:

Contract Title/Project Title & Contract No.:

Contract Term/Date(s) contract was performed:

Please describe in detail the goods or services that were provided:

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