Attachment N - Deviations Exceptions -- 10.06.25.docx

DOCX document 34 KB Posted

Attached to
Medical Network and Pharmacy Administration Services
Solicitation number
25RFP17863
Issued by
Pennington County, South Dakota

About this file

This is an Attachment N Deviations/Exceptions form for a state and local contract opportunity (RFP #25RFP17863, GovTribe ID 9bfc1daa5731f734ef1b2150cbc33e7f). The form serves as a template for bidders to clearly identify and document any areas where their proposal differs from the requested services, contract language, or insurance requirements. Bidders are required to specify all plan benefit features they cannot administer under the current plan design and any contractual or insurance deviations. The form explicitly instructs vendors not to reference their standard proposal documents or direct the State to determine differences, as the State requires a thorough understanding of all proposed variations. Bidders must complete the form with their company name, signature, and date, and may use additional pages if necessary.

If a bidder has no deviations from the requested specifications, they must mark the form as "N/A." The form stipulates that if no deviations are indicated, it will be assumed that the proposed benefits match the current benefits exactly, regardless of any conflicting information included in a benefit summary or other proposal materials. This requirement ensures clarity and prevents ambiguity regarding which terms and conditions will govern the contract if the bidder is selected for award.

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Attachment J Security and Vendor Questions.docx DOCX document
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Addendum 1-RFP Document.pdf PDF
Attachment N - Deviations Exceptions -- 10.06.25.docx DOCX document
Attachment B - Offeror Privacy and Security Agreement.docx DOCX document
Attachment D - Questionaire.xlsx XLSX spreadsheet
Attachment G Jefferson Plan SPD FY26.pdf PDF
Attachment G Roosevelt Plan SPD FY26.pdf PDF
Attachment J Security and Vendor Questions.docx DOCX document
Attachment G Lincoln Plan SPD FY26.pdf PDF
Attachment I - Cost Proposal.xlsx XLSX spreadsheet
Attachment N - Deviations Exceptions -- 10.06.25.docx DOCX document
Attachment C Benefit Guide.pdf PDF
Attachment G Washington Plan SPD FY26.pdf PDF
Addendum 1-RFP Document.pdf PDF
Attachment H - Network Access.xlsx XLSX spreadsheet
Attachment K. - BIT Technology Standards.docx DOCX document
Attachment O - BHRA Business Associates Agreement.docx DOCX document
Attachment B - Offeror Privacy and Security Agreement.docx DOCX document
Attachment C Benefit Guide.pdf PDF
Attachment G Lincoln Plan SPD FY26.pdf PDF
Attachment G Roosevelt Plan SPD FY26.pdf PDF
Attachment H - Network Access.xlsx XLSX spreadsheet
Attachment K. - BIT Technology Standards.docx DOCX document
Attachment I - Cost Proposal.xlsx XLSX spreadsheet
Attachment A - Census.xlsx XLSX spreadsheet
Attachment G Jefferson Plan SPD FY26.pdf PDF
Attachment G Washington Plan SPD FY26.pdf PDF
Attachment O - BHRA Business Associates Agreement.docx DOCX document
RFP Document.pdf PDF
Attachment D - Questionaire.xlsx XLSX spreadsheet
Attachment J Security and Vendor Questions.docx DOCX document
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Text version

ATTACHMENT N

DEVIATIONS / EXCEPTIONS

Directions: Indicate all areas where your proposal may differ from the requested services or contract and insurance language. In particular, clearly list all plan benefit features that you cannot administer with the current plan design or any contract or insurance deviations. Do not say “see proposal” or include your standard benefit summary and expect the State to determine where differences exist. Do not indicate that your “standard contractual provisions will apply” without indicating differences. The State needs to thoroughly understand any differences you are proposing. If you do not have any deviations, please mark N/A. If nothing is indicated on this form, then it will be assumed your proposed benefits match the current benefits exactly even if you include a benefit summary that states differently. Use additional pages as necessary.

Name of Company:

Signature:

Date:

Deviations

Reference in RFP (Page #/Question #) Deviation

5550079v2/13867.004 RFP #25RFP17863

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