BPM007546 RFP Attach H - Org Profile.pdf

PDF 200 KB Posted

Attached to
Secured Behavioral Health Residential Facility YH26-0005
Solicitation number
BPM007546
Issued by
Maricopa County, Arizona

About this file

This document is Attachment H of Request for Proposal Solicitation No. BPM007546, issued by the State of Arizona for a Secured Behavioral Health Residential Facility (Contract No. YH26-0005). The attachment serves as an Organization Profile form that prospective bidders must complete as part of their proposal submission. The form requires respondents to provide comprehensive information about their organization's qualifications, experience, and capacity to deliver the requested behavioral health residential services.

The Organization Profile form requests detailed information across multiple categories, including the organization's founding year, principal address, parent company affiliation, and years of experience providing similar materials or services in terms of both type and quantity, as well as experience performing services of comparable size and scope. Bidders must also document their years of operation in Arizona, identify up to three contract representatives with their titles, phone numbers, and email addresses, list relevant licenses and certifications with issuing authorities and expiration dates, provide financial information including statements with income and balance sheets, and detail their capacity by location, work performed, and number of staff. This information enables the state to evaluate bidder capability and organizational stability in delivering secured behavioral health residential services.

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Text version

Request for Proposal

Solicitation No. BPM007546

Secured Behavioral Health Residential Facility

YH26-0005

Solicitation Attachment – Organization Profile | Revision No. 1 | Revised 11-22

Attachment H – Organization Profile

Organization name: Year established:

Principal address (street, city, state, ZIP):

Branch or division:

Parent company or owner:

Years of experience providing Materials or Services similar in type and quantity as required by this Solicitation:

Years of experience performing Services similar in size and scope as required by this Solicitation:

Years the organization has conducted business in Arizona:

Contract Representatives

Name Title Phone number Email address

1.

2.

3.

Licenses/Certifications

Description Issuer Number Expiration

4.

5.

6.

7.

8.

Financial Information (attach financial statements with income/balance sheets as Supplements)

Rating/Issuer Score/Rank Date

9.

10.

Capacity

Location Work performed Number of staff Capacity

11.

12.

13.

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