DENTAL SERVICES IFB.docx

ROBERT G. ANDERSON

EXECUTIVE DIRECTOR

INVITATION FOR BIDS (IFB)

DENTAL SERVICES

IFB No. 3160007423 Issue Date: Monday, June 16, 2025

CLOSING LOCATION

Mississippi Department of Human Services 200 South Lamar Street Jackson, Mississippi 39201

PROCUREMENT COORDINATOR

Kimbley Hendrix

(601) 359-4784 procurement.services@mdhs.ms.gov

CLOSING DATE & TIME

Bids must be received by Thursday, July 17, 2025, at 2:00 PM, Central Time

IFB RFx No. 3160007423 Page 6 of 30

Bid Acceptance Period The original copy of the bid package shall be signed and submitted (mailed or hand-delivered) in a sealed envelope or package to 200 South Lamar Street, Jackson, Mississippi 39201 no later than the time and date specified for receipt of bids. In addition, bidder shall also submit one (1) copy of the bid package on a USB Flash Drive as a single document in a searchable Microsoft Word or Adobe Acrobat (PDF) format. Timely submission of the bid package is the responsibility of the bidder. Bids received after the specified time shall be rejected and shall remain unopened in the procurement file. The envelope or package shall be marked with the bid opening date and time, and the number of the invitation for bid. The time and date of receipt shall be indicated on the envelope or package by MDHS staff. Each page of the bid form and all attachments shall be identified with the name of the bidder. Failure to submit a bid on the bid form provided shall be considered just cause for rejection of the bid. Modifications or additions to any portion of the procurement document may be cause for rejection of the bid. The MDHS reserves the right to decide, on a case-by-case basis, whether to reject a bid with modifications or additions as non-responsive. As a precondition to bid acceptance, the MDHS may request the bidder to withdraw or modify those portions of the bid deemed non-responsive that do not affect quality, quantity, price, or delivery of the service. Bids submitted via facsimile (faxes) will not be accepted.

Timeline

Questions and Requests for Clarification Deadline:

Monday, June 30, 2025, by 2:00p.m., CT

Anticipated Posting of Written Answers to Questions:

Monday, July 7, 2025

Note: MDHS reserves the right to adjust this schedule as it deems necessary. MDHS also has the right to reject any and all bids during any step of the procurement or awarding process (even after negotiations have begun).

Expenses Incurred in Preparing Bid All parties participating in the procurement process with regard to this solicitation shall bear their own costs of participation, pursuant to Section 1.4.4 of the Public Procurement Review Board (PPRB) Office of Personal Service Contract Review (OPSCR) Rules and Regulations.

Bid Form All pricing must be submitted on the bid form (Attachment B). Failure to complete and/or sign the bid form may result in the bidder being determined nonresponsive.

1.3.1 Bidder Certification

The bidder agrees that submission of a signed bid form is certification that the bidder will accept an award made to it as a result of the submission.

Registration with Mississippi’s Accountability System for Governmental Information and Collaboration (MAGIC) If the respondent is not already registered as a supplier in MAGIC, the respondent should register as a supplier with the State of Mississippi. Registering as a supplier with the State of MS allows businesses to register for upcoming opportunity notifications by the products they supply, search the system for upcoming solicitations, respond to solicitations electronically, and receive purchase orders via e-mail. The registration can be completed at the following link:

http://www.dfa.ms.gov/dfa-offices/mmrs/mississippi-suppliers-vendors/supplier-self-service/

1.9 Acknowledgement of Amendments: Bidders shall acknowledge receipt of any amendment to the IFB in writing. The acknowledgement shall be submitted by signing and returning the amendment with the bid package, by identifying the amendment number and date in the space provided for this purpose on the bid form, or by letter. Each bidder shall submit a written acknowledgement of every amendment to the MDHS on or before the submission deadline. Should an amendment to the IFB be issued, it will be posted on the MDHS website (www.mdhs.ms.gov) in a manner that all bidders will be able to view. It is the bidder’s sole responsibility to monitor the website for amendments to the IFB.

All questions, requests for clarification, and answers pertaining to this IFB will be published on the Mississippi Contract/Procurement Opportunity Search Portal and the Mississippi Department of Human Services (hereinafter “MDHS”) website (http://www.mdhs.ms.gov) in a manner that all bidders will be able to view by the date reflected in Section 1.1.1.

SECTION 2

2.1 Purpose

The Mississippi Department of Human Services, Division of Youth Services is seeking to establish a contract with a qualified vendor to provide Dental Services to students housed at Oakley Youth Development Center, 2375 Oakley Road, Raymond, MS 39158.

2.2 Scope of Services

The Contractor shall be responsible for the following:

· The contractor will provide qualified personnel to perform dental examinations for students admitted to Oakley Youth Development Center (OYDC) in Raymond, MS on an as needed basis. The Dentist shall be fully credentialed with a current Mississippi license in good standing and the Dental Hygienist shall be x-ray certified.

· The contractor’s designated dentist will determine dental work to be performed during the student’s commitment, including but not limited to dental examinations, preventative dental care and emergency dental care at OYDC. Students may be referred for Oral Surgery, Endodontics and Periodontics in extreme cases.

· The contractor understands and agrees that any dental services performed which incur laboratory cost shall be approved by MDHS prior to the services being rendered. Contractor will not be responsible for laboratory costs.

· The contractor will provide qualified personnel to perform dental assisting services, i.e., disinfect dental operatory before and between patient visits, sterilize instruments, take and develop radiographs, assist dentist chair side during patient care, assist with filing and record keeping of dental records, assist dentist with inventory control on an as needed basis.

· The contractor will designate and provide a registered dental hygienist during the hours that the dentist is present on an as needed basis.

· The contractor’s designated dentist shall have a registered Dental Hygienist or nurse present at all times when providing dental care to the students at OYDC.

· The contractor’s designated dentist will provide on-call coverage for dental services after hours, weekends, and/or any hours not scheduled for on-site services on an as needed basis.

· The contractor’s designated dentist will document all dental services provided, treatment plans, and any other related information in patient’s chart. All documentation shall be legibly transcribed.

· The contractor’s designated dentist will schedule all on-site services with the OYDC Director of Medical Services. On-site services should be provided at an estimated two (2) days per week during regular business hours (8:00a.m. – 5:00p.m., CT).

· The contractor’s designated dentist will sign in and out to document the number of clinic hours at OYDC. Documentation of services outside the campus will be provided in writing to the OYDC Director of Medical Services.

· Prior to contract start date, the vendor will provide MDHS with proof of staff credentials for Contracted personnel assigned to provide services at OYDC. Proof of staff credentials should be provided to OYDC Director of Medical Services. Upon any changes to personnel assigned to provide services at OYDC, provide MDHS with proof of credentials for newly assigned individuals to OYDC Director of Medical Services.

Oakley Youth Development Center shall be responsible for the following:

· The OYDC Director of Medical Services shall coordinate and monitor medical services provided by the Contractor.

SECTION 3

3.1 Term

The anticipated term of the contract shall be for a period beginning September 3, 2025, or after both parties have signed, whichever is later, ending September 2, 2028. The contract may be renewed at the discretion of MDHS upon written notice to Contractor at least thirty (30) days prior to each contract anniversary date for a period of two (1) one-year periods under the same prices, terms, and conditions as in the original contract, and subject to approval by the PPRB. The total number of renewal years permitted shall not exceed two (2).

Renewal years are subject to the needs of MDHS, as well as the availability and appropriation of funds. The Chief Procurement Officer shall notify the contractor, on a timely basis, that funds are or are not available for the continuation of the contract for each succeeding fiscal period. A multi-term contract will be canceled if funds are not appropriated or otherwise made available to support the continuation of performance in any fiscal period succeeding the first; however, this does not affect either the State’s rights or the contractor’s rights under any termination clause in the contract.

Compensation for services will be in the form of a Fixed Price Contract.

3.2 Insurance

Contractor represents that it will maintain workers’ compensation insurance in compliance with Mississippi law which shall inure to the benefit of all Contractor’s personnel provided hereunder, comprehensive general liability or professional liability insurance with minimum limits of $1,000,000.00 per occurrence, and fidelity bond insurance with minimum limits of $1,000,000.00. All general liability, professional liability, and fidelity bond insurance will provide coverage to the MDHS as an additional insured. The MDHS reserves the right to request from carriers, certificates of insurance regarding the required coverage. Insurance carriers shall be licensed or hold a Certificate of Authority from the Mississippi Department of Insurance.

Contractor will furnish MDHS a certificate of insurance providing the aforesaid coverage, prior to the commencement of performance under this Agreement and upon request by MDHS at any time during the contract period. Such certificate shall contain provisions that coverage afforded under the policies shall not be cancelled, terminated, or materially altered until at least thirty (30) days prior notice has been given to the MDHS. Cancellation of the above mentioned referenced insurance shall be grounds for termination of this contract. Failure on the part of the Contractor to procure or maintain the required insurance and provide proof thereof to MDHS shall constitute a material breach of the contract upon which the MDHS may immediately terminate this Contract.

3.4 Responsive Bidder

Bidder must submit bid which conforms in all material respects to this IFB No. 3160007423, as determined by MDHS.

3.9.1 Reasons for rejecting individual bids include but are not limited to:

1. the bid was non-responsive to the solicitation;

2. the bidder is deemed non-responsible;

3. the Agency – in its sole discretion – determined the proposed price is unreasonable even if it was the lowest responsive and responsible bid;

4. lack of competitiveness by reason of collusion or knowledge that reasonably available competition did not occur.

a. The bid is submitted in good faith.

b. The price bid is substantially lower than those of other bidders because of a mistake

c. The mistake is a clerical error, not an error of judgement.

d. Objective evidence drawn from original work papers, documents, and other materials used in the preparation of the bid demonstrates clearly that the mistake was an unintentional error in arithmetic or an unintentional omission of a quantity of labor or material.

e. To withdraw a bid that includes a clerical error after Bid Opening, the bidder must give notice in writing to MDHS of its claim of right to withdraw a bid. Within two (2) business days after the bid opening, the bidder requesting withdrawal must provide to MDHS, all original work papers, documents, and other materials used in the preparation of the bid.

f. A bidder may also withdraw a bid, prior to the time set for the opening of bids, by simply making a request in writing to MDHS. No explanation is required.

· Bid Cover Sheet (Attachment A)

· Bid Form (Attachment B)

· References (Attachment C)

· Proprietary Form (Attachment E)

· Debarment Form (Attachment F)

· Other (as required within specifications)

3.14 Bid Opening

Bid opening is not open to the public.

3.15 Award

The Contract will be awarded by written notice to the lowest responsible bidder whose bid meets the requirements and criteria set forth in this IFB on date specified as reflected in Section 1.1.1. Any bids received may be rejected in whole or in part when in the best interest of the State.

3.16 Notification

All participating bidders will be notified of MDHS’ intent to award a contract. Notice of award is made available to the public which will identify the selected vendor. The winning bidder will be notified via e-mail of the award.

3.17 Contract Management

If contractor fails to adhere to the services’ schedule, or if Contractor fails to satisfactorily provide the prescribed service to all or any service area, MDHS will inform Contractor, and Contractor shall complete corrective action within twenty-four (24) hours. No payment shall be made to Contractor until all deficiencies have been corrected. If Contractor exhibits a pattern of non-performance as shown by repeated deficiencies, MDHS may terminate the Contract without further obligation to Contractor.

SECTION 4

4.1 Request for Reconsideration of the Terms of the Solicitation Any potential bidder has an opportunity to request that the procuring Agency reconsider the terms of the solicitation. Any such request shall be filed with Leigh Liao and the Director of OPSCR within three business days following the date of public notice as defined in Section 5.2.1 of PPRB OPSCR Rules and Regulations. It shall be the sole responsibility of the requesting vendor to ensure the request is timely received by all required parties. Failure to timely request reconsideration in compliance with this Section results in waiver of any claim regarding the terms of the solicitation.

The request shall contain the requesting vendor’s name, a single contact person, all contact information for the contact person, the RFx number of the solicitation, and the date the IFB was issued. The request shall identify which of these rules and regulations the requesting vendor believes to have been violated by the solicitation, as written. The request may not be based on anything other than the solicitation document and these rules and regulations. Exhibits shall not be included with the request. Rather, the requesting vendor shall clearly identify the section(s) of the solicitation document at issue in its request. The request shall not be supplemented.

ATTACHMENT A

BID COVER SHEET

The Mississippi Department of Human Services (hereinafter "MDHS," "Agency," or "State") is soliciting bids from qualified bidders to provide Dental Services for MDHS. The vendor will perform services as outlined in IFB RFx No. 3160007423.

PLEASE MARK YOUR ENVELOPE:

Dental Services IFB No. 3160007423 Opening: July 17, 2025, 2:30 p.m., CT Mississippi Department of Human Services Division of Procurement Services Attention: Kimbley Hendrix 200 South Lamar Street Jackson, Mississippi 39201

SEALED BID—DO NOT OPEN

Name of Company:

Quoted By:

Signature:

Address:

City/State/Zip Code:

Company Representative:

Telephone:

Fax:

E-Mail:

FEIN/EIN # (if company, corporation, or partnership):

SSN (if individual):

In addition to providing the above contact information, please answer the following questions regarding your company:

What year was your company started?

How many years and/or months has your company been in the business of performing the services called for in this IFB?

Please provide the physical location and mailing address of your company’s home office, principal place of business, and place of incorporation.

If your company is not physically located in Mississippi, how will you supply Dental Services in Mississippi?

Is your company currently for sale or involved in any transaction to expand or to become acquired by another business entity? If yes, please discuss the impact both in organizational and directional terms.

List all licenses or permits your company possesses that are applicable to performing the services required in this IFB.

For how many customers has your company provided Dental Services in the past two (2) years?

Is your company licensed and/or certified to perform Dental Services as required by any and all applicable federal and state law(s)?

Describe any specific services which your company offers along with any specialized experience, certification, and/or education of your current staff.

List all the equipment that your company has available or that is intended to be used to perform the services required in this Invitation for Bids. ________________________________________

ATTACHMENT B

BID FORM FOR DENTAL SERVICES

Bidders shall acknowledge which of the following statements is applicable regarding release of its bid document as a public record. A bidder may be deemed non-responsive if the bidder does not acknowledge either statement, acknowledges both statements, or fails to comply with the requirements of the statement acknowledged.

Choose one:

____ Along with a complete copy of its bid, bidder has submitted a second copy of the bid document in which all information bidder deems to be confidential commercial and financial information and/or trade secrets is redacted in black. Bidder acknowledges that it may be subject to exclusion pursuant to Chapter 15 of the PPRB OPSCR Rules and Regulations if the Mississippi Department of Human Services or the Public Procurement Review Board determine redactions were made in bad faith in order to prohibit public access to portions of the bid which are not subject to Mississippi Code Annotated §§ 25-61-9, 75-26-1 through 75-26-19, and/or 79-23-1. Bidder acknowledges and agrees that Mississippi Department of Human Services may release the redacted copy of the bid document at any time as a public record without further notice to bidder. A bidder who selects this option but fails to submit a redacted copy of its bid may be deemed non-responsive.

____ Bidder hereby certifies that the complete unredacted copy of its bid may be released as a public record by the Mississippi Department of Human Services at any time without notice to bidder. Bidder explicitly waives any right to receive notice of a request to inspect, examine, copy, or reproduce its bid as provided in Mississippi Code Annotated § 25-61-9(1)(a). The bid contains no information bidder deems to be confidential commercial and financial information and/or trade secrets in accordance with Mississippi Code Annotated §§ 25-61-9, 75-26-1 through 75-26-19, and/or 79-23-1. A bidder who selects this option but submits a redacted copy of its bid may be deemed non-responsive.

The pricing quoted must be inclusive of, but not limited to the following:

· All required labor

· All required profit

· All required overhead

· All required insurance

· All required transportation

· All required fuel and mileage

· All required equipment and materials

· Any and all other costs associated with performing the services

· All required business and professional licenses, permits, fees, etc. (if any)

Pricing Structure: All pricing for Dental Services includes all associated costs with no additional or hidden fees. Compensation for services will be in the form of a Fixed Price Contract.

Dental Services

Category

Dentist Services

Registered Dental Hygienist Services

Dental Assistant Services

By signing below, the Company Representative certifies that he/she has authority to bind the company, and further acknowledges on behalf of the company:

1. That he/she has thoroughly read and understands this IFB and the attachments thereto;

2. That the company meets all requirements and acknowledges all certifications contained in this IFB and the attachments thereto;

3. That the company agrees to all provisions of this IFB and the attachments thereto;

4. That the company will perform, without delay, the services required at the prices quoted in this Attachment B; and

5. That, to the best of its knowledge and belief, the cost or pricing data submitted is accurate, complete, and current as of the submission date.

6. That the company has, or will secure, at its own expense, applicable personnel who shall be qualified to perform the duties required to be performed under this IFB.

7. That the company can and will meet all required laws, regulations, and/or procedures related to Certified Quality Control Inspection Services and represents that it is licensed, certified and possesses the requisite credentials to perform these services. Further, if the company is the successful bidder and the material, equipment, etc., delivered is subsequently found to be deficient pursuant to any federal and state laws and regulations in effect on the date of delivery, all costs necessary to bring the material, equipment, etc. into compliance with aforementioned requirements shall borne solely by Company.

8. NON-DEBARMENT By submitting a bid, the bidder certifies that it is not currently debarred from submitting bids for contracts issued by any political subdivision or agency of the State of Mississippi or federal government and that it is not an agent of a person or entity that is currently debarred from submitting bids for contracts issued by any political subdivision or agency of the State of Mississippi or federal government.

9. CERTIFICATION OF INDEPENDENT PRICE DETERMINATION - By submitting a bid, the bidder certifies that the prices submitted in response to the solicitation have been arrived at independently and without any consultation, communication, or agreement with any other bidder or competitor for the purpose of restricting competition.

10. PROSPECTIVE CONTRACTOR’S REPRESENTATION REGARDING CONTINGENT FEES - The prospective contractor represents as a part of such Contractor’s bid or proposal that such Contractor has/has not (please circle applicable word or words) retained any person or agency on a percentage, commission, or other contingent arrangement to secure this contract.

11. REPRESENTATION REGARDING CONTINGENT FEES - The Contractor represents that it has/has not (please circle applicable word or words) retained a person to solicit or secure a State contract upon an agreement or understanding for a commission, percentage, brokerage, or other contingent fee, except as disclosed in the Contractor’s bid or proposal.

12. REPRESENTATION REGARDING GRATUITIES - Offeror represents that it has not, is not, and will not offer, give, or agree to give any employee or former employee of MDHS a gratuity or offer of employment in connection with any approval, disapproval, recommendation, development, or any other action or decision related to the solicitation and resulting contract. Offeror further represents that no employee or former employee of MDHS has or is soliciting, demanding, accepting, or agreeing to accept a gratuity or offer of employment for the reasons previously stated; any such action by an employee or former employee in the future, if any, will be rejected by offeror. Offeror further represents that it is in compliance with the Mississippi Ethics in Government laws, codified at Mississippi Code Annotated §§ 25-4-101 through 25-4-121, and has not solicited any employee or former employee to act in violation of said law.

Signature:

Date:

Name:

Title:

Company Name: ___________________________________________________________________________

Note: Please be sure to circle the applicable word or words on numbers 10 and 11 (Prospective Contractor’s Representation Regarding Contingent Fees) and (Representation Regarding Contingent Fees) above. Failure to circle the applicable word or words and/or to sign the bid form may result in the bid being rejected as non-responsive. Modifications or additions to any portion of this bid document may be cause for rejection of the bid.

ATTACHMENT C

REFERENCES

REFERENCE 1

Name of Company: ____________________________________________________________ Dates of Service: ______________________________________________________________ Contact Person: _______________________________________________________________ Address: _____________________________________________________________________ City/State/Zip: ________________________________________________________________ Telephone Number: ____________________________________________________________ Cell Number: _________________________________________________________________ E-mail: _______________________________________________________________________ Alternative Contact Person (optional):

Telephone Number: ____________________________________________________________ Cell Number:__________________________________________________________________ E-mail:

REFERENCE 2

Name of Company: ____________________________________________________________ Dates of Service: _______________________________________________________________ Contact Person: _______________________________________________________________ Address: _____________________________________________________________________ City/State/Zip: ________________________________________________________________ Telephone Number: ____________________________________________________________ Cell Number: _________________________________________________________________ E-mail: _______________________________________________________________________ Alternative Contact Person (optional):

Telephone Number: ____________________________________________________________ Cell Number: _________________________________________________________________ E-mail:

REFERENCE 3

Name of Company: ___________________________________________________________ Dates of Service: _______________________________________________________________ Contact Person: _______________________________________________________________ Address: _____________________________________________________________________ City/State/Zip: _______________________________________________________________ Telephone Number: ____________________________________________________________ Cell Number: _________________________________________________________________ E-mail: _______________________________________________________________________ Alternative Contact Person (optional):

Telephone Number: ____________________________________________________________ Cell Number: _________________________________________________________________ E-mail:

REFERENCE 4

Name of Company: ____________________________________________________________ Dates of Service:_______________________________________________________________ Contact Person: _______________________________________________________________ Address: _____________________________________________________________________ City/State/Zip: ________________________________________________________________ Telephone Number: ___________________________________________________________ Cell Number: _________________________________________________________________ E-mail: ______________________________________________________________________ Alternative Contact Person (optional):

Telephone Number: ____________________________________________________________ Cell Number: _________________________________________________________________ E-mail:

REFERENCE 5

Name of Company: ___________________________________________________________ Dates of Service:_______________________________________________________________ Contact Person: _______________________________________________________________ Address: _____________________________________________________________________ City/State/Zip: ________________________________________________________________ Telephone Number: ____________________________________________________________ Cell Number: _________________________________________________________________ E-mail: ______________________________________________________________________ Alternative Contact Person (optional):

Telephone Number: ____________________________________________________________ Cell Number: _________________________________________________________________ E-mail:

Bidder may submit as many references as desired by submitting as many additional copies of Attachment C, References, as deemed necessary. References will be contacted in order listed until two references have been interviewed and Reference Score Sheets completed for each of the two references. No further references will be contacted; however, bidders are encouraged to submit additional references to ensure that at least two references are available for interview. MDHS must be able to contact two references within two (2) business days of bid opening to be considered responsive.

ATTACHMENT D

REFERENCE SCORE SHEET

**TO BE COMPLETED BY MDHS STAFF ONLY**

Name of Bidder: ___________________________________________________________________________

Reference Name: ___________________________________________________________________________

Person Contacted, Title/Position: _______________________________________________________________

Date/Time Contacted: _______________________________________________________________________

Contacted By: _________________________________________ Position: ____________________________

Services From/To Dates: _____________________________________________________________________

(Circle One)

Each “yes” is one point; each “no” is zero points. Bidder must have a minimum score of “6” from two references (total of “12” points) to be considered responsible and for its bid to be considered.

Score: _________

Notes:

ATTACHMENT E

PROPRIETARY INFORMATION FORM

The Respondent should mark any and all pages of this response considered to contain proprietary information. Such pages may remain confidential in accordance with Mississippi Code Annotated §§25-61-9 and 79-23-1 (1972, as amended). Each page of this response considered, by the Respondent, to contain trade secrets or other confidential commercial/financial information should be marked in the upper right-hand corner with the word “CONFIDENTIAL.” Any pages not marked accordingly will be subject to review by the general public after the award of the contract. Requests to review the proprietary information will be handled in accordance with applicable legal procedures. Failure to clearly identify trade secrets or other confidential commercial/financial information may result in that information being released in a public records request.

For all procurement contracts awarded by state agencies, the provisions of the contract which contain the personal or professional services provided, the price to be paid, and the term of the contract shall not be deemed to be a trade secret, or confidential commercial or financial information, and shall be available for examination, copying, or reproduction.

If applicable, please indicate which parts/pages below that the contractor wishes to designate as proprietary. In addition, provide the specific statutory authority for the exemption. If this is not applicable, please indicate with “N/A” below.

1.

2.

3.

4.

5.

By signing below, I understand failure to clearly mark proprietary information as identified above may result in disclosure of such information as it will be subject to review by the general public after the award of the contract.

Signature of Authorized Official/ Title Date (No stamped signature)

ATTACHMENT F

DEBARMENT VERIFICATION FORM

Please Print/Type Clearly in Blue Ink Contractor’s Name

Authorized Official’s Name

Address

Phone Number

Are you currently registered with www.sam.gov (Respond Yes or No)

If no, please know if awarded, you will be asked to complete registration before final award.

If yes, complete the following:

· UEI Number

· Registration Status (Type Active or Inactive)

· Active Exclusions (Type Yes or No)

Federal Debarment Certification:

By signing below, I hereby certify that ____________________________________________ is not on the list (Subgrantee’s Name/Contractor’s Name) for federal debarment on www.sam.gov –System for Award Management.

State of Mississippi Debarment Certification:

By signing below, I hereby certify that ____________________________________________ is not on the list (Subgrantee’s Name/Contractor’s Name) for debarment for doing business within the State of Mississippi or with any Mississippi State Agencies.

Partnership Debarment Certification:

By signing below, I hereby certify that all entities who are in partnership through this contract with MDHS (subcontractors, subrecipients, et al.) are not on the federal debarment list on www.sam.gov – System for Award Management or the State of Mississippi debarment list. Proof of documentation of partnership verification with SAM shall be kept on file and the debarment status shall be checked prior to submission of every contract/subgrant and modification to MDHS.

Signature of Authorized Official Date (No stamped signature)

ATTACHMENT G

REQUIRED CLAUSES FOR SERVICE CONTRACTS RESULTING FROM THIS IFB

1. Acknowledgment of Amendments. Bidders shall acknowledge receipt of any amendment to the IFB in writing. The acknowledgement shall be submitted by signing and returning the amendment with the bid package, by identifying the amendment number and date in the space provided for this purpose on the bid form, or by letter. Each bidder shall submit a written acknowledgement of every amendment to the MDHS on or before the submission deadline. Should an amendment to the IFB be issued, it will be posted on the MDHS website (www.mdhs.ms.gov) in a manner that all bidders will be able to view. It is the bidder’s sole responsibility to monitor the website for amendments to the IFB.

2. Applicable Law. The contract shall be governed by and construed in accordance with the laws of the State of Mississippi, excluding its conflicts of laws provisions, and any litigation with respect thereto shall be brought in the courts of Hinds County, Mississippi.

3. Approval. It is understood that if this contract requires approval by the Public Procurement Review Board (“PPRB”) and/or the Department of Finance and Administration Office of Personal Service Contract Review (“OPSCR”), and this contract is not approved by PPRB and/or OPSCR, it is void and no payment shall be made hereunder.

4. Availability of Funds. It is expressly understood and agreed that the obligation of MDHS to proceed under this agreement is conditioned upon the appropriation of funds by the Mississippi State Legislature and the receipt the appropriated funds. If the funds anticipated for the continuing time fulfillment of the agreement are, at any time, not forthcoming or insufficient, regardless of the source of funding, MDHS shall have the right upon 10 business days written notice to Contractor, to terminate this agreement without damage, penalty, cost or expense to the MDHS of any kind whatsoever. The effective date of termination shall be as specified in the notice of termination.

5. Certification of Independent Price Determination. By submitting a bid, the bidder certifies that the prices submitted in response to the solicitation have been arrived at independently and without any consultation, communication, or agreement with any other bidder or competitor for the purpose of restricting competition.

6. Compliance with Equal Opportunity in Employment Policy. Contractor understands that the MDHS is an equal opportunity employer and therefore, maintains a policy which prohibits unlawful discrimination based on race, color, creed, sex, age, national origin, physical handicap, disability, genetic information, or any other consideration made unlawful by federal, state, or local laws. All such discrimination is unlawful, and Contractor agrees during the term of the agreement that Contractor will strictly adhere to this policy in its employment practices and provision of services.

7. Compliance with Laws. Contractor shall comply with, and all activities under this agreement shall be subject to, all applicable federal, state, and local laws and regulations, as now existing and as may be amended or modified.

8. Contract Rights. Contract rights do not vest in any party until a contract is legally executed. The MDHS is under no obligation to award a contract following issuance of this solicitation.

9. E-Payment. Contractor agrees to accept all payments in United States currency via the State of Mississippi’s electronic payment and remittance vehicle. The Agency agrees to make payment in accordance with Mississippi “Timely Payments for Purchases by Public Bodies” laws, which generally provide for payment of undisputed amounts by the Agency within 45 calendar days of receipt of invoice. Mississippi Code Annotated § 31-7-301, et seq.

10. E-Verification. If applicable, Contractor represents and warrants that it will ensure its compliance with the Mississippi Employment Protection Act and will register and participate in the status verification system for all newly hired employees. Mississippi Code Annotated §§ 71-11-1 and 71-11-3. Contractor agrees to provide a copy of each verification upon request of the [Agency] subject to approval by any agencies of the United States Government. Contractor further represents and warrants that any person assigned to perform services hereafter meets the employment eligibility requirements of all immigration laws.

The breach of this clause may subject Contractor to the following: (1) termination of this contract and exclusion pursuant to Chapter 15 of the Public Procurement Review Board Office of Personal Service Contract Review Rules and Regulations; (2) the loss of any license, permit, certification or other document granted to Contractor by an agency, department, or governmental entity for the right to do business in Mississippi; or (3) both. In the event of such termination, Contractor would also be liable for any additional costs incurred by the Agency due to Contract cancellation or loss of license or permit to do business in the state.

11. Expenses Incurred in the Procurement Process. All parties participating in the procurement process with regard to this solicitation shall bear their own costs of participation, pursuant to Section 1.4.4 of the Public Procurement Review Board Office of Personal Service Contract Review Rules and Regulations.

12. Insurance. Contractor represents that it will maintain workers’ compensation insurance in compliance with Mississippi law which shall inure to the benefit of all Contractor’s personnel provided hereunder, comprehensive general liability or professional liability insurance with minimum limits of $1,000,000.00 per occurrence, and fidelity bond insurance with minimum limits of $1,000,000.00. All general liability, professional liability, and fidelity bond insurance will provide coverage to the MDHS as an additional insured. The MDHS reserves the right to request from carriers, certificates of insurance regarding the required coverage. Insurance carriers shall be licensed or hold a Certificate of Authority from the Mississippi Department of Insurance.

Contractor will furnish MDHS a certificate of insurance…