Disclosures~5.docx
DOCX document 16 KB Posted
- Solicitation number
- BD-19-1039-EHS01-EHS01-39914
- Issued by
- Middlesex County, Massachusetts
About this file
This document is a disclosure form related to a state and local contract opportunity issued by the Executive Office of Health and Human Services (EOHHS) on behalf of the Commonwealth of Massachusetts Board of Registration in Medicine (BORIM). The contract opportunity is for the development, implementation, maintenance, and support of an Online Initial Licensing Application integrated with BORIM's existing applications, as well as Managed Support Services for BORIM's Applications Portfolio.
The disclosure form requires bidders to provide information on any current contracts they or their teaming partners/subcontractors have with Massachusetts healthcare providers or health information technology companies, including the contract values and whether the total value exceeds $100,000. EOHHS reserves the right to request additional disclosures from bidders.
View the file
Other files
Show all 23
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Disclosures
Name of Bidder:
I. Please provide the following information below or attach a separate sheet:
1. Does the bidder currently have contracts with Massachusetts health care providers or companies that provide health information technology related services in Massachusetts?
2. If so, for each of these current contracts exceeding $20,000, please provide the legal name of the health care provider or health information technology company and a description of the services provided.
3. Please state whether the contract, combined with any other contracts the bidder has had with the same provider or company in the past 5 years, exceeds $100,000 in total.
II. Please provide the following information for each Teaming Partner or Significant Subcontractor (if any) below or attach a separate sheet:
1. Does the Teaming Partner or Significant Subcontractor currently have contracts with Massachusetts health care providers or companies that provide health information technology related services in Massachusetts?
2. If so, for each of these current contracts exceeding $20,000, please provide the legal name of the health care provider or health information technology company and a description of the services provided.
3. Please state whether the contract, combined with any other contracts the bidder has had with the same provider or company in the past 5 years, exceeds $100,000 in total.
DPH reserves the right to request additional disclosures from bidders.
File details come from the government source that posted it. Updated .