Evaluation Tool~1.docx
DOCX document 31 KB Posted
- Attached to
- Religious Services Master Agreement RFR
- Solicitation number
- BD-26-1022-DMH08-8210C-117564
- Issued by
- Berkshire County, Massachusetts
About this file
This document is an Evaluation Tool for a Religious Services Master Agreement (RFR Bid # BD-26-1022-DMH08-8210C-117564) issued by the Department of Mental Health (DMH) for a contract period ending in June 2025. The tool provides a comprehensive checklist for provider submissions, detailing specific formatting requirements such as 12-point Times New Roman font, 8x11 inch paper, one-inch margins, single-spacing, and page numbering. Providers must submit multiple documents including an RFR Response Cover Sheet, Standard Contract Form, executed MA Form W-9, Contractor Authorized Signatory Listing, and Authorization for Electronic Funds Payment.
The evaluation tool outlines a rigorous submission process that requires providers to meet minimum requirements across multiple categories, with a review committee conducting a thorough assessment of each response. Providers must include attachments such as resumes/CVs and business reference forms, and disclose any debarment status. The document indicates that responses will be evaluated against specific criteria, with potential for clarification requests or rejection if minimum submission requirements are not met. The review process includes a comprehensive examination of qualifications, with the ultimate goal of identifying suitable providers for the religious services contract.
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PROVIDER: _________________________________________________________________________________________ Date Response was filed on COMMBUYS: _____________________________
MINIMUM SUBMISSION REQUIREMENTS CHECKLIST
PART I RFR RESPONSE SUBMISSION FORMAT (SUBSECTIONS 7.1 and 7.3):
___Submitted on COMMBUYS.
___The Filing Naming Conventions were used.
PART II RESPONSE REQUIREMENTS (Subsection 7.3 and Provider’s Qualifications and Service Response Requirements):
A response must consist of the following parts:
___ RFR Response Cover Sheet
| ___ | Provider’s Qualifications and Service Response l | |
| The following documents must be submitted with the Response as Attachments: | ||
| ___ | Standard Contract Form (Terms and Conditions For Health and Social Services marked as applicable) | |
| ___ | An executed MA Form W-9 | |
| ___ | Contractor Authorized Signatory Listing |
Religious Services Master Agreement RFR Bid # BD-26-1022-DMH08-8210C-117564
DMH # 2026-3140-RELIGIOUS SERVICES-01
Date: June 2025
___ Authorization for Electronic Funds Payment
PART III RESPONSE FORMAT:
RFR Cover Sheet (Subsection 7.3) ___ RFR Response Cover Sheet was completed and submitted. __ RFR Cover Sheet was not, completed or submitted (circle all that apply.)
The Provider’s Qualification and Service Response must be in the following format (Response Requirements):
| ___ | type-written, 12 point Times New Roman font |
| ___ | 8 ½ x 11 inch paper |
| ___ | fully justified (print fully abuts both margins) |
| ___ | one-inch margins |
| ___ | single-spaced |
| ___ | page numbers at the bottom of each page |
| ___ | responded to questions/requests for information in the order set forth in the Requirements Chart |
| ___ | responses have the header and number of the applicable question/request for information set forth in the Proposal Requirements |
PART IV PAGE LIMITS AND ATTACHMENTS (Response Requirements)
Attachments (Response Requirement)) ___ Attachments ____ Resume/CV.
____ Business Reference Form
___ Debarment: YES___ NO ____. If YES, circumstances indicated ________________________________________________.
PART VI FINDINGS
Minimum Requirements ____ MET ___NOT MET Explain:_____________________________________________________________________________________________________
Reviewer(s) _____________________________________________ Date ___________________________
Comments _______________________________________________________________________________
List Input received from others and attach input to this tool:
Action taken by Review Committee/Awarding Authority as a result of Minimum Submission Requirements Review:
[ ] Determined meets the Minimum Submission Requirements [ ] Clarification sought [ ] Rejected
If a response is determined to meet the Minimum Submission requirements, the Review Committee should continue to complete this Worksheet.
REVIEW COMMITTEE
Member:
Responses to be reviewed as received
Date(s) of Review:
A tool should be completed for each response and a written recommendation as to each applicant’s qualifications shall be provided to the Awarding Authority, together with potential points for contract negations.
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