final DQ 751 DVR wheelchair.doc

COLORADO DEPARTMENT OF HUMAN SERVICES

DQ1 # IHEA 2016000751

STATE OF COLORADO

DEPARTMENT OF HUMAN SERVICES

QUOTE SUBMISSION VIA EMAIL

Submissions via email are preferable. Quotes submitted via fax are also acceptable.

Email: vera.kennedy@state.co.us

Fax: 303-866-5808

North/Central Procurement

1575 Sherman Street

6th Floor

Denver, CO 80203

PROCUREMENT CONTACT

The procurement contact is the primary contact for this DQ. Direct all inquiries to the procurement contact.

Vera Kennedy

SECTION I - ADMINISTRATIVE INFORMATION

Quote Submission - Quotes will be received until the date and time indicated. Late Quotes may be accepted at the discretion of the Procurement Contact.

Pricing - All pricing shall be FOB Destination. Vendors shall specify any minimums, special charges, restrictions, or conditions. The failure of the vendor to note any special conditions or exceptions shall be deemed a waiver of any such condition or exception.

Price Increases – Pricing shall remain firm for the term of the award, including option years, unless otherwise specified.

Quote Acceptability - The State will be the sole judge in determining the acceptability of a quote and in determining the most beneficial quote for the State. Evaluation of quotes will also take into account administrative costs, payment terms, delivery conditions (any restrictions, minimum order quantity or dollar amount), and any exceptions taken to any requirement of the DQ, volumes at individual user sites, and proximity of user sites. Administrative costs include, but are not limited to, time and costs associated with ordering, receiving, stocking and paying invoices.

Evaluation - The choice of vendor for goods and services must be based on which acceptable response is most advantageous to the state, price/cost being the primary consideration. Other factors to be considered include experience, delivery, and warranties (if applicable). The basis for the selection must be documented and will be final and conclusive unless determined to be arbitrary, capricious, or contrary to law.

Service Disabled Veteran Owned Small Businesses (SDVOSBs) - SDVOSBs, who are incorporated or organized in Colorado or maintain a place of business or have an office in Colorado and who are officially registered and verified as a SDVOSB by the Center for Veteran Enterprise within the U.S. Department of Veterans Affairs. (www.vip.vetbiz.gov) , may receive a 5% preference on their bid. This preference applies only to the price, and the SDVOSBs must still meet all other qualifications required in the bid. SDVOSBs claiming this preference shall submit documentation of SDVOSB certification Issued through the U.S. Department of Veterans Affairs in their response to the solicitation. Bid submissions without this documentation will not be given a preference.

Award - The state intends to issue a single vendor award, unless otherwise specified. Awards will be made on the basis of the quote most beneficial to the State.

Term of Award - The period of award made as a result of this DQ is until September 30, 2016 and will not be renewed.

Bid Results - After the award is made, bid tabulations or a summary can be made available.

Purchase Order or State Contract – As a result of the award, a Purchase Order or State Contract may be required. The awarded vendor may not perform or deliver goods or services until such time the Purchase Order or Contract is executed.

Terms and Conditions - The State Purchase Order Terms and Conditions and Solicitation Instructions apply to this DQ. If not attached, they can be made available upon request.

Quantity of Goods/Services – At the time of award and/or during the term of the resulting award, the State reserves the right to increase or decrease the quantity of goods/services based on available funding using the rates established in the Purchase Order or State Contract.

Vendor performance outside Colorado and/or USA - Vendor disclosure of services identifies if the vendor or subcontractor will perform the services outside the state of Colorado or United States. If this is the case, provide a brief statement explaining why the vendor believes it is necessary or advantageous to perform the services outside the state of Colorado or United States.

SECTION II – SPECIFICATIONS/STATEMENT OF WORK

The State of Colorado, Division of Vocational Rehabilitation (DVR), seeks a specific wheelchair configuration to assist a client in successful employment.

Overview

Purpose

This item is congruent to the client’s IPE, as well as DVR Policy, and is necessary and appropriate for the client to achieve a successful employment outcome. The electronic case management system possesses the ability to purchase said equipment using the following procedural codes: Purchase (Procedure Code 70001-01); Rental (Procedure Code 70002-01); Repair (Procedure Code 70006-01).

The equipment is intended solely for client vocational use, and would be returned to CDHS if successful employment is not ultimately obtained and maintained.

Statement of Need A rehabilitation/assistive technology device is a non-medical item, piece of equipment, or product system that is used to increase, maintain, or improve the functional capabilities of an individual with a disability. The device may be acquired commercially off the shelf, modified, or customized.

Specifications:

Wheelchair with following parts and accessories:

· Frontier V6 Power Wheelchair Base

· Tire Sealant - Per Pair

· OX2 Dynamic Joystick, Color LEO Display

· Manual Swingaway, Retractable Or Removable

· Adjustable Height, Detachable Armrest, Complete

· Footrest, High Mount Flip-Up, Each

· Power Seating System, Tilt Only

· PWC Accessory, Power Seal Elevation

· PWC Accessory. Electronic Connection Between Wheel

· Invacare

· Cushion, Skin Protection, Less Than 221n,Any Depth

· PWC Accessory, Expandable Controller, Including Al

· Full Lighting Kit,V6

· Luggage Rack, V6

· Battery, Group 24 Sealed Lead Acid, Gel, SECTION III How to respond to this solicitation:

· Vendor must be registered with Colorado’s Vendor Self Service (VSS) System prior to this solicitation’s deadline, to be considered award of this quote.

· No guarantees of estimated quantities are made as a result of the solicitation and award.

· Prices shall be binding and valid for the length of the award.

· All equipment, products and parts must contain manufacturer warranties.

· All equipment and parts quoted by vendor must be new, unless otherwise specified.

Provide a quote for each item in Section II, including all applicable fees and shipping.

Delivery: _______________________ ARO Warranty: _______________________ days/months.

SIGNATURE PAGE (return with bid)

VENDOR INFORMATION

COMPANY NAME

FEIN#

ADDRESS

Name & title of authorized officer & agent:

NAME:

TITLE:

Name & number of contact person for inquiries on your Quote response:

NAME:

NUMBER/EMAIL:

Name & number of contact person for orders if an award to your company is subsequently made:

NAME:

NUMBER/EMAIL:

IMPORTANT: Vendor should read the entire DQ before submitting a Quote. Quotes shall be properly marked with DQ number. All Quotes shall be F.O.B. destination, unless otherwise specified.

PHONE #

Authorized Signature By Officer or Agent of Vendor

FAX #

Date Signed

REMIT ADDRESS:

E-MAIL:

PAYMENT TERMS:

Terms of less than 45 calendar days will not be considered.