FV159033_Anesthesiologist_IFB.pdf

Fairview Developmental Center IFB Number FV159033

Table of Contents

Section Page

A) Purpose and Description of Services…………………………………….……………….. 2

B) Bidder Minimum Qualifications……………..……………………………………………… 2

C) Bid Requirements and Information ………………………………………………………2

1) Key Action Dates ………………………………………………………………………..2

2) Mandatory Pre-Bid Conference .……………………………………………………...2

3) Submission of Bid ……………………………………………………………………….3

4) Evaluation and Selection ……………………………………………………………….4

5) Award and Protest ………………………………………………………………………4

6) Disposition of Bid ………………………………………………………………………..5

7) Agreement Execution and Performance ……………………………………………..5

D) Preference Programs ………………………………………………………………………..5

Small Business Preference …………………………………………………………………5

E) Required Attachments ………………………………………………………………………5

1) Required Attachment Check List ………………………………………………………6

2) Bid/Bidder Certification Sheet

3) Bid Proposal

4) Bidder References

5) Payee Data Record (STD 204)

6) Contractor's Certification Clauses (CCC) (page 1)

7) Darfur Contracting Act 2008

8) Small Business Identification Questionnaire

9) Professional Liability Insurance Certificate

10) Secretary of State Business Entity Detail (if applicable)

11) Resume

F) Sample Standard Agreement (STD 213)

1) Exhibit A, Scope of Work

2) Exhibit B, Budget Detail and Payment Provisions

3) Exhibit C, General Terms and Conditions

4) Exhibit D, Special Terms and Conditions

5) Exhibit E, Sexual Harassment Prevention Policy Directive

6) Exhibit F, Statement of Assurance for Protection of Personal Information HIPAA Confidentiality Agreement

A) Purpose and Description of Services

Contractor agrees to provide anesthesiology services for the clients of Fairview Developmental Center as requested by the Project Representative.

B) Bidder Minimum Qualifications

1) Bidder must have the education and training for credentialing and privileging of Fairview medical staff as well as membership to medical staff.

2) Bidder must provide three (3) references for services performed within the last ten years. The Scope of Work should be similar to the scope in this Agreement.

3) Bidder must have experience with providing anesthesia for clients with craniofacial and genetic abnormalities as well as multi-organ/system and/or psychiatric diseases.

4) Bidder must not be considered an excluded practitioner per Medicare Office of Inspector General (OIG)

– List of Excluded Practitioners.

5) Bidders must submit resumes with the required attachments when submitting their bids.

C) Bid Requirements and Information

1) Key Action Dates

Event Date

IFB available to prospective bidders February 9, 2016

Mandatory Pre-Bid Conference February 16, 2016 @ 1:30 p.m.

Final Date for Bid Submission February 25, 2016 @ 2:30 p.m.

Bid Opening February 25, 2016 @ 2:30 p.m.

Notice of Intent to Award March 4, 2016

Proposed Award Date March 4, 2016

2) Mandatory Pre-bid Conference/Site Inspection

a) A mandatory pre-bid conference/site inspection is scheduled at 1:30 p.m. on Tuesday, February 16, 2016 in the Small Classroom of the R&T Building for the purpose of discussing concerns regarding this IFB.

b) In the event a potential prime contractor is unable to attend the mandatory pre-bid conference/walkthrough, an authorized representative may attend on their behalf. The representative may only sign-in for one (1) company. Subcontractors may not represent a potential prime contractor at a mandatory pre-bid conference/walkthrough. "No bid will be accepted unless the bidder or his authorized representative was in attendance."

c) For contractors who need assistance due to a physical impairment, a reasonable accommodation will be provided by the awarding agency upon request for the pre-bid conference/site inspection.

Contractor must call DDS/Fairview Developmental Center at (714) 957-5384 no later than the fifth working day prior to the scheduled date and time of the pre-bid conference to arrange for a reasonable accommodation.

3) Submission of Bid

a) All bids must be submitted under sealed cover and sent to DDS/Fairview Developmental Center by dates and times shown in Section C, Bid Requirements and Information, Item 1) Key Action Dates, (page 2). The sealed cover must be plainly marked with the IFB number and title, must show your firm name and address, and must be marked with "DO NOT OPEN", as shown in the following example:

FV159033

Anesthesiology Services Attn: Katrina Opendo/Fiscal Services

2501 Harbor Blvd.

Costa Mesa, CA 92626

DO NOT OPEN

Bids not submitted under sealed cover may be rejected. A minimum of 1 copy of the bid must be submitted.

b) All bids shall include the documents identified in Section E, Required Attachment Checklist (see page 7). Bids not including the proper “required attachments" shall be deemed non-responsive. A non-responsive bid is one that does not meet the basic bid requirements.

c) All documents requiring a signature must bear an original signature of a person authorized to bind the bidding firm.

d) Mail or deliver bids to the following address:

U.S. Postal Service Deliveries Hand Deliveries

(UPS, Express Mail, Federal Express)

Fairview Developmental Center

Attn: Accounting Department 2501 Harbor Blvd.

Costa Mesa, CA 92626

e) Bids must be submitted for the performance of all the services described herein. Any deviation from the work specifications will not be considered and will cause a bid to be rejected.

f) A bid may be rejected if it is conditional or incomplete, or if it contains any alterations of form or other irregularities of any kind. The State may reject any or all bids and may waive an immaterial deviation in a bid. The State's waiver of an immaterial deviation shall in no way modify the IFB document or excuse the bidder from full compliance with all requirements if awarded the agreement.

g) Costs incurred for developing bids and in anticipation of award of the agreement are entirely the responsibility of the bidder and shall not be charged to the State of California.

h) An individual who is authorized to bind the bidder contractually shall sign the Bid/Bidder

Certification Sheet, page 8. The signature should indicate the title or position that the individual holds in the firm. An unsigned bid may be rejected.

i) A bidder may modify a bid after its submission by withdrawing its original bid and resubmitting a new bid prior to the bid submission deadline. Bidder modifications offered in any other manner, oral or written, will not be considered.

j) A bidder may withdraw its bid by submitting a written withdrawal request to the State, signed by the bidder or an authorized agent. A bidder may thereafter submit a new bid prior to the bid submission deadline. Bids may not be withdrawn without cause subsequent to bid submission deadline.

k) The awarding agency may modify the IFB prior to the date fixed for submission of bids by the issuance of an addendum to all parties who received a bid package.

l) The awarding agency reserves the right to reject all bids. The agency is not required to award an agreement.

m) Before submitting a response to this solicitation, bidders should review, correct all errors and confirm compliance with the IFB requirements.

n) Where applicable, bidder should carefully examine work sites and specifications. Bidder shall investigate conditions, character, and quality of surface or subsurface materials or obstacles that might be encountered. No additions or increases to the agreement amount will be made due to a lack of careful examination of work sites and specifications.

o) The State does not accept alternate contract language from a prospective contractor. A bid with such language will be considered a counter proposal and will be rejected. The State’s General Terms and Conditions (GTC) are not negotiable.

p) No oral understanding or agreement shall be binding on either party.

4) Evaluation and Selection

a) At the time of bid opening, each bid will be checked for the presence or absence of required information in conformance with the submission requirements of this IFB.

b) The State will evaluate each bid to determine its responsiveness to the published requirements.

c) Bids that contain false or misleading statements, or which provide references, which do not support an attribute or condition claimed by the bidder, may be rejected.

d) Award if made, will be to the lowest responsive responsible bidder.

5) Award and Protest

a) Whenever an agreement is awarded under a procedure, which provides for competitive bidding, but the agreement is not to be awarded to the low bidder, the low bidder shall be notified by telegram, electronic facsimile transmission, overnight courier, or personal delivery five (5) working days prior to the award of the agreement.

b) Upon written request by any bidder, notice of the proposed award shall be posted in a public place in the office of the awarding agency at least five (5) working days prior to awarding the agreement.

c) If any bidder, prior to the award of agreement, files a written protest with the Department of General Services, Office of Legal Services, 707 Third Street, 7th Floor, Suite 7-330, West Sacramento, CA 95605 and Fairview Developmental Center on the grounds that the (protesting) bidder is the lowest responsive responsible bidder, the agreement shall not be awarded until either the protest has been withdrawn or the Department of General Services has decided the matter.

d) Within five (5) days after filing the initial protest, the protesting bidder shall file with the Department of General Services and the awarding agency a detailed written statement specifying the grounds for the protest. The written protest must be sent to the Department of General Services, Office of Legal Services, 707 Third Street, 7th Floor, Suite 7-330, West Sacramento, California 95605. A copy of the detailed written statement should be mailed to the awarding agency. It is suggested that you submit any protest by certified or registered mail.

e) Upon resolution of the protest and award of the agreement, Contractor must complete and submit to the awarding agency the Payee Data Record (STD 204), to determine if the Contractor is subject to state income tax withholding pursuant to California Revenue and Taxation Code Sections 18662 and 26131. This form can be found on the Internet at www.osp.dgs.ca.gov under the heading

FORMS MANAGEMENT CENTER. No payment shall be made unless a completed STD 204 has been returned to the awarding agency.

f) Upon resolution of the protest and award of the agreement, Contractor must sign and submit to the awarding agency, page one (1) of the Contractor Certification Clauses (CCC), which can be found on the Internet at www.dgs.ca.gov/contracts. This document is only required if the bidder has not submitted this form to the awarding agency within the last three (3) years.

6) Disposition of Bids

a) Upon bid opening, all documents submitted in response to this IFB will become the property of the State of California, and will be regarded as public records under the California Public Records Act (Government Code Section 6250 et seq.) and subject to review by the public.

b) Bid packages may be returned only at the bidder's expense, unless such expense is waived by the awarding agency.

6) Agreement Execution and Performance

a) Performance shall start not later than `the express date set by the awarding agency and the Contractor, after all approvals have been obtained and the agreement is fully executed. Should the Contractor fail to commence work at the agreed upon time, the awarding agency, upon five (5) days written notice to the Contractor, reserves the right to terminate the agreement. In addition, the Contractor shall be liable to the State for the difference between Contractor's bid price and the actual cost of performing work by the second lowest bidder or by another contractor.

b) All performance under the agreement shall be completed on or before the termination date of the agreement.

D) Preference Programs

Small Business Preference: www.pd.dgs.ca.gov

E) Required Attachments

Refer to the following pages for additional Required Attachments that are a part of this agreement.

http://www.osp.dgs.ca.gov/ http://www.dgs.ca.gov/contracts http://www.documents.dgs.ca.gov/ols/contracting%20info/www.pd.dgs.ca.gov

ATTACHMENT 1

REQUIRED ATTACHMENT CHECK LIST

A complete bid or bid package will consist of the items identified below.

Complete this checklist to confirm the items in your bid. Place a check mark or “X” next to each item that you are submitting to the State. For your bid to be responsive, all required attachments must be returned.

This checklist should be returned with your bid package also.

Attachment Attachment Name/Description

_____ Attachment 1 Required Attachment Check List

_____ Attachment 2 Bid/Bidder Certification Sheet

_____ Attachment 3 Bid Proposal

_____ Attachment 4 Bidder’s References

_____ Attachment 5 Payee Data Record (STD 204)

_____ Attachment 6 Contractor Certification Clauses (CCC 307)

_____ Attachment 7 Darfur Contracting Act 2008

_____ Attachment 8 Small Business Identification Questionnaire

_____ Attachment 9 Professional Liability Insurance Certificate in accordance with the contract requirement as described in Exhibit D, Page 2-3, Section 10 of the attached sample contract

_____ Attachment 10 Secretary of State Business Entity Detail (if applicable)

_____ Attachment 11 Resume