1_FEDBIZOPS_POST_RFP-SOW_(HJCA-13-PHYSICIAN_Services_Bid_1OCT12-30SEPT14).doc

Request for Quote Physician Services The Hartford Job Corps Academy (HJCA) and Education & Training Resources (ETR); located at 100 William Shorty Campbell Street, Hartford, CT. 06106, are desirous of a fully insured Physician Services vendor to submit a bid on the federally funded project mentioned herein; and if successfully awarded the subject contract, to satisfactorily provide the following services according to the established criteria contained within same. All bidders must have a “Dun & Bradstreet” (DUNS) number to be awarded a federal contract and provide documentation of such. All bidders must be registered in “System for Award Management” (SAM) before being awarded a federal contract and provide documentation of such. Final bids are due to this center, not later than 15th of AUG 2013 at 4:00 PM. Point of contact for this project is the Purchasing Department. They can be reached via email at: patricia.uccello@etrky.com Scope of Work

1. Vendors are needed to provide and deliver the physician services to the Hartford Job Corps Academy.

2. All vendors must completely fill out, sign and return the “HJCA Physician Services Bid Information Sheet” found on page two of this scope of work with their proposal.

3. All vendors must use the HJCA “Physician Services Bid Sheet 1 OCT 2013 – 30 SEPT 2014” (Form”) for individual hourly services pricing of, and submit it electronically in the provided Excel format to: patricia.uccello@etrky.com , all other required items can be submitted by mail or sent electronically.

4. All services are to be bid as written.

5. All services are to be performed and delivered to our location at 100 William Shorty Campbell Street, Hartford, CT. 06106, by the successful bidder (s).

6. Any and all miscellaneous charges must be included in the hourly service price for the bid sheet.

7. All orders placed by HJCA will be for monthly services rendered.

8. Selection of the vendor (s) will be based on the best value and lowest Fee-For-services pricing from vendors that comply with this scope of work. This is NOT a single source procurement solicitation.

9. Please see attached link for obtaining a DUNS number and registering with SAM. http://fedgov.dnb.com/webform https://www.sam.gov/portal/public/SAM/10.

10. Please include a copy of your current business license and current certifications (if applicable).

11. If there is a tie on hourly services pricing additional best value criteria will be used to award.

*Award is contingent upon U.S. Department of Labor Regional Approval.

Please submit all bids by mail to:

ATTN: Procurement Office

Education & Training Resources Hartford Job Corps Academy

100 William Shorty Campbell Street Hartford, CT. 06106 Submit bids electronically by Email to: patricia.uccello@etrky.com HJCA Physician Services Bid Information Sheet

(HJCA-13-Physician_Services_Bid_1OCT13-30SEPT14)

OFFER TO: Education & Training Resources (ETR), Attn: Purchasing Department, Hartford Job Corps Academy, 100 William Shorty Campbell Street, Hartford, CT. 06106 In compliance with the Bid Provision, Scope of Work, Terms & Conditions, and other specifications contained in this RFP, the undersigned hereby proposes to provide the materials listed for the center.

Fee form for services-Bid Price for period: 1 OCT 2013 – 30 SEPT 2014:

The Rates herein are no higher than would be for any other customer, either commercial and/or agencies of the United States Government, for similar services.

Physician Assistant per hour price $_______________ Nurse Practitioner per hour price $_______________

Above rates include necessary labor, transportation, and supervision required to accomplish Scope of Work. Any additional charges for service or product that are not included in the above items will be listed below:

Requested Payment Terms (Net 30, Net 15, etc.): ________________________________________

Submitted by:_____________________________ Company name & Address: ______________ Signature: ________________________________ __________________________________ Date: ____________________________________ __________________________________

Duns#:_____________________________ Phone #: ____________________________

Vendor signature above signifies the understanding that the following applies:

· FAR 52.209.5 and 6 (certification regarding debarment) applies to this SUBCONTRACTING PURPOSE

· FAR 52.222-41 (Service Contract Act) also applies to this SUBCONTRACTING PURPOSE

· All of ETR’s terms & conditions/applicable FAR clauses located at our website: www.etrky.com

· FAR 52.204-9 &10 (Subcontractor Government reporting)

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