HSP44_Medical Commodities_Attachment_A_ Bidder Response Form_06.01.2022_FINAL.xlsx
XLSX spreadsheet 119 KB Posted
- Attached to
- Medical Commodities
- Contract number
- HSP44
- Issued by
- Massachusetts
About this file
This document is a Bidder Response Form for the HSP44 Medical Commodities Request for Response (RFR) issued by the Commonwealth of Massachusetts. The form is a comprehensive solicitation document designed for potential vendors to submit detailed information about their company, capabilities, references, pricing, and environmental practices for a statewide medical commodities contract. The document is structured to evaluate bidders' qualifications across multiple dimensions, including company background, financial stability, supply chain integrity, emergency preparedness, and sustainability initiatives.
The contract seeks to establish a statewide procurement vehicle for medical commodities, with vendors offering pricing based on acquisition cost plus a maximum percentage markup. Bidders must provide a net pricing list, demonstrate ability to service the entire Commonwealth, and commit to participating in the state's Group Purchasing Organization (GPO). The contract requires vendors to have extensive experience in medical commodity distribution, contracts with medical equipment manufacturers, and the capability to provide commodities during emergency situations. Vendors are also evaluated on their environmentally preferable practices, with opportunities to receive additional evaluation points for sustainability initiatives such as green fleet policies, waste reduction strategies, and renewable energy usage. The contract appears to allow for market share volume agreements and requires comprehensive documentation of the bidder's operational, financial, and environmental capabilities.
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Other files
| File | Type | Posted |
|---|---|---|
| HSP44%20_Contract%20User%20Guide_2025_05_02.pdf | ||
| Intent to Bid Notice_HSP44_Medical Commodities_03.22.2022.docx | DOCX document | |
| HSP44 Medical Commodities_Request for Response_06.01.2022_FINAL.docx | DOCX document | |
| HSP44_ Contract User Guide_07.01.2025.docx | DOCX document | |
| HSP44_Medical Commodities_PPD Form_Attachment_D_06.01.2022~1.docx | DOCX document | |
| HSP44_Medical Commodities_SDP_Form_Attachment_E_06.01.2022 .xlsx | XLSX spreadsheet | |
| HSP44 Medical Commodities_Request for Response_06.01.2022_FINAL.pdf |
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Text version
NOTE TO BIDDER
NOTE TO BIDDER:
This is the Bidder Response Form for the HSP44 Medical Commodities RFR. Use the tabs below to move through each portion of the response form. Bidders must complete the "Bidder Information" tab, "Bidder References" tab, include procing info/attchments, and the EPP Form tab. Failure to provide all of the requested information may result in your response being disqualified. Any questions must be posted to COMMBUYS through the “Bid Q&A” tab.
Thank you -The HSP44 Strategic Sourcing Team
Bidder Submission Checklist
| HSP44: Medical Commodities Bidder Submission CHECKLIST | |||
| Are you submitting item with bid (Yes/No) | Required/Mandatory Documents | File format | File Name |
| Completed Bidder Response Form_Attachment_A Must be in the original format, do not further protect this document. |
1) Bidder Information
2) Bidder References
| 3) Pricing Information 4) Online Catalog Access Information 5) Environmentally Preferable Products (EPP) Form | .xlsx | CompanyName_HSP44BidderResponseForm | ||
| Company Organizational Chart -- Add as Attachment B | .doc or .pdf | CompanyName_HSP44_OrgChart_Attachment_B | ||
| Company Net Pricing Information -- Add as Attachment C | .xlsx | CompanyName_HSP44_MA State Net Pricing List_Attachment_C | ||
| Company PPD Form -- Attachment D | .doc or .pdf | CompanyName_HSP44_PPD Form_Attachment_D | ||
| Supplier Diversity Plan (SDP) -- Attchment E | xlsx. | CompanyName_HSP44_SDP Form_Attachment_E |
Bidder Information
| HSP44: Medical Commodities |
| BIDDER RESPONSE FORM - BIDDER INFORMATION |
| Bidder must respond to all questions in the sections below unless stated otherwise. |
Each gray box is a response field Example: Company Name, Inc.
| 1. Bidder Information (type answers into the outlined boxes below) | |
| Legal Company Name: | Years in Business/Commodities: |
| Legal Company Address: | Days/Hours of Operation: |
| Company Phone : | Company Website (optional): |
| Office/Physical Presence in MA: | |
| Company Email: | Warehouse Locations: |
2. Contact Person(s) (provide at least one contact person and list additional contacts where applicable)
| Name (First Last) | Phone (###) ###-#### | ||
| Primary Account Manager: | |||
| Customer Contact (if not primary): |
This name should be same as COMMBUYS contact and will be listed in the Contract User Guide.
| 3. Emergency Contact Person (provide a contact that can be available for emergency situations): | |||
| Name | Phone | ||
| Emergency Contact Person: |
| 4. Is your company compliant with both state and federal taxes? In the last fiscal year did the Bidder have annual dollar sales from Med Commodities greater than $500,000? |
| Answer (Yes/No): |
| 5. Is the Bidder responding as a Distributor or as a Specialty Supplier as described in the RFR? A bidder cannot bid as both and must state one below? |
| Distributor or Specialty Supplier?: |
6. Geographic Coverage. Can your organization service the entire Commonwealth of Massachusetts? (answer Yes/No)
7. Company experience: Provide a narrative description demonstrating your knowledge/experience in major aspects of commodity contracting/sales. Also, provide the types of medical commodities the Bidder routinely sells and can provide under the scope of the contract. Use the box below for the answer. The box will expand to accommodate your response.
8. Provide a statement that describes the current state of your working relationships with entities within the medical commodities supply chain?
9. Financial information (capacity plan, resources and infrastructure): Each Bidder shall submit with their Bid evidence that it has the financial capability, stability, experience, and capital to purchase large quantities of supplies from the supply chain to serve buyers in the manner prescribed and to perform the required work satisfactorily.
| 10. Online Catalog. Does the Bidder have a free Online Catalog where purchasing entities can determine which manufacturers and products are available on contract; and check product pricing? Please provide information on your online ordering system. |
| If yes, please see Online Catalog Tab to insert information. |
| 11. Does the Bidder currently have contracts in place with medical equipment manufacturers and for most medical commodities sold to the Commonwealth through distributors as described in the RFR? | |
| Yes or No _________________ |
12. Will Bidder commit to participating with the Commonwealth's GPO for the term of this contract? Yes or No _________
| 13. Medical Equipment GPO Contracts. Does the bidder currently have contracts in place with Medical Equipment Manufacturers and Suppliers from which Purchasing Entities may buy medical equipment on a direct basis from the manufacturer or the supplier using the GPO contract? Yes or No ____________ | |
| Yes or No______________ | |
| 14. Adverse conditions. The Bidder shall submit, if applicable, a description of any and all bankruptcies, investigations, indictments or pending litigation by any federal, state or local jurisdiction relating to the Bidder, any officer, director, partner or member thereof, any affiliate or any related company. Any violations or compliance-related investigations or other issues must be included. If this does not apply please put “n/a” below. |
15. Insurance. Describe your company’s liability (general and auto), property, personal injury and worker’s compensation insurance, including the limits, in the lines below.
| Insurance | Total Limit | Per Incident Limit |
| General Liability |
| Auto | |
| Property | |
| Personal Injury | |
| Worker’s Compensation | |
| Other (please specify) | |
| Other (please specify) | |
| 16. Provide a statement that your business has a written plan or policy that outlines the steps the Bidder takes to ensure it is not obtaining medical commodities that are counterfeit, fake, adulterated, damaged, secured from a "fire sale", improperly stored, shopworn, outdated or have other issues from the medical commodities supply chain and then selling them to its customers. Provide a copy of your actual supply chain integrity policy. |
17. Emergency response/preparedness: In a declared state of emergency where the safety and well being of Commonwealth citizens are at risk, contractors may be asked to supply the Commonwealth with commodities and/or services under the Statewide Contract on a priority basis. Bidder's response must include: 1) State whether there is a written Continuity of Operations Plan (COOP) describing how the company will continue to do business in case of emergency. 2) Provide a list of Bidder's building locations that would be available to serve MA during an emergency. 3) Provide a description of the areas of MA that Bidder could supply in the event of an emergency (ie: Entite State, Specific City or Region)
Bidder References Reference Company/Entity Name Contact Person Name (First Last) Phone (###) ###-#### Email Additional Information
| HSP44: Medical Commodities | |
| BIDDE | BIDDER RESPONSE FORM - BIDDER REFERENCES |
| 1) Bidder must submit a minimum of 3 references from Commodity Distributors; please include all contact information. | |
| 2) Bidder must submit a minimum of 3 references from Equipment Manufacturers or Suppliers; please include all contact information. | |
| 3) Bidder must submit a minimum of 3 references from customers that utilize the products and/or services provided by Bidder's company. | |
| 4) If you need more space, feel free to add more. |
Each gray box is a response field.
Pricing Information
| HSP44: Medical Commodities |
| Pricing Information |
| 1) State the maximum Vendor Percentage Markup that the vendor will use in calculating the Net Price using Acquisition Cost plus the Vendors Percentage Markup to calculate Net Price. |
| The maximum Vendor’s Percentage Markup will be ______% |
| The maximum Percentage Markup that we will use to calculate Net Prices (Acquisition Cost plus Percentage Markup)will be ______%. If only offering House Brands, note it with a 0%. |
| 2) A Bidder may offer Vendor Market Share-Volume Agreements as special incentives in the form of an additional percentage discount from the Net Price to purchasing entities agreeing to purchase at least (n) % of their medical commodities from the vendor or commit to a monthly dollar sales volume of at least (n) $ with the vendor. |
To respond type Yes or No _______
| If the answer is yes to Vendor Market Share Volume Agreements provide a concise detailed statement describing your offering. |
| Statement to be written in the following space and should not exceed 1000 words: |
We will offer Market Share-Volume Agreements as an additional percentage discount from Net Price to Purchasing Entities agreeing to buy a minimum % of their medical commodities from us or commit to a monthly dollar sales volume from us.
3) HSP44 MA State Net Price List (ADD as Attachment C) is a separate Excel file that must be completed and submitted with your response. Have you attached it to your response? Yes or No _________
Online Catalog Information
| HSP44: Medical Commodities |
| Online Catalog Information** |
| Please us this space to attach your online catalog or other pertinent information (passwords/access info) for your catalog and/or other resources: |
| **Bidder must provide access to their online catalog for purposes of Bid Evaluation. |
EPP Form
| HSP44: Medical Commodities |
| Bidder's Current Environmentally Preferable Products and Practices Form |
| The primary purpose of this form is to encourage potential Bidders to communicate existing business practices that foster a sustainable approach to conducting their operations. This may include one that has a reduced impact on the environment or public health, such as, but not limited to, creating less waste by using less packaging; eliminating the use substances and/or materials that are considered toxic; or using alternative fuel vehicles in the delivery fleet for the purpose of reducing air pollution and greenhouse gas emissions. |
The Commonwealth considers such initiatives part of the “best value” of procurement. Bidders have an opportunity to receive additional points in the evaluation phase of the RFR for the environmental initiatives they have identified. However, bidders must substantiate all answers in the space provided below or in an attachment in order to receive any additional points. If reference is made to an attached document, or a website, list the specific page and line to which information is referenced.
BIDDER NAME:
| Bidder questions | To be responsive, bidder must provide answers to questions below. If no answer, indicate "none". If not applicable, indicate N/A. | Identify any links or names of attached documents required to substantiate any claims below |
| (box will expand as you add text) | ||
| Bidder Sustainability Program/Environmental Business Practices | ||
| Indicate to the right and attach (or provide link) any of the following corporate sustainability policies/plans: | ||
| Corporate Wide Sustainability Policy | ||
| Climate Action Plan | ||
| Zero Waste Policy | ||
| Toxics Reduction Strategy | ||
| Green Fleet Policy | ||
| Sustainable Procurement Policy or Environmentally Preferable Purchasing Policy | ||
| Anti-Idling Policy | ||
| Waste Prevention and/or recycling policy/program | ||
| Other: | ||
| Briefly describe and list sustainable procurement practices and achievements as a result of the policies checked above (if no policies checked, leave blank): | ||
| Does your company publish an annual Sustainability Report? If yes, provide your latest report as a link or attach, and briefly describe key elements and accomplishments. The sustainability report may include reference to policies but should include specific and measurable accomplishments over the last year. | ||
| Do you have specific measurable targets for reducing your use of energy, water and chemicals? Describe targets: | ||
| Decarbonization | ||
| What commitments and efforts has the company made to cut its carbon footprint? Describe: | ||
| Company reports Greenhouse Gas emissions and climate change strategy to the Carbon Disclosure Project (CDP) or publicly disclose an equivalent amount and type of information on an annual basis (provide proof of reporting): | ||
| Bidder Facility Sustainability Practices: List individual steps not indicated above that your firm has taken to improve the sustainability at your own operations: | ||
| Uses at least 50% remanufactured toner cartridges in printers (provide total annual spend on remanufactured and Original Equipment Manufacturer cartridges): | ||
| Implemented a green cleaning program at our own facilities (describe program and provide a list of third-party certified products used): | ||
| Purchases appliances and equipment (printers, copiers, microwaves, etc.), that are Energy Star or EPEAT certified models (provide a list certified products): | ||
| Incorporates green building design elements into all construction and renovation projects. (list green design elements and provide supporting documentation to substantiate): | ||
| Owns or leases buildings certified to LEED or other green building standard (describe any data collected and provide link to any published reports): | ||
| Purchases or creates renewable electricity onsite (e.g., solar or wind systems) (describe and indicate the % of energy that is derived from renewable sources): | ||
| Has internal recycling (list all materials included in the program): | ||
| Has a composting program (describe): | ||
| Has received a 3d party waste audit and implemented recommendations (attach proof of implemented recommendations): | ||
| Other sustainable initiatives not listed above (provide documentation to substantiate claims): | ||
| Packaging: Has your company implemented any environmental packaging initiatives? | ||
| Do you incorporate packaging reduction, reuse, and recycling in purchasing practices (describe all practices that apply): | ||
| Other (describe): | ||
| Shipping/Transportation: Has your company implemented any of the following environmentally sound shipping and transportation practices? | ||
| Has your company implemented any environmentally sound shipping and transportation practices? Examples include, but are not limited to: EPA SmartWays member, using alternative fuel vehicles (provide types of vehicles), using biodiesel fuel in vehicles, purchasing environmentally preferable fleet products (e.g., retread tires, re-refined motor oil, low-VOC solvents, etc)? Provide a description of the practices: | ||
| Other. Please describe: | ||
| Training and Education | ||
| Describe how your company trains staff on the products or service that involves an environmentally preferable component? Provide a description of the practices: | ||
| Describe how your company trains educates customers on the products or service that involves an environmentally preferable component? Provide a description of the practices: | ||
| Certifications Bidders should familiarize themselves with the various certifications and standards for products and processes that are available within the industry in which they operate, with particular attention to those concerning environmental issues. | ||
| Is a reporting member of the EPA or Massachusetts WasteWise Program. Provide proof of membership. | ||
| Is LEED Certified? Provide proof of certification: | ||
| Has adopted an environmental management system that is geared to continuous improvement (e.g., ISO 14000). Provide proof of an EMS audit. | ||
| Certified as a Massachusetts Sustainable Business Leader through the Sustainable Business Leader Program. Provide proof of certification. | ||
| Other industry environmental standards where applicable. Examples include CERES principles, C2C Protocol, Responsible Care Codes of Practice or other similar standards. Provide proof of standards. | ||
| Is a certified B Corporation. Provide proof of certification. | ||
| Other. Must provide appropriate documentation to substantiate claims. | ||
| Other Environmental Criteria & Product Offerings | ||
| Bidders providing any other environmentally preferable options in the price sheet, not already covered by the specifications, may provide additional information about the options here. Please include a description of the product, how the product is environmentally preferable, how pricing compares to the conventional product counterpart, links to additional information, or if attaching product information, please reference names of files, and any additional information that would be helpful for reviewer: |
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