IFB 3160007073 LANGUAGE INTERPRETATION TRANSLATION SERVICES (FINAL).docx

ROBERT G. ANDERSON

EXECUTIVE DIRECTOR

INVITATION FOR BIDS (IFB)

LANGUAGE INTERPRETATION & TRANSLATION SERVICES

IFB No. 3160007073 Issue Date: Tuesday, February 11, 2025

CLOSING LOCATION

Mississippi Department of Human Services 200 South Lamar Street Jackson, Mississippi 39201

PROCUREMENT COORDINATOR

Kimbley Hendrix

(601) 359-4500 procurement.services@mdhs.ms.gov

CLOSING DATE & TIME

Bids must be received by Thursday March 13, 2025, at 2:00 PM, Central Time

IFB No. 3160007073 Page 4 of 29

Bid Acceptance Period The original copy of the bid package shall be signed and submitted (mailed or hand-delivered) in a sealed envelope or package to 200 South Lamar Street, Jackson, Mississippi 39201 no later than the time and date specified for receipt of bids. In addition, bidder shall also submit one (1) copy of the bid package on a USB Flash Drive as a single document in a searchable Microsoft Word or Adobe Acrobat (PDF) format. Timely submission of the bid package is the responsibility of the bidder. Bids received after the specified time shall be rejected and shall remain unopened in the procurement file. The envelope or package shall be marked with the bid opening date and time, and the number of the invitation for bid. The time and date of receipt shall be indicated on the envelope or package by MDHS staff. Each page of the bid form and all attachments shall be identified with the name of the bidder. Failure to submit a bid on the bid form provided shall be considered just cause for rejection of the bid. Modifications or additions to any portion of the procurement document may be cause for rejection of the bid. The MDHS reserves the right to decide, on a case-by-case basis, whether to reject a bid with modifications or additions as non-responsive. As a precondition to bid acceptance, the MDHS may request the bidder to withdraw or modify those portions of the bid deemed non-responsive that do not affect quality, quantity, price, or delivery of the service. Bids submitted via facsimile (faxes) will not be accepted.

Timeline

Questions and Requests for Clarification Deadline:

Tuesday, February 25, 2025, by 2:00p.m., CT

Anticipated Posting of Written Answers to Questions:

Thursday, March 6, 2025

Note: MDHS reserves the right to adjust this schedule as it deems necessary. MDHS also has the right to reject any and all bids during any step of the procurement or awarding process (even after negotiations have begun).

Expenses Incurred in Preparing Bid All parties participating in the procurement process with regard to this solicitation shall bear their own costs of participation, pursuant to Section 1.4.4 of the Public Procurement Review Board (PPRB) Office of Personal Service Contract Review (OPSCR) Rules and Regulations.

Bid Form All pricing must be submitted on the bid form (Attachment B). Failure to complete and/or sign the bid form may result in the bidder being determined nonresponsive.

Registration with Mississippi’s Accountability System for Governmental Information and Collaboration (MAGIC) If the respondent is not already registered as a supplier in MAGIC, the respondent should register as a supplier with the State of Mississippi. Registering as a supplier with the State of MS allows businesses to register for upcoming opportunity notifications by the products they supply, search the system for upcoming solicitations, respond to solicitations electronically, and receive purchase orders via e-mail. The registration can be completed at the following link:

http://www.dfa.ms.gov/dfa-offices/mmrs/mississippi-suppliers-vendors/supplier-self-service/

1.9 Acknowledgement of Amendments: Bidders shall acknowledge receipt of any amendment to the IFB in writing. The acknowledgement shall be submitted by signing and returning the amendment with the bid package, by identifying the amendment number and date in the space provided for this purpose on the bid form, or by letter. Each bidder shall submit a written acknowledgement of every amendment to the MDHS on or before the submission deadline. Should an amendment to the IFB be issued, it will be posted on the MDHS website (www.mdhs.ms.gov) in a manner that all bidders will be able to view. It is the bidder’s sole responsibility to monitor the website for amendments to the IFB.

All questions, requests for clarification, and answers pertaining to this IFB will be published on the Mississippi Contract/Procurement Opportunity Search Portal and the Mississippi Department of Human Services (hereinafter “MDHS”) website (http://www.mdhs.ms.gov) in a manner that all bidders will be able to view by the date reflected in Section 1.1.1.

SECTION 2

2.1 Purpose

Add requirements for:

•Quality monitoring plan (interpreter evaluations, document reviews) •Complaint handling procedures and response times •Monthly performance reports (volume, accuracy, response times) •Data security measures and confidentiality protocols •Client satisfaction surveys This ensures service quality and accountability while protecting client information. Comment by Deanisha Hopson: Most companies have an Administrative Role that allows for the State Agency to pull data reports and a Direct Representative to retrieve reports.

The following language can be added:

The contractor must provide a Direct Representative that can assist with providing data reports that include response times, performance reports. The contractor should provide an Administrator role to the Agency that allows access to performance data. Comment by Leigh Liao [2]: Please review the newly added Contract Administration and Reporting section. This addition addresses requirements for contract oversight, data reporting, and agency access to performance metrics.

Contractor shall provide language interpretation and translation services to Limited English Proficient (LEP) and Hearing-Impaired individuals to provide meaningful access to services offered by MDHS. Contractor shall provide the following categories of services:

Qualified Interpreters:

The Contractor shall provide interpreters proficient in Spanish, Vietnamese, Chinese, Arabic, French (including Patois and Cajun), Tagalog, Hindi, Korean, German, Russian, and other languages as required. Each interpreter must possess a minimum of two (2) years of experience in comprehensive language interpretation services and demonstrate proficiency through independent assessment. Acceptable proof of proficiency includes passing scores on language/interpretation tests (defined as Interagency Language Roundtable scores of 2+ or equivalent) or current certification from one of the following entities: Federal interpreting services, State interpreting services, or the National Association of Judiciary Interpreters and Translators (NAJIT) Judiciary Interpreters and Translators Certification Examination (JITCE).

Qualified Translators:

The Contractor shall provide translators proficient in Spanish, Vietnamese, Chinese, Arabic, French (including Patois and Cajun), Tagalog, Hindi, Korean, German, Russian, and other languages as required. Each translator must possess a minimum of two (2) years of experience in comprehensive language translation services and demonstrate proficiency through independent assessment. Acceptable proof of proficiency includes passing scores on language/translation tests (defined as Interagency Language Roundtable (ILR) scores of 2+ or equivalent) administered by the federal government or an equivalent qualified professional organization. The Department accepts current certifications from the National Association of Judiciary Interpreters and Translators (NAJIT), the American Translators Association (ATA), and the Council for the Teaching of Foreign Languages (ACTFL) through its testing branch Language Testing International (LTI).

Telephonic Interpretation: A single, toll-free 800 number, within the United States, to access all services. Conference calling services and capabilities. Available during normal business hours, Monday through Friday, 8:00 a.m.-5:00 p.m. CT, and after normal business hours as needed and mutually approved for all divisions of MDHS office locations throughout the state.

Provide telephonic interpretation services from foreign language to English and from English to foreign language. MDHS will not be required by Contractor to purchase or obtain any specific equipment to access telephonic interpretation services.

Provide written document translation services from foreign language to English and from English to foreign language. Turnaround time for document translations as set in business days according to the following:

words.

Interpreter Training Provide interpreter training for MDHS Spanish-speaking staff in MDHS State Office and any MDHS office throughout the state. Comment by Osvin Urbina: Reporting: Contractor must be capable of providing regular reports to MDHS for usage by language and agency division and staff requesting interpretation. Comment by Leigh Liao [2]: Please review the newly added Contract Administration and Reporting section. This addition addresses requirements for contract oversight, data reporting, and agency access to performance metrics. Comment by Leigh Liao: Any prior training curriculum approval?

Testing/Certification process for trained MDHS Staff?

Training materials and resources provided by contractor.

How often/format (in-person, virtual)?

Participant assessment or reporting requirements for training outcome? Comment by Leigh Liao [2]: Was this comment overlooked? Comment by Deanisha Hopson: There will be no curriculum needed as this is for technical. The companies provide a designated representative who provides support and assistant as needed. This is included in another comment section.

Contract Administration and Reporting: The Contractor must provide a Direct Representative responsible for assisting with data reports, including response times and performance reports. Additionally, the Contractor shall provide an Administrator role to the Agency that allows direct access to performance data.

Reporting Requirements:

The Contractor must provide regular reports to MDHS detailing service usage by:

· Language

· Agency division

· Staff requesting interpretation

Hearing Impaired Interpreting services includes the following: The Contractor shall provide comprehensive interpretation services for hearing-impaired individuals, including on-site interpretation with tactile signing, Video Remote Interpretation (VRI) with real-time American Sign Language (ASL), and Communication Access Real-time Translation (CART/caption services) delivered either on-site or remotely. Oral transliteration services shall be provided as directed by MDHS.

Services shall be delivered Monday through Friday during regular business hours (8:00 AM - 5:00 PM Central Time). Services scheduled or extending beyond regular business hours shall be provided at standard business hour rates. The Contractor must accommodate applicants and participants from diverse cultural backgrounds whose sign language may reflect cultural variations, particularly among Hispanic and Asian populations.

The Contractor shall ensure VRI service compatibility with MDHS technology infrastructure, including but not limited to PCs, laptops, tablets, smartphones, and standard web browsers (Internet Explorer, Firefox, Chrome, Safari) and video conferencing platforms such as Zoom. VRI services must maintain continuous and effective communication throughout each interpreting session.

All interpreters must hold current certification or credentials from one of the following organizations:

· National Association of the Deaf

· Registry of Interpreters for the Deaf

· Other national certifying organizations recognized by the Mississippi Office on Deaf and Hard of Hearing (ODHH)

· Valid ODHH-approved quality assurance screening level Additionally, interpreters must adhere to professional standards and the Code of Ethics established by the National Association of the Deaf and the Registry of Interpreters for the Deaf.

SECTION 3

Renewal years are subject to the needs of MDHS, as well as the availability and appropriation of funds. The Chief Procurement Officer shall notify the contractor, on a timely basis, that funds are or are not available for the continuation of the contract for each succeeding fiscal period. A multi-term contract will be canceled if funds are not appropriated or otherwise made available to support the continuation of performance in any fiscal period succeeding the first; however, this does not affect either the State’s rights or the contractor’s rights under any termination clause in the contract.

Compensation for services will be in the form of a Fixed Price Contract.

3.2 Insurance

Contractor represents that it will maintain workers’ compensation insurance in compliance with Mississippi law which shall inure to the benefit of all Contractor’s personnel provided hereunder, comprehensive general liability or professional liability insurance with minimum limits of $1,000,000.00 per occurrence, and fidelity bond insurance with minimum limits of $1,000,000.00. All general liability, professional liability, and fidelity bond insurance will provide coverage to the MDHS as an additional insured. The MDHS reserves the right to request from carriers, certificates of insurance regarding the required coverage. Insurance carriers shall be licensed or hold a Certificate of Authority from the Mississippi Department of Insurance.

Contractor will furnish MDHS a certificate of insurance providing the aforesaid coverage, prior to the commencement of performance under this Agreement and upon request by MDHS at any time during the contract period. Such certificate shall contain provisions that coverage afforded under the policies shall not be cancelled, terminated, or materially altered until at least thirty (30) days prior notice has been given to the MDHS. Cancellation of the above mentioned referenced insurance shall be grounds for termination of this contract. Failure on the part of the Contractor to procure or maintain the required insurance and provide proof thereof to MDHS shall constitute a material breach of the contract upon which the MDHS may immediately terminate this Contract.

3.4 Responsive Bidder

Bidder must submit bid which conforms in all material respects to this IFB No. 3160007073, as determined by MDHS.

a. The bid is submitted in good faith.

b. The price bid is substantially lower than those of other bidders because of a mistake

c. The mistake is a clerical error, not an error of judgement.

d. Objective evidence drawn from original work papers, documents, and other materials used in the preparation of the bid demonstrates clearly that the mistake was an unintentional error in arithmetic or an unintentional omission of a quantity of labor or material.

e. To withdraw a bid that includes a clerical error after Bid Opening, the bidder must give notice in writing to MDHS of its claim of right to withdraw a bid. Within two (2) business days after the bid opening, the bidder requesting withdrawal must provide to MDHS, all original work papers, documents, and other materials used in the preparation of the bid.

f. A bidder may also withdraw a bid, prior to the time set for the opening of bids, by simply making a request in writing to MDHS. No explanation is required.

· Bid Cover Sheet (Attachment A)

· Bid Form (Attachment B)

· References (Attachment C)

· Proprietary Form (Attachment E)

· Debarment Form (Attachment F)

· Other (as required within specifications)

The Contract will be awarded by written notice to the lowest responsible bidder whose bid meets the requirements and criteria set forth in this IFB on date specified as reflected in Section 1.1.1. Any bids received may be rejected in whole or in part when in the best interest of the State.

3.17 Contract Management

If contractor fails to adhere to the services’ schedule, or if Contractor fails to satisfactorily provide the prescribed service to all or any service area, MDHS will inform Contractor, and Contractor shall complete corrective action within twenty-four (24) hours. No payment shall be made to Contractor until all deficiencies have been corrected. If Contractor exhibits a pattern of non-performance as shown by repeated deficiencies, MDHS may terminate the Contract without further obligation to Contractor.

SECTION 4

4.1 Request for Reconsideration of the Terms of the Solicitation Any potential bidder has an opportunity to request that the procuring Agency reconsider the terms of the solicitation. Any such request shall be filed with Kimbley Hendrix and the Director of OPSCR within three business days following the date of public notice as defined in Section 5.2.1 of PPRB OPSCR Rules and Regulations. It shall be the sole responsibility of the requesting vendor to ensure the request is timely received by all required parties. Failure to timely request reconsideration in compliance with this Section results in waiver of any claim regarding the terms of the solicitation.

The request shall contain the requesting vendor’s name, a single contact person, all contact information for the contact person, the RFx number of the solicitation, and the date the IFB was issued. The request shall identify which of these rules and regulations the requesting vendor believes to have been violated by the solicitation, as written. The request may not be based on anything other than the solicitation document and these rules and regulations. Exhibits shall not be included with the request. Rather, the requesting vendor shall clearly identify the section(s) of the solicitation document at issue in its request. The request shall not be supplemented.

ATTACHMENT A

BID COVER SHEET

The Mississippi Department of Human Services (hereinafter "MDHS," "Agency," or "State") is soliciting bids from qualified bidders to provide Language Interpretation & Translation Services for MDHS. The vendor will perform services as outlined in IFB No. 3160007073.

PLEASE MARK YOUR ENVELOPE:

Language Interpretation & Translation Services IFB No. 3160007073 Opening: Thursday, March 13, 2025, 2:30 p.m., CT Mississippi Department of Human Services Division of Procurement Services Attention: Kimbley Hendrix 200 South Lamar Street Jackson, Mississippi 39201

SEALED BID—DO NOT OPEN

Name of Company:

Quoted By:

Signature:

Address:

City/State/Zip Code:

Company Representative:

Telephone:

Fax:

E-Mail:

FEIN/EIN # (if company, corporation, or partnership):

SSN (if individual):

In addition to providing the above contact information, please answer the following questions regarding your company:

What year was your company started?

How many years and/or months has your company been in the business of performing the services called for in this IFB?

Please provide the physical location and mailing address of your company’s home office, principal place of business, and place of incorporation.

If your company is not physically located in Mississippi, how will you supply Language Interpretation & Translation Services to MDHS Offices in Mississippi?

Is your company currently for sale or involved in any transaction to expand or to become acquired by another business entity? If yes, please discuss the impact both in organizational and directional terms.

List all licenses or permits your company possesses that are applicable to performing the services required in this IFB.

For how many customers has your company provided Language Interpretation & Translation Services in the past two (2) years?

Is your company licensed and/or certified to perform Language Interpretation & Translation Services as required by any and all applicable federal and state law(s)?

Describe any specific services which your company offers along with any specialized experience, certification, and/or education of your current staff.

List all the equipment that your company has available or that is intended to be used to perform the services required in this Invitation for Bids. ________________________________________

ATTACHMENT B

BID FORM FOR LANGUAGE INTERPRETING & TRANSLATION SERVICES

Bidders shall acknowledge which of the following statements is applicable regarding release of its bid document as a public record. A bidder may be deemed non-responsive if the bidder does not acknowledge either statement, acknowledges both statements, or fails to comply with the requirements of the statement acknowledged.

Choose one:

____ Along with a complete copy of its bid, bidder has submitted a second copy of the bid document in which all information bidder deems to be confidential commercial and financial information and/or trade secrets is redacted in black. Bidder acknowledges that it may be subject to exclusion pursuant to Chapter 15 of the PPRB OPSCR Rules and Regulations if the Mississippi Department of Human Services or the Public Procurement Review Board determine redactions were made in bad faith in order to prohibit public access to portions of the bid which are not subject to Mississippi Code Annotated §§ 25-61-9, 75-26-1 through 75-26-19, and/or 79-23-1. Bidder acknowledges and agrees that Mississippi Department of Human Services may release the redacted copy of the bid document at any time as a public record without further notice to bidder. A bidder who selects this option but fails to submit a redacted copy of its bid may be deemed non-responsive.

____ Bidder hereby certifies that the complete unredacted copy of its bid may be released as a public record by the Mississippi Department of Human Services at any time without notice to bidder. Bidder explicitly waives any right to receive notice of a request to inspect, examine, copy, or reproduce its bid as provided in Mississippi Code Annotated § 25-61-9(1)(a). The bid contains no information bidder deems to be confidential commercial and financial information and/or trade secrets in accordance with Mississippi Code Annotated §§ 25-61-9, 75-26-1 through 75-26-19, and/or 79-23-1. A bidder who selects this option but submits a redacted copy of its bid may be deemed non-responsive.

The pricing quoted must be inclusive of, but not limited to the following:

· All required labor

· All required profit

· All required overhead

· All required insurance

· All required transportation

· All required fuel and mileage

· All required equipment and materials

· Any and all other costs associated with performing the services

· All required business and professional licenses, permits, fees, etc. (if any)

Pricing Structure: All pricing for Language Interpretation & Translation Services includes all associated costs with no additional or hidden fees. Compensation for services will be in the form of a Fixed Price Contract.

Language Interpretation & Translation Services

Phone Interpretation $ ______________ Per-Minute

Written Translation

$ ______________ Per-Word

In Person Translation

$ _______________ Per-Hour

By signing below, the Company Representative certifies that he/she has authority to bind the company, and further acknowledges on behalf of the company:

1. That he/she has thoroughly read and understands this IFB and the attachments thereto;

2. That the company meets all requirements and acknowledges all certifications contained in this IFB and the attachments thereto;

3. That the company agrees to all provisions of this IFB and the attachments thereto;

4. That the company will perform, without delay, the services required at the prices quoted in this Attachment B; and

5. That, to the best of its knowledge and belief, the cost or pricing data submitted is accurate, complete, and current as of the submission date.

6. That the company has, or will secure, at its own expense, applicable personnel who shall be qualified to perform the duties required to be performed under this IFB.

7. That the company can and will meet all required laws, regulations, and/or procedures related to Language Interpretation & Translation Services and represents that it is licensed, certified and possesses the requisite credentials to perform these services. Further, if the company is the successful bidder and the material, equipment, etc., delivered is subsequently found to be deficient pursuant to any federal and state laws and regulations in effect on the date of delivery, all costs necessary to bring the material, equipment, etc. into compliance with aforementioned requirements shall borne solely by Company.

8. NON-DEBARMENT By submitting a bid, the bidder certifies that it is not currently debarred from submitting bids for contracts issued by any political subdivision or agency of the State of Mississippi or federal government and that it is not an agent of a person or entity that is currently debarred from submitting bids for contracts issued by any political subdivision or agency of the State of Mississippi or federal government.

9. CERTIFICATION OF INDEPENDENT PRICE DETERMINATION - By submitting a bid, the bidder certifies that the prices submitted in response to the solicitation have been arrived at independently and without any consultation, communication, or agreement with any other bidder or competitor for the purpose of restricting competition.

10. PROSPECTIVE CONTRACTOR’S REPRESENTATION REGARDING CONTINGENT FEES - The prospective contractor represents as a part of such Contractor’s bid or proposal that such Contractor has/has not (please circle applicable word or words) retained any person or agency on a percentage, commission, or other contingent arrangement to secure this contract.

11. REPRESENTATION REGARDING CONTINGENT FEES - The Contractor represents that it has/has not (please circle applicable word or words) retained a person to solicit or secure a State contract upon an agreement or understanding for a commission, percentage, brokerage, or other contingent fee, except as disclosed in the Contractor’s bid or proposal.

12. REPRESENTATION REGARDING GRATUITIES - Offeror represents that it has not, is not, and will not offer, give, or agree to give any employee or former employee of MDHS a gratuity or offer of employment in connection with any approval, disapproval, recommendation, development, or any other action or decision related to the solicitation and resulting contract. Offeror further represents that no employee or former employee of MDHS has or is soliciting, demanding, accepting, or agreeing to accept a gratuity or offer of employment for the reasons previously stated; any such action by an employee or former employee in the future, if any, will be rejected by offeror. Offeror further represents that it is in compliance with the Mississippi Ethics in Government laws, codified at Mississippi Code Annotated §§ 25-4-101 through 25-4-121, and has not solicited any employee or former employee to act in violation of said law.

Signature:

Date:

Name:

Title:

Company Name: ___________________________________________________________________________

Note: Please be sure to circle the applicable word or words on numbers 10 and 11 (Prospective Contractor’s Representation Regarding Contingent Fees) and (Representation Regarding Contingent Fees) above. Failure to circle the applicable word or words and/or to sign the bid form may result in the bid being rejected as non-responsive. Modifications or additions to any portion of this bid document may be cause for rejection of the bid. Comment by Samuel Cole: Update numbers

ATTACHMENT C

REFERENCES

REFERENCE 1

Name of Company: ____________________________________________________________ Dates of Service: ______________________________________________________________ Contact Person: _______________________________________________________________ Address: _____________________________________________________________________ City/State/Zip: ________________________________________________________________ Telephone Number: ____________________________________________________________ Cell Number: _________________________________________________________________ E-mail: _______________________________________________________________________ Alternative Contact Person (optional):

Telephone Number: ____________________________________________________________ Cell Number:__________________________________________________________________ E-mail:

REFERENCE 2

Name of Company: ____________________________________________________________ Dates of Service: _______________________________________________________________ Contact Person: _______________________________________________________________ Address: _____________________________________________________________________ City/State/Zip: ________________________________________________________________ Telephone Number: ____________________________________________________________ Cell Number: _________________________________________________________________ E-mail: _______________________________________________________________________ Alternative Contact Person (optional):

Telephone Number: ____________________________________________________________ Cell Number: _________________________________________________________________ E-mail:

REFERENCE 3

Name of Company: ___________________________________________________________ Dates of Service: _______________________________________________________________ Contact Person: _______________________________________________________________ Address: _____________________________________________________________________ City/State/Zip: _______________________________________________________________ Telephone Number: ____________________________________________________________ Cell Number: _________________________________________________________________ E-mail: _______________________________________________________________________ Alternative Contact Person (optional):

Telephone Number: ____________________________________________________________ Cell Number: _________________________________________________________________ E-mail:

REFERENCE 4

Name of Company: ____________________________________________________________ Dates of Service:_______________________________________________________________ Contact Person: _______________________________________________________________ Address: _____________________________________________________________________ City/State/Zip: ________________________________________________________________ Telephone Number: ___________________________________________________________ Cell Number: _________________________________________________________________ E-mail: ______________________________________________________________________ Alternative Contact Person (optional):

Telephone Number: ____________________________________________________________ Cell Number: _________________________________________________________________ E-mail:

REFERENCE 5

Name of Company: ___________________________________________________________ Dates of Service:_______________________________________________________________ Contact Person: _______________________________________________________________ Address: _____________________________________________________________________ City/State/Zip: ________________________________________________________________ Telephone Number: ____________________________________________________________ Cell Number: _________________________________________________________________ E-mail: ______________________________________________________________________ Alternative Contact Person (optional):

Telephone Number: ____________________________________________________________ Cell Number: _________________________________________________________________ E-mail:

Bidder may submit as many references as desired by submitting as many additional copies of Attachment C, References, as deemed necessary. References will be contacted in order listed until two references have been interviewed and Reference Score Sheets completed for each of the two references. No further references will be contacted; however, bidders are encouraged to submit additional references to ensure that at least two references are available for interview. MDHS must be able to contact two references within two (2) business days of bid opening to be considered responsive.

ATTACHMENT D

REFERENCE SCORE SHEET

**TO BE COMPLETED BY MDHS STAFF ONLY**

Name of Bidder: ___________________________________________________________________________

Reference Name: ___________________________________________________________________________

Person Contacted, Title/Position: _______________________________________________________________

Date/Time Contacted: _______________________________________________________________________

Contacted By: _________________________________________ Position: ____________________________

Services From/To Dates: _____________________________________________________________________

(Circle One)

Each “yes” is one point; each “no” is zero points. Bidder must have a minimum score of “6” from two references (total of “12” points) to be considered responsible and for its bid to be considered.

Score: _________

Notes:

ATTACHMENT E

PROPRIETARY INFORMATION FORM

The Respondent should mark any and all pages of this response considered to contain proprietary information. Such pages may remain confidential in accordance with Mississippi Code Annotated §§25-61-9 and 79-23-1 (1972, as amended). Each page of this response considered, by the Respondent, to contain trade secrets or other confidential commercial/financial information should be marked in the upper right-hand corner with the word “CONFIDENTIAL.” Any pages not marked accordingly will be subject to review by the general public after the award of the contract. Requests to review the proprietary information will be handled in accordance with applicable legal procedures. Failure to clearly identify trade secrets or other confidential commercial/financial information may result in that information being released in a public records request.

For all procurement contracts awarded by state agencies, the provisions of the contract which contain the personal or professional services provided, the price to be paid, and the term of the contract shall not be deemed to be a trade secret, or confidential commercial or financial information, and shall be available for examination, copying, or reproduction.

If applicable, please indicate which parts/pages below that the contractor wishes to designate as proprietary. In addition, provide the specific statutory authority for the exemption. If this is not applicable, please indicate with “N/A” below.

1.

2.

3.

4.

5.

By signing below, I understand failure to clearly mark proprietary information as identified above may result in disclosure of such information as it will be subject to review by the general public after the award of the contract.

Signature of Authorized Official/ Title Date (No stamped signature)

ATTACHMENT F

DEBARMENT VERIFICATION FORM

Please Print/Type Clearly in Blue Ink Contractor’s Name

Authorized Official’s Name

Address

Phone Number

Are you currently registered with www.sam.gov (Respond Yes or No)

If no, please know if awarded, you will be asked to complete registration before final award.

If yes, complete the following:

· UEI Number

· Registration Status (Type Active or Inactive)

· Active Exclusions (Type Yes or No)

Federal Debarment Certification:

By signing below, I hereby certify that _________________________________ is not on the list (Subgrantee’s Name/Contractor’s Name) for federal debarment on www.sam.gov –System for Award Management.

State of Mississippi Debarment Certification:

By signing below, I hereby certify that _________________________________ is not on the list (Subgrantee’s Name/Contractor’s Name) for debarment for doing business within the State of Mississippi or with any Mississippi State Agencies.

Partnership Debarment Certification:

By signing below, I hereby certify that all entities who are in partnership through this contract with MDHS (subcontractors, subrecipients, et al.) are not on the federal debarment list on www.sam.gov – System for Award Management or the State of Mississippi debarment list. Proof of documentation of partnership verification with SAM shall be kept on file and the debarment status shall be checked prior to submission of every contract/subgrant and modification to MDHS.

Signature of Authorized Official Date (No stamped signature)

ATTACHMENT G

REQUIRED CLAUSES FOR SERVICE CONTRACTS RESULTING FROM THIS IFB

1. Acknowledgment of Amendments. Bidders shall acknowledge receipt of any amendment to the IFB in writing. The acknowledgement shall be submitted by signing and returning the amendment with the bid package, by identifying the amendment number and date in the space provided for this purpose on the bid form, or by letter.