IIS information and technology request for proposal offer to the state of illinois1.pdf
PDF 98 KB Posted
- Attached to
- IDPH Immunization Information System (IIS)
- Solicitation number
- 26-482DPH-OFCDI-B-50619
- Issued by
- Cook County, Illinois
About this file
This is an Information and Technology Request for Proposal Offer Form for the State of Illinois, specifically designed for the Illinois Department of Public Health's Immunization Information System (IIS) solicitation. The form serves as the official submission document for vendors responding to the state's request for an immunization management system. Offerors must complete all required sections including project identification, subcontractor disclosure, service performance locations, and preference claims to avoid disqualification. The proposed system must support patient record search and matching, immunization reporting, vaccine inventory and lot tracking, and integration with existing public health and clinical health record systems while meeting federal and state data security and privacy requirements.
The form requires vendors to disclose any subcontracts valued at $100,000 or more, including subcontractor names, addresses, work descriptions, and compliance with Illinois Certifications and financial disclosure requirements. Offerors must confirm that services will be performed in the United States and disclose the percentage of work performed at each location, as this may impact evaluation scoring and breach of contract considerations if work is shifted internationally. The form also allows vendors to claim various Illinois statutory preferences including resident bidder status, small business status, minority and women-owned business enterprise certification, and domestic product preferences. Vendors must submit any exceptions to the Information and Technology Standard Terms and Conditions as redlined versions with their proposals, with the State retaining discretion to accept or reject proposed modifications. All proposals must be signed by an authorized representative and submitted in accordance with the specific requirements outlined in the solicitation document.
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Text version
Information and Technology Request for Proposal Offer to the State of Illinois
Information and Technology Request for Proposal Offer to the State of Illinois v.26.1
A. PROJECT TITLE/BIDBUY BID NUMBER #
As a final check, Offeror should refer to solicitation document section C.1 Required Documents to complete and submit.
Offeror understands that failure to meet all requirements is cause for disqualification.
B. SUBCONTRACTOR DISCLOSURE
Please identify below subcontracts with an annual value of $100,000 or more that will be used in the performance of the contract, the names and addresses of the subcontractors, and a description of the work to be performed by each.
Subcontracts are allowed unless otherwise noted below.
Subcontractors are NOT allowed.
Will subcontractors be used? Yes No
A subcontractor is a person or entity that enters into a contractual agreement with a total value of $100,000 or more with a person or entity who has a contract subject to the Illinois Procurement Code pursuant to which the person or entity provides some or all of the goods, services, real property, remuneration, or other monetary forms of consideration that are the subject of the primary State contract, including subleases from a lessee of a State contract.
Subcontractor #1 Name:
Address:
Description of Work:
Subcontractor #2 Name:
Address:
Description of Work:
If additional space is necessary to provide subcontractor information, please attach an additional page.
All contracts with the subcontractors identified above must include the Standard Illinois Certifications completed by the subcontractor.
If the annual value of any of the subcontracts is more than $100,000, then the Vendor must provide to the State the subcontractor's Financial Disclosure and Conflicts of interest form or IPG Active Registered Vendor Disclosure form.
If at any time during the term of the Contract, Vendor adds or changes any subcontractors, Vendor is required to promptly notify, in writing, the State Purchasing Officer or the Chief Procurement Officer of the names and addresses and the expected amount of money that each new or replaced subcontractor will received pursuant to this Contract. Any subcontracts entered into prior to award of this contract are done at the sole risk of the Vendor and subcontractor(s).
C. WHERE ARE SERVICES TO BE PERFORMED
Unless otherwise disclosed in this section, all services shall be performed in the United States. This information and the economic impact on Illinois and its residents may be considered in the evaluation. If the Offeror performs the services purchased hereunder in another country in violation of this provision, such action may be deemed by the State as a breach of the contract by Offeror.
Information and Technology Request for Proposal Offer to the State of Illinois v.26.1
Offer shall disclose the locations where the services required shall be performed and the known or anticipated value of the services to be performed at each location. If the Offeror received additional consideration in the evaluation based on work being performed in the United States, it shall be a breach of contract if the Offeror shifts any such work outside the United States.
Location where services will be performed:
Percentage of contract of services performed at this location: ( %)
D. PREFERENCES
The Illinois Procurement Code provides various preferences to promote business opportunities in Illinois.
Does Offeror make any claims for preferences? If so, please mark the applicable preference(s) and include a listing of the items that qualify for the preference at the end of this Section and a description of why the preference applies. Agency reserves the right to determine whether the preference indicated applies to Offeror.
Resident Bidder (30 ILCS 500/45-10). Soybean Oil-Based Ink (30 ILCS 500/45-15) Recycled Materials (30 ILCS 500/45-20) Recycled Paper (30 ILCS 500/45-25).
Environmentally Preferable Supplies (30 ILCS 500/45-26). Correctional Industries (30 ILCS 500/45-30).
Gas Mileage (30 ILCS 500/45-40). Illinois Mined Coal (30 ILCS 555).
Small Businesses (30 ILCS 500/45-45). Illinois Agricultural Products (30 ILCS 500/45-50) Corn-based Plastics (30 ILCS 500/45-55). Disabled Veterans (30 ILCS 500/45-57).
Biobased Products (30 ILCS 500/45-75). Historic Preferences Area (30 ILCS 500/45-80).
Steel Products Procurement (30 ILCS 565). Public Purchases in Other States (30 ILCS 520).
Veterans Preference (330 ILCS 55). Illinois Business (30 ILCS 500/45-105)
Not-for-Profit Agencies for Persons with Significant Disabilities (30 ILCS 500/45-35).
Business Enterprise for Minorities, Women, and Persons with Disabilities Act (30 ILCS 575).
Vehicles Powered by Agricultural Commodity-Based Fuel (30 ILCS 500/45-6).
Procurement of Domestic Products (30 ILCS 517).
To claim the Domestic Product Preference, vendor must enter "Domestic Product" in the Alternate Description field of each line item (product) for which you claim the preference.
Proposed product is manufactured in Illinois (30 ILCS 517)
Items that Qualify and Explanation:
E. EXCEPTION TO CONTRACT TERMS AND CONDITIONS
Information and Technology Standard Terms and Conditions will become a part of any resulting contract. To view the Information and Technology Standard Terms and Conditions, please go to:
https://cpo-general.illinois.gov/solicitation-and-contract-templates.html.
An offeror that takes exception to one or several terms and conditions must submit a redline version of the Information and Technology Standard Terms and Conditions with their proposal. The State may accept or reject any exception.
Information and Technology Request for Proposal Offer to the State of Illinois v.26.1
The undersigned authorized representative of the identified Offeror hereby submits this Offer to perform in full compliance with the subject solicitation. By completing and signing this form, the Offeror makes an Offer to the State of Illinois that the State may accept.
Signature of Authorized Representative:
Printed Name of Signatory:
Offeror's Name: Date:
File details come from the government source that posted it. Updated .