OEV26006447 Assessment Form - Interpreting and Translation.pdf

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Attached to
MPA 54 interpreting and translation services
Solicitation number
OEV26006447
Issued by
Providence County, Rhode Island

About this file

This is an Open Enrollment Vendor Assessment Form for Solicitation OEV26006447, issued by the State of Rhode Island for MPA 54 Interpreting and Translation Services. The solicitation seeks vendors to provide interpreting services, translating services, or combined interpreting and translation services. Vendors must indicate whether they provide medical and/or legal interpreting and translation services and submit relevant certifications if applicable. The form requires vendors to complete and upload the assessment form along with any required supporting documentation to the attachment section of their bid submission. Vendors should reference the Agency Solicitation Specification form under Section C for comprehensive proposal and business information requirements.

Vendors must submit a completed pricing form and confirm their ability to meet the insurance requirements as stated in the full solicitation document. The assessment form functions as a screening tool to verify vendor qualifications, service offerings, and compliance with program requirements. All responses must be signed and dated by an authorized representative of the vendor's business, with the submitting person's name printed below the signature. This vendor assessment is part of Rhode Island's Open Enrollment process for establishing qualified vendors under the MPA 54 contract vehicle for interpreting and translation services, excluding sign language interpretation and CART services, which are covered under separate MPA 358.

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Open Enrollment Vendor Assessment Form

Solicitation # OEV26006447 MPA 54 Interpreting and Translation Services

Category 1: Interpreting and Translation

Instructions: Please complete and upload the following form to the attachment section of your bid submission. Upload any additional documentation as required.

❖ For further information review the Agency Solicitation Specification form under Section C: Proposal

Business Information Business Name

Questions Responses

1.

Services Provided – Indicate if you are providing interpreting services, translating services, or interpreting and translating services.

2.

Medical or Legal Services - Are you providing Medical and/or legal interpreting/translation services.

3.

Certification -If you are providing medical or legal interpreting/ translation services, have you attached relevant Certification(s)?

4. Pricing – Attach a completed pricing form.

5.

Insurance – Can you meet the insurance requirements as stated in the solicitation?

Signature Name Signature of the Person Submitting this Form Name of the Person Submitting this Form (print)

Date of Signature

MM DD YY

Business Name:
MM:
Services Provided:
Medical or Legal Services:
Insurance:
Name:
DD:
YY:
Pricing Attached (Yes/No):
Certification(s) Attached (Yes/No):

File details come from the government source that posted it. Updated .