QLV27007040_Oct_5_26_solicitation_doc.pdf

Solicitation Number: QLV27007040

Fully Integrated Dual Eligible Special Needs Plan Program

(FIDE-SNP)

Qualified List of Vendors (QLV)

State of Rhode Island

October 02, 2026 - November 04, 2026

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General Header Information

QLV27007040

No. QLV27007040 Title: Fully Integrated Dual Eligible Special Needs Plan Program (FIDE-SNP) Start Date: October 02, 2026 at 11:00:00 AM EDT End Date: November 04, 2026 at 11:00:00 AM EST Vendor Q&A Start Date: October 02, 2026 at 11:15:00 AM EDT Vendor Q&A End Date: October 16, 2026 at 2:00:00 PM EDT Estimated Total Value:

Who can respond to this bid? : All Vendors Description: The Rhode Island Executive Office of Health and Human Services

(hereinafter referred to as “EOHHS” or “State”) is seeking proposals from qualified Bidders to administer all functions related to the Rhode Island Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) Program.

For more information, a. when viewing from public bid board, click on the “print/download solicitation” button in the upper right corner of this window, or b. vendor can login to their WebProcure account to view this solicitation in full.

Delivery Terms: Free On Board Destination Payment Terms: Vendor Specified Contact Information: State of Rhode Island

Clarisa Encarnacion One Capitol Hill 2nd Floor Providence RI, 02908 United States Clarisa.Encarnacion@purchasing.ri.gov

Contact Details: If you have any questions, please contact:

Clarisa Encarnacion One Capitol Hill 2nd Floor Providence RI, 02908 United States Clarisa.Encarnacion@purchasing.ri.gov

Selected Categories:

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Header Custom Fields:

QLV27007040

General Solicitation Overview

Pre-Bid Conference

PRE-BID/ PROPOSAL CONFERENCE: YES

Non-Mandatory Pre Bid Conference This is a non mandatory pre bid conference.

Pre Bid Conference Details

DATE: 10/15/2026

TIME: 10:00 AM/ EST

LOCATION:

Microsoft Teams meeting

Join: https://teams.microsoft.com/meet/247592051231500?p=9iA0AtbG4KLcmZZsBv

Meeting ID: 247 592 051 231 500

Passcode: Se2CE2MY

Need help? | System reference

Dial in by phone

+1 401-437-4452,,97121542# United States, East Providence

(833) 201-5833,,97121542# United States (Toll-free)

Find a local number

Phone conference ID: 971 215 42#

For organizers: Meeting options | Reset dial-in PIN

OSP Vendor Instructions •Vendors must register in Ocean State Procures™ at www.ridop.ri.gov/vendor-registration/ to be able to submit solicitation responses and receive any potential solicitation award.

•Vendor "How to Register" in Ocean State Procures™ instruction and registration link can be found at Osp Vendor Registration | Rhode Island Division of Purchases (ri.gov).

•Vendor “How to Bid” in Ocean State Procures™ instruction can be found at OSP Vendor Online Training Center | Rhode Island Division of Purchases (ri.gov).

•Solicitation responses must be submitted in Ocean State Procures™. Any solicitation responses emailed, mailed, faxed, hand-delivered or mis-directed to other State locations shall not be accepted.

https://teams.microsoft.com/meet/247592051231500?p=9iA0AtbG4KLcmZZsBv https://aka.ms/JoinTeamsMeeting?omkt=en-US https://teams.microsoft.com/l/meetup-join/19%3ameeting_NzY1MmMyOTAtN2MzYy00NzI1LWE2ZTEtZDQyZmQ4OWQ1NGRi%40thread.v2/0?context=%7b%22Tid%22%3a%2252ca6a54-4465-4635-bff3-65d0a8412288%22%2c%22Oid%22%3a%22428859d8-a5c1-4c1d-a597-fefd2d697477%22%7d https://dialin.teams.cloud.microsoft/5bad5a63-4b84-4534-ac41-d31090aae72a?id=97121542 https://teams.microsoft.com/meetingOptions/?organizerId=428859d8-a5c1-4c1d-a597-fefd2d697477&tenantId=52ca6a54-4465-4635-bff3-65d0a8412288&threadId=19_meeting_NzY1MmMyOTAtN2MzYy00NzI1LWE2ZTEtZDQyZmQ4OWQ1NGRi@thread.v2&messageId=0&language=en-US https://dialin.teams.cloud.microsoft/usp/pstnconferencing http://www.ridop.ri.gov/vendor-registration/ https://ridop.ri.gov/ocean-state-procures-osp/osp-vendor-registration https://ridop.ecms.ri.gov/vendors/vendor-training-and-guides-osp-system https://ridop.ecms.ri.gov/vendors/vendor-training-and-guides-osp-system

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Contract Term The initial contract period will begin on January 1, 2028 for one year. Contract may be renewed for up to five (5) additional 12-month periods at the sole discretion of the

State based on vendor performance and the availability of funds.

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Solicitation Requirements:

QLV27007040

General Requirements

Confidential Documents Vendors may designate part or all of a document(s) as being ”confidential” on the applicable document(s) itself. A confidential designation for these purposes should only be applied to information which is deemed exempt from public disclosure pursuant to R.I. Gen. Laws § 38-2-2 or other applicable federal/State law, and may include but not be limited to the following: proprietary information; trade secrets; vendor financial records/statements; vendor bank account, ACH, and/or routing numbers; personally identifiable information of vendor staff/contractors; and FEIN and/or

Social Security Numbers.

Vendors are advised that upon submission of document(s) marked as “confidential”, the Vendor must also upload a redacted copy of the same document(s) which are suitable for public disclosure. Failure to upload a redacted copy, or submission of documents which are so excessively redacted as to thwart public disclosure requirements, may result in the Vendor’s proposal being deemed non-responsive to the solicitation in accordance with 220-RICR-30-00-

13(C)(6).

OSP Confidential Toggle Indicator Note: The toggle functionality in OSP to designate a document(s) as confidential is temporarily unavailable. If a vendor needs to indicate a document(s) as "confidential", do so within the document(s) itself and upload the file accordingly.

Questions Questions concerning this solicitation must be submitted to the Division of

Purchases’ eProcurement website, Ocean State Procures™, no later than the date and time indicated on the 'Overview' tab of this solicitation. All questions must be submitted in OSP to the 'Q&A Center', accessed via the 'Collaboration' tab of this solicitation. Questions submitted directly to the buyer of record and/or Division of

Purchases shall not be acknowledged. Submit each question individually with no attachments. Attachments shall not be acknowledged. No other contact with State parties is permitted.

Answers to questions received, if any, shall be posted on the solicitation record within Ocean State Procures™, as an addendum to this solicitation. It is the responsibility of all interested parties to monitor Ocean State Procures™ for any procurement related postings such as addenda.

Insurance Requirements

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In accordance with this solicitation, or as outlined in Section 13.19 of the General Conditions of

Purchase, found at https://rules.sos.ri.gov/regulations/part/220-30-00-13 and General Conditions -

Addendum A found at https://www.ridop.ri.gov/documents/general-conditions-addendum-a.pdf, the following insurance coverage shall be required of the awarded vendor(s) (marked with an "X"):

General Requirements:

a) [ X ] Liability - combined single limit of $1,000,000 per occurrence and $2,000,000 in an annual aggregate. The State of Rhode Island must be an additional insured on a primary and non-contributory basis with a waiver of subrogation in favor of the State of Rhode Island.

b) [ X ] Workers compensation - $100,000 each accident, $100,000 disease or policy limit and

$100,000 each employee.

c) [ X ] Automobile liability - $1,000,000 each occurrence combined single limit.

d) [ X ] Crime - $500,000 per occurrence however, in no instance shall the combined limits be less than fifty per cent (50%) of the value of the Contract or based on the amount of funds that may be diverted, whichever is greater. The State of RI should be a loss payee.

Professional Services:

e) [ X ] Professional liability (“errors and omissions”) –$2,000,000 per occurrence and $3,000,000 in an annual aggregate. There is to be a waiver of subrogation in favor of the State of Rhode Island to the extent that coverage to the Contract Party is not impaired..

f) [ ] Environmental/Pollution Liability when past, present or future hazard is possible -

$1,000,000 per occurrence and $2,000,000 aggregate.

g) [ X ] Working with Children, Elderly or Disabled Persons – Physical Abuse and Molestation

Liability Insurance - $1 Million per occurrence. Policy is to include the State of Rhode Island as an additional insured for work performed by the Contract Party for the State of Rhode Island to the extent that coverage is not subject to an insured versus insured exclusion. Additional insured status for the State of Rhode Island is to be on a primary and non-contributory basis. It shall include a waiver of subrogation in favor of the State of Rhode Island. (Coverage can be provided by a separate policy or as an endorsement to the commercial general liability or professional liability policies. The limits shall be exclusive to this required coverage.)

Information Technology and/or Cyber/Privacy:

h) [ ] Technology Errors and Omissions - Combined single limit per occurrence shall not be less than $5,000,000. Annual aggregate limit shall not be less than $5,000,000.

i) [ X ] Information Technology Cyber/Privacy – $20,000,000 per occurrence and $20,000,000 in an annual aggregate. (Paper media in addition to digital media is to be included in the coverage.) If

Contract Party provides:

https://rules.sos.ri.gov/regulations/part/220-30-00-13 https://www.ridop.ri.gov/documents/general-conditions-addendum-a.pdf

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1) [ ] key back office services Contract Party shall have a minimum limit of $10,000,000 per occurrence and $10,000,000 annual aggregate;

2) [ X ] if Contract Party has access to Protected Health Information as defined in HIPAA and its implementing regulations, Personal Information as defined in in R.I. Gen. Laws § 11-49.3-1, et seq., or as otherwise defined in the Contract (together Confidential Information”), Contract Party shall have as a minimum the per occurrence, per annual aggregate, the total rounded product of projected number of persons data multiplied by $25 per person breach response expense per occurrence; but no less than $5,000,000 per occurrence, per annual aggregate; or,

3) [ ] if the Contract Party provides or has access to mission critical services, network architecture and/or the totality of confidential data $20,000,000 per occurrence and in the annual aggregate.

Other:

Specify insurance type and minimum coverage required, (e.g. builder’s risk insurance, vessel operation (marine or aircraft):

j) [ X ] Other - Directors & Officers - $1,000,000 per occurrence and $1,000,000 in annual aggregate.

h) [ X ] Umbrella Liability. – $2,000,000 per occurrence and $2,000,000 in an annual aggregate.

The Umbrella policy must include coverage for Professional Liability.

Late Bids Vendors must submit proposals in response to this solicitation electronically in Ocean State

Procures™ before the date and time listed on the “Overview” tab. Ocean State Procures™ will accept no submissions after the date/time listed in the “Overview” tab. Proposals must be uploaded to Ocean State Procures™ at https://webprocure.proactiscloud.com/login on this solicitation utilizing the submission system as indicated above.

NOTE: Proposals misdirected to other State locations or those not presented to the Division of

Purchases in Ocean State Procures™ by the scheduled due date and time shall be determined to be late and shall not be accepted. Proposals mailed, hand-delivered, faxed or emailed to the

Division of Purchases shall not be accepted. The official time clock is online in Ocean State

Procures™. Vendors are solely responsible for having proper internet connectivity, browser compatibility, and/or a functioning computer system for use of Ocean State Procures™.

Vendor Registration Status in OSP and Potential Award https://webprocure.perfect.com/Login

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If your vendor registration in OSP is in a “pending” status and your organization receives notice of tentative selection for a potential contract or purchase order award; you must log into your OSP account and complete your registration to include your W-9 upload and other requirements as defined in the award’s Tentative Letter of Selection. Your registration will then be reviewed by the state’s Supplier Coordinator to transition your registration from “pending” to “approved” status if all qualifications are met. Further instruction for an “approved” account can be found atOSP Quick

Start Guide (ri.gov)

Bid Clauses/Requirements

Award The State, at its sole discretion, reserves the right to make one or multiple awards for this solicitation and/or to reject any or all bids.

Bid Opening Notice to Bidders: Please be advised that the bid results relative to the within solicitation are preliminary. All bid submissions shall be evaluated by the Division of Purchases and the Agency to determine whether they are responsive to the solicitation and whether the vendor is responsible in accordance with the “State Purchases Act”, R. I. Gen. Laws § 37-2-1, et seq. and the Procurement

Regulations.

Contract Administrative Fee https://ridop.ri.gov/sites/g/files/xkgbur616/files/documents/vendor-self-registration-quick-start-guide.pdf https://ridop.ri.gov/sites/g/files/xkgbur616/files/documents/vendor-self-registration-quick-start-guide.pdf

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In 2025, the General Assembly amended the “State Purchases Act” via R.I. Gen. Laws § 37-2-

12(b) to authorize the Chief Purchasing Officer to establish, charge and collect from State contractors a contract administrative fee not to exceed one-third of one percent (0.33%) of the total value of the annual spend against a contract awarded to a State contractor. All contract administrative fees collected pursuant to this subsection shall be deposited into a restricted receipt account which shall be used for the purposes of implementing, maintaining, or operating technology for the submission and processing of bids, online vendor registration, bid notification, and other costs related to State procurement including staffing. In accordance with this legislative initiative, the contract administrative fee shall be applicable to all Contracts/Purchase Orders issued by the State of Rhode Island except for those services whose fees are otherwise set in statute or exempt from competitive procurement pursuant to applicable provisions of 220-RICR-30-00-9 and

220-RICR-30-00-10. Therefore, effective January 1, 2026, all eligible contracts shall be assessed the 0.33% contract administrative fee.

Invoicing.

Awarded Vendors are responsible to collaborate with their organization’s accounting team to advise of the State’s process of withholding the 0.33% contract administrative fee as follows:

1.Vendors shall invoice the State in full at time of services rendered and/or goods delivered.

2.Upon approval, the State will pay the invoice, less the 0.33% administrative fee amount.

The legislative mandate requires the collected funds to be deposited into a restricted receipt account and the State complies with this by way of the State’s financial system withholding and transfer of those funds to the appropriate account at time of invoice payment. Exceptions to payment remittance format will not be considered.

HIPAA

Under HIPAA, a “business associate” is a person or entity, other than a member of the workforce of a HIPAA covered entity, who performs functions or activities on behalf of, or provides certain services to, a HIPAA covered entity that involves access by the business associate to HIPAA protected health information. A “business associate” also is a subcontractor that creates, receives, maintains, or transmits HIPAA protected health information on behalf of another business associate. The HIPAA rules generally require that HIPAA covered entities and business associates enter into contracts with their business associates to ensure that the business associates will appropriately safeguard HIPAA protected health information. Therefore, if a Vendor qualifies as a business associate, it will be required to sign a HIPAA business associate agreement.

QLV - Qualified List of Vendors

QLV Instructions to Vendors

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Vendors interested in providing product or services for the procurement must submit a Request for

Qualifications - Qualified Vendor List ("QLV") response to this solicitation. Vendors are advised to review all sections of this request carefully and to follow instructions completely, as failure to make a complete submission as described with all requirements may result in the determination of non-responsiveness of the QLV application package.

QLV Standard Specifications

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1. Potential vendors are advised to review all sections of this Solicitation carefully and to follow instructions completely, as failure to make a complete submission as described elsewhere herein may result in rejection of the proposal.

2. Proposals which depart from or materially alter the terms, requirements, or scope of work defined by this Solicitation may be rejected as being non-responsive.

3. All costs associated with developing or submitting a proposal in response to this Solication or for providing oral or written clarification of its content, shall be borne by the vendor. The Division of

Purchases assumes no responsibility for any vendor costs even if this solicitation is cancelled or postponed.

4. Proposals are considered to be irrevocable for a period of not less than 180 days following the opening date, and may not be withdrawn, except with the express written permission of the State

Purchasing Agent.

5. It is intended that if a Phased Solicitation is conducted an award will be issued to a prime vendor, or prime vendors in the various categories, who shall be responsible for all aspects of the work.

Subcontracts are permitted, provided that their use is clearly indicated in the vendor’s proposal and the subcontractors to be used are identified in the proposal.

6. The purchase of goods and/or services under an award made as a result from this Solicitation will be contingent on the availability of appropriated funds.

7. Any and all information submitted to the Division of Purchases for consideration in response to this Solicitation shall be considered to be public records as defined in R. I. Gen. Laws § 38-2-1, et seq. and may be released for inspection upon request once an award has been made.

8. Any information submitted in response to this solictation which a vendor believes are trade secrets or commercial or financial information which is of a privileged or confidential nature should be clearly marked as such. The vendor should provide a brief explanation as to why each portion of information that is marked should be withheld from public disclosure. Vendors are advised that the

Division of Purchases may release records marked confidential by a vendor upon a public records request if it is determines the marked information does not fall within the category of trade secrets or commercial or financial information which is of a privileged or confidential nature.

9. Vendors are responsible for monitoring the Division of Purchases website on a regular basis, as additional information relating to this Solicitation may be released in the form of addenda, as necessary.

10. In accordance with R. I. Gen. Laws § 7-1.2-1401 no foreign corporation has the right to transact business in Rhode Island until it has procured a certificate of authority so to do from the Secretary of State. This is a requirement only of the successful vendor(s). For further information, contact the

Secretary of State at (401-222-3040).

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11. In accordance with RI Gen. Law § 37-14.1-1, it is the policy of the State of Rhode Island to support the fullest possible participation of firms owned and controlled by minorities (MBEs) and women (WBEs). Pursuant to §§ 37-14.1-2 and 37-14.1-6, MBEs and WBEs shall be included in all state purchasing, including, but not limited to, the procurement of goods, services, construction projects, or contracts funded in whole or in part with state funds, or funds which, in accordance with a federal grant or otherwise, the state expends or administers. MBEs and WBEs shall be awarded a minimum of ten percent (10%) of the dollar value of the entire procurement or project. Vendors should be aware that each time an award is issued off this Master Price Agreement, an MBE

Utilization Plan shall be submitted to DEDI for review and approval. Please note that MBE participation credit shall only be granted for firms duly certified as MBEs and WBEs by the State of

Rhode Island, Department of Administration, MBE Compliance Office (MBECO). The current directory of firms certified as MBEs or WBEs may be accessed at https://dedi.ri.gov/divisions-units/minority-business-enterprise-compliance-office/minority-business-enterprise-mbe or by contacting MBECO at 401-574-8606 or via email at mbe.compliance@doa.ri.gov.

12. In the Vendor Certification Cover Form questionnaire, question “Certifications 11.”, bidders shall certify agreement to the State’s contract terms. However, in accordance with Section 220-RICR-30-

00-13.3(C)(3) of the General Conditions, the Vendor may submit in their bid or proposal, “[q]ualified or conditional offers which impose limitations of the Vendor’s liability or modify the requirements of the solicitation, offers for alternate specifications, or offers which are made subject to different terms and conditions, including form contracts, other than those specified by the State.” However, qualified or conditional offers may be, at the sole discretion of the State Purchasing Agent:

1.Rejected as being non-responsive; or, 2.Set aside in favor of the requirements set forth in the solicitation (with the consent of the Vendor);

or, 3.Accepted, if the State Purchasing Agent determines in writing that such acceptance is in the best interest of the State.”

By submitting a conditional or qualified offer, the Vendor bears the risk of their bid or proposal being considered non-responsive; however, prior to finding a vendor non-responsive, the

Department shall give the vendor the opportunity to withdraw their requested, qualified terms. In the event the State receives a conditional or qualified offer, the State reserves the right to conduct a best and final offer process offering the same terms to all vendors and/or reject a qualified/conditional proposal as being non-responsive at any time during the review process. The

Vendor should not assume that any further negotiation will occur upon selection.

https://dedi.ri.gov/divisions-units/minority-business-enterprise-compliance-office/minority-business-enterprise-mbe https://dedi.ri.gov/divisions-units/minority-business-enterprise-compliance-office/minority-business-enterprise-mbe mailto:mbe.compliance@doa.ri.gov

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In addition to the above, interested parties may submit questions relative to any terms and conditions (including but not limited to insurance requirements, limitation on liability, warranties, ownership, etc.) during the Q-and-A process for evaluation and response by the State during the open solicitation period. Please refer to the stated Q-and-A deadline under the “General Header

Information” section and procedural instructions for question submissions in the “Questions” section at the beginning of this document for additional information.

QLV - Agency Contract This solicitation is to establish a Qualified List of vendors for an Agency Specific Contract.

Successful vendors will be awarded separate Contracts to be used on an on call as needed basis.

General Requirements Acknowledgement

Acknowledge you have read all the requirements by selecting yes/no Vendor Solicitation Contact Company Street Address City, State & Zip Code Contact Email Phone (include extension)

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Questionnaire:

QLV27007040

Vendor Certification Questionnaire Description: Vendors must respond to every statement. Vendors must provide all relevant information.

Bid proposals submitted without a complete response may be deemed nonresponsive.

Disclosures 1. State whether the Vendor, or any officer, director, manager, stockholder, member, partner, or other owner or principal of the Vendor or any parent, subsidiary, or affiliate has been subject to suspension or debarment by any federal, state, or municipal governmental authority, or the subject of criminal prosecution, or convicted of a criminal offense within the previous 5 years. If “Yes,” provide details below in Disclosures #5.

Type YES/NO Is Required Y

Disclosures 2. State whether the Vendor, or any officer, director, manager, stockholder, member, partner, or other owner or principal of the Vendor or any parent, subsidiary, or affiliate has had any contracts with a federal, state, or municipal governmental authority terminated for any reason within the previous 5 years. If “Yes,” provide details below in Disclosures #5.

Type YES/NO Is Required Y

Disclosures 3. State whether the Vendor, or any officer, director, manager, stockholder, member, partner, or other owner or principal of the Vendor or any parent, subsidiary, or affiliate has been fined more than $5000 for violation(s) of any Rhode Island environmental law(s) by the Rhode Island Department of Environmental Management within the previous 5 years. If “Yes,” provide details below in Disclosures #5.

Type YES/NO Is Required Y

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Disclosures 4. State whether any officer, director, manager, stockholder, member, partner, or other owner or principal of the Vendor is serving or has served within the past two calendar years as either an appointed or elected official of any state governmental authority or quasi-public corporation, including without limitation, any entity created as a legislative body or public or state agency by the general assembly or constitution of this state. If “Yes,” provide details below in Disclosures #5.

Type YES/NO Is Required Y

Disclosures 5. Disclosure Details - If a "Yes" was provided in Disclosures 1-4, provide details here (attach document if additional space needed) - OR - Type "N/A" if all responses were "No".

Type TEXT Is Required Y

Ownership Disclosure 1. Depending on the structure of the Vendor’s business operation, provide one of the following: 1. If the Vendor is privately held, the Vendor shall provide ownership information. For each individual, provide his or her name, position with the Vendor and the percentage of ownership. If applicable, also list each intermediate parent company and the ultimate parent company of the Vendor. 2.If the Vendor is publicly held, the Vendor shall provide owner information about only those stockholders, members, partners, or other owners that hold at least 10% of the record or beneficial equity interests of the Vendor. List each officer, director, manager, stockholder, member, partner, or other owner or principle of the Vendor to include each individual’s name, position with the Vendor, and the percentage of ownership. If applicable, also list each intermediate parent company and the ultimate parent company of the Vendor. Attach document if additional space needed.

Type TEXT

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Certifications 1. The Vendor will immediately disclose, in writing, to the State Purchasing Agent any potential conflict of interest which may occur during the term of any contract awarded pursuant to this solicitation. If “No,” provide details below in Certifications #12.

Type YES/NO Is Required Y

Certifications 2. The Vendor possesses all licenses and anyone who will perform any work will possess all licenses required by applicable federal, state, and local law necessary to perform the requirements of any contract awarded pursuant to this solicitation and will maintain all required licenses during the term of any contract awarded pursuant to this solicitation. In the event that any required license shall lapse or be restricted or suspended, the Vendor shall immediately notify the State Purchasing Agent in writing. If “No,” provide details below in Certifications #12.

Type YES/NO Is Required Y

Certifications 3. The Vendor will maintain all required insurance during the term of any contract pursuant to this solicitation. In the event that any required insurance shall lapse or be canceled, the Vendor will immediately notify the State Purchasing Agent in writing.

If “No,” provide details below in Certifications #12.

Type YES/NO Is Required Y

Certifications 4. The Vendor understands that falsification of any information in this bid proposal or failure to notify the State Purchasing Agent of any changes in any disclosures or certifications in this Vendor Certification may be grounds for suspension, debarment, and/or prosecution for fraud. If “No,” provide details below in Certifications #12.

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Certifications 5. The Vendor has not paid and will not pay any bonus, commission, fee, gratuity, or other remuneration to any employee or official of the State of Rhode Island or any subdivision of the State of Rhode Island or other governmental authority for the purpose of obtaining an award of a contract pursuant to this solicitation. The Vendor further certifies that no bonus, commission, fee, gratuity, or other remuneration has been or will be received from any third party or paid to any third party contingent on the award of a contract pursuant to this solicitation. If “No,” provide details below in Certifications #12.

Type YES/NO Is Required Y

Certifications 6. This bid proposal is not a collusive bid proposal.

Neither the Vendor, nor any of its owners, stockholders, members, partners, principals, directors, managers, officers, employees, or agents has in any way colluded, conspired, or agreed, directly or indirectly, with any other vendor or person to submit a collusive bid proposal in response to the solicitation or to refrain from submitting a bid proposal in response to the solicitation, or has in any manner, directly or indirectly, sought by agreement or collusion or other communication with any other vendor or person to fix the price or prices in the bid proposal or the bid proposal of any other vendor, or to fix any overhead, profit, or cost component of the bid price in the bid proposal or the bid proposal of any other vendor, or to secure through any collusion, conspiracy, or unlawful agreement any advantage against the State of Rhode Island or any person with an interest in the contract awarded pursuant to this solicitation. The bid price in the bid proposal is fair and proper and is not tainted by any collusion, conspiracy, or unlawful agreement on the part of the Vendor, its owners, stockholders, members, partners, principals, directors, managers, officers, employees, or agents. If “No,” provide details below in Certifications #12.

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Certifications 7. The Vendor: (i) is not identified on the General Treasurer’s list created pursuant to R.I. Gen. Laws § 37-2.5-3 as a person or entity engaging in investment activities in Iran described in § 37-2.5-2(b). If “No,” provide details below in Certifications #12.

Type YES/NO Is Required Y

Certifications 8. The Vendor will comply with all of the laws that are incorporated into and/or applicable to any contract with the State of Rhode Island. If “No,” provide details below in Certifications #12.

Type YES/NO Is Required Y

Certifications 9. Vendor certifies that it is not currently engaged in and shall not during the duration of the contract (if awarded) engage in the boycott of any person, firm, or entity based in or doing business with any jurisdiction with whom the State of Rhode Island can enjoy open trade. Nor shall vendor participate in the boycott of any public agencies, entities, or instrumentalities of any jurisdiction with whom the State of Rhode Island can enjoy open trade. For the purposes of this certification "jurisdiction with whom the State of Rhode Island can enjoy open trade" means national governments who are members of the World Trade Organization. If “No,” provide details below in Certifications #12.

Type YES/NO Is Required Y

Certifications 10. Vendor has complied with and, if awarded a contract with the State of Rhode Island shall promptly comply with, the reporting requirements of the “Reporting of Political Contributions by State Vendors Act”, R. I. Gen. Laws § 17-27-1, et seq. If “No,” provide details below in Certifications #12.

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Certifications 11. Vendor has read and accepts the State of Rhode Island’s General Conditions of Purchase which shall be the contractual terms and conditions between the parties upon issuance of a Purchase Order by the Division of Purchases. The State’s General Conditions of Purchase can be found at https://rules.sos.ri.gov/regulations/part/220-30-00-13 and addenda can be found at https://ridop.ri.gov/about-us/procurement-statutes-and-regulations. If “No,” provide details below in Certifications #12.

Type YES/NO Is Required Y

Certifications 12. Certifications Details - If a "No" was provided in Certifications 1-11, provide details here (attach document if additional space needed) - OR - Type "N/A" if all responses were "Yes".

Type TEXT Is Required Y

Acknowledgement 1. Submission by the Vendor of a bid proposal pursuant to this solicitation constitutes an offer to contract with the State of Rhode Island through the Division of Purchases on the terms and conditions contained in this solicitation and the bid proposal. The Vendor certifies that: (1) the Vendor has reviewed this solicitation and agrees to comply with its terms and conditions; (2) the bid proposal is based on this solicitation; and (3) the information submitted in the bid proposal (including this Vendor Certification Form) is accurate and complete. The Vendor acknowledges that the terms and conditions of this solicitation and the bid proposal will be incorporated into any contract awarded to the Vendor pursuant to this solicitation and the bid proposal. The person signing below represents, under penalty of perjury, that he or she is fully informed regarding the preparation and contents of this bid proposal and has been duly authorized to execute and submit this bid proposal on behalf of the Vendor.

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Acknowledgement 2. Name and Date - Enter name of vendor representative submitting this form with date.

Type TEXT

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Documents:

ISBE Form - RFP Appendix B - Modified Version.pdf

FIDE-SNP APPENDIX C.pdf

FIDE-SNP APPENDIX D.pdf

FIDE-SNP APPENDIX A.pdf

QLV27007040 Agency Solicitation Specifications SOW.pdf

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Item Specifications Solicitation has been designated as having no line items.

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