RFP_25_8302_DPS_Attachment_C_Bidder_Requirements_and_Qualifications_Form_Final.xlsx
XLSX spreadsheet 36 KB Posted
- Solicitation number
- PR8302
- Issued by
- Orange County, Orlando City, Florida
About this file
This document is a Qualification Form (Attachment C) for the Orlando Utilities Commission's (OUC) Request for Proposal (RFP 25 8302 DPS) for Post-Hire Occupational Health Assessment Services. The solicitation seeks proposals from qualified suppliers to provide either mobile onsite medical services or a brick-and-mortar medical facility within the Orlando metropolitan area, covering six OUC locations in Florida (Orlando, St. Cloud, and Titusville). The contract will have an initial three-year term with potential for two additional one-year renewals, and proposals are due on July 16, 2025, at 2:30 PM EST. The services required include comprehensive occupational health evaluations such as respirator medical questionnaires, asbestos assessments, quantitative fit tests, electrical resistivity tomography evaluations, and hearing audiometric tests.
The pricing structure includes unit prices ranging from $100 for asbestos assessments to $1,000 for quantitative fit tests, with a total pricing schedule for brick-and-mortar services of $871,600. Price increases are limited to a maximum of 3% during potential renewal periods. The solicitation has a 0% Minority/Women-owned Business Enterprise (M/WBE) goal, indicating no specific set-aside requirements. Bidders must demonstrate at least five years of relevant medical service experience, provide three client references from the past five years, and comply with HIPAA regulations. OUC reserves the right to award to multiple suppliers and will evaluate proposals based on qualifications, experience, responsiveness, safety programs, financial soundness, and pricing. A HIPAA Business Associate Agreement will be required for the selected supplier(s).
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Qualification Form
| Attachment C, Bidder Requirements and Qualifications Form |
| RFP 25 8302 DPS Post-Hire Occupational Health Assessment Services |
| 1.4 | Minimum Bidder Qualifications. The following are mandatory minimum qualifications. Proposers that fail to meet any of the minimum requirements below will be disqualified from further evaluation. Please check "Yes" or "No" if you have met the required minimum qualification. Proposer shall: | |
| 1.4.a | Is your company licensed and insured to provide medical services in the State of Florida, with a minimum of five (5) years of experience relevant to the services described in Attachment A, Detailed Scope of Work & Requirements? | |
| 1.4.b | Did you sign and attach Attachment E, Technical Risk Questionnaire, with your proposal? | |
| 1.4.c | Submit documentation of Quality Control and Safety Standards. Please provide a link to the document. | |
| 2 | Bidder Requirements and Qualifiactions | Please check "Yes" or "No" if the required information was provided with the proposal. |
| 2.1.a | Did you provide a copy of your company's organizational chart detailing key personnel for either Mobile Onsite services and/or Brick-and-Mortar Facility as well as the physical locations with your proposal? | |
| 2.1.b | Did you provide a description of all Mobile Onsite Services and/or Brick-and-Mortar Facility, including available services? | |
| 2.1.c | Did you address each service component outlined in Attachment A: Detailed Scope of Work and Requirements, and describe how your proposal meets the operational, regulatory, personnel, and technical requirements? | |
| 2.2 | Bidder Information & Required Bidder Qualifications | Please indicate "Yes" or "No" if the required information was provided with the proposal. |
| 2.2.1 | Bidder Information | |
| Did you attach a cover letter with your company's letterhead with your proposal? | ||
| 2.2.1.1 | Company must be registered in SUNBIZ. If your company is a foreign entity doing business in Florida, indicate the state in which it is incorporated and confirm registration with the Florida Division of Corporations. | |
| 2.2.1.2 | State the full legal name of your parent company. Provide a complete list of all subsidiaries, affiliates, and related entities under common ownership or control with the parent company, including their legal names, jurisdictions of incorporation, and primary business functions. Did you include your response with your proposal? | |
| 2.2.1.3 | What State did your company first register with the Division of Corporations? | |
| 2.2.1.4 | State the type of business (e.g., partnership, corporation, proprietorship, etc.) | |
| 2.2.1.5 | State the Corporate headquarters and office locations. | |
| 2.2.1.6 | State the geographical coverage for each facility. | |
| 2.2.1.7 | State the number of years in business for each facility. | |
| 2.2.1.8 | State the number of employees at each facility. | |
| 2.2.1.9 | State the hours of operation for each facility. | |
| 2.2.1.10 | State the primary contact name, phone, and email. | |
| 2.2.1.11 | If awarded a contract, state the name and email of the officer that will sign the contract. | |
| 2.2.1.12 | Is your company a Women or Minority Owned Business? | |
| 2.2.1.13 | State the Dunn and Bradstreet Number. | |
| 2.2.1.14 | State any licenses obtained to conduct business with OUC. | |
| 2.2.2 | Required Bidder Qualifications | |
| 2.2.2.1 | List the number of service agreements your company has completed or currently provides that are similar in scope and volume to the occupational medical services described in this solicitation. Did you submit your response with your proposal? | |
| 2.2.2.2 | Provide below three (3) client references with verified contact information for services your company delivered within the past five (5) years that align with the scope of this solicitation. OUC prefers references from clients located in the Central Florida area. Each reference must be pre-verified by the Proposer. Unverified references will not be considered by OUC. | |
| Reference 1 | ||
| Customer's name and address. | ||
| Description of services your company to this customer | ||
| Average number of employees/patients your company served per year | ||
| Dates of service contract | ||
| Customer contact name |
(Note: Contact must be familiar with the day-to-day performance and outcomes of the services your company provided to them)
| Customer contact phone number | |
| Customer contact email address | |
| Detailed list of occupational medical services delivered under the contract. Did you submit your response with your proposal? | |
| Describe any unique service conditions, compliance requirements, or operational challenges that may distinguish your company's qualifications for this engagement. Did you submit your response with your proposal? | |
| Reference 2 | |
| Customer's name and address. | |
| Description of services your company to this customer | |
| Average number of employees/patients your company served per year | |
| Dates of service contract | |
| Customer contact name |
(Note: Contact must be familiar with the day-to-day performance and outcomes of the services your company provided to them)
| Customer contact phone number | |
| Customer contact email address | |
| Detailed list of occupational medical services delivered under the contract. Did you submit your response with your proposal? | |
| Describe any unique service conditions, compliance requirements, or operational challenges that may distinguish your company's qualifications for this engagement. Did you submit your response with your proposal? | |
| Reference 3 | |
| Customer's name and address. | |
| Description of services your company to this customer | |
| Average number of employees/patients your company served per year | |
| Dates of service contract | |
| Customer contact name |
(Note: Contact must be familiar with the day-to-day performance and outcomes of the services your company provided to them)
| Customer contact phone number |
| Customer contact email address |
| Detailed list of occupational medical services delivered under the contract. Did you submit your response with your proposal? |
| Describe any unique service conditions, compliance requirements, or operational challenges that may distinguish your company's qualifications for this engagement. Did you submit your response with your proposal? |
| 2.2.2.3 | Did you provide a complete list of all the subcontractors that may be part of the services your company will be providing to OUC that included the company's name, address, M/WBE status, contact name, telephone, and email, number of years in business, proof of required licenses, and a list of service agreements that the subcontractor had participated with similar scope and size to the scope of work with your proposal? |
| 2.2.2.4 | Did you demonstrate that your company has the financial and operational ability to deliver all required services at the proposed pricing with your proposal? Please note that OUC may request additional information to support the pricing submitted if it appears significantly low compared to current market trends. |
| 2.2.2.5 | If applicable, did you provide information on any new Economic Development Opportunities that your company may bring, such as the creation of new jobs or purchasing or leasing of new building space, which could benefit the local Orlando area or the State of Florida as a result of this contract? |
&P
Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No Yes No No Yes Yes No
File details come from the government source that posted it. Updated .