RFP_7968_PULMONARY_REHAB_PROGRAM_AND_OXYGEN_SUPPLIER_9_9_26.pdf

TOWN OF GREENWICH NO.: 7968

PURCHASING DEPARTMENT

101 Field Point Road ISSUE DATE: 09/09/2026

Greenwich, CT 06830

203 622-7881 DEADLINE DATE: 09/30/2026

DEADLINE TIME: 11:00 AM

REQUEST FOR BID

X REQUEST FOR PROPOSAL

PRE-PROPOSAL CONFERENCE: Non-Mandatory

TIME AND DATE: 09/14/2026 at 10:00 AM

LOCATION: The Nathaniel Witherell

70 Parsonage Rd, Greenwich, CT 06830

PULMONARY REHAB PROGRAM AND OXYGEN SUPPLIER

RFB/RFP NAME: FOR THE NATHANIEL WITHERELL, SNF

LOCATION: GREENWICH, CT

X PREQUALIFICATION

X STANDARDS/SPECIFICATIONS

X INSURANCE REQUIRED

PLEASE NOTE:

1. Sealed Bids/Proposals are due at the Town of Greenwich Purchasing Department on date noted.

NO bids/proposals will be accepted after the date and time specified above. Bidder is responsible for actual delivery of the bid/proposal sent by mail or commercial express service to the

PURCHASING DEPARTMENT before the deadline time. Bids/proposals received after the deadline time will not be considered. PLEASE CLEARLY INDICATE BID/PROPOSAL NUMBER

ON LOWER LEFT-HAND CORNER OF ENVELOPE.

2. BIDS/PROPOSALS ARE NOT ACCEPTED BY FAX OR E-MAIL.

3. COMPANY NAME AND ADDRESS MUST CONFORM ON ALL DOCUMENTS INCLUDING

INSURANCE DOCUMENTS. A POST OFFICE BOX ADDRESS IS NOT ACCEPTABLE.

4. Bid/Proposal number must appear on all bids and related correspondence.

5. The Town of Greenwich is exempt from Federal and State Taxes.

6. The Town will consider an alternate bid only if Bidders have been permitted to provide an alternate bid. An alternate bid must be clearly identified as such in order to be considered by the Town.

7. Stated prices are to be FOB destination inside delivery, unless otherwise specified herein.

8. Terms and Conditions indicated on reverse.

Daniel Centofanti, Procurement Specialist

An Affirmative Action/Equal Opportunity Employer, M/F/H

Terms and Conditions

Bidders shall familiarize themselves with all provisions of the specifications and shall not at any time after submitting bid, dispute any of the specifications or assert that there was any misunderstanding in regard to the furnishing and delivering of the items called for in the proposal.

The Town of Greenwich reserves the right to issue addenda as needed on bids/proposals.

The Town of Greenwich reserves the right to reject any and all bids not deemed to be in the best interest of the Town of Greenwich, or to accept that bid which appears to be in the best interest of the Town of Greenwich. The Town of Greenwich reserves the right to waive any informalities in or reject any or all bids, or any part of any bid.

References to a particular trade name or manufacturer's catalog or model number are made for descriptive purposes to guide the Bidder in interpreting the requirements of the Town of Greenwich. They should not be construed as, nor are they intended to exclude proposals on other types of materials, equipment and supplies. However, the Bidder, if awarded a contract will be required to furnish the particular item referred to in the specification or description unless a departure or substitution is clearly noted and described in the proposal.

Respondents shall provide one proposal and Bidders one bid price for each specified required line item with no more than one total lump sum bid, unless allowed to do otherwise by the solicitation. Respondents shall provide no more than one bid reply unless allowed by the solicitation. Bidders shall not include in their prices any Federal or State taxes from which the Town of Greenwich is exempt.

The successful Bidder/s shall indemnify the Town of Greenwich against all losses, claims, actions and judgments brought or recovered against the contractor or the Town of Greenwich. Any respondent that takes exception to the insurance requirements set forth by the Town of Greenwich Risk Manager shall be deemed unresponsive.

No proposal shall be received from, or contract awarded to, any person, firm or corporation who is in default or in debt to the Town of Greenwich for non-performance of any contract, or who is a defaulter as surety or otherwise from any obligation to the Town of Greenwich.

Bids must be signed in ink by the vendor. No bids shall be made in pencil. Any bids showing any erasures or alterations must be initialed by the Bidder in ink. Failure to sign and give all information requested in the proposal may result in the bid being rejected.

Quantities as listed on the bid sheets are estimated for bidding purposes only. Award of contract shall be for the quantities actually ordered as needed during the contract period. However, the Town of Greenwich reserves the right to increase or decrease the quantities by 10%.

Unit prices quoted shall be net exclusive of all taxes, and must include all transportation, delivery and unloading costs; fully prepaid F.O.B. destination in place inside delivery. Debris, if any, removed.

The Town of Greenwich reserves the right to make awards on an item by item, total or lump sum basis. Where an award is made on an item by item basis, the unit price prevails. The Town reserves the right to make award in best interest of its own operation. All awards are contingent upon certification by the Town Comptroller that funds are available in appropriate accounts.

It is understood that prices shall hold firm and prevail for the actual quantities required or ordered as needed during the life of the contract whether more or less than estimated quantities. Unit prices shall not be subject to any increase during the life of the contract.

All deliveries are to be made within the time period specified in the bid proposal upon receipt of written purchase order or authorized verbal requests except as may be otherwise arranged by Supplier and Purchaser. Receipt of contract is not authority to ship. Emergency deliveries are to be made within twenty-four (24) hours from receipt of a telephone request from the Town of Greenwich. All deliveries are to be made on business weekdays between the hours of 9:00 A.M. and 4:00 P.M. except as may be otherwise arranged by the Supplier and Purchaser.

In the event deliveries are not made as specified to a Town delivery point, the Town of Greenwich shall reserve the right to purchase any such bid item on the open market and to charge any increase in price paid over the current contract price to the account of the vendor.

All bids will be awarded or rejected within sixty (60) days of bid opening date or for the stated period of validity, if different. Therefore, Bidder agrees that prices will remain firm for acceptance for that period.

Terms of payment to the Contractor shall be net/30 days after receipt of invoice and acceptance and approval of the services by the Town of Greenwich.

The contractor will not discriminate against any employee or applicant for employment because of race, religion, color, sex or national origin. The contractor, however, will take affirmative action to insure that minority group members are employed and are not discriminated against during employment. Such actions shall include, but not be limited to the following: employment, upgrading, demotion or transfer; recruitment or recruitment advertising;

layoff or termination; rates of pay or other forms of compensation; and selection of training, including apprenticeship.

The contractor will, in all solicitations or advertisements for employees placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to race, religion, color, sex or national origin. The contractor will send to each labor union or representative of workers with which he has a collective bargaining agreement or other contract of understanding, a notice advising the labor union or worker's representative of the contractors' commitments under this specification and under rules, regulations and orders promulgated by the State.

"Affirmative Action" means procedures which establish hiring and employment goals, timetables, and practices to be implemented, with good faith efforts, for minority group members.

"Minority Group Members" as identified in EEO-4 reports shall mean Black, Hispanic, Asian or Pacific Islanders, American Indian, and Alaskan Natives.

The contractor or subcontractor offers and agrees to assign to the public purchasing body all right, title and interest in and to all causes of action it may have under Section 4 of the Clayton Act, 15 U.S.C. Section 15, or under Chapter 624 of the General Statutes of Connecticut, arising out of the purchase of services, property or intangibles of any kind pursuant to a public purchase contract or subcontract. This assignment shall be made and become effective at the time the public purchasing body awards or accepts such contract, without further acknowledgment by the parties.

TOWN OF GREENWICH, CT

REQUEST FOR PROPOSAL #7968 DEADLINE: 09/30/2026 AT 11:00 AM

PULMONARY REHAB PROGRAM AND OXYGEN SUPPLIER

FOR THE NATHANIEL WITHERELL, SNF

BACKGROUND

The Town of Greenwich Purchasing Department, on behalf of The Nathaniel Witherell (TNW)

Skilled Nursing Facility (SNF), is seeking proposals for a Pulmonary Rehab Program and

Oxygen Supplier.

THE NATHANIEL WITHERELL ORGANIZATIONAL BACKGROUND

The Nathaniel Witherell is a 202-bed skilled nursing facility located in a residential section of

Greenwich, CT. The Facility is owned and operated by the Town of Greenwich and functions as a Town Department. Thus, the Facility operates as a non-profit business and is intended to generate sufficient revenues to fully support its own operations.

SCOPE OF WORK

The Respondent shall assume responsibility for the Pulmonary Rehab Program (PRP).

The Respondent shall provide a clinical evaluation and assist in creating a plan of care for therapy services for TNW’s residents, on an as-needed basis. The Respondent shall implement and carry out established plans of care applicable to physician orders.

The Respondent shall ensure all personnel provided to the facility are qualified PRP therapy personnel, licensed, registered, or certified as required by the applicable provisions of State laws, rules and regulations. The hiring process for PRP personnel shall include criminal background checks, pre-employment drug screening, and PPD testing. Copies of all such pre-employment screening documents and records shall be provided to TNW upon request.

The Respondent, its employees, or agents assigned to TNW shall not currently, nor have at any time, been excluded from participating in any Federal or State funded healthcare program, including the Medicare or Medicaid programs.

In the judgment of TNW, if any personnel have failed to perform their job responsibilities or have failed to act in accordance with standards of professional or ethical conduct, TNW shall reserve the right to direct the awarded Contractor to remove the individual from providing services at TNW.

The awarded Contractor agrees to supervise, monitor, and train all PRP respiratory personnel.

The awarded Contractor shall provide clinical management services in connection with the implementation and delivery of the PRP consistent with a physician care plan and the facility’s plan of care for each resident.

The awarded Contractor agrees to pay the compensation and employee benefits of the PRP

Respiratory personnel, including all applicable payroll taxes, health insurance, workers’ compensation, and unemployment insurance premiums.

The awarded Contractor agrees to maintain and, in accordance with applicable laws, make available to TNW, all records required by any fiscal intermediary government agency or any other party to whom fiscal billings are rendered.

The awarded Contractor agrees to abide by TNW policies and procedures including those related to clinical care, Quality Assurance (QA), utilization review, and patient satisfaction programs.

The awarded Contractor shall keep TNW informed of the performance of the PRP.

The awarded Contractor shall attend monthly meetings for the first 3 months and thereafter quarterly to report the performance of the PRP to TNW.

The awarded Contractor shall provide coverage during vacation / off days of the respiratory therapist.

The awarded Contractor is responsible for changing of oxygen tubes and supplies in accordance with state and federal regulations.

Invoices shall be based on actual hours and services provided by the respiratory therapist. The proposal pricing shall include weekend, holiday, and overtime rates, as well as implementation competency training rates, and annual increases, if applicable.

PRE-PROPOSAL CONFERENCE & SITE VISIT

A non-mandatory pre-proposal conference & site visit is scheduled for 10:00 AM on Monday, September 14, 2026, at 70 Parsonage Rd, Greenwich, CT 06830. The meeting is not mandatory, but attendance is highly recommended. During the site visit, Contractors will be able to ask any questions related to this project.

RESPONDENT’S REPLY

Respondents shall reply to this Request for Proposal by submitting a written proposal and completing the attached Reply Sheets. Respondents shall indicate their pricing and all other required information in their proposal.

DURATION OF PROPOSAL

The proposal will remain in effect for a minimum period of ninety (90) calendar days from the deadline for submission of the proposal or until it is formally withdrawn, a contract is executed, or this RFP is canceled, whichever occurs first.

DELIVERY OF PROPOSALS

Proposals shall be delivered via USPS or commercial delivery service (UPS, FedEx etc.) to the

Town of Greenwich Purchasing Department, First Floor, Town Hall, 101 Field Point Road, Greenwich, CT 06830 by:

11:00 AM on Wednesday, September 30, 2026

Proposals received after the due date and time will not be accepted and will be returned unopened to the Respondent. The Reply Sheets must be completed and returned with the proposal in a sealed envelope. Please clearly indicate RFP #7968 on the lower left-hand corner of the envelope.

ISSUANCE OF ADDENDA

The Town of Greenwich reserves the right to amend this solicitation by addenda. Addenda will be posted to the Town’s website (www.greenwichct.gov/bids) up to 48 hours in advance of the proposal’s due date and time. It is the responsibility of the Respondent to check the Town’s website for addenda, the Town will not provide notification. If in the Town’s opinion revisions are of such a magnitude, the deadline for this solicitation may be extended in an addendum. In addition, addenda can change Specifications, Reply Sheets, and times/dates for pre-bid meetings as well as due dates/deadlines for questions and proposals.

FEDERAL, STATE, AND LOCAL LAWS

The Respondent shall acknowledge and agree that, should it be awarded the Contract, it shall be solely responsible for strict compliance with all Federal, State, and local statutes, laws, codes, rules, regulations and ordinances, and for the procurement and maintenance of all necessary licenses and permits relating to the performance of services.

APPLICABLE LAW

The laws of the State of Connecticut shall govern this Contract and any and all litigation related to this Contract. In the event of litigation related to this Contract, the exclusive forum shall be the State of Connecticut and the exclusive venue for such litigation shall be the Judicial District for Stamford/Norwalk at Stamford.

ACCEPTANCE OF REQUEST FOR PROPOSAL CONTENT

Provisions of this RFP and the contents of the successful response will be used to establish final contractual obligations. The Town retains the option of canceling the award if the successful

Respondent fails to accept such obligations. The Town and the successful Respondent shall enter into a written Contract for the services rendered. It is expressly understood that this RFP and the Respondent’s proposal shall be attached and included by reference in the Contract signed by the Town and the Contractor.

TAXES

The Town of Greenwich is exempt from the payment of taxes imposed by the Federal Government and/or State of Connecticut, and such taxes shall not be included in the proposal prices.

PACKAGING

Each proposal shall be sealed to provide confidentiality of the information prior to the submission date and time. Please note the RFP # on the outside of the package. The Town will not be responsible for premature opening of proposals that are not properly labeled.

CONTRACT FORMAT

The Town of Greenwich has included as part of this Request for Proposal, Exhibit B, the

Personal Service Contract format to be used for this procurement. To be considered by the

Town, any Exceptions to the language included in the Town’s Personal Service Contract format http://www.greenwichct.gov/bids must be declared in the Exceptions area of the Reply Sheets. The Personal Service Contract shall be executed between the respondent and the Town after an award is issued.

CONTRACT TERM

The initial term of the Contract shall be one (1) year. In addition, there will be four (4) one-year option years that may be engaged with the mutual consent of both parties, on an annual basis.

CANCELLATION OF AWARD/CONTRACT

If the Contractor fails to perform or observe any material term or condition of the bid or Contract and such failure continues for thirty (30) days after the Contractor’s receipt of written notice, the

Town of Greenwich may cancel the Award/Contract without liability for cancellation or termination charges.

INDEMNITY

The Contractor shall indemnify and save harmless the Town and its officers, agents, servants and employees, from and against any and all claims, demands, suits, proceedings, liabilities, judgments, awards, losses, damages, costs and expenses, including attorneys' fees, on account of bodily injury, sickness, disease or death sustained by any person or persons or injury or damage to or destruction of any property, directly or indirectly arising out of, relating to or in connection with the Work, whether or not due or claimed to be due in whole or in part to the active, passive or concurrent negligence or fault of the Contractor, his officers, agents, servants or employees, any of his subcontractors, the Town any of his respective officers, agents, servants or employees and/or any other person or persons, and whether or not such claims, demands, suits or proceedings are just, unjust, groundless, false or fraudulent; and the Contractor shall and does hereby assume and agrees to pay for the defense of all such claims, demands, suits and proceedings; and provided that the Contractor shall not be required to indemnify the Town, its officers, agents, servants or employees against any such damages occasioned solely by acts or omissions of the Town other than supervisory acts or omissions of the Town in connection with the Work.

MODIFICATION OR WITHDRAWAL OF PROPOSAL PRIOR TO DEADLINE

A Respondent wishing to withdraw a proposal prior to the deadline may do so by preparing a formal written request on company letterhead. The person who signs the letter shall be the same person who signs the Reply Sheets. The Town will verify that the signature on the letter matches the signature on the Reply Sheets.

The Town will also verify the request to withdraw the proposal by calling the Respondent at the telephone number supplied on the Reply Sheets.

After the Town is satisfied that a request to withdraw a proposal before the established deadline is valid, the proposal will be returned to the Respondent. The Respondent may then withdraw completely from the bidding process or may modify the proposal and resubmit before the deadline.

MODIFICATION OR WITHDRAWAL OF PROPOSAL AFTER DEADLINE

If bid security is required and a Respondent does not honor their proposal for the specified time, the bid check shall become the property of the Town; or, if a Bid Bond was furnished, the Bid

Bond shall become payable to the Town.

After the proposal deadline has passed, the submitted proposals become the property of the

Town and are valid offers to be honored by the Respondent for sixty (60) days or longer, as specified in the Request for Proposal.

Respondents who do not honor their proposals for the sixty (60) day (or as specified) period, shall be declared irresponsible Respondents.

PROPOSAL COSTS

The Respondent shall be responsible for all costs incurred in the development and submission of their proposal. The Town assumes no contractual obligation as a result of the issuance of this RFP, the preparation or submission of a proposal by a Respondent, or the evaluation of an accepted proposal. The Town shall not be contractually bound until the Town and the successful

Respondent have executed a written Contract for the performance of the work.

RESERVATION OF RIGHTS

The Town of Greenwich reserves the right to reject any and all proposals not deemed to be in the best interest of the Town, or to accept that proposal which appears to be in the best interest of the

Town. The Town reserves the right to waive any and all informalities or reject any or all proposals or any part of any proposal.

INSURANCE REQUIREMENTS

The awarded Contractor will be required to provide insurance coverage as specified on the

Insurance Requirements Sheet, Exhibit A, of this RFP. The Acord certificate of insurance form must be executed by your insurance agent/broker and returned to this office. The most current Acord form should be used for insurance documentation purposes. Company name and address must conform on all documents including insurance documentation. It is required that the agent/broker note the individual insurance companies providing coverage, rather than the insurance group, on the Acord form. The Contract number (provided to the awarded Contractor), project name and a brief description must be inserted in the "Description of Operations" field. It must be confirmed on the Acord Form that the Town of Greenwich and Town of Greenwich d/b/a The Nathaniel Witherell is endorsed as an additional insured by having the appropriate box checked off and stating such in the "Description of Operations" field. Contractor's insurance must be primary and non-contributory.

A letter from the awarded Contractor's agent/broker certifying that the Town of

Greenwich and Town of Greenwich d/b/a The Nathaniel Witherell has been endorsed onto the general liability policy as an additional insured is also mandatory. This letter shall be addressed to the Towns' Director of Purchasing and must follow exactly the format of the letter attached as Exhibit B. It must be signed by the same authorized individual representative who signed the Acord form. Both the certificate of insurance and the letter must be signed by the same authorized representative. If the insurance coverage required is provided on more than one Acord certificate of insurance, then additional agent/broker letters are also required. Contract development will begin upon receipt of complete, correct insurance documentation.

The Contractor shall be responsible for maintaining the above insurance coverages in force to secure all of the Contractor's obligations under the Contract with an insurance company or companies with an AM Best Rating of A-:VII or better, licensed to write such insurance in Connecticut and acceptable to the Director of Risk Management, Town of Greenwich.

For excess liability only, non-admitted insurers are acceptable, provided they are permitted to do business through Connecticut excess line brokers per listing on the current list of

Licensed Insurance Companies, Approved Reinsurers, Surplus Lines Insurers and Risk

Retention Groups issued by the State of Connecticut Insurance Department.

The Contractor shall submit with the proposal the signed, original "Insurance Procedure" form, included in the Reply Sheets, which states that the Contractor agrees to provide the specified insurance coverage for this proposal at no additional charge above any insurance charge declared in the proposal.

STATEMENT OF PROPOSING COMPANY’S QUALIFICATIONS

The "Statement of Proposing Company's Qualifications", included in the Reply Sheets, shall be completed and included with the proposal.

VENDOR INFORMATION & SIGNATORY FORM

The "Vendor Information & Signatory Form", included in the Reply Sheets, shall be completed and included with the proposal, if applicable.

CONFIDENTIALITY/DISCLOSURE

“Contractor” refers to all Bidders/Respondents submitting a bid/proposal.

The Town will afford due regard to the Contractor’s request for the protection of proprietary or confidential information received. However, all materials associated with the Bid/Proposal and the Contract are subject to the terms of the Connecticut Freedom of Information Act (“FOIA”) and all corresponding rules, regulations and interpretations. In making such a request, the

Contractor may not state generally that the materials are proprietary or confidential in nature and therefore not subject to release to third parties. The specific sentences, paragraphs, pages or sections that the Contractor believes are exempt from disclosure under FOIA must be specifically identified as such. An explanation and rationale to justify each exemption consistent with FOIA must accompany the request. The rationale and explanation must be stated in terms of the prospective harm to the competitive position of the Contractor that would result if the identified material were to be released and the reasons why the materials are legally exempt from release pursuant to FOIA.

If the Contractor indicates that certain documentation is submitted in confidence, by specifically and clearly marking said documentation as CONFIDENTIAL, the Town will endeavor to keep said information confidential to the extent permitted by law. The Town, however, shall have no obligation to initiate, prosecute or defend any information that is sought pursuant to a FOIA request. The Contractor shall have the burden of establishing the availability of any FOIA exemption in any proceeding where it is an issue. In no event shall the Town, or any representative of the Town, be liable for the disclosure of any documents or information in its possession which the Town believes are required to be disclosed pursuant to FOIA or other requirements as mandated by policy/law.

Additionally, as per Section 1-210(b) of FOIA – Nothing in the Freedom of Information Act shall be construed to require the disclosure of:

(24) Responses to any request for proposals or bid solicitation issued by a public agency, responses by a public agency to any request for proposals or bid solicitation issued by a private entity or any record or file made by a public agency in connection with the contract award process, until such contract is executed or negotiations for the award of such contract have ended, whichever occurs earlier, provided the chief executive officer of such public agency certifies that the public interest in the disclosure of such responses, record or file is outweighed by the public interest in the confidentiality of such responses, record or file.

AFFILIATION DISCLOSURE

The Contractor shall be responsible for disclosing affiliations with other Pharmacies, Health

Care Organizations and/or Long-Term Care/Post-Acute organizations or facilities.

ISSUING AUTHORITY

Mr. Daniel Centofanti, Procurement Specialist, is responsible for the conduct of this procurement. Any inquiries or requests regarding this procurement shall be submitted in writing to Mr. Centofanti at the address below by 11:00 AM on Wednesday, September 16, 2026:

Town of Greenwich

Purchasing Department

101 Field Point Road

Greenwich, CT 06830

Email: Daniel.Centofanti@GreenwichCT.gov

PROPOSAL FORMAT AND REQUIREMENTS

The Respondent shall submit one (1) original and five (5) copies along with one (1) flash drive of the complete proposal.

Proposals must be submitted in a package/envelope that is clearly marked:

“RFP #7968 – PULMONARY REHAB PROGRAM AND OXYGEN SUPPLIER FOR THE

NATHANIEL WITHERELL, SNF”

All proposals shall be addressed to:

Town of Greenwich

Purchasing Department

101 Field Point Road

Greenwich, CT 06830

At the very beginning of the proposal, the Respondent should include a letter of transmittal signed by an individual authorized to bind the company.

mailto:Daniel.Centofanti@GreenwichCT.gov

EVALUATION PROCESS

The Town shall evaluate all proposals based on the information provided with the proposal.

Proposals will be evaluated by the Evaluation Committee using the following criteria:

CRITERIA

MAXIMUM

POINTS

Proposed fees and pricing for pulmonary/respiratory rehab services, equipment, and oxygen

Clarity and comprehensiveness of the proposal 20

Respondent's qualifications and experience 20

Respondent's ability to provide support, services, and expertise in the following areas:

1. Assessment and diagnostic evaluation

2. Bedside spirometry and arterial blood gas sampling

3. Patient education

4. Conduct in-house rounds with physicians and coordinate care with other healthcare professionals

5. Support Quality Assurance and Performance Improvement (QAPI)

6. Admission and emergency consultation

7. Attendance at facility staff meetings

8. Ensure execution of physicians' orders

9. Maintenance of respiratory therapy records

10. Therapeutic use and monitoring of oxygen equipment

References 10

TOTAL 100

EVALUATION COMMITTEE

The Evaluation Committee’s members will read and grade (privately and individually) all responsive proposals based on the evaluation criteria specified in this RFP. Each Respondent will be ranked based on the Evaluation Committee’s scores of the proposals. The Evaluation

Committee shall select the finalist(s) to be interviewed.

The financial strength of the Respondents and the results of reference checks may also be considered during the Evaluation Process. In addition, exceptions raised by the Respondents (if any) will need to be reconciled to the mutual satisfaction of both parties prior to an award.

The Evaluation Committee shall recommend awarding the proposal submitted which is deemed to be in the best interest of the Town based on the Specifications of this RFP.

If the Town elects to make an award for this service, the highest-ranked responsive finalist will receive the award.

PULMONARY REHAB PROGRAM AND OXYGEN SUPPLIER

FOR THE NATHANIEL WITHERELL, SNF

REPLY SHEET (Page 1 of 8)

FEE STRUCTURE

The Respondent shall submit a fixed fee structure for the services provided. Any travel expenses associated with these services shall be incorporated into the fixed fees.

DESCRIPTION PRICE

EverFlo SL Concentrator with Opi 120v or similar___________________________________________ $ _____ / per month

Millennium 10 LPM, Concentrator with OPI or similar___________________________________________ $ _____ / per month

Liquid Oxygen $ _____ / per pound

Liquid Oxygen Reservoir $ _____ / per month

Liquid Oxygen Portable unit- Cl000 $ _____ / per month

E tank- regular valve $ _____ / per fill, $ _____ / mo. rent

CPAP

Remstar PRO W/0 Hum, Sys One,60 Srs, Dom or similar_________________________________________ $ _____ / per month

BiPAP

BiPAP Auto $ _____ / per month

RT BIPAP/CPAP setup $ _____ / each

CPAP Masks

Full Face $ _____ / each

Nasal $ _____ / each

CoughAssist $ _____ / per month

Air Compressor $ _____ / monthly rent

Suction Machine $ _____ / monthly rent

Ventilator Trilogy $ _____ / monthly rent

Pulmonary Program Rates

Regular 1-40 hours/week

Weekend

Holiday

Overtime

$ _____ / per hour

$ _____ / per hour

$ _____ / per hour

$ _____ / per hour

Implementation competency training $ _____ / per hour

RESPONDENT’S COMPANY NAME: _______________________________________

AUTHORIZED SIGNATURE: _______________________________________

PULMONARY REHAB PROGRAM AND OXYGEN SUPPLIER

REPLY SHEET (Page 2 of 8)

PRICING IN OPTION YEARS

Respondent shall indicate below if pricing may either increase or decrease in the optional years of the Contract:

_____Yes, pricing may increase or decrease in the optional years.

_____No, pricing will not increase or decrease in the optional years.

If pricing may increase or decrease in the optional years, Respondent shall indicate below the maximum percentage of the potential increases or decreases for each optional year.

Optional Year Maximum Price Increase Maximum Price Decrease

1 % %

2 % %

3 % %

4 % %

EXCEPTIONS

The Respondent shall indicate below all exceptions (if any) taken to the language of this Request for Proposal, and/or the language of the attached Contract format. Any raised exceptions must be reconciled prior to an award. Insurance requirements have been established by the Town’s

Director of Risk Management.

RESPONDENT’S COMPANY NAME: _______________________________________

AUTHORIZED SIGNATURE: _______________________________________

PULMONARY REHAB PROGRAM AND OXYGEN SUPPLIER

REPLY SHEET (Page 3 of 8)

STATEMENT OF NON-COLLUSION

In submitting this bid/proposal, the undersigned declares that this is made without any connection with any persons making another bid/proposal on the same contract; that the bid/proposal is in all respects fair and without collusion, fraud, or mental reservation; and that no elected or appointed official of the Town, or any person or entity in the employ of the Town, is directly or indirectly interested in said bid/proposal or in the supplies or work to which it relates, or in any portion of the profits thereof, except as permitted under the Town of Greenwich Code of Ethics.

CODE OF ETHICS

In submitting this bid/proposal, the undersigned further declares and certifies that a) it has not, and will not induce or attempt to induce any Town of Greenwich employee or officer to violate the Town of Greenwich Code of Ethics in connection with its offer to provide goods or services under, or otherwise in the performance of, such contract, and b) if an elected or appointed official or any person in the employ of the Town has a direct or indirect interest in Vendor or any supplier or Subcontractor expected to be involved with the contract, such person or entity is in compliance with the safe harbor procedures established by the Town of Greenwich Board of Ethics or has received an advisory from the Town’s Board of Ethics with respect to such involvement. Bidders are hereby notified that the Town’s Code of Ethics’ definition of a Town Officer includes outside consultants to and agents of the Town in addition to elected and appointed officials and Town employees. The full Code of Ethics can be found on the Town website https://www.greenwichct.gov/682/Board-of-Ethics.

The undersigned further understands that the above declarations are material representations to the Town of

Greenwich made as a condition to the acceptance of the bid/proposal. If found to be false, the Town of Greenwich retains the right to reject said bid/proposal and rescind any resulting contract and/or purchase order and notify the undersigned accordingly, thereby declaring as void said bid/proposal and contract or purchase order.

Relevant provisions of the Town’s Code of Ethics are:

Section 2. DEFINITIONS. (1) Indirect interest, without limiting its generality, shall mean and include the interest of any subcontractor in any prime contract with the Town and the interest of any person or his immediate family in any corporation, firm, or partnership which has a direct or indirect interest in any transaction with the Town. (2) Substantial financial interest shall mean any financial interest, direct or indirect, which is more than nominal, and which is not common to the interest of other citizens of the Town. (3) Town officer shall mean and include any official, employee, agent, consultant, or member, elected or appointed, of any board, department, commission, committee, legislative body, or other agency of the Town. (4)

Transaction shall mean and include the offer, sale, or furnishing of any real or personal property, material, supplies, or services by any person, directly or indirectly, as Vendor, prime contractor, subcontractor, or otherwise, for the use and benefit of the Town for a valuable consideration, excepting the services of any person as a Town officer.

Section 3. GIFTS AND FAVORS. No Town officer or his immediate family shall accept any valuable gift, thing, favor, loan, or promise that might influence the performance or nonperformance of his official duties.

Section 4. IMPROPER INFLUENCE. No Town officer having a substantial financial interest in any transaction with the Town or in any action to be taken by the Town shall use his office to exert his influence or to vote on such transaction or action.

By signing below, the undersigned acknowledges reviewing and understanding the Non-Collusion and Code of

Ethics statements contained herein and confirms compliance with the contents:

AUTHORIZED SIGNATURE: ___________________________________________________________

PRINT NAME: ________________________________________________________________________

RESPONDENT’S COMPANY NAME: ____________________________________________________

https://www.greenwichct.gov/682/Board-of-Ethics

PULMONARY REHAB PROGRAM AND OXYGEN SUPPLIER

REPLY SHEET (Page 4 of 8)

RESPONDENT INFORMATION:

RESPONDENT’S COMPANY NAME _______________________________________________

ADDRESS _____________________________________________________________________

TELEPHONE # ____ FAX #

E-MAIL ADDRESS _____________________________________________________________

WEB SITE ____________________________________________________________________

AUTHORIZED SIGNATURE ____________________________________________________

PRINT NAME _________________________________________________________________

TITLE ________________________________________________________________________

STATE OF CT TAXPAYER ID # ___________________________________________________

FEDERAL TAXPAYER ID # _______________________________________________________

INCORPORATED IN THE STATE OF Corporate Seal Yes No

AWARD/CONTRACT SIGNATURE

The Respondent shall indicate below, the full name, title, email, and the complete mailing address of the authorized person (i.e., officer of the company) who will sign the Contract (if applicable) for this procurement:

PULMONARY REHAB PROGRAM AND OXYGEN SUPPLIER

REPLY SHEET (Page 5 of 8)

STATEMENT OF PROPOSING COMPANY'S QUALIFICATIONS

Company Name

Address

Phone Number

When organized

State of incorporation

How many years has company been engaged in business related to this proposal under the present company's name:

Contracts now in hand (gross amount)

Company officers

Have you ever defaulted on a contract or failed to complete a contract within the specified time?

Yes No

If so, please explain:

Respondent agrees prices will remain firm for days.

AUTHORIZED SIGNATURE

PRINT NAME

TITLE

TEL. NO.

TAXPAYER IDENTIFICATION NO.

VENDOR INFORMATION AND SIGNATORY FORM

REPLY SHEET (Page 6 of 8)

For Contracts Equal to or Greater than $250,000

Vendor Name: _____________________________________________________________________________

Primary Business Address: ___________________________________________________________________

Telephone: ____________________________________ Fax: _____________________________________

Email: _______________________________________ Website: ____________________________________

Secondary Business Location (if any):

Business Address: __________________________________________________________________________

Telephone: ____________________________________ Fax: _____________________________________

Email: _______________________________________ Website: ____________________________________

Business Address: __________________________________________________________________________

Telephone: ____________________________________ Fax: _____________________________________

Email: _______________________________________ Website: ____________________________________

Type of Entity: Corporation: Type of Corp: _______________ LLC: _______________

Partnership: Joint Venture: ____________ Sole Proprietorship: ____________

Other (please describe): _____________________________________________________

1. CT State Business License Number (if applicable): ______________________________________________

State Agency issuing license: ______________________________________________________________

2. Number of years in business under entity name: ________________________________________________

3. Provide Below the full names of the entity’s owners (>20% ownership), officers, and managers. (use a separate sheet of paper if necessary)

4. Has the entity changed its name within the past three years?

○ Yes ○ No

5. If yes, please provide the former name(s): _____________________________________________________

6. Have there been any recent (within the last three years) changes in control/ownership, >20% of the entity?

○ Yes ○ No

7. If yes, explain (use a separate sheet of paper if necessary): ________________________________________

8. Have officers or principals of the entity ever had any license suspended or revoked (other than Driver’s License) for any reason?

○ Yes ○ No

9. If yes, explain (use a separate sheet of paper if necessary): ________________________________________

10. Is the entity or has the entity, or any of its principals, officers, members, or owners ever been a party to or involved in any US civil, criminal, antitrust violation, regulatory action, settlements, lawsuit, or other legal action involving the Town of Greenwich, or any other municipality in the States of CT or NY related to the company’s business activities?

○ Yes ○ No

11. If the answer to question number 10 is yes, please explain below (use a separate sheet of paper if necessary):

VENDOR INFORMATION AND SIGNATORY FORM

(Continued)

REPLY SHEET (Page 7 of 8)

12. Has any principal, officer, member, or owner of the undersigned entity within the last three (3) years been a principal, officer, member, or owner of any entity that has filed for bankruptcy or been voluntarily or involuntarily dissolved?

○ Yes ○ No

13. Name and title of person completing/responsible for submission of this proposal or contract and the responses to this questionnaire: _____________________________________________________________________________________

14. Telephone number and email address for the person identified in question number 13:

Telephone: __________________________ Email: ______________________________________________

15. If requested by the Town during the solicitation process, the Respondent hereby agrees to provide the Town with copies of the most recent three (3) years of Loss History Reports for all lines of insurance coverage from its Insurance Carrier (as named herein) for all contracts and RFPs/RFQLs/RFQs/RFBs equal to or in excess of $250,000.

○ Yes ○ No

Name of Insurance Carrier: ____________________________________________________________________

The Loss History Reports shall include claims data for all fifty US States; detail of each claim for the past three (3) years for AL, GL, and WC; and a summary page with the annual total claim amounts for the past three (3) years for AL, GL, and WC.

16. Have any claims been made against the entity’s performance bond? ○ Yes ○ No

17. Please indicate whether your entity is currently debarred from doing business in the State of Connecticut or any other State.

○ Yes – List of States: ________________________ ○No

18. please indicate whether your entity has ever been convicted of OSHA violations.

○ Yes (attach separate page(s) with explanation) ○ No

With regard to items number 17 and 18, the Respondent understands and agrees that it has a continuing obligation to inform the Town of any OSHA violation and if it is debarred from doing business in the State of Connecticut or any other State after it has submitted this Vendor Information Form. The Respondent understands and agrees that its obligation to keep the Town informed of any change in status continues up to and including the time of award of the contract and if Respondent is awarded the contract, its obligation shall continue during the entire duration of the contract.

19. Provide Below an inventory list of all major equipment owned by the entity that would be used on this project:

20. Provide a complete list of the entity’s current public customers located in the State of Connecticut:

Customer Address Contract Annual Amount

FAILURE TO COMPLETE THIS FORM OR FAILURE TO PROVIDE THE NECESSARY BACK UP INFORMATION

FOR ANY QUESTION IN THIS FORM MAY RESULT IN DISQUALIFICATION.

Signature: ____________________________________________ Date: _______________________________________

Print Name and Title: _______________________________________________________________________________

PULMONARY REHAB PROGRAM AND OXYGEN SUPPLIER

REPLY SHEET (Page 8 of 8)

INSURANCE PROCEDURE FORM

THE RESPONDENT SHALL RETURN THIS COMPLETED FORM WITH THE BID/PROPOSAL.

FAILURE TO DO SO MAY RESULT IN REJECTION OF THE BID/PROPOSAL.

The Respondent shall forward the Insurance Requirement Sheet (Exhibit A) to the Respondent’s insurance

Agent/Broker (“Agent/Broker”) upon receipt of the RFB/P documents. The Respondent and the

Agent/Broker shall familiarize themselves with the required levels of insurance, and the documentation process necessary for the successful development of a Contract with the Town of Greenwich, CT for this project.

The Respondent shall determine if existing insurance coverage is sufficient, or if any costs for new or additional coverage is required for the specified work noted in this RFB/P. Any bids/proposals which contain exceptions to the insurance requirements may be considered nonresponsive and may be rejected.

Any EXCEPTIONS to this form and/or signatures must be declared on the Reply Sheets to be considered.

STATEMENT OF RESPONDENT AND RESPONDENT’S AGENT/BROKER:

The Respondent and the Agent/Broker have read the insurance requirements for this project. The

Agent/Broker is a duly licensed insurance agent under the laws of the State of _______. We confirm that we are willing and able to document the required levels of coverage as the Town of Greenwich, CT has specified. The Agent/Broker is an authorized representative of all companies which will be affording coverage for Contract to be awarded pursuant to this RFB/P. The bid/proposal pricing submitted reflects all insurance costs for this project.

The Agent/Broker confirms that Respondent’s General Liability policy meets or exceeds the coverage in

Commercial General Liability ISO form CG 00 01 10 01 or CG 00 01 04 13, including contractual liability.

The Respondent and Agent/Broker confirm that the Town of Greenwich shall be given thirty (30) days prior written notice of cancellation, lapse or restrictive amendment (except ten days notice of nonpayment) of the policies listed in the Acord form.

If awarded this Contract, the insurance documentation shall be submitted to the Town of Greenwich, CT within ten (10) days after the date of the award of the Contract. The documentation will be in the form of an Acord for which the Agent/Broker will confirm that the policies have been issued to the insured in the amounts stated and for the periods indicated.

Respondent’s Company Name: ______________________________

Authorized Respondent’s Signature: ______________________________

Date: ______________________________

Respondent’s Insurance Agent/Broker’s Company Name: ______________________________

Authorized Agent/Broker’s Signature: ______________________________

Date: ______________________________

RFP #7968

EXHIBIT A

Insurance Requirement Sheet

Insurance Requirements: Before starting and until final completion and acceptance of the work called for in the Contract and expiration of the guarantee period provided for in the Contract, the Contractor and its subcontractors, if any, shall procure and maintain insurance of the types and amounts checked in paragraphs A through F below for all Contract operations.

If any of the required insurance is on a claims made basis and does not include an extended reporting period of at least 36 months, contractor shall maintain either tail coverage or continuous claims made liability coverage, provided the effective date of the continuous claims made coverage is on or before the effective date of the contract with the Town, for a minimum of months following the later of (i) contractor’s completion and Town’s acceptance of all services required under the contract, or, (ii) Town or contractor termination of contract, or, (iii) the expiration of the claims made policy.

A. General Liability, with minimum coverages for combined bodily injury and property damage liability of $2,000,000 general aggregate, $1,000,000 per occurrence including:

1. Commercial General Liability.

2. Town of Greenwich and Town of Greenwich d/b/a The Nathaniel Witherell. Contractor’s insurance must be primary and non-contributory – and stated as such in the Description of

Operations section of the ACORD form.

3. Owners and Contractors Protective Liability (separate policy in the name of the Town).

B. Comprehensive Automobile Liability, with minimum coverages of $1,000,000 combined single limit for bodily injury and property damage, including, where applicable, coverage for any vehicle, all owned vehicles, scheduled vehicles, hired vehicles, non-owned vehicles and garage liability.

C. Excess Liability, with minimum coverage of $5,000,000 in umbrella form, or such other form as approved by Town Department Head and Risk Management Director.

D. Workers' Compensation and Employer's Liability, with minimum coverages as provided by Connecticut State Statutes.

E. Professional Liability (for design and other professionals for Errors and Omissions), with minimum coverage of $1,000,000. If the policy is on a claims-made basis, coverage shall be continually renewed or extended for three (3) years after work is completed under the Contract.

F. Sexual Abuse & Molestation Liability $6,000,000 (may be included in GL and/or Excess).

G. CERTIFICATE HOLDER: TOWN OF GREENWICH AND TOWN OF GREENWICH D/B/A

THE NATHANIEL WITHERELL

ATTN: PURCHASING DEPT. (Also fill in on ACORD Certificate of Insurance)

101 Field Point Road, Greenwich, CT 06830.

The Description of Operations on the Acord certificate of insurance must state the Project Name, the Contract Number and the following:

“Town of Greenwich is additional insured, Contractor’s insurance is primary and non-contributory, General Liability coverage meets or exceeds the coverage in Commercial General…