RFQ_for_Annual_Financial_and_Compliance_Auditor.pdf

Solicitation # 2026-08-02

RFQ for Annual Financial and Compliance Auditor

RESPONSES ARE DUE TO PURCHASING PRIOR TO:

Monday, August 31, 2026, 2:00 pm

NO LATE SUBMISSIONS WILL BE ACCEPTED

ELECTRONIC RESPONSES SUBMITTED THROUGH ARE HIGHLY PREFERRED

https://procurement.opengov.com/portal/metrocareservices/projects/293577

FOR QUESTIONS CONCERNING THIS RFQ PLEASE CONTACT:

Jewelie Ramos, Purchasing Director

Phone: (469) 940-4099 Email: Purchasing@metrocareservices.org https://procurement.opengov.com/portal/%7B

Table of Contents

1. Introduction

2. Respondent Instructions

3. Scope of Work

4. Evaluation Criteria

5. General Conditions

6. Vendor Questionnaire & Submissions

7. Attachments

1. Introduction

1.1. Summary

Metrocare is soliciting Requests for Qualifications (RFQ) from licensed public accounting firms with significant experience performing governmental, behavioral health, financial and single audits for the fiscal year ending

August 31, 2026. The selected firm will perform a financial and compliance audit in accordance with Generally

Accepted Auditing Standards (GAAS), Government Auditing Standards, Uniform Guidance, and all applicable federal and state requirements. The purpose of this solicitation is to identify a highly qualified audit firm with demonstrated experience in governmental and behavioral healthcare audits, strong technical expertise, and the capability to deliver timely, accurate, and value-added audit services.

1.2. Background

Metrocare Services (“Metrocare”), formerly known as Dallas County MHMR, is the largest provider of behavioral health services in Dallas County, serving more than 62,000 adults and children annually. For over 50 years, Metrocare has provided a broad array of services to people with mental health challenges and developmental disabilities from mental health care, primary care centers, services for veterans and their loved ones, accessible pharmacies, housing, and supportive social services.

Alongside clinical care, researchers and teachers from Metrocare’s Altshuler Center for Education & Research lead the way in advancing innovative mental health research while training clinicians needed to expand the clinical workforce across the state.

Metrocare receives federal and state financial assistance for numerous programs, the more significant of which include the Texas Department of Health and Human Services and Medicaid/Medicare/Insurance reimbursement.

Metrocare is committed to providing equitable opportunities to all qualified firms. Entities certified through the following programs are encouraged to respond to this solicitation.

• Small Business Enterprise (SBE)

• Disadvantaged Business Enterprise (DBE)

• Historically Underutilized Business (HUB)

• Minority Business Enterprise (MBE)

• Woman-Owned Business Enterprise (WBE)

• Veteran-Owned Small Business (VOSB)

1.3. Contact Information

Jewelie Ramos, Purchasing Director

3242 Remond Dr.

Dallas, TX 75211

(469) 798-5023 purchasing@metrocareservices.org

1.4. Timeline

Project Release Date: August 17, 2026

Question Submission Deadline: August 27, 2026, 2:00pm

Response Submission Deadline: August 31, 2026, 2:00pm

2. Respondent Instructions

2.1. Important Instructions for Electronic Submittals

Metrocare prefers to accept electronic submittals for this Solicitation. Before the Respondent can submit their electronic response to this solicitation, they must create a FREE account with OpenGov Procurement by registering online at https://procurement.opengov.com/signup. Once the Respondent has completed their account registration, they must return to this page to view the project details or use the following link:

https://procurement.opengov.com/portal/metrocareservices/projects/293577. The Respondent should select "Draft Response" and follow the instructions provided to begin submitting their electronic response.

To view all Metrocare project opportunities, use the following link:

https://procurement.opengov.com/portal/metrocareservices. If you would like to be notified of any future

Metrocare project opportunities, select "Subscribe".

2.2. Submittal Requirements

Please ensure the following items are included and completed before submitting your proposal:

PRICING SHOULD NOT BE INCLUDED IN THE PROPOSAL

The solicitation submittal shall be a maximum of 25 pages. The cover page, table of contents, blank pages, vendor submission responses, and required forms do not count as pages.

Required Proposal Items:

A. Introductory Letter – a letter of interest, indicating why the respondent is interested in being awarded this contract.

B. Qualifications of the Company and Key Personnel

1. Completed Vendor Questionnaire Form

2. Completed Conflict of Interest Questionnaire

3. Completed Company W-9. The latest IRS 2024 W-9 version is required.

4. Certificate of Insurance- Do not add Metrocare as a holder unless your company is awarded the contract.

https://procurement.opengov.com/signup https://procurement.opengov.com/portal/metrocareservices/projects/293577 https://procurement.opengov.com/portal/metrocareservices https://www.ethics.state.tx.us/data/forms/conflict/CIQ.pdf https://www.irs.gov/pub/irs-pdf/fw9.pdf

5. Please include the legal name of the firm and the office location that will serve Metrocare.

6. Description of ownership structure.

7. State how the company and its staff are qualified to perform the selected services.

8. Please identify policies, technical capabilities, or processes that might differentiate your company from others.

9. General background of the company’s focus and experience.

10. The average length of time and number of personnel working for your company.

11. Include resumes of key personnel who will be directly involved with the project and their role.

12. Proof of licensure with the Texas State Board of Public Accountancy.

13. Peer Review and Quality Control Report.

C. Relevant Experience

a. Please provide a minimum of four (4) example projects of similar scope with behavioral health, Community Centers, local governmental or single audits. Include a description to assist Metrocare in understanding the basic scope of the contract and the contract dates for the service. Experience with other healthcare or government entities examples are preferred.

b. If your firm has done business with Metrocare before, list the contract(s) awarded and year(s) contracted with Metrocare.

D. General approach to the project

1. Please describe the firm's approach to implementing and completing the project within the future agreed upon scope, schedule, and budget to include the following.

a. Audit methodology.

b. Risk assessment approach.

c. Internal controls testing approach.

d. Single Audit approach.

e. Technology utilized during the audit.

f. Cybersecurity and data protection protocols.

g. Proposed timeline and work plan.

2. Specific programs, policies, or procedures your company will use to provide high-value quality services.

3. Quality of services proposed, staffing approach, technology used, service schedule, quality assurance program, as well as the response time and method used to address any reported issues.

2.3. Instructions to Respondents

This Request for Qualifications (RFQ- Professional Services: Engineering, Architectural Design, etc) will be available online through https://procurement.opengov.com/portal/metrocareservices from the date issued until the due date and time provided. Any subsequent addendums and/or attachments will be added to the website listed above.

Metrocare Contact:

Jewelie Ramos, Purchasing Director

Phone: (469) 798-5023

Email: Purchasing@metrocareservices.org

All submittals must be received no later than 2:00 pm Central Time on Monday, August 31, 2026. Late submissions will not be accepted.

Electronic submittals are preferred through our online electronic bidding system https://procurement.opengov.com/portal/metrocareservices

All paper-sealed submittals must be received by the Metrocare Services Receptionist located at the of the

Client Services Building located at 3242 Remond Dr., Dallas, Texas 75211 by the due date and time provided.

All paper submittals must include a USB/flash drive with an electronic copy of the submittals and any attachments.

Metrocare is not responsible for lateness or non-delivery of mail, carrier, etc., and the time and date recorded by Metrocare Receptionist shall be the official time of receipt.

Sealed paper submittals must be in one sealed envelope clearly marked with the label below completed and affixed on the outside of the sealed envelope containing the submittal:

https://procurement.opengov.com/portal/metrocareservices mailto:Purchasing@metrocareservices.org https://procurement.opengov.com/portal/metrocareservices

SEALED SUBMITTAL – DO NOT OPEN

Metrocare Services

ATTN: Purchasing

3242 Remond Dr.

Dallas, Texas 75211

RFP - 2026-08-02

RFQ for Annual Financial and Compliance Auditor

Request for Qualifications (RFQ- Professional Services: Engineering, Architectural Design, etc) # 2026-08-02

Submission Deadline: Monday, August 31, 2026, 2:00 pm Central Time

Company Name: ______________________________________________

Contact Name: _______________________________________________

Phone Number: _______________________________________________

Solicitation Questions

Any questions regarding this solicitation shall be submitted online using the OpenGov electronic bidding system or shall be emailed to Metrocare’s Purchasing Department at Purchasing@metrocareservices.org with the solicitation number in the subject line no later than 2:00 pm Central Time, Thursday, August 27, 2026.

Metrocare’s response to the questions shall be provided to all respondents through an addendum and will be bound with and made a part of the contract documents. No other explanation or interpretation will be considered official or binding. Respondents shall not contact any Metrocare staff except those designated in this solicitation or subsequent addendums. Noncompliance with this provision may result in the rejection of the submittal.

A copy of all questions in the addendum format shall be posted online through https://procurement.opengov.com/portal/metrocareservices/projects/293577. Metrocare shall NOT be held liable for any costs incurred by any respondent for work performed in preparation of and production of the submittal or for any work performed prior to the execution of an awarded contract.

Any submittal may be withdrawn or a revised submittal provided prior to the submittal deadline.

Solicitation Opening

There will be a public opening of the submittals on TEAMS on Monday, August 31, 2026 at 2:00 pm Central

Time. Only the names of the firms that submitted a response will be read out loud and published on the

OpenGov portal. All submittals will be kept confidential during the evaluation process and prior to the contract award. Attending information for the opening is located in the timeline.

3. Scope of Work https://procurement.opengov.com/portal/metrocareservices mailto:Purchasing@metrocareservices.org https://procurement.opengov.com/portal/metrocareservices/projects/293577 https://procurement.opengov.com/portal/metrocareservices

3.1. Scope of Services

The selected firm shall perform an Annual Financial and Compliance Audit for the fiscal year ending August 31, 2026, including all required reports, communications, and filings. The audit shall be conducted in accordance with all applicable professional, federal, and state requirements, including but not limited to:

• Generally Accepted Auditing Standards (GAAS)

• Government Auditing Standards

• Uniform Guidance (2 CFR Part 200)

• Texas Uniform Grant Management Standards (UGMS)

• State of Texas Single Audit Circular (if applicable)

• Guidelines for Annual Financial and Compliance Audits of Community MHMR Centers

• Generally Accepted Accounting Principles (GAAP)

Required Services

The auditor shall:

Financial Statement Audit

• Audit the Organization's annual financial statements and related disclosures.

• Express an opinion regarding whether the financial statements fairly present the financial position, results of operations, and cash flows in accordance with GAAP.

• Review and test significant accounting transactions and balances.

Single Audit / Compliance Audit

• Perform a Single Audit of federal and state awards, as applicable.

• Identify major programs and conduct testing required under Uniform Guidance and State requirements.

• Evaluate compliance with grant agreements, contracts, laws, regulations, and funding requirements.

• Report all findings, questioned costs, material weaknesses, significant deficiencies, and instances of noncompliance.

Internal Control Evaluation

• Obtain an understanding of internal controls over financial reporting and compliance.

• Perform risk assessments and testing of internal controls.

• Report any material weaknesses or significant deficiencies identified during the engagement.

Required Deliverables

The auditor shall provide:

• Independent Auditor's Report

• Financial Statements and Notes

• Single Audit Report (if applicable)

• Schedule of Expenditures of Federal Awards (SEFA)

• Schedule of State Awards (if required)

• Report on Internal Control Over Financial Reporting

• Report on Compliance for Major Programs

• Schedule of Findings and Questioned Costs

• Auditor Communications Letter

• Management Letter with recommendations for process improvements

• Corrective Action Plan assistance (if findings occur)

Presentation Requirements

The auditor shall:

• Present preliminary audit results to management.

• Attend and present the final audit to the Board.

• Participate in follow-up meetings related to findings or audit recommendations.

Filing Requirements

The auditor shall:

• Submit all required reports to the Federal Audit Clearinghouse.

• Assist with state and funding agency reporting requirements.

• Provide electronic copies of all reports in PDF format and editable formats upon request.

Workpapers

• Maintain audit workpapers in accordance with professional standards.

• Provide access to work papers when requested by authorized federal, state, or oversight agencies.

Timeline Expectations

At minimum:

• Final fieldwork completed no later than November 20th, 2026.

• Draft audit report delivered by December 31st, 2026.

• Final reports shall be presented to the governing board on January 28th, 2027.

4. Evaluation Criteria

No. Evaluation Criteria Scoring Method Weight (Points)

1. Company Experience

Prior experience of the company with similar

Community Center's and Health and the

Human Services Commission is expected and will be evaluated accordingly.

Points Based 30 (30% of Total)

2. Methodology Approach

This shall include but is not limited to, the quality of services proposed, the staffing approach, and the implementation plan, and schedule proposed.

Points Based 30 (30% of Total)

3. Qualifications of Key Personnel

Prior experience of the key personnel with similar projects is expected. Resumes and responses to the questionnaire will be evaluated.

Points Based 30 (30% of Total)

4. Cybersecurity Program and Data Protection

Practices

Given the sensitivity of financial records, employee information, PHI, and grant-related data, the vendors cybersecurity and data protection practices will be evaluated.

Points Based 10 (10% of Total)

5. General Conditions

5.1. Standard Terms and Conditions

The obligations of the parties under a contract awarded through this solicitation will be performed in Dallas

County, Texas. Exclusive venue shall be Dallas County, Texas, and any contract awarded under this solicitation shall be governed by the laws of the State of Texas. All work must be in compliance with and conform to any and all applicable state or local laws, ordinances, regulations, codes, rules, policies, and interpretations thereof.

All submittals shall be subject to the Texas Public Information Act Texas Government Code 552 unless the respondent clearly and prominently identifies a particular section in the submittal as proprietary and said item unequivocally qualifies for this exception under the Act as determined by the Texas Attorney General.

Texas Government Code Chapter 176 mandates the public disclosure of certain information concerning persons doing business or seeking to do business with Metrocare, including affiliations and business and financial relationships such persons may have with Metrocare officers. An explanation of the requirements of

Chapter 176, applicable forms, and a complete text of the new law is available at:

https://www.ethics.state.tx.us/filinginfo/conflict_forms.htm. By doing business or seeking to do business with Metrocare, you acknowledge that you have been notified of the requirements of Chapter 176 of the

Texas Local Government Code and that you are solely responsible for complying with the information provided.

https://statutes.capitol.texas.gov/Docs/GV/htm/GV.552.htm https://statutes.capitol.texas.gov/Docs/LG/htm/LG.176.htm https://www.ethics.state.tx.us/filinginfo/conflict_forms.htm

Once a selection is made and Metrocare has the intent to award, the successful respondent will be required to submit Form 1295 to the State of Texas electronically prior to executing the agreement.

https://www.ethics.state.tx.us/filinginfo/1295/

Lobbying of selection committee members, City staff, or City Council members will not be permitted nor tolerated during the solicitation process.

Prohibition of Boycott Israel: By submission of this solicitation response, the Contractor verifies that they will not Boycott Israel and agrees that during the term of this Contract, they will not Boycott Israel as that term is defined in Texas Government Code 2271. Effective September 1, 2019, this section does not apply if the

Vendor is a sole proprietor, a non-profit entity, or a governmental entity; and only applies if: (i) the Vendor has ten (10) or more full-time employees and (ii) this Contract has a value of $100,000.00 or more to be paid under the terms of this Contract.

Prohibition of Boycott of Energy Companies: By submission of this solicitation response, the Contractor verifies that is does not Boycott Energy Companies and agrees that during the term of this Agreement will not

Boycott Energy Companies as that term is defined in Texas Government Code 2276, as amended. This section does not apply if the Contractor is a sole proprietor, a non-profit entity, or a governmental entity; and only applies if: (i) Contractor has ten (10) or more full-time employees and (ii) this Agreement has a value of

$100,000.00 or more to be paid under the terms of this Agreement.

Prohibition of Discrimination Against Firearm Entities and Firearm Trade Associations: By submission of this solicitation response, the Contractor verifies that it does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association; and (ii) will not discriminate during the term of the contract against a firearm entity or firearm trade association as that term is defined in Texas

Government Code 2274. This section only applies if: (i) Contractor has ten (10) or more full-time employees and (ii) this Agreement has a value of $100,000.00 or more to be paid under the terms of this Agreement; and does not apply: (i) if the Contractor is a sole proprietor, a non-profit entity, or a governmental entity; (ii) to a contract with a sole-source provider; or (iii) to a contract for which none of the submittals from a company were able to provide the required certification.

The Contractor shall be and remain an independent contractor throughout the term of any contract awarded pursuant to this soliciation for all purposes, including but not limited to, the application of the Fair Labors

Standards Act minimum wage and overtime payments, Federal Insurance Contribution Act, the provisions of the Internal Review Code, and all State of Texas revenue, workers compensation, and unemployment insurance laws. The Contractor will retain sole and absolute discretion over the manner and means of carrying out the activities and all responsibilities listed herein. The Contractor agrees that it is a separate and independent enterprise from Metrocare and that it has full opportunity to find other business, that it has made its own investment in its business, and that it will utilize a high level of skill necessary to perform the work. This agreement shall not be construed as creating any joint employment relationships between the

Contractor and Metrocare, and Metrocare will not be liable for any obligation incurred by the Contractor.

5.2. Contractor Insurance Requirements

Contractors on Metrocare's property or public right-of-way for Metrocare shall provide Metrocare a certificate of insurance evidencing the coverage and coverage provisions identified herein.

https://www.ethics.state.tx.us/filinginfo/1295/ https://statutes.capitol.texas.gov/Docs/GV/htm/GV.2271.htm https://statutes.capitol.texas.gov/Docs/GV/htm/GV.2276.htm https://statutes.capitol.texas.gov/Docs/GV/htm/GV.2274.htm https://statutes.capitol.texas.gov/Docs/GV/htm/GV.2274.htm

The Contractor hereby covenants and agrees to indemnify, hold harmless, and defend Metrocare, its officers, agents, servants, and employees, from and against any and all claims or lawsuits of any kind or character, whether real or asserted, for either property damage or loss (including alleged damage or loss to contractor’s business, and any resulting lost profits) personal injury, including death, to any and all persons, and damages for claims of intellectual property infringement, arising out of or in connection with this agreement, to the extent caused by the acts or omissions of contractor, its officers, agents, subcontractors, servants or employees.

All insurance and certificate(s) of insurance shall contain the following provisions: (1) name Metrocare, its officers, agents, and employees as additional insureds as to all applicable coverage with the exception of

Workers' Compensation Insurance; (2) provide for at least thirty (30) days prior written notice to Metrocare for cancellation, non-renewal, or material change of the insurance; (3) provide for a waiver of subrogation against Metrocare for injuries, including death, property damage, or any other loss to the extent the same is covered by the proceeds of insurance.

All insurance companies providing the required insurance shall be authorized to transact business in Texas and rated at least “A” by AM Best or other equivalent rating service.

The Contractor shall during the term hereof maintain in full force and affect the following insurance:

Metrocare reserves the right to amend or require addition all types depending on the nature of the work.

The successful Contractor shall procure and maintain in force during the terms of any contract awarded pursuant to this solicitation, at its own cost, the following minimum insurance coverage:

Type of Insurance Amount of Insurance Provisions

A. Commercial General

(Public) Liability to include coverage for:

• Premises/Operations

• Products/Completed

Operations

• Independent Contractors

• Personal Liability

• Contractual Liability

$1,000,000 each occurrence

$2,000,000 general aggregate

$2,000,000 Umbrella/ Excess

Liability

Metrocare to be listed as additional insured and provided

30-day notice of cancellation or material change in coverage.

Metrocare requires that insurer be rated A or higher by A.M.

Best or equivalent.

Waiver of subrogation

2. Business Auto Liability • $1,000,000 per occurrence

• $1,000,000 aggregate or;

• $1,000,000 combined single limits

Metrocare to be named as an additional insured

3. Workers’ Comp & Employers’

Liability

Statutory Limits

$1,000,000 each accident

Waiver of subrogation

Prior to the execution of any awarded contract by Metrocare, the successful Contractor shall forward

Certificates of Insurance to the department contact that will be managing the contract. The required insurance policies shall be procured and maintained in full force and effect for the duration of the awarded contract. The

Certificate Holder shall be Metrocare and include the following correspondence address 1345 Riverbend Dr.

Suite 200, Dallas, Texas 75247.

5.3. Contract Award and Contract Terms

Contract Award

All submissions received from qualified, responsible, and responsive respondents will be evaluated fully to ascertain which respondent provided a response most advantageous to Metrocare. Metrocare reserves the right to enter into an agreement with a single award, split awards, non-award, or use any combination that best serves the interest and at sole discretion of Metrocare.

Any contract awarded in pursuant to this solicitation is not assignable. The awarded Contractor(s) shall not sell, assign, transfer, sub-contract, or convey this contract, in whole or in part, without the prior written consent of Metrocare.

Metrocare reserves the right to accept and/or reject any and all submitted responses or any part thereof, waive immaterial errors, waive any irregularities or informalities in the submittal received, and award the contract in the best interest of Metrocare.

Respondents shall promptly notify Metrocare of any omissions, ambiguity, inconsistency, or error that they may discover upon examination of this solicitation. Metrocare shall not be responsible or liable for any errors and/or misrepresentation that result from the solicitations which are inadvertently incomplete, ambiguous, inconsistent or obviously erroneous.

Any submitted responses may be withdrawn or a revised submission may be substituted prior to the submittal deadline. The solicitation documents submitted to Metrocare cannot be altered, amended, or withdrawn by the Respondent after the submittal deadline, unless such alteration, amendment or withdrawal notice is approved in writing by the Purchasing Director.

An opened response may not be changed for the purpose of correcting any error by the Respondent or

Respondent’s agent. Any ambiguity in the submittal as a result of omission, error, lack of clarity or noncompliance by the Respondent with specifications, instructions, and all conditions shall be construed in the favor of Metrocare. If the unit prices and their extensions do not coincide, Metrocare may accept the price most beneficial to Metrocare, and the Respondent will be bound thereby.

Contract Term

Metrocare intends to enter into an annual contract with the awarded Contractor beginning on 9/1/26 and ending 8/31/2027. The contract shall include One Year Contract w/ 4 One-year Options to Renew. The contract pricing must be valid for at least the first full year of the contract.

Any price increases, when renewing the agreement, must be submitted to Metrocare at least one hundred and twenty (120) days prior to a potential renewal. The price increase agreement must be signed by both parties and agreed upon before the price adjustment will be considered for any future invoices as well as the effective date of the increase. If there is a failure between Metrocare and Contractor to agree to the price adjustment request, this may result in a termination of the Contract.

Contract Termination

If at any time, the successful Contractor fails to fulfill or abide by the terms, conditions, specifications, or performance requirements of this solicitation, or any contract awarded and entered pursuant thereto, Metrocare reserves the right to deduct charges from successful Contractor’s invoice at the time it is due; or

Cancel the contract at Metrocare’s convenience, without penalty, by furnishing written notice of termination to Contractor, and select another Contractor and award a contract to its Contractor pursuant to the terms thereof.

At Metrocare’s sole discretion, any awarded contract may be canceled or terminated for convenience without penalty at any time by giving the Contractor thirty (30) days written notice. The Contractor may be entitled to payment for services actually performed; to the extent said services are satisfactory.

Availability of Funds

This solicitation is conditioned upon the availability of federal, state, or local funds, which are appropriated or allocated for payment of the requested services. If, during any stage of this contract, funds are not allocated and available for the requested services, the contract will be canceled. Metrocare will notify the Contractor at the earliest possible time if this occurs.

6. Vendor Questionnaire & Submissions

1. Authorized Respondent’s Information

1.1. Authorized Official's Contact Information*

Please provide the contact Information of the authorized official submitting this response.

• Legal Name

• Title

• Email Address

• Phone Number

*Response required

1.2. Response Confirmation*

By clicking "Please confirm" below, hereon affixed, the respondent declares they have read this solicitation entirely and with full knowledge of the requirements, does hereby agree to furnish the services in full accordance with the requirements of this solicitation if selected.

Confirming also indicates the following:

• Person or person’s interest in this solicitation as principals are those named herein.

• I (we) have carefully examined the contents of this solicitation, and its requirements, and agree to the terms stated herein.

• The respondent acknowledges the Conflict of Interest Clause and agrees to follow the necessary requirements.

The undersigned represents that they are authorized to bind the Respondent to fully comply with the terms and conditions of this solicitation's requirements.

☐ Please confirm

*Response required

1.3. Conflict of Interest Questionnaire*

Please download the document below and upload the completed questionnaire to include the disclosure of any relationships with board members, executives, or employees.

• Form_CIQ_(Conflict_of_Inter...

*Response required

2. Company Information

2.1. Please provide your company's most recent signed W-9*

Please download the below documents, complete, and upload.

• Blank_W-9_2024.pdf

*Response required

2.2. Full Legal Company Name*

*Response required

2.3. Principal Place of Business Address*

*Response required

2.4. Principal Place of Business Phone Number*

*Response required https://procure-now.s3.us-west-2.amazonaws.com/shared-sections/production/1798/07a52eb7-fa3b-431c-bff2-4635ee633b79_Form_CIQ_%28Conflict_of_Interest_Questionnaire%29_-_CIQ.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4F32Y5YMN%2F20260817%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20260817T213247Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEIX%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJIMEYCIQC90O1tCkgV5W1ls0bpwTGHuSaK2Py%2BGLzH9Pw8uQWmRwIhAKJmpiNkykSOQkSrZWM4teU1YAQFQWMLsF%2FDl8KGPJCBKowFCE0QAhoMODkyMzY0Njg3NjcyIgzqEPMGbZfFAz3yF%2Bkq6QSxeCbWj0URqGhWdJHKDEwQ2iCLE5ZCv5yDqKQhWs9kqeM7Y2ouWYfFOl%2FHu5gFvrL4iGCTw9GBvsk5WTruT8JMoE2NtDQvzK7gTgRIxqcJfP1NWc%2BzvWvIrEVTPS7AUN3TNkvhQu%2FqGhZzg7rsB3oVwncSWWK2wAbq5pgC78GY9OUvSr4uASRReh5eFZ2gYlHfNUarvpF12W6UhCWJPmPAJ%2BnPnHTBSFXT28pgrG0eZEHaLy63UaJjXY58Xq4TQcUkBE6QCl1RyAKC3IqpeA1mY7TWS0rHxSatcwqFk7P%2BI18YQqwSXA61pRBtTPkOcTap9wGhvAY9ntALm2cL2wnBAxB3r45S1FCAe79fY2M3TMGVm%2F%2B2aD0IPamwiUxSxvDUBdDiFxKaOR4OAL5Tv2jFe4ADp%2B%2BTq3Gagg03xp5e3cyTAgRK8GtOp8kMklRvi63pPtxrKXvqcTMqCLUGdsdlab9kVQpR2FwPOzb1rgo92nNTrRASulfuyYK6o2LNrpFbkmPCMVoAZ3pAmpfSncUINqzWMaopVP5365GCZJAVksUZ1Rlg3xMEfiYWFM9hBW2CbTitViSBQLboGhcvy3aktUwfQJP628WXPgodmtVsco23%2Fvm2T%2Fuu%2FHo78SXtg0qPOtyA0CCyGAydobH62OJN1W7C9NkPvsyzj95l2uNRjN%2BH2crWyf%2BIgJX4ZzElp%2FUpT%2FrlNG3S7KQMnjYbM2PD5qpZElklLNxHYFAyZW%2BlRhhXNWYF2Fwadq0JLXUigIcBVmEpf%2FWlExgrCi0aSErhW46bKEWV7sWbNzOq3oPl95lRN6PV%2Bs21aTCA2o3UBjqYAdzzg9vhFD8h5NUqm10hX4QQuEwBQVjldHr4SmY09pUqS%2BN6tUQA94XkFe58qxzg1%2FzC6t45KuRHnr05fO0Q5ud0J7D0XAIkeTiBMMCnFpuwalCHVQzaiJRA%2FRnpWxKgOw7ysSz9m%2BiirBax7U%2Bvt2wY2zgRvvJyEB462V%2B7gy16m8R8ljxJ25oWYmgxJTvN6fD%2By6yY84VN&X-Amz-Signature=59059da6d278b8b24a4ad9a011663b481b9efc72b6f480acc31d67f6b30d29bf&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Form_CIQ_%28Conflict_of_Interest_Questionnaire%29_-_CIQ.pdf%22&x-id=GetObject https://procure-now.s3.us-west-2.amazonaws.com/shared-sections/production/1798/e5cb081b-5538-4635-8db5-e27f194dc508_Blank_W-9_2024.pdf?X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Content-Sha256=UNSIGNED-PAYLOAD&X-Amz-Credential=ASIA47RIURE4F32Y5YMN%2F20260817%2Fus-west-2%2Fs3%2Faws4_request&X-Amz-Date=20260817T213247Z&X-Amz-Expires=72000&X-Amz-Security-Token=IQoJb3JpZ2luX2VjEIX%2F%2F%2F%2F%2F%2F%2F%2F%2F%2FwEaCXVzLXdlc3QtMiJIMEYCIQC90O1tCkgV5W1ls0bpwTGHuSaK2Py%2BGLzH9Pw8uQWmRwIhAKJmpiNkykSOQkSrZWM4teU1YAQFQWMLsF%2FDl8KGPJCBKowFCE0QAhoMODkyMzY0Njg3NjcyIgzqEPMGbZfFAz3yF%2Bkq6QSxeCbWj0URqGhWdJHKDEwQ2iCLE5ZCv5yDqKQhWs9kqeM7Y2ouWYfFOl%2FHu5gFvrL4iGCTw9GBvsk5WTruT8JMoE2NtDQvzK7gTgRIxqcJfP1NWc%2BzvWvIrEVTPS7AUN3TNkvhQu%2FqGhZzg7rsB3oVwncSWWK2wAbq5pgC78GY9OUvSr4uASRReh5eFZ2gYlHfNUarvpF12W6UhCWJPmPAJ%2BnPnHTBSFXT28pgrG0eZEHaLy63UaJjXY58Xq4TQcUkBE6QCl1RyAKC3IqpeA1mY7TWS0rHxSatcwqFk7P%2BI18YQqwSXA61pRBtTPkOcTap9wGhvAY9ntALm2cL2wnBAxB3r45S1FCAe79fY2M3TMGVm%2F%2B2aD0IPamwiUxSxvDUBdDiFxKaOR4OAL5Tv2jFe4ADp%2B%2BTq3Gagg03xp5e3cyTAgRK8GtOp8kMklRvi63pPtxrKXvqcTMqCLUGdsdlab9kVQpR2FwPOzb1rgo92nNTrRASulfuyYK6o2LNrpFbkmPCMVoAZ3pAmpfSncUINqzWMaopVP5365GCZJAVksUZ1Rlg3xMEfiYWFM9hBW2CbTitViSBQLboGhcvy3aktUwfQJP628WXPgodmtVsco23%2Fvm2T%2Fuu%2FHo78SXtg0qPOtyA0CCyGAydobH62OJN1W7C9NkPvsyzj95l2uNRjN%2BH2crWyf%2BIgJX4ZzElp%2FUpT%2FrlNG3S7KQMnjYbM2PD5qpZElklLNxHYFAyZW%2BlRhhXNWYF2Fwadq0JLXUigIcBVmEpf%2FWlExgrCi0aSErhW46bKEWV7sWbNzOq3oPl95lRN6PV%2Bs21aTCA2o3UBjqYAdzzg9vhFD8h5NUqm10hX4QQuEwBQVjldHr4SmY09pUqS%2BN6tUQA94XkFe58qxzg1%2FzC6t45KuRHnr05fO0Q5ud0J7D0XAIkeTiBMMCnFpuwalCHVQzaiJRA%2FRnpWxKgOw7ysSz9m%2BiirBax7U%2Bvt2wY2zgRvvJyEB462V%2B7gy16m8R8ljxJ25oWYmgxJTvN6fD%2By6yY84VN&X-Amz-Signature=bcf14704db0c0c69d650103be9071de19f9f4e666a4ae9a8195ecf2b17b7f682&X-Amz-SignedHeaders=host&response-content-disposition=attachment%3B%20filename%3D%22Blank_W-9_2024.pdf%22&x-id=GetObject

2.5. Company Website URL

2.6. Please upload your company's certificate of insurance including evidence of professional liability

(Errors & Omissions).*

*Response required

2.7. Person Authorized to negotiate and sign contracts with MetroCare (if different than the

Authorized Contact Provided)

2.8. Number of years in business working on similar types of project?*

*Response required

2.9. State and Date of Incorporation, Partnership, or Ownership Established?*

*Response required

2.10. Are you a certified Small Business (SBE), Disadvantaged Business Enterprise (DBE), or Historically

Under-utilized Business (HUB)?*

☐ Yes

☐ No

*Response required

3. Cooperative Purchasing

3.1. MetroCare has established several government entity interlocal agreements. Should any of these Government Entities desire to utilize this contract, would you offer the same terms, conditions,specifications, and pricing to that entity? **

☐ Yes

☐ No

*Response required

4. References

Please provide four (4) references who can verify the quality of service your company provides. MetroCare prefers references from customers/governmental entities with a scope of work similar to the project mentioned in this solicitation in which the respondent has worked in the past three years. 2. At least two references should be community mental health centers, behavioral health authorities, or similar organizations.

4.1. Reference 1*

MetroCare prefers references from customers/governmental entities with a scope of work similar to the project mentioned in this solicitation in which the respondent has worked in the past three years.

• Company Name Work Was Completed For:

• Company Location:

• Time Period Service was Provided:

• Contact Person and Title:

• Phone:

• Email:

• Description of Contracted Services:

• Years of Service

*Response required

4.2. Reference 2*

MetroCare prefers references from customers/governmental entities with a scope of work similar to the project mentioned in this solicitation in which the respondent has worked in the past three years.

• Company Name Work Was Completed For:

• Company Location:

• Time Period Service was Provided:

• Contact Person and Title:

• Phone:

• Email:

• Description of Contracted Services:

• Years of Service

*Response required

4.3. Reference 3*

MetroCare prefers references from customers/governmental entities with a scope of work similar to the project mentioned in this solicitation in which the respondent has worked in the past three years.

• Company Name Work Was Completed For:

• Company Location:

• Time Period Service was Provided:

• Contact Person and Title:

• Phone:

• Email:

• Description of Contracted Services:

• Years of Service

4.4. Reference 4*

MetroCare prefers references from customers/governmental entities with a scope of work similar to the project mentioned in this solicitation in which the respondent has worked in the past three years.

• Company Name Work Was Completed For:

• Company Location:

• Time Period Service was Provided:

• Contact Person and Title:

• Phone:

• Email:

• Description of Contracted Services:

• Years of Service

*Response required

4.5. Please explain your experience with HHSC funded entities, federal grant compliance testing, and

State Single Audit requirements. *

*Response required

5. Claims and Suits

5.1. Has your organization ever failed to complete any work awarded to your company?*

☐ Yes

☐ No

*Response required

5.2. Are there any judgments, claims, arbitration proceedings, or suits pending or outstanding against your organization or its officers?*

☐ Yes

☐ No

*Response required

5.3. Has your organization filed any lawsuits or requested arbitration regarding awarded contracts within the last five years?

☐ Yes

☐ No

5.4. If you have answered "Yes" to any of the claim and suit questions, please provide supplemental information/documents here.

6. Cybersecurity & Data Protection Requirements

6.1. Describe how client data is protected during transmission, storage, processing and disposal of data?*

*Response required

6.2. Describe the secure file transfer methods available to clients.*

*Response required

6.3. Describe your process for responding to a data breach or cybersecurity incident.*

*Response required

6.4. Have you experienced a data breach, ransomware event, or other significant cybersecurity incident in the last five (5) years? If yes, provide details and corrective actions taken.*

*Response required

6.5. Within what timeframe would your firm notify the Organization of a security incident affecting

Organization data?*

*Response required

7. Additional Information from Respondent

7.1. Please attach your most recent peer review report to include any letters of comments, responses, and description of internal quality control program. *

*Response required

7.2. Please include your qualification documents and any additional references, marketing material, or supporting documentation to justify the respondent's qualifications for this project for review with your submittal.*