RFR Vendor Response Checklist_71835_Spring_2024.docx

DOCX document 289 KB Posted

Attached to
Adaptive Housing Services 22 - MRC HOUSING ADAP 22
Solicitation number
BD-22-1071-AO-CON01-71835
Issued by
Massachusetts

About this file

This document is a Response Checklist for a Request for Response (RFR) issued by the Massachusetts Rehabilitation Commission (MRC) of the Commonwealth of Massachusetts Executive Office of Health & Human Services. The RFR is seeking responses for the purpose of procuring accessibility modifications to the principal residences of eligible individuals with severe disabilities who require such modifications to live independently or obtain/maintain employment. The RFR has a response due date and bid opening date, and requires vendors to submit a cover letter, resumes, business references, credentials, equipment descriptions, CORI assurances, signatory listings, certificates of good standing, supplier diversity plans, insurance documentation, financial pre-qualifications, and completed forms.

The related state and local contract opportunity is for "Adaptive Housing Services 22 - MRC HOUSING ADAP 22" in the state of Massachusetts. The contract will provide accessibility modifications to support independent living and employment for individuals with severe disabilities. Pricing terms, set-asides, incumbents, funding requirements, and other details are not explicitly provided in this document.

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Other files

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Disclosure Form for Entities~3.pdf PDF
SDP-FORM-for-POS 042624~1.xls XLS spreadsheet
MA DOR Certificate of Good Standing - 101718~20.docx DOCX document
CORI Form~8.pdf PDF
CORI Assurance Letter Agency~17.docx DOCX document
CommonwealthTermsAndConditions 102519~8.pdf PDF
newmass-w9~5.pdf PDF
StandardContractFormAndInstructions 102519~16.pdf PDF
71835 - Adaptive Housing QA.docx DOCX document
Contractor Authorization Signatory Listing~39.rtf RTF text file
MRC Appendix 1-2~2.docx DOCX document
Job Aid using-q-and-a-tab-within-a-commbuys-bid~31.pdf PDF
Provider Type 35~5.pdf PDF
Adaptive Housing Services RFR FY22- Amendment 1.docx DOCX document
How to verify Cori~7.doc DOC document
Business Reference Form~48.doc DOC document
Instructions for Disclosure Form for Entities~2.pdf PDF
MA Medicaid Program Provider Agreement and Acknowledgement of Terms of Participation~7.pdf PDF
Prompt Payment Discount Form~47.doc DOC document
Electronic Funds Transfer Sign Up Form REVISED AUG 2020~11.pdf PDF
NEW BID AMENDMENT_PER_EO599_MAY_2024~2.docx DOCX document
RFR Cover Page - MRC HOUSING ADAP 22.docx DOCX document
Response_Evaluation_and_Scoring_for_POS_Bid_71835_May_2024.docx DOCX document
Job Aid create-a-quote-in-commbuys~49.pdf PDF
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Text version

THE COMMONWEALTH OF MASSACHUSETTS

EXECUTIVE OFFICE OF HEALTH & HUMAN SERVICES

MASSACHUSETTS REHABILITATION COMMISSION (MRC)

RFR Response Checklist

Vendor/Provider Name___________________

RFR NAME____________________________

COMMBUYS Bid Solicitation # __________________ Response Due Date/Bid Opening Date __________________

RFR Cover Page Letter Summarizing Bidder’s interest in and qualifications for this job Resumes of Principals or description of experience in Adaptive Housing for individuals for disabilities Business Reference Form Credentials for key personnel including copies of applicable licenses and/or certifications Description of equipment which vendor is authorized to install and/or service, including copies of the vendor’s certifications from the manufacturer CORI Assurance Letter for Organizations

OR

CORI Acknowledgement Form for individual providers Contractor Authorization Signatory Listing (CASL) DOR Certificate of Good Standing Supplier Diversity Plan (SDP) for POS (Updated May 2024) Copy of Company Liability Insurance Prompt Payment Discount (PPD) Form Environmentally Preferable Products/Practices Form Description of the Massachusetts geographical area covered by the bidder Copy of Organizational Liability Insurance Insurance Certificates with applicable limits and coverage stated. MRC employees, clients, and agents must be listed as covered by the insurance Financial Pre-Qualification requirements, as listed in RFR section “Additional Requirements for Financial Pre-Qualification” section Copy of corrective action plan during last five years, if any, along with status W9 Form Electronic Funds Transfer Form (EFT) ‘No Bid’ box unchecked in vendor electronic response (see ‘How to Create a Quote in COMMBUYS’ job aid)

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