RFx PDF (1).pdf

ORIGINAL

BID - Invitation For Bid 12-8500 Psych Case Review Svcs - BDD

BID Effective Date:

02/16/2022

Bid Invitation Number:

6100055293

Type of Security furnished if required:

Irrevocable letter of credit

Supplier Name/Address:

Your SAP Vendor Number with us: _______________________

Certified bank cashier's check

Certificate of deposit

Other as specified by bid

Bond - If annual bond:

What is the name of the principal on the bond?

Procurement Contact:

Buyer: Tina Billow

Phone:

Fax: 717-705-5554

Return Bid by:

Bid Ending Date:

03/11/2022

Bid Ending Time:

10:00:00

Expiration Date of Contract (if applicable)

Delivery Date:

See Items

Issuing Office:

Tina Billow

Pa Dept of Labor and Industry

BAS Room 205 Procurement

651 Boas Street

HARRISBURG PA 17121-0750 US

Please Return Quotation to:

Pa Dept of Labor and Industry

BAS Room 205 Procurement

651 Boas Street

HARRISBURG PA 17121-0750 US

Please Deliver To:

Executive Branch Rm 508 Main Capitol Harrisburg PA 17120 US

This Invitation For Bids is comprised of: Part I, General Information; Part II, Bid Requirements; Part III, Criteria For Selection;

Part IV, IFB Specifications; Part V, Contract Clauses; any documents attached to this Invitation For Bids or incorporated by reference; and any addenda issued by the Issuing Office prior to Bid Opening.

Supplier's Signature _________________________________ Title ____________________________________________

Printed Name _________________________________ Date ________________________

The Bidder has completed and submitted this Bid in accordance with the instructions and requirements and terms and conditions of the Invitation For Bid. The Bidder has attached documents that are required to be submitted with this Bid and those attachments are incorporated by reference and made a part of this Bid. The Bidder, intending to be legally bound hereby, offers and agrees, if this Bid is accepted, to provide the awarded items at the price(s) set forth in this Bid at the time(s) and place(s) specified.

Item Material/Service Desc

Qty UOM Unit Price Total Line Item Price

1 Greensburg FY 2022 1.000 Case

2 Harrisburg FY 2022 1.000 Case

Item Text

See Statement of Work for requirements

ALL PRICES ARE F.O.B. DESTINATIONS

List of Items Continued on Following Page

12-8500 Psych Case Review Svcs - BDD

Supplier Name: ________________________________

Item Material/Service Desc

Qty UOM Unit Price Total Line Item Price

3 Wilkes Barre FY 2022 1.000 Case

Item Text

See Statement of Work for requirements

4 Greensburg FY 2023 1.000 Case

Item Text

See Statement of Work for requirements

5 Harrisburg FY 2023 1.000 Case

Item Text

See Statement of Work for requirements

6 Wilkes Barre FY 2023 1.000 Case

Item Text

See Statement of Work for requirements

7 Greensburg FY 2024 1.000 Case

Item Text

See Statement of Work for requirements

8 Harrisburg FY 2024 1.000 Case

Item Text

See Statement of Work for requirements

9 Wilkes Barre FY 2024 1.000 Case

ALL PRICES ARE F.O.B. DESTINATIONS

12-8500 Psych Case Review Svcs - BDD

Supplier Name: ________________________________

Item Material/Service Desc

Qty UOM Unit Price Total Line Item Price

Item Text

See Statement of Work for requirements

10 Non Case Services 1.000 Each

Item Text

See Statement of Work for requirements

General Requirements for all Items:

Header Text

The Department of Labor and Industry, Bureau of Disability Determination is soliciting for Suppliers to provide Psychiatric Case Review Services in the Greensburg, Harrisburg, and Wilkes Barre Branch Offices.

The Contract is anticipated to begin on July 1, 2022, and terminate June 30, 2025 with (1) one additional (2) two-year renewal option.

BIDS MUST BE SUBMITTED ELECTRONIALLY

Bids are due 3/11/2022 @ 10:00 AM. Late bids will be disqualified. Failure to submit bid as described may result in your being rejected as a non responsive bidder.

For the purposes of the electronic submission all responders should bid as follows: Price per case review for the offices where service will be provided and $80.00 for non-case review services.

For technical questions regarding specifications or bidding on this solicitation contact:

RA-li-OIT-BAS-procur@pa.gov

Bid Attachments:

Statement of Work Terms and Condition Business Associate Addendum (HIPAA)

Bid Forms & Documents Lobbying Certification Form Bureau of Disability Determination Requirements Checklist-Psychiatrist Bureau of Disability Determination Requirements Checklist-Psychologist Worker Protection Form BOP 2201 DGS Certified Small Business Certificate (if certified)

Contractors will print out the bid form and identify the number of cases per branch office they are committing to review and submit with the bid response. Contractor will also provide a copy of insurance coverage with the bid response.

ALL PRICES ARE F.O.B. DESTINATIONS

12-8500 Psych Case Review Svcs - BDD

Supplier Name: ________________________________

All responsive suppliers will receive a contract. An award of a contract is not a guarantee of an assignment of a Purchase Order or any amount of work.

All quantities are estimates and may be increased or decreased as required.

See Statement of Work for Requirements.

Small Business Procurement Program - Small Business suppliers are encouraged to take advantage of this bidding opportunity. Vendors who qualify & register as DGS certified small businesses will be assigned priority work. Information on qualifying as a DGS Certified Small Business can be found at:

https://www.dgs.pa.gov/Small%20Business%20Contracting%20Program/Pages/default.aspx. Certificates will be uploaded the bid response.

Enter total bid amount here >>>>>>>>>>>>>

ALL PRICES ARE F.O.B. DESTINATIONS

12-8500 Psych Case Review Svcs - BDD

Supplier Name: ________________________________

*** Attributes Page ***

*** No further information for this bid ***

Mandatory QUESTION #02 - Is the offer in accordance with the “Representations and Authorizations” listed in section “Submission – 001.1” of the attached solicitation document?

Response:

Mandatory QUESTION #01 - Has the submitter read, and does the submitter understand, the “Representations and Authorizations” listed in section “Submission – 001.1” of the attached solicitation document?

Response: