S000000197 RFQ Response Packet.docx

RESPONSE PACKET

S000000197

RESPONSE SIGNATURE PAGE

Type or print the following information.

PROSPECTIVE CONTRACTOR’S INFORMATION

Company:

Address:

City:

State:

Zip Code:

PROSPECTIVE CONTRACTOR CONTACT INFORMATION

Provide contact information to be used for solicitation related matters.

Contact Person:

Title:

Phone:

Alternate Phone:

Email:

CONFIRMATION OF REDACTED COPY

☐ YES, a redacted copy of submission documents is enclosed.

☐ NO, a redacted copy of submission documents is not enclosed. I understand a full copy of non-redacted submission documents will be released if requested.

Note: If a redacted copy of the submission documents is not provided with Prospective Contractor’s response packet, and neither box is checked, a copy of the non-redacted documents, with the exception of financial data (other than pricing), will be released in response to any request made under the Arkansas Freedom of Information Act (FOIA). See Solicitation Terms and Conditions for additional information.

ILLEGAL IMMIGRANT CONFIRMATION

By signing and submitting a response to this Solicitation, Prospective Contractor agrees and certifies that they do not employ or contract with illegal immigrants and shall not employ or contract with illegal immigrants during the term of a contract awarded as a result of this solicitation.

ISRAEL BOYCOTT RESTRICTION CONFIRMATION

By checking the box below, Prospective Contractor agrees and certifies that they do not boycott Israel and shall not boycott Israel during the term of a contract awarded as a result of this solicitation.

☐ Prospective Contractor does not and shall not boycott Israel.

An official authorized to bind the Prospective Contractor to a resultant contract shall sign below.

The signature below signifies agreement that any exception that conflicts with a Requirement of this Solicitation may cause the Prospective Contractor’s response to be rejected.

Authorized Signature: _________________________________ Title: ____________________________

Printed/Typed Name: _________________________________ Date:____________________________ submission requirements checklist The following items must be submitted with the Prospective Contractor’s response:

· Response Signature Page

· Recommended Options Form

· Proposed Subcontractors Form

· Information for Evaluation

· Experience (2 pages or less)

· Solution (2 pages or less)

· Risk (2 pages or less)

· Exceptions Form, if applicable

· Disclosure Information form

· Copy of Prospective Contractor’s Equal Opportunity Policy

The following items, which must be submitted prior to a contract award to the Prospective Contractor, may also be included with the Prospective Contractor’s response:

· EO 98-04: Contract and Grant Disclosure Form

RECOMMENDED OPTIONS FORM

· Identify optional recommended services available to the State, along with the schedule impact and cost details of each item. Responses to this form will not be scored for evaluation purposes.

· Costs associated with the optional recommended services must be included on this form and must not be included in the Information for Evaluation response.

PROSPECTIVE CONTRACTOR PROPOSES THE FOLLOWING OPTIONAL RECOMMENDED SERVICES UNDER A RESULTING CONTRACT.

Item Description:

How will this add value?

Schedule Impact:

Cost Details:

Item Description:

How will this add value?

Schedule Impact:

Cost Details:

Item Description:

How will this add value?

Schedule Impact:

Cost Details:

Item Description:

How will this add value?

Schedule Impact:

Cost Details:

Item Description:

How will this add value?

Schedule Impact:

Cost Details:

Item Description:

How will this add value?

Schedule Impact:

Cost Details:

☐ PROSPECTIVE CONTRACTOR DOES NOT OFFER OPTIONAL RECOMMENDED SERVICES.

PROPOSED SUBCONTRACTORS FORM

· Do not include additional information relating to subcontractors on this form or as an attachment to this form.

PROSPECTIVE CONTRACTOR PROPOSES TO USE THE FOLLOWING SUBCONTRACTOR(S) TO PROVIDE SERVICES.

Please provide the following information

☐ PROSPECTIVE CONTRACTOR DOES NOT PROPOSE TO USE SUBCONTRACTORS TO PERFORM SERVICES.

INFORMATION FOR EVALUATION – EXPERIENCE

Using this template, Prospective Contractors should provide the Prospective Contractor’s experience and capabilities to meet the Solicitation requirements. The information provided should be prioritized beginning with the most important and/or relevant experience listed first.

Prospective Contractors may expand the space in each table, add a table, or delete a table as needed, but Prospective Contractors shall not exceed the two-page limit for this subsection. See RFQ Section 3.2 for more information about this subsection.

Prospective Contractors shall not include the Prospective Contractor’s name or any other identifiers, including without limitation names of staff members, projects, clients, products, and addresses on the Information for Evaluation – Experience document.

Prospective Contractors may delete the instructions above and example below.

Example:

Claim of Expertise:

Documented Performance:

Claim of Expertise:

Documented Performance:

Claim of Expertise:

Documented Performance:

Claim of Expertise:

Documented Performance:

Claim of Expertise:

Documented Performance:

Claim of Expertise:

Documented Performance:

Claim of Expertise:

Documented Performance:

Claim of Expertise:

Documented Performance:

Claim of Expertise:

Documented Performance:

INFORMATION FOR EVALUATION – SOLUTION

Using this template, Prospective Contractors should include a narrative to address and provide a high-level overview of the solution and/or approach proposed using the requirements outlined in the Solicitation.

Prospective Contractors shall not exceed the two-page limit for this subsection. See RFQ Section 3.2 for more information about this subsection.

Prospective Contractors shall not include the Prospective Contractor’s name or any other identifiers, including without limitation names of staff members, projects, clients, products, and addresses on the Information for Evaluation - Solution document.

Prospective Contractors may delete the instructions above.

INFORMATION FOR EVALUATION – RISK

Using this template, Prospective Contractors should identify and prioritize major risks that they reasonably foresee could potentially prevent or impair the Prospective Contractor’s delivery of the solution as offered in the response or to otherwise fail to meet the State’s desired outcome, specifications, and performance standards, and how they will mitigate, manage, and/or minimize each risk listed.

Prospective Contractors may expand the space in each table, add a table, or delete a table as needed, but Prospective Contractors shall not exceed the two-page limit for this subsection. See RFQ Section 3.2 for more information about this subsection.

Prospective Contractors shall not include the Prospective Contractor’s name or any other identifiers, including without limitation names of staff members, projects, clients, products, and addresses on the Information for Evaluation - Risk document.

Prospective Contractors may delete the instructions above and the example shown below.

Example:

Risk Description:

Solution:

Documented Performance:

Risk Description:

Solution:

Documented Performance:

Risk Description:

Solution:

Documented Performance:

Risk Description:

Solution:

Documented Performance:

Risk Description:

Solution:

Documented Performance:

Exceptions FORM Prospective Contractor shall document all exceptions related to requirements in the Solicitation and terms in the Services Contract (SRV-1) Fillable Form and Solicitation Terms and Conditions located on the TSS OSP website. See Sections 1.9 and 1.10 of the Solicitation.

1.

2.

3.

DISCLOSURE INFORMATION

· These items will not be scored as part of the response evaluation; however, failure to provide the required items will result in rejection of a Prospective Contractor’s response.

· Prospective Contractor may expand the space under each item/question to provide a complete response.

Describe all actual, potential, or appearances of conflicts of interest involving principal or lead attorneys in your law firm that may affect your law firm’s representation of the Commission, Division, or both. Provide an explanation.

Identify any known relationships, either business or personal, which your law firm or a member of your law firm has with any Commission member or key employee of the Commission, Division, or both. If aware of none, state "None." (A list of Commission members and key employees can be provided upon request. A formal conflicts check will be required prior to contracting.)

Identify any relationships, either business or personal, which your law firm or a member of your law firm has with a person known to you to have substantial business dealings with the Commission, Division, or both. If aware of none, state "None."

Identify any other known conflicts of interest your law firm or a member of your law firm has with any Commission member or key employee of the Commission, Division, or both. If aware of none, state "None."