Sample_Forms.pdf

This file contains sample forms for the Occupational Health Program Services RFP 25079-MST issued by Hillsborough County Public Schools (HCPS) in Florida. The procurement solicits qualified vendors to provide comprehensive occupational health services including random drug testing for current employees, new hire drug testing, DOT physicals, occupational physicals across various job classifications, fit-for-duty evaluations, drug and alcohol testing, immunization programs, and specialized medical screenings. The proposal submission deadline is June 19, 2025, at 3:00 PM. HCPS intends to award both a primary vendor and an alternate vendor, with the primary awardee responsible for services during normal business hours and off-hours drug testing. The initial contract term begins on the first business day after Board approval, with potential automatic renewals for up to four additional one-year periods. Vendors must demonstrate a minimum of three years of experience in occupational health services and provide three business references as part of their proposal submission.

The contract is valued at approximately $700,000 for the initial term, with pricing structured to allow unit-based pricing and a maximum 15% cost-plus markup for additional items. HCPS evaluation criteria total 100 points, allocating 35 points to cost/value, 25 points to overall assessment, 25 points to qualifications and experience, with additional points available for Small Business Encouragement Program (SBEP) vendors. All proposers must complete a W-9 Vendor Payment Profile Form and submit a Vendor Affidavit demonstrating compliance with Florida Statutes Section 787.06(13) regarding labor coercion prohibitions and E-Verify requirements. HCPS actively encourages participation from small businesses and diverse vendors, including service-disabled veterans and minority-owned enterprises, with optional self-identification opportunities for African American, Asian American, Hispanic American, and other diverse business classifications.