Solicitation 6100029089 Chaplain Protestant SEVC.pdf

ORIGINAL

BID - Invitation For Bid Protestant Chaplaincy Services

BID Effective Date:

04/18/2014

Bid Invitation Number:

6100029089

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: Karen Turns

Phone:

Fax:

Return Bid by:

Bid Ending Date:

05/06/2014

Bid Ending Time:

14:00:00

Expiration Date of Contract (if applicable)

Delivery Date:

See Items

Issuing Office:

Karen Turns

DEPARTMENT OF MILITARY & VETERANS AFFAIR

BLDG S-O-47 FORT INDIANTOWN GAP

ANNVILLE PA 17003 US

Please Return Quotation to:

DEPARTMENT OF MILITARY & VETERANS AFFAIR

BLDG S-O-47 FORT INDIANTOWN GAP

ANNVILLE PA 17003 US

Please Deliver To:

Southeastern Veterans Center One Veterans Drive Spring City PA 19475 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 Chaplain Svcs 07/01/14 through 06/30/15 960.000 Hour

2 Chaplain Svcs 07/01/15 through 06/30/16 900.000 Hour

3 Chaplain Svcs 07/01/16 through 06/30/17 900.000 Hour

ALL PRICES ARE F.O.B. DESTINATIONS

List of Items Continued on Following Page

Protestant Chaplaincy Services Original Approval Date: 04/17/2014

Supplier Name: ________________________________

General Requirements for all Items:

Header Text

The purpose of this solicitation is to provide Protestant Chaplaincy Services to residents of the Southeastern Veterans Center, One Veterans Drive, Spring City, PA 19475-1230.

This solicitation is comprised of the following documents:

1. Invitation to Bid

2. Statement of Work and Requirements

3. Contractor Information Sheet

4. Business Associates Agreement (HIPPA)

5. Medical Assistance Bulletin 99-11-05

6. Attestation Form (Provider Screening of Employees and Contractors)

7. Annual Tuberculosis Assessment Form

8. Contract Compliance

Please ensure that you have read all documents listed above and return all completed documents listed below with your bid submission.

1. Bid Solicitation – Pricing for all (3) years

2. Contractor Information Sheet

3. Attestation Form (Provider Screening of Employees and Contractors)

4. Annual Tuberculosis Assessment Form Failure to complete and return requested documents via the supplier portal may result in the rejection of your bid. Please return all documents to me by Tuesday, May 6, 2014 before 2 p.m.

The Commonwealth reserves the right to reject any and all bids, to waive technical defects or any informality in bids, and to accept or reject any part of any bid if in the best interest of the Commonwealth are thereby served.

If you have any questions regarding this solicitation please contact Karen Turns at (717) 861-6249 or email at kturns @ pa.gov.

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

ALL PRICES ARE F.O.B. DESTINATIONS

Protestant Chaplaincy Services Original Approval Date: 04/17/2014

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: