Solicitation_No._BPM003737_Attachments-_Valleywise_Health (2).pdf
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- Attached to
- Master Agreement AZ|CTR057399
- Contract number
- CTR057399
- Issued by
- Arizona
About this file
This document is a Request for Proposal (RFP) No. BPM003737 from the Arizona Department of Economic Security for a Refugee Program - Health Promotion contract. The solicitation involves Valleywise Health, located in Phoenix, Arizona, as the potential contractor. The RFP includes multiple attachments covering various aspects of the proposed contract, such as offer and acceptance, certifications regarding lobbying, debarment, and business associate agreements.
The contract is for a Refugee Program - Health Promotion service, with a total service cost of $93,750.00 for the period of 10/1/2021 - 9/30/2022. The scope includes employing a Cultural Health Navigator (1.0 FTE) working Monday-Friday from 7:00-4:00 in Maricopa County. The budget breakdown covers personnel costs, employee-related expenses, professional services, travel, equipment, materials and supplies, operating services, and indirect costs. Valleywise Health will use their federally negotiated indirect cost rate, and the contract includes provisions for pandemic performance planning, health information privacy, and various certifications required for federal grant-funded services.
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Text version
Solicitation Amendment Available Online at https://app.az.gov Page 1 of 1
Request for Proposal (RFP) Solicitation Amendment No. 1
BPM003737
Solicitation Due Date:
August 26, 2021 3:00 p.m. MST
ARIZONA DEPARTMENT OF
ECONOMIC SECURITY
1789 W. Jefferson Street
Phoenix, AZ 85007
(602) 364-0170
(602) 542-4496 Fax Procurement Officer
Frances Rubio Solicitation Amendments may be issued at any time prior to the Bid End Date. It is the responsibility of the Bidder to check the State’s eProcurement website for Solicitation Amendments. A signed copy of this Amendment shall be submitted with your Solicitation response.
Solicitation No. BPM003737 is amended as follows:
1. Solicitation Requirements Request for Proposal (RFP) Part 1 of 2, Scope of Work, Section 8, Payment, is hereby revised to add the following:
8.4 The Contractor may use their federally negotiated indirect cost rate or the 10% de Minimus indirect cost rate. If the federally approved indirect cost rate changes or is allowed to expire within the contract period, the Contractor shall notify ADES of the changes.
2. Solicitation Requirements Request for Proposal (RFP) Part 1 of 2, ADES Special Terms and Conditions, Section
34. Pandemic Contractual Performance, subsection 34.1 is hereby revised to read as follows:
34.1 The Department shall require a written plan upon request, that illustrates how the Contractor shall perform up to contractual standards in the event of a pandemic, the plan shall be mutually agreed upon and accepted. The Department may require a copy of the plan at any time prior or post award of a contract. At a minimum, the pandemic performance plan shall include:
34.1.1 Key succession and performance planning if there is a sudden significant decrease in Contractor’s workforce.
34.1.2 Alternative methods to ensure there are services or products in the supply chain.
34.1.3 An up-to-date list of company contacts and organizational chart.
3. Solicitation Instructions Request for Proposal (RFP) Part 2 of 2, Attachment 13 – Itemized Service Budget, is hereby revised as follows:
Attached Excel Itemized Service Budget (ISB) Form, Attachment 13, ISB instructions is revised to update the Budget Category, Section 9, Indirect Costs.
4. Solicitation Instructions Request for Proposal (RFP) Part 2 of 2, Attachment 14, Certification of de Minimis Indirect Cost Rate, is hereby added as follows:
Attachment 14, Certification of de Minimis Indirect Cost Rate form.
5. Solicitation Requirements, Solicitations Instructions and Attachment 13, Itemized Service Budget are revised and replaced in its entirety, Attachment 14, Certification of de Minimis Indirect Cost Rate is added with the following:
• BPM003737 Solicitation Instructions per Amendment 1
• BPM003737 Solicitation Requirements per Amendment 1
• Attachment 13, Itemized Service Budget per Amendment 1
All other provisions shall remain in their entirety.
Vendor Arizona Department of Economic Security
Vendor hereby acknowledges receipt and understanding of above Solicitation Amendment.
The above referenced Solicitation Amendment is hereby executed this 18th day of August, 2021 in Phoenix, Arizona
Frances Rubio, Procurement Specialist
Signature Date
Name and Title
Name of Company
8/26/2021Cynthia Morrison, Grants Program Mgr
Valleywise Health
Offeror Submittal Documents
Solicitation No.: BPM003737
Description: Refugee Program – Health Promotion
RFP Part 2 of 2 Available Online at https://app.az.gov Page 36 of 38
Attachment 12 - Facility Location and Staffing Chart
Organization Name Administrative Office(s) Address Phone Number, Fax Number Contact Name Contact’s Email Address
Sub
Position Title
No. FTEs
Days and Hours of Operation
Geographic Area to be Served
The facility(s) listed above will not be open on those holidays marked below (insert an X for applicable holidays):
[ ] New Year’s Day [ ] Good Friday [ ] President’s Day [ ] Yom Kippur [ ] Washington’s Birthday [ ] Martin Luther King Jr’s
Birthday [ ] Memorial Day [ ] Rosh Hashanah
[ ] Columbus Day [ ] Labor Day [ ] Lincoln’s Birthday [ ] Independence Day [ ] Christmas [ ] Veteran’s Day [ ] Thanksgiving Day [ ] Other: Please explain
X
X X
X
X X
X X
X X
Valleywise Health 2601 E. Roosevelt St.
602-344-5522 Steve Purves, President and CEO Steve.Purves@valleywiseheatlh.org
Cultual Health Navigator Maricopa CtyMon-Friday 7:00-4:001.0 FTE https://app.az.gov/
CONTRACT SERVICE: Health Promotion CONTRACTOR NAME:
1. PERSONNEL
TOTAL
Number of FTE Total Salary for the % Allocated Service SERVICE DAAS
Positions Level Position Title Contract Period *A + D = Total COST COST
2 0.50
Cultural Health Navigator
(CHN) $48,286 .15% + .35% = .5% $48,286.08 $48,286.08
(Salary reflects unproductive time)
TOTAL PERSONNEL TOTAL: $48,286.08 $48,286.08
*A = % Administrative Functions D = % Direct Service Functions
2. EMPLOYEE RELATED EXPENSES
TOTAL DAAS
ITEM BASIS COST COST
1 Fringe Benefits 32% $15,451.55 $15,451.55
(FICA & MHI 7.65%), (ASRS 12.41%), (Health Ins
11.5%), (Dental Ins .35%), (Other ERE 0.09%)
TOTAL EMPLOYEE RELATED EXPENSES TOTAL: $15,451.55 $15,451.55
3. PROFESSIONAL AND OUTSIDE SERVICES
TOTAL DAAS
ITEM BASIS COST COST
1 Pathways to Wellness Trainer 4 hr. training $1,000.00 $1,000.00
TOTAL PROFESSIONAL AND OUTSIDE SERVICES TOTAL: $1,000.00 $1,000.00
4. TRAVEL
TOTAL DAAS
ITEM BASIS COST COST
1 Mileage Federal Mileage Rate: .56/mile $300.00 $300.00
TOTAL TRAVEL TOTAL: $300.00 $300.00
5. SPACE
TOTAL DAAS
ITEM BASIS COST COST
$0.00 $0.00
TOTAL SPACE TOTAL: $0.00 $0.00
6. EQUIPMENT TOTAL DAAS
COST COST
ITEM BASIS TOTAL: $0.00
2 Computer 850.00 $1,700.00 $1,700.00
TOTAL EQUIPMENT TOTAL: $1,700.00 $1,700.00
7. MATERIALS AND SUPPLIES
TOTAL DAAS
ITEM BASIS COST COST
1 Printing of flyers and education material $800.00 $800.00
1 Program Supplies $1,100.00 $1,100.00
TOTAL MATERIALS AND SUPPLIES TOTAL: $1,900.00 $1,900.00
8. OPERATING SERVICES
TOTAL DAAS
ITEM BASIS COST COST
2 Cell Phones 101.42 $202.84 $202.84
1 Monthly Charge x 12 months 61.33 $1,472.03 $1,472.03
TOTAL OPERATING EXPENSES TOTAL: $1,674.87 $1,674.87
9 INDIRECT COSTS
TOTAL DAAS
ITEM BASIS COST COST
Indirect Costs Federal Indirect Cost Rate of 25% $23,437.50 $23,437.50
TOTAL INDIRECT COSTS TOTAL: $23,437.50 $23,437.50
10 ADMIN COST TOTAL: $93,750.00 $93,750.00
11. TOTAL SERVICE COST/DAAS TOTAL COST: $93,750.00 $93,750.00
REVENUE SOURCES:
TOTAL REVENUE: $93,750.00 $93,750.00
Attachment 13
Itemized Service Buget (ISB)
Contract Period: 10/1/2021 - 9/30/2022
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