Statement of Work Template NCSTU NESTU (HS 07.24.24x2).docx

Department of Human Services North East Secure Treatment Unit (NESTU) and North Central Secure Treatment Unit (NCSTU) Statement of Work-Solicitation# 6100059961 General Dentistry I. Objective The Department of Human Services (“DHS” or “Department”) requires a Contractor to provide General Dentistry services to individuals at North East Secure Treatment Unit (“NESTU”) located at 701 Sathers Drive, Pittston Pennsylvania 18640 and North Central Secure Treatment Unit (“NCSTU”) located at 36 Kirkbride Drive, Danville Pennsylvania 17821 (“Facilities”).

II. Background The selected Contractor shall provide General Dentistry services to residents of NESTU and NCSTU.

III. Term of Service The term of this Service will commence upon issuance of a Purchase Order (“PO”) to the selected Contractor (“Effective Date”) and will expire one year after the Effective Date, unless it is terminated earlier pursuant to the terms of the Purchase Order.

The parties may agree to renew the PO for up to four additional one-year renewal periods, upon the same terms and conditions as set forth in the PO. At the time of each renewal the Department and Contractor shall negotiate the PO unit price not to exceed a maximum of three percent increase over the unit price in effect at the time of each renewal term. The term of the PO may be extended by and at the sole discretion of the Commonwealth for up to three months upon the same terms and conditions where a continued needed exists for the services of the selected contractor and there has been no termination under the terms of the PO. No work may begin or be reimbursed prior to Effective Date of the PO.

IV. Scope of Work

Service Types: The selected Contractor shall provide General Dentistry services which may include the following procedures:

1. Initial Oral Examination

2. Periodic Oral Examination

3. Limited Oral Examination

4. Intraoral periapical- first film

5. Bitewing X-ray – two films

6. Adult Prophylaxis

7. Topical Fluoride Application

8. Amalgam- one surface, permanent

9. Amalgam- two surface, permanent

10. Amalgam- three surface, permanent

V. Specific Requirements

The selected Contractor and the Facility Contract Monitor will mutually agree to a schedule for the selected Contractor to provide General Dentistry services to NCSTU and NESTU residents.

The selected Contractor may provide dental procedures other than those listed above upon approval from the Facility Contract Monitor. Prior to providing the services, the selected Contractor shall furnish a written quote for the requested services.

Bidders should provide a bid price for each line item on the bid. If a bidder is providing services at their published rate, the bidder must provide a published rate price list with their bid. Bidders do not need to provide a bid price for line item 11 on the bid because any services not specified under items 1-10 will fall under the miscellaneous line item and be reimbursed under that item of the PO.

VI. Bid Requirements/Qualifications

Contractors’ must include the following items as attachments to their electronic submission. Failure to submit these items when they are needed may result in the rejection of the Contractor’s submission.

· Professional License Number

· Proof of Insurance

· Pricing List

· Services Provided Form

· Worker’s Protection and Investment Certification Form

VII. Questions and Answers

All questions regarding the IFB must be submitted via the RA-pwbidquestions@pa.gov email address. All questions must be received by [08/12/2024 13:00]. Include the IFB bid number in the subject of the email.

VIII. Award

DHS may make multiple awards in the situation where a single bidder does not have enough staff to fill all positions; this takes precedence over the standard terms and conditions clause regarding multi awards. Award will be based on the bidder having the most sufficient availability of Qualified Staff then Cost.

Once the bid closes, each selected Contractor will be contacted in order per the award, to attain current availability in order to execute a PO. If you are unable to provide services, then the next selected Contractor in line based on the award will be contacted; and so forth. If a selected Contractor is able to provide services, then a PO will be ordered.

This solicitation is reserved for small businesses for the small business reserve program. Please go to the following website for further information on getting self-certified/verified:

https://www.dgs.pa.gov/Small%20Diverse%20Business20Program/Pages/default.aspx

IX. Estimated Quantities

The quantities are estimated only and may increase or decrease dependent upon the needs of the department.

X. Facility Contract Monitor Information

Jen Hons, Nurse Manager North Central Secure Treatment Unit Danville, PA 17821 Phone: 570-849-2043 XI. Invoicing

The selected Contractor shall submit a copy of invoices to the below address. Invoices will be verified and approved by the Facility Contract Monitor prior to payment being issued.

XII. Confirmation of Service

A Service Receipt will be used to verify that work has been completed.

A Service Receipt should be sent to:

DHS - NCSTU

Attn: Accounting Dept.

36 Kirkbride Drive Danville, PA. 17821

XIII. Payment Provisions:

The selected Contractor will be reimbursed only for commodities/services performed and accepted by the Commonwealth of Pennsylvania.

Failure to submit invoices in compliance with the following instructions will result in the invoices being returned to the contractor and will substantially delay processing of payments. The contractor shall be paid upon satisfactory delivery/completion of work performed and submission of an invoice on the contractor’s letterhead.

The invoice should contain at minimum the information listed on the sample invoice – Supplier Sample Invoice can be found at:

http://www.dgsweb.state.pa.us/comod/CurrentForms/SampleSupplierInvoice.doc

XIV. Prison Rape Elimination Act Requirements:

In accordance with its zero-tolerance policy, DHS prohibits all forms of sexual abuse and sexual harassment of juvenile in its facilities. The selected contractor shall comply with Department policy and with the Prison Rape Elimination Act of 2003 (PREA) and its regulation at 28 C.F.R. Part 115 Subpart D, Standards for Juvenile Facilities.

At a minimum, the selected Contractor shall provide a copy of DHS’s Zero Tolerance for Sexual Abuse and Harassment pamphlet to all staff members, including staff of subcontractors who have any contact with juveniles at the facility and shall provide to DHS confirmation of each staff member’s receipt and understanding of the pamphlet as well as to any new staff that may be hired for the duration of the contract. The selected contractor staff members and subcontractors, if any, will not be permitted to provide services until completed sign-off forms are received for those individuals who may come in contact with juveniles at the facility.

DHS may require selected contractor’s staff, including that of subcontractors to undergo additional DHS provided training on their responsibilities under DHS’s sexual abuse and sexual harassment prevention, detection and response policies and procedure. DHS will determine whether additional training is required based upon the nature of contracted services and the level of contact with juveniles at the facility.

Failure to meet the DHS’s requirements regarding PREA training may result in consequences ranging from an individual’s inability to provide services up to and including termination of the contract.

Page 2 of 2 Revision Date: July 14, 2023 image1.png