RFP document template - National Family Preservation Network

[pic] STATE OF MISSOURI
OFFICE OF ADMINISTRATION
DIVISION OF PURCHASING AND MATERIALS MANAGEMENT (DPMM)
REQUEST FOR PROPOSAL (RFP)
RFP NO.: B3Z12116 REQ NO.: NR 886 46741300000
TITLE: Intensive In-Home Services BUYER: Julie Kleffner
ISSUE DATE: 01/13/12 PHONE NO.: (573) 751-7656
E-MAIL: Julie.kleffner@oa.mo.gov RETURN PROPOSAL NO LATER THAN: February 14, 2012 AT 2:00 PM CENTRAL TIME MAILING INSTRUCTIONS: Print or type RFP Number and Return Due Date on the
lower left hand corner of the envelope or package.
Delivered sealed proposals must be in DPMM office
(301 W High Street, Room 630) by the return date and
time. (U.S. Mail) (Courier Service)
RETURN PROPOSAL TO: DPMM or DPMM
PO BOX 809 301 WEST HIGH STREET, RM 630
JEFFERSON CITY MO 65102-0809 JEFFERSON CITY MO 65101-1517 CONTRACT PERIOD: Date of Award through June 30, 2013 DELIVER SUPPLIES/SERVICES FOB (Free On Board) DESTINATION TO THE FOLLOWING
ADDRESS: Department of Social Services
Children's Division
Post Office Box 88
Jefferson City MO 65102 The offeror hereby declares understanding, agreement and certification of
compliance to provide the items and/or services, at the prices quoted, in
accordance with all requirements and specifications contained herein and
the Terms and Conditions Request for Proposal (Revised 12/01/11). The
offeror further agrees that the language of this RFP shall govern in the
event of a conflict with his/her proposal. The offeror further agrees that
upon receipt of an authorized purchase order from the Division of
Purchasing and Materials Management or when a Notice of Award is signed and
issued by an authorized official of the State of Missouri, a binding
contract shall exist between the offeror and the State of Missouri. SIGNATURE REQUIRED
|DOING BUSINESS AS (DBA) NAME | |LEGAL NAME OF ENTITY/INDIVIDUAL FILED |
| | |WITH IRS FOR THIS TAX ID NO. |
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|MAILING ADDRESS | |IRS FORM 1099 MAILING ADDRESS |
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|CITY, STATE, ZIP CODE | |CITY, STATE, ZIP CODE |
| | | | |CONTACT PERSON |EMAIL ADDRESS |
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|PHONE NUMBER |FAX NUMBER |
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|TAXPAYER ID NUMBER (TIN) | TAXPAYER ID (TIN) TYPE |VENDOR NUMBER (IF KNOWN) |
| |(CHECK ONE) | |
| |___ FEIN ___ SSN | |
|VENDOR TAX FILING TYPE WITH IRS (CHECK ONE) |
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|___ Corporation ___ Individual ___ State/Local Government ___ |
|Partnership ___ Sole Proprietor ___IRS Tax-Exempt |
|AUTHORIZED SIGNATURE |DATE |
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|PRINTED NAME |TITLE |
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introduction and general information 1 Introduction:
1 This document constitutes a request for competitive, sealed proposals
for the provision of Intensive In-Home Services as set forth herein.
2 Organization - This document, referred to as a Request for Proposal
(RFP), is divided into the following parts: 1 Introduction and General Information
2 Contractual Requirements
3 Proposal Submission Information
4 Pricing Page(s)
5 Exhibits A - K
6 Terms and Conditions
7 Attachments 1 - 7
The offeror is advised that attachments exist to this document
which provide additional information and instruction. These
attachments are separate links that must be downloaded from the
Division of Purchasing and Materials Management's Internet web
site at: https://www.moolb.mo.gov. It shall be the sole
responsibility of the offeror to obtain each of the attachments.
The offeror shall not be relieved of any responsibility for
performance under the contract due to the failure of the offeror
to obtain a copy of the attachments.
2 Background Information: 1 Intensive In-home Services (IIS) are intensive, short-term, home based,
crisis intervention services offering families in crisis the alternative to
remain safely together, averting the out-of-home placement of children
whenever possible. The Intensive In-Home Services program combines skill-
based intervention with maximum flexibility so that services are available
to families according to their unique needs. Among other services, family
members may receive individual and family counseling, parenting education,
child development training, household maintenance education, nutritional
training, job readiness training, and referral to other community
resources. Services provided are focused upon assisting in crisis
management and restoring the family to an acceptable level of functioning. 2 Intensive In-home Services is based upon the belief that families can,
through intervention, learn to nurture their children, improve their
functioning, and gain support within their community to enable the family
to remain safely together. The goal of Intensive In-home Services is to
protect children through the enhancement of family capabilities. The
Intensive In-home Services program is available throughout the state. 3 Missouri IIS Contract Sites (Attachment 1) provides a listing of the
Department of Social Services, Children's Division seventeen (17) project
sites. Intensive in-home services are provided by contracted service
providers. 4 Philosophical Base of Family-centered Social Work Practice (Attachment 2)
provides the Department of Social Services' philosophy of family centered
practice for the purpose of ensuring children remain safely in the home and
providing ongoing comprehensive case management following the completed
provision of Intensive In-home Services.
6 The Intensive In-Home Services Annual Report is available on-line at
http://dss.mo.gov/re/iisar.htm. 7 Previous contracts exist for the services being obtained via this RFP. A
copy of the contracts can be viewed and printed from the Division of
Purchasing and Materials Management's Awarded Bid & Contract Document
Search System located on the Internet at: http://www.oa.mo.gov/purch. In
addition, all proposal and evaluation documentation leading to the award of
the contracts may also be viewed and printed from the Division of
Purchasing and Materials Management's Awarded Bid & Contract Document
Search System. Please reference the Bid number B3Z08057 or any of the
contract numbers, C308057001 through C308057014, when searching for these
documents. 8 Although an attempt has been made to provide accurate and up-to-date
information, the State of Missouri does not warrant or represent that the
background information provided herein reflects all relationships or
existing conditions related to this Request for Proposal.
CONTRACTUAL REQUIREMENTS 1 General Requirements: f 1 The contractor shall provide Intensive In-home Services or the Department
of Social Services, Children's Division (hereinafter referred to as the
state agency), in accordance with the provisions and requirements stated
herein. 1 Intensive In-home Services (IIS) shall be defined as intensive, short-
term, home-based, crisis intervention services that offer families in
crisis the alternative to remain safely together, averting the out-of-
home placement of children. 2 The contractor shall provide the Intensive In-home Services at the
project site(s) stated in the Notice of Award issued by the Division of
Purchasing and Materials Management (hereinafter referred to as Notice of
Award). The project site(s) shall be as defined in Attachment 1. 3 The contractor shall perform the required services on an as needed, if
needed basis to the sole satisfaction of the state agency. The contractor
shall understand and agree that there is no specific guarantee about the
quantity, if any, of intensive in-home services required under the
contract. 4 Unless otherwise specified herein, the contractor shall furnish all
material, labor, facilities, equipment, and supplies necessary to perform
the services required herein. 2 Implementation Period Requirements: 1 By no later than ten (10) calendar days after the issuance of the Notice
of Award, the contractor must provide the state agency with a Code of
Conduct and a dress code policy specific to Intensive In-home Services
personnel for review and approval prior to the provision of services. The
contractor shall