ATTACHMENT A: MHARC-146 - MAMÁS Y BEBÉS (MOTHERS … y Bebes - Attachment A (Final).pdfATTACHMENT...

ATTACHMENT A: MHARC-146 - MAMÁS Y BEBÉS (MOTHERS & BABIES) PROGRAM BIDDER PROPOSAL RESPONSE

BIDDERS MAY REQUEST THIS ATTACHMENT IN AN ELECTRONIC WORD FORMAT

BY SENDING AN EMAIL REQUEST TO: [email protected]

TAB A: PROPOSAL SUBMISSION CHECKLIST

Instructions:

Bidder’s proposal shall follow the order provided below; however, the Bidder may insert the number of pages necessary to provide the required information. Bidders are not restricted to the number of pages that have been provided in this attachment.

Bidder’s proposal must contain the following sections (labeled A – J in the original proposal and A – I in the each of the copies, with tabs separating each section), in the order listed below.

The Proposal Submission Checklist shall identify the page numbers where each of the identified sections can be located within the bidder’s proposal. To ensure that all items have been provided, bidders shall check off each box on the checklist to verify the requested information has been provided.

Follow the instructions provided in each section of the RFP.

Bidder may provide additional attachments in Section I of their proposal; however, each item shall be labeled to specifically identify what it is and what page number it can be located on in the proposal.

Bidders that do not follow the instructions or do not provide the information requested in “Attachment A”, may be found “non-responsive” and disqualified from the bid process.

Name of Organization:

Proposal Submission Checklist

General Items:

ONE original (marked original) and SIX copies have been prepared for submission

One electronic copy (Microsoft word or PDF format on a CD or flash drive) has been placed in the original binder

Each binder has tabs labeled A-J (Original) and A-I (six copies) to identify each section of the proposal

Please provide one copy of the following items in your proposal. Indicate the page number where the item is located. Page Number

Tab A – Proposal Submission Checklist (this page) ..............................................................

Tab B – Proposal Cover Page (signed by Authorized Signatory) ..........................................

Tab C – Company/Agency Profile ..........................................................................................

Tab D – Description of Services .............................................................................................

Tab E – Resumes/Credentials ................................................................................................

Tab F – References ................................................................................................................

Tab G – Acknowledgements ..................................................................................................

mailto:[email protected]


Tab H – Cost Proposal Sheet ................................................................................................

Tab I – Bidder Attachments ...................................................................................................

Any response that Bidders are finding difficulty with pasting into the “Bidders Response” boxes in any section of the RFP, bidders shall paste in Tab I. When pasting attachments to Tab I, please label the attachments “Attachment 1”, Attachment 2” and so forth. Enter the corresponding Attachment Number into the Bidder’s Response box with the words “See Tab I”.

List all attachments included in this Section. Please use additional pages to list attachments if necessary.

Attachment Number Document Title Page Number

Attachment 1

Attachment 2

Attachment 3

Attachment 4

Attachment 5

Attachment 6

Attachment 7

Attachment 8

Attachment 9

Attachment 10

Attachment 11

Attachment 12

Attachment 13

Attachment 14

Attachment 15

Attachment 16

Attachment 17

Attachment 18

Attachment 19

Attachment 20

This section should ONLY be included in the Original Proposal:

Section J – Financial Statements

.


TAB B: PROPOSAL COVER PAGE

The Proposal Cover Page must be signed by an authorized representative. Signature by an authorized representative of the firm on the proposal cover page shall constitute a warranty, the falsity of which shall entitle the County of Riverside to pursue any remedy authorized by law, which shall include the right, at the option of the County of Riverside, of declaring any contract made as a result thereof, to be void. BIDDER TO COMPLETE ALL APPLICABLE AREAS BELOW

Bidders are required to register (if not already registered) on the County of Riverside’s website: WWW.PURCHASING.CO.RIVERSIDE.CA.US

The County of Riverside Purchasing Department on behalf of the Department of Mental Health is soliciting proposals from qualified

providers to offer Mamás y Bebés (Mothers and Babies) Program as detailed in Appendix A

There will be a Non-Mandatory Bidder’s Meeting* Meeting Details are as follows:

DATE: February 20, 2014 TIME: 2:00 p.m. LOCATION: Mental Health Administration Building 4095 County Circle Drive, Conference Room A/B Riverside, CA 92503

* Bidders are encouraged to RSVP for the Bidders Meeting by February 13, 2014 by submitting the name(s), email address(es), work address(es)and phone number(s) of the

individual(s) attending and the name of the organization they will be representing via email to Melanie Hurst at: [email protected]

Bid Closing Date: March 26, 2014 no later than 1:30 p.m.

NO FAXED OR EMAILED PROPOSALS WILL BE ACCEPTED

After close of this RFP, the award will be announced within 60- 120 days. If an addendum is issued for this procurement, it will be the Bidder’s responsibility to retrieve all applicable addenda from the Public Purchase / Purchasing website.

"Execution hereof is certification that the undersigned has read and understands the terms and conditions hereof, and that the undersigned's principal is fully bound and committed."

Company Name:

Street Address:

Mailing Address:

City: State: Zip:

Remit to Address:

City : State: Zip:

Phone Number: ( ) Fax Number: ( )

Vendor Website:

Name: Title:

Signature:____________________________________________________________________ Date:____________________________________________________________ Email:________ ___________________________________________________________

If applicable, please check: Disabled Veteran

Form #116-100 RFP Form Word

http://www.purchasing.co.riverside.ca.us/

mailto:[email protected]


TAB C: COMPANY PROFILE

This section of the proposal is designed to establish the Bidder as an entity with the ability and experience to operate the program as specified in the RFP. The following information must be provided in the order that follows:

1. Business name and legal business status (e.g., partnership, corporation, etc.);

BIDDER RESPONSE:

2. Proof of nonprofit status, (IRS Determination letter, or comparable documentation), if applicable;

BIDDER RESPONSE:

3. Provide your agency’s mission statement, if applicable;

BIDDER RESPONSE:

4. Company overview of services or activities performed;

BIDDER RESPONSE:

5. History of company - Include a brief history of the company;

BIDDER RESPONSE:

6. Number of years in business under the present name, as well as prior business names;

BIDDER RESPONSE:

7. Number of years experience providing the proposed, equivalent, or related services;


BIDDER RESPONSE:

8. Whether Bidder holds controlling or financial interest in any other organization, or is owned or controlled by any other

person or organization, if none that must be stated;

BIDDER RESPONSE:

9. Names of persons with whom the Bidder has been associated in business as partners or business associates in the last five years; and

BIDDER RESPONSE:

10. An explanation of any litigation involving the Bidder, or any principal officers thereof, in connection with any contract. If

none, that must be stated.

BIDDER RESPONSE:


TAB D: DESCRIPTION OF SERVICES

This section shall provide a written general understanding of the requirements in the Scope of Services as detailed in the RFP. Space has been provided under each question for the Bidder to provide a response to the question being asked/information being requested. The description of services shall include, in the following order, each of the sections identified below. Bidders are required to provide a response to each item. The information required for each item has been italicized and listed directly above the “Bidder’s Response” within each box. 1. Project Narrative: This section should provide a project summary that outlines your plan for delivery of services for the

program you are proposing as described in Section 3.0, Scope of Service. This should include the target population(s) that will be served by your program and estimated number of unduplicated clients you expect to serve. Please identify the specific target community/communities that you are proposing to serve. As stated early in the RFP, please be sure your proposed number to be served is proportional to the proposed number of communities to be served in the proposed region(s).

Bidder must provide an overview of their proposed program being sure to address the specific needs of the target population that will be served, the number of clients to be served, and what approach and/or methods they plan to utilize to provide the proposed services. List the location(s)/address(es) of the site(s) where services will be provided.

BIDDER’S RESPONSE:

2. Work Plan: This section should provide a detailed work plan that describes your plan for delivery of services for the program you are proposing as described in Section 3.5. The work plan shall address the following sections:

2.1 Provide information on how your agency plans to identify and engage the target population(s), including examples of strategies and specific outreach activities that will be utilized. Also identify potential barriers to reaching the target population(s) and address how you will overcome those barriers.


2.2 Describe your experience in providing services to Latina women and/or pregnant women.



2.3 Describe your plan for providing childcare and ensuring safety.


3. Project Timeline: Bidders shall provide a timeline with benchmark steps and actions toward completion of the deliverables and program implementation.

Bidder shall provide a project timeline that delineates the steps Bidder will take to successfully implement this program.


4. Staffing: Briefly describe your proposed plans for staffing the proposed program; this includes the use of subcontractors and volunteers. This section shall also list any pre-employment screening, testing or background checks for employees, subcontractors, and volunteers, if applicable.

4.1 Bidder shall describe all positions associated with the proposed services including required qualifications (training, certifications, licenses, etc.) for employment in each position. Describe your proposed timetable for hiring staff, if applicable. Also describe any special testing requirements for staff, if applicable.


4.2 Describe your policy and procedures for pre-employment screening and background checks. Description shall include your procedures for conducting background checks for employees, subcontractors, and volunteers. The description shall also include the name of the organization(s) utilized to provide this service.



4.3 Bidder shall provide a proposed weekly staffing schedule showing how many staff by job classification and FTE will be providing the proposed services. Description shall also include the staff/volunteer to family ratio.


4.4 Bidder shall indicate what the minimum and maximum number of hours per week of administrative oversight, supervision and clerical support dedicated to the proposed program will be, and which staff positions will provide this supervision and management. Bidder shall also list the location(s)/address(es) of the site(s) where any administrative services will be provided if not at the proposed location. Description shall also describe your plan for supervision and how the workload will be assigned.


4.5 Bidder shall describe any plans for use of volunteers.


4.6 Proposals will describe any plans to co-locate staff with collaborative service partners; outstation staff at satellite facilities; use mobile response; or other innovative efforts to optimize consumer access to services and to provide services whenever possible in the community and in normal settings.



5. Program Compliance: Describe your history of successful program compliance.

Bidder shall describe your organization’s demonstrated success with program compliance. Response should provide specific details of how your organization has ensured that prior services were provided in accordance with the program requirements. This section shall also state what quality assurance procedures have been implemented to ensure program compliance.


6. Quality Assurance: Describe how the interaction between your company and the County will take place to ensure the

services are performed to the County’s satisfaction, including resolving problems that may be encountered while providing these services.

Bidder shall describe what mechanisms will be put in place ensure that services are provided in accordance to the standards stipulated in the agreement. Bidder shall also describe how they will resolve problems that may be encountered while providing these services.


7. Cultural Competency: In order to ensure that culturally competent services are provided, all program staff shall receive at least one (1) in-service training per year on some aspect of providing culturally and linguistically appropriate services. At least once per year and upon request, Contractor shall provide County with a schedule of in-service training(s) and a list of participants at each such training. Describe how your organization plans to ensure that training is provided to the staff working with the residents and that services are delivered in a cultural competent manner.

Bidder shall describe their cultural competency training program (frequency of training and the training topics offered) and how their staff will work with clients from other cultures. In addition, please indicate whether or not you are able to provide services to non-English speaking and deaf/hearing impaired clients. If so, describe what services, if any, that you will be able to provide to these individuals.



8. Transportation: Describe how your organization plans to ensure that transportation barriers are addressed.

Bidder shall describe how they plan to make services accessible to clients/families, including what contingency plans bidder plans to put in place to overcome transportation being a barrier to participation in the program. Bidder shall describe alternatives to public transportation.


9. Data Management: Briefly describe how your organization currently obtains, tracks, warehouses and shares data. In

addition, please provide a statement that indicates your organization has computers, internet access and has the capability to enter data into the County’s web-based Management Information System.

Bidder shall describe their organization’s capability to obtain, track, warehouse and share data. Bidder shall also be sure to provide a statement that indicates your organization has computers, internet access and has the capability to enter data into the County’s web-based Management Information System.



10. Past and Present Experience (with Riverside County Department of Mental Health): Provide a listing of all current and previous contracts your organization has had with Riverside County Mental Health.

Bidder shall list all current and previous contracts your organization has had with Riverside County Mental Health Department (RCMHD). This list should include the contract period of performance, # of renewal options, the annual dollar amount of the contract, name of the project/program and description of services provided.


Contract Period of Performance (Start Date & End Date)

# of Renewal Options

Annual Dollar Amount of Contract

Project/Program Name & Description of Services Provided

11. Past and Present Experience (with other entities): Provide a listing of all current and previous contracts for similar service that demonstrate your ability to provide the proposed services with entities other than Riverside County Department of Mental Health.

Bidder shall list all current and previous contracts your organization has providing the proposed (or similar) services. This list should include the contract period of performance, # of renewal options, the annual dollar amount of the contract, name of the project/program and description of services provided.


Contract Period of Performance (Start Date & End Date)

# of Renewal Options

Annual Dollar Amount of Contract

Project/Program Name & Description of Services Provided


12. Collaboration & Subcontracting: Briefly describe your proposed plans for collaboration in the provision of the services

identified within this RFP. If Bidder already has existing subcontracts, copies of the subcontract should be submitted as well.

Bidder shall describe their plans to collaborate in the provision of the proposed services. This description shall describe the nature of the collaboration and the responsibilities of each party. If Bidder has existing subcontracts, they should submit copies of them. Bidder shall also provide a statement that indicates whether or not your company will be subcontracting out any portion(s) of the work. If any portion of the work will be subcontracted the name of the subcontractor and the portion of the work, which will be subcontracted must be provided. If your company will not be subcontracting out any portion(s) of the work, that must be stated.



TAB E: RESUMES/CREDENTIALS

This section shall state all employees/subcontractors/volunteers responsible for administering or providing services. Certifications/licenses, if applicable

1. Bidder shall specifically provide the following information for all individuals or positions that have been identified to provide

and/or administer the proposed services:

BIDDER RESPONSE:

NAME (IF POSITION IS NOT CURRENTLY FILLED, STATE “VACANT”)

POSITION TITLE SUMMARY OF PRIMARY RESPONSIBILITIES

SUMMARY OF QUALIFICATION/ EXPERIENCE

DIRECT SUPERVISOR

2. In addition, copies of the following items shall also be provide:

a. Resumes; b. Letters of reference, if available; c. Applicable current professional licenses, permits, and certificates; and d. Any additional information, which will assist in evaluating the individual’s qualifications

BIDDER RESPONSE:

3. If staff have not yet been identified and/or hired, please include a job description which describes the minimum

qualifications of each position in which the information requested in the two items above have not been provided. Please note job descriptions should correlate to the staffing requirements of the RFP.

BIDDER RESPONSE:


TAB F: REFERENCES

This section of the proposal shall include the following:

1. Provide a minimum of three (3) letters of reference on the company’s letterhead from current and past business associates describing: a. The contractor’s successful administration of a similar program; b. The attributes for which they have direct knowledge that confirm the Bidder’s specific skills and expertise with

this population; and c. Affirm a history of successful community collaboration and cooperation. d. Dates of work performed, if applicable e. Type of work performed, if applicable.

Reference letters shall not be dated more than twelve (12) months prior to the date of the proposal submission. References cannot include County Elected Officials, Department Directors, or come from the requesting agency (Mental Health). However, references can include other County agencies that are not a party to this RFP, or one of the individuals previously listed.

2. Details of any failure or refusal to complete a contract. If none, that must be stated.

BIDDER RESPONSE:

3. Bidder shall also complete the following information for each of the three references. Please verify that all information is correct.

Reference 1

Company name:

Address:

Contact person:

Email address:

Telephone address:

Project name:

Dates worked performed:

Summary of scope of services:

Project cost:


Reference 2

Company name:

Address:

Contact person:

Email address:

Telephone address:

Project name:



Project cost:

Reference 3

Company name:

Address:

Contact person:

Email address:

Telephone address:

Project name:



Project cost:


TAB G: ACKNOWLEDGEMENTS

G-1: Clarifications, Exceptions or Deviations

All Bidder(s) shall describe any exception or deviation from the requirements of the RFP. Each clarification, exception or deviation must be clearly identified in the space provided below. If your firm has no clarifications, exceptions or deviations, a statement to that effect shall be included in this section. The sample agreement has been attached to the RFP as Exhibit A and incorporated herein by this reference.

The following contractual terms are non-negotiable: 1. Termination provisions; 2. Ownership/Use of Contract Materials and Products (if applicable); 3. Subcontract for Work or Services; 4. Disputes; 5. Confidentiality; 6. Reporting Requirements; 7. Indemnification; 8. All insurance provisions; and 9. Governing Law

Does your organization have any other clarifications/exceptions/deviations? If so, please explain below. If your organization has no clarifications, exceptions or deviations, a statement to that effect shall be provided below.

List any clarifications, exceptions or deviations below - or - if none, state that your organization has no clarifications, exceptions, or deviations.


G-2: Evidence of Insurance/ Insurability

All Bidder(s) shall submit evidence of all required insurance (an Accord cover page will suffice) or a statement indicating that the Bidder understands there will be insurance requirements, and that they will comply in full if awarded a contract. Upon notification of contract award, the Bidder has ten (10) calendar days to produce the required insurances including a certified endorsement naming the County as additionally insured and waiver of subrogation endorsement. Do not purchase additional insurance until this bid has been awarded.

Provide proof of insurance - or - a statement that your organization understands the insurance requirements and will comply in full if awarded a contract.



G-3: Business Licenses/Permits

Provide a copy of current business license or other applicable licenses. The Bidder shall certify to the possession of any and all current required licenses and permits.

Provide a copy of your current business license, or other applicable licenses – and – provide a statement certifying to the possession of any and all current required licenses and permits. .


G-4: Transition

Upon expiration or termination of this Agreement for any reason, during the transition close-out period the Contractor agrees to:

1) Cooperate with the RCDMH during a transition close-out period to ensure orderly and seamless delivery of services to clients.

2) Continue delivering services until notified otherwise; 3) Assist the RCDMH in the orderly transition and transfer of clients and data to the RCDMH and the subsequent

Contractor(s); and 4) Provide, in a timely manner, all file and database information deemed necessary by the RCDMH for use in

subsequent contracting activities at no cost to the county or the new Contractor(s), upon termination or expiration of this Agreement for any reason.

Provide a statement to indicate that you have read and understand the above transition requirements, and will comply in full if awarded a contract.


CERTIFICATION OF ACKNOWLEDGMENTS

I, , a duly authorized agent of , Printed Name of Agent/Officer Name of Organization hereby certify that by submission of this proposal in response to Name of Organization the Mentoring Services for Mamás y Bebés Program RFP, do hereby acknowledge I have read items G-1 thru G-4 above and by signing below attest to our organization’s acceptance of these requirements if awarded the contract for this project. Signature Date Title of Agent/Officer _ ______________________________________________


TAB H: COST PROPOSAL & BUDGET WORKSHEETS

In this section, please be sure to review the instructions provided in Reimbursement, Section 3.10 of the RFP and complete the following applicable Cost Proposal Sheet(s). Bidders may also include any other documents as information to further explain the proposed costs. Proposals must fully describe all costs to operate the facility. Do not include cost information any other sections of the proposal. In addition to the Cost Proposal Sheet, Bidders shall also include the following items within this section of the proposal:

1. Budget Narrative that describes and details each line item being requested under each of the categories,

including if applicable, other service related expenses, administrative costs and start-up costs. Start-up costs include one-time expenditures required to prepare the proposed program for operation. Narrative should also include how the costs were calculated and provide justification for the request;

BIDDER RESPONSE:

2. Description of how cost will be controlled and properly identified to the specific tasks; and

BIDDER RESPONSE:

3. Description of any and all opportunities to leverage existing resources and any in-kind contributions (e.g., space,

tenant improvements to the existing facility and/or grounds, childcare, transportation, etc.) that will enhance the proposed services.

BIDDER RESPONSE:


COST PROPOSAL SHEET FOR RFP #MHARC-146: MAMÁS Y BEBÉS PROGRAM

(Name of Organization)

The rates stated in this cost proposal shall be all inclusive, including all expenses and other cost necessary to complete the work specified. The undersigned, having carefully examined this Request for Proposal for Prevention and Early Intervention Mamás Y Bebés (Mothers & Babies) Program hereby proposes and agrees to furnish all tools, equipment, facilities, transportation, labor, and materials necessary to complete the service in strict conformity with the Request for Proposal at the following cost.

A. PROPOSED GEOGRAPHICAL AREA COVERED (ONLY CHECK ONE REGION & LIST ONE SCHOOL SITE PER COST PROPOSAL SHEET)

IF BIDDER IS PROPOSING TO PROVIDE SERVICES IN MORE THAN ONE REGION, A SEPARATE COST PROPOSAL SHEET MUST SUBMITTED FOR EACH REGION PROPOSED.

Western Region Eastern/Desert Region Mid-County Region

B. Education/Program (Procedure Code 601): Time spent in the delivery of the PEI funded program, including staff time in preparation, travel, and documentation.

1. Total hours

2. Expenditures

a. Personnel Salaries & Benefits Expenditures

i. ( ) – Lead Mamás Y Bebés Group Facilitator $

ii. ( ) – Mamás Y Bebés Group Facilitator $

iii. ( ) – Child Care Worker $

TOTAL PERSONNEL EXPENDITURES $

b. Operating Expenditures*

i. Translation and Interpreter Services $

ii. Staff Travel # of miles: $

iii. Participant Transportation # of miles: $

iv. General Office Expenditures( tape, copies, replacement name badges, graduation certificates, graduation decorations, etc.)

$

v. Rent, Utilities, Equipment $

vi. Weekly Group Refreshments (minimum $3 per participant per group and childcare snacks & supplies)

$

vii. Weekly Incentives (10 diapers per participant per group) $

viii. Personalized Graduation Baby Baskets ($50.00 per participant) $

ix. Clinical Supervision (minimum of 2 hours per month) $

x. Other Operation Expenses: $

TOTAL OPERATING EXPENDITURES $

c. Subtotal (Personnel Expenditures & Operating Expenditures) $


d. Indirect Administrative Expenses **

i. $

ii. $

iii. $

TOTAL INDIRECT ADMINISTRATIVE EXPENSES (Not to exceed 12% of Subtotal, #c above) $

3. TOTAL BUDGET FOR EDUCATION/PROGRAM (PROCEDURE CODE 601) $

4. EDUCATION/PROGRAM COST PROPOSAL SUMMARY

a. Education/Program (Procedure Code 601) Costs (#3 above) $ /TOTAL 601 COST

b. Total Procedure Code 601 Hours (#1 above) $ /TOTAL HOURS

c. Total Cost Per Unit (a ÷ b) $ /TOTAL 601 CPU

C. General Outreach (Procedure Code 602): Time spent recruiting participants and educating potential referral sources of participants for the PEI program. Travel and preparation time is included.

1. Total hours

2. Expenditures


i. Lead Mamás Y Bebés Group Facilitator $

ii. Mamás Y Bebés Group Facilitator $





vi. General Office Expenditures $

v. Rent, Utilities $

vi. Outreach materials $

viii. Other Operating Expenses: $


c. Subtotal (Personnel Expenditures & Operating Expenditures $


i. $

ii. $

iii. $


Total Indirect Administrative Expenses (Not to exceed 12% of Subtotal, #c above) $

3. TOTAL BUDGET FOR GENERAL OUTREACH (PROCEDURE CODE 602) $

4. GENERAL OUTREACH COST PROPOSAL SUMMARY

a. Procedure Code 602 Costs (#3 above) $ /TOTAL 602 COST



D. Engagement/Outreach (Procedure Code 603):

Time spent screening and engaging participants for the PEI program. This includes preparation, travel, and documentation.

1. Total hours

2. Expenditures








iii. Potential Participant Transportation # of miles: $

vi. General Office Expenditures $

v. Rent, Utilities, Equipment $

viii. Other Operating Expenses $




i. $

ii. $

iii. $



3. TOTAL BUDGET FOR ENGAGEMENT/OUTREACH (Procedure Code 603) $

4. ENGAGEMENT/OUTREACH COST PROPOSAL SUMMARY




E. Staff Training (Procedure Code 760):

Time spent attending trainings related to PEI models/programs. This includes initial training as well as booster trainings. This also includes time spent in PEI fidelity meetings.

1. Total hours

2. Expenditures






i. Staff Travel # of miles: $



b. Indirect Administrative Expenses **

i. $

ii. $

iii. $


3. TOTAL BUDGET FOR STAFF TRAINING (Procedure Code 760) $

4. STAFF TRAINING COST PROPOSAL SUMMARY





F. TOTAL PROGRAM COSTS ( B3+C3+D3+E3)

$

G. START-UP COSTS *** - (ATTACH ADDITIONAL PAGES IF NECESSARY)

Office Supplies- Tape, Stapler, Scissors, Plastic Name Badges, Pens, etc $

Child Care supplies $

$

$

$

$

$

TOTAL START-UP REQUESTED $

* If applicable to the Bidder’s proposed program, other service related expenses may also be submitted for the County’s review and consideration. Any applicable other service related expenses, along with the Bidder’s proposed costs for personnel salary & benefits, training, curriculum plus administrative costs will be factored into the overall cost-effectiveness of the Bidder’s proposed program.

** Indirect Administrative cost shall not exceed 12% of the Bidder’s subtotal for the cost category/procedure code.

*** Approval of request is contingent upon the availability of funds and prior authorization by RCDMH. If approved start up cost(s) will only be allowable during the first year of the agreement. All start-up costs must be approved in advance and will be reimbursed at actual cost, invoiced separately and receipts must accompany the invoices.

G. BUDGET NARRATIVE

In addition to this Cost proposal Sheet, BIDDERS MUST ALSO SUBMIT A BUDGET NARRATIVE that describes and details each line item being requested under each of the categories, including if applicable, other service related expenses, administrative costs and start-up cost. Narrative should also include how the costs were calculated and provide justification for the request.


H. COST PROPOSAL SUMMARY

1. FAST TOTAL PROGRAM COSTS (F ABOVE) $

2. START-UP COSTS (G ABOVE) $

3. TOTAL COST PROPOSAL ( 1 + 2 ) $

4. NUMBER OF UNDUPLICATED FAMILIES/FISCAL YEAR

5. COST PER FAMILY/FISCAL YEAR (1 ÷ 4) $

I. CERTIFICATIONS Payment for services will be rendered upon submission of eligible and allocable billing claims, which will be submitted at least monthly. I, ______________ , a duly authorized agent of _ , hereby Printed or type name of Agent/Officer Name of Organization certify that by submission of this proposal in response to RFP #MHARC-146 that ______________________ agrees that Name of Organization upon contract award to carry out the requirements specified and obligations set forth therein. Signature: _________________________________________ Date: ___ _____________________ Title of Agent/Officer: __ ________________________________

BIDDER IS REQUIRED TO SIGN COST PROPOSAL.

Failure to do so could result in the Bidder’s proposal being determined non-responsive.


TAB I: BIDDER ATTACHMENT(S)

This section is for Bidders to provide any responses they are finding difficulty pasting into the “Bidders Response” boxes in any section of the RFP. If applicable, Bidder shall paste information into section I if unable to do so in any of the previous sections. When pasting attachments to Tab I label the attachments “Attachment 1”, Attachment 2” and so forth. Enter the corresponding “Attachment Number” into the Bidder’s Response box as shown in the example provided below.

EXAMPLE:

Tab C Company/Agency Profile

This section of the proposal is designed to establish the bidder as an entity with the ability and experience to operate the program as specified in the RFP. The Company Profile should be concise and clear, and include descriptive information regarding service delivery. The following information must be provided as follows:

1. Business name and legal business status (i.e. partnership, corporation, etc.)


“Attachment 1”

2. Proof of non-profit status, if applicable


“Attachment 2”


TAB J: FINANCIAL INFORMATION

The Bidder must submit financial statements (balance sheet and income statement) for its business that are dated no more than twelve (12) months prior to the date of the proposal submission and cover a period of at least one (1) year. These statements shall clearly identify the financial status and condition of the Bidder’s entire business entity. If your firm requires this information to be kept confidential, it should be placed in a separate envelope within the “Original” proposal and marked "Confidential". The County will make a reasonable effort to keep this information confidential; however, the County does not guarantee that the financial statements submitted will be kept confidential. Financial Statements should only be included in the binder marked “Original”.

ATTACHMENT A: MHARC-146 - MAMÁS Y BEBÉS (MOTHERS … y Bebes - Attachment A (Final).pdfATTACHMENT...

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