Subcontractors (RFP 4.2.7)
The bidder shall disclose the planned use of subcontractors to perform the services described in this RFP. This includes:
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the name and address of each subcontractor,
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the subcontractor’s qualifications,
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the work the subcontractor will be performing, and
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the estimated dollar amount of each subcontract.
FOX does not intend to subcontract any of the services of this contract.
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Acceptance of Terms and Conditions (RFP 4.2.8)
The bidder shall specifically stipulate that the bid proposal is predicated upon the acceptance of all terms and conditions stated in the RFP. If the bidder objects to any term or condition, specific reference to the RFP page and section number must be made. Objections or responses that materially alter the RFP shall be deemed non-responsive and disqualify the bidder. Contract Terms & Conditions will not be altered by objection.
FOX does not object to any of the terms and conditions found in the RFP.
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Certification of Independence and No Conflict of Interest (RFP 4.2.9)
By submission of a bid proposal, the bidder certifies (and in the case of a joint proposal, each party thereto certifies) that:
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the bid proposal has been developed independently, without consultation, communication or agreement with any employee or consultant of the Department who has worked on the development of this RFP, or with any person serving as a member of the evaluation committee;
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the bid proposal has been developed independently, without consultation, communication or agreement with any other bidder or parties for the purpose of restricting competition;
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unless otherwise required by law, the information in the bid proposal has not been knowingly disclosed by the bidder and will not knowingly be disclosed prior to the award of the contract, directly or indirectly, to any other bidder;
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no attempt has been made or will be made by the bidder to induce any other bidder to submit or not to submit a bid proposal for the purpose of restricting competition;
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no relationship exists or will exist during the contract period between the bidder and the Department that interferes with fair competition or is a conflict of interest.
January 6, 2006
Signature Date
Desh Ahuja Executive Vice President
Name Title
FOX Systems, Inc.
Name of Bidder Organization
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Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion—Lower Tier Covered Transactions (RFP 4.2.10)
By signing and submitting this Proposal, the bidder is providing the certification set out below:
1. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later determined that the bidder knowingly rendered an erroneous certification, in addition to other remedies available to the federal government the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.
2. The bidder shall provide immediate written notice to the person to which this Proposal is submitted if at any time the bidder learns that its certification was erroneous when submitted or had become erroneous by reason of changed circumstances.
3. The terms covered transaction, debarred, suspended, ineligible, lower tier covered transaction, participant, person, primary covered transaction, principle, proposal, and voluntarily excluded, as used in this clause, have the meaning set out in the Definitions and Coverage sections of rules implementing Executive Order 12549. You may contact the person to which this Proposal is submitted for assistance in obtaining a copy of those regulations.
4. The bidder agrees by submitting this Proposal that, should the proposed covered transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction, unless authorized by the department or agency with which this transaction originated.
5. The bidder further agrees by submitting this Proposal that it will include this clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion--Lower Tier Covered Transaction," without modification, in all lower tier covered transactions and in all solicitations for lower tier covered transactions.
6. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that it is not proposed for debarment under 48 CFR part 9, subpart 9.4, debarred, suspended, ineligible, or voluntarily excluded from covered transactions, unless it knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its principals. A participant may, but is not required to, check the List of Parties Excluded from Federal Procurement and Non-procurement Programs.
7. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person in the ordinary course of business dealings.
8. Except for transactions authorized under paragraph 4 of these instructions, if a participant in a covered transaction knowingly enters into a lower tier covered transaction with a person who is proposed for debarment under 48 CFR part 9, subpart 9.4, suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to the federal government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or debarment.
CERTIFICATION REGARDING DEBARMENT,
SUSPENSION, INELIGIBILITY AN VOLUNTARY
EXCLUSION--LOWER TIER COVERED TRANSACTIONS
(1) The bidder certifies, by submission of this Proposal, that neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any federal department or agency.
(2) Where the bidder is unable to certify to any of the statements in this certification, such bidder shall attach an explanation to this Proposal.
January 6, 2006
Signature Date
Desh Ahuja
Name - printed
Executive Vice President
Title
FOX Systems, Inc.
Name of Bidder Organization
Authorization to Release Information (RFP 4.2.11)
FOX Systems, Inc. hereby authorizes any person or entity, public or private, having any information concerning the bidder’s background, including but not limited to its performance history regarding its prior rendering of services similar to those detailed in this RFP, to release such information to the Department.
The bidder acknowledges that it may not agree with the information and opinions given by such person or entity in response to a reference request. The bidder acknowledges that the information and opinions given by such person or entity may hurt its chances to receive contract awards from the Department or may otherwise hurt its reputation or operations. The bidder is willing to take that risk. The bidder agrees to release all persons, entities, the Department, and the Department of Iowa from any liability whatsoever that may be incurred in releasing this information or using this information.
FOX Systems, Inc.
Printed Name of Bidder Organization
January 6, 2006
Signature of Authorized Representative Date
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Firm Bid Proposal Terms (RFP 4.2.12)
The bidder shall guarantee in writing the availability of the services offered and that all bid proposal terms, including price, will remain firm a minimum of thirty (30) days after the date set for completion of contract negotiations and execution of the contract.
FOX guarantees that the availability of all services offered in this proposal and all bid proposal terms, including the price, are firm for a minimum of thirty days after the date set for completion of contract negotiations and execution.
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Certification Regarding Registration, Collection, and Remission of State Sales and Use Tax (RFP 4.2.13)
By submitting a proposal in response to this Request for Proposal MED-060-022 the undersigned certifies the following: (check the applicable box):
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FOX Systems, Inc. is registered or agrees to become registered if awarded the contract, with the Iowa Department of Revenue, and will collect and remit Iowa Sales and use taxes as required by Iowa Code chapter 423; or
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________________________________________[name of vendor] is not a “retailer” or a “retailer maintaining a place of business in the state” as those terms are defined in Iowa Code §§ 423.1(42) & (43) (2005).
FOX Systems, Inc. also acknowledges that the Department may declare the Vendor’s bid or resulting contract void if the above certification is false. The Vendor also understands that fraudulent certification may result in the Department or its representative filing for damages for breach of contract.
January 6, 2006
Signature Date
Desh Ahuja
Name - printed
Executive Vice President
Title
FOX Systems, Inc.
Name of Bidder Organization
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Appendix
The following figures are found in the Appendix:
Figure 16: Subpart Example
Figure 17: Sample Management Report Table of Contents
Figure 18: Management Report Presentation
Impact Analysis of the HIPAA NPI on Iowa Medicaid MED-06-022
P R O P O S A L January 6, 2006 Page
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