REQUEST FOR PROPOSAL

FY2020-2021

Service Provider Request for Proposal (RFP)

FY2020-2021Project #7: Technology Lending Library

GEOGRAPHIC LOCATION: San Bernardino and Riverside Counties

CONTRACT AWARD AMOUNT: Startup funding UP TO $150,000

SERVICE DESCRIPTION: Funding is for the purchase and maintenance of 500 tablets to be used to provide remote access to day services. Service Provider will be vendored to maintain a lending library of tablets and will work in conjunction with IRC staff to lend the tablets to day service providers. Tablets will be shared by both San Bernardino and Riverside Counties, not to exceed a 50-50 county split without IRC approval.

Applicants/Entity submitting proposal must have the following qualifications:

Current Vendored Day Service Providers are NOT eligible for this proposal.
Other Current Regional Center Vendored Service Providers:
- Current vendorization(s) must be in compliance with proper insurance (s), business licenses and other professional licenses pertaining to vendorization or repayment of any funds.
- Current vendorization(s) must not be on a Plan of Correction, Corrective Action Plan or have any substantiated Health and Safety risks that have been identified by assigned QA liaison.

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Attachment A: Application and Affirmation

Applicant Name (as it would appear on facility license or contract)

Applicant Address

Applicant Phone Number

Contact Person

Is applicant a current vendor with any regional center? If yes, list vendorized name(s) and types of services (include levels of residential facilities, if applicable.)

Do you have experience providing assistive technology or access to remote services to individuals with developmental disabilities? If so, please describe this experience, and for which Regional Center.

Have you or any member of your organization, received a Corrective Action Plan (CAP), Sanction, an Immediate Danger, an “A” or “B” citation, or any citation from a Regional Center or State Licensing Agency? If yes, please explain:

Have you, any member of your organization, or your staff ever received a citation from any agency for child abuse or adult abuse? If yes, please explain:

Please include proof (certificates, transcripts, etc.) of any additional trainings, education and/or certifications that you feel will assist you with providing the services for which you are applying.

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I affirm that the information presented in this application and proposal is true and that this proposal was developed and authored by the person(s) indicated. I understand that any falsification of information or failure to disclose any history of deficiencies or abuse will be cause for immediate disqualification. I also understand that failure to meet minimum qualifications as stated in the RFP, late proposal submissions, facsimile proposal copies, any missing information (e.g., sections), and any proposals in excess of the maximum page allowance will also be cause for immediate disqualification. I further understand that, in the event that my proposal is selected for development, the proposal itself is not approved conclusively. My signature below authorizes IRC to verify references and bank statements.

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Last Name

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I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.

Attachment B: Resume(s), Credentials and Letters of Reference

Resume(s) for all identified staff who will be providing the service for which you are applying. All resumes should indicate relevant experience as indicated on the project description page.

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A minimum of two (2) professional letters of reference for the applicant. They are required to be on letterhead, signed by the individual providing the reference. References from members of the applicant’s family, staff, or governing board will not be accepted.

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Attachment C: Service/ Project Description

Using the score sheet below as a guide, please complete and attach a service/project description. Do not exceed 3 pages

Project Description (25 total points)

1. The applicant’s projected service description and outcomes are clear and consistent with the goals of the proposed project (RFP service description information).

2. The applicant discusses how services offered will be person centered.

3. The applicant demonstrates how they intend to fairly distribute the tablets to individuals based on disparity, access and other needs for a reasonable period of use.

4. The applicant discusses how they intend to store, maintain and protect the tablets when not in use.

Attach Service/Project Description Here

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Attachment D: Projected Startup Costs

Cost to Purchase 250 tablets with wifi service:

Cost to Purchase 250 tablets with cellular service:

Cost of warranty for 500 tablets:

Other Projected Startup Costs:

Total Projected Startup Costs:

Attachment E: Current Financial Standing

Please note that financial statements that are based upon representations from the applicant, and do not adhere to Generally Accepted Accounting Principles, are not acceptable.

1) Verifiable bank statements a. Copies of bank statements must be attached (most current 3 months). b. Must submit a signed letter that gives IRC permission to contact your banker should your statements require verification.

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2) ONE OF THE FOLLOWING a. Most current audited financial statement that expresses an unqualified opinion b. Compiled financial statements prepared by a Certified Public Accountant that adhere to Generally Accepted Accounting Principles

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