disclosure statement. Example: “[name of respondent] has no current business relationship (within the last three (3) years) that poses a conflict of interest, as defined by C.G.S. § 1-85.” PROPOSAL FORMAT Required Outline. All proposals must follow the required outline presented in Section IV – Proposal Outline. Submissions that fail to follow the required outline may be deemed non-responsive and not evaluated. Cover Sheet. The proposer must develop a Cover Sheet that includes the information below. Legal Name is defined as the name of private provider organization, submitting the proposal. Proposer’s Authorized Representative is defined as the individual who can provide additional information about the proposal or who has immediate responsibility for the proposal. Authorized Official is defined as the individual empowered to submit a binding offer on behalf of the proposer to provide services in accordance with the terms and provision described in this RFP and any amendments or attachments hereto. RFP Name or Number Name FEIN DUNS Street Address Town/City/State/Zip Authorized Representatives Title Phone Number FAX Number E-mail Address Authorized Official Title Signature Table of Contents. Proposers must include a Table of Contents that lists sections and subsections with page numbers that follow the organization outline and sequence for this proposal (See Section IV). Executive Summary. Proposals must include a high-level executive summary that summarizes the content of the Respondent’s proposal. The Executive Summary shall include: A minimum of five (5) years demonstrated experience with providing research and evaluation services as indicated in the proposal on section III.B. Main Proposal. Proposals must include the following: Scope of Services, Work Plan, Staffing Plan, Data and Technology, Subcontractors, and Cost Proposal (See Section IV) Attachments. Attachments than the required Appendices or Forms identified in Section IV are not permitted and will not be evaluated. Further, the required Appendices or Forms must not be altered or used to extend, enhance, or replace any component required by this RFP. Failure to abide by these instructions may result in disqualification.
TABLE OF CONTENTS Part I Scope of Services, Contract Performance, Budget, Reports, and Program- and Agency-Specific Sections Part II Terms and Conditions A. Definitions Bid Breach Cancellation Claims Confidential Information Confidential Information Breach Contract Contractor Parties Data Day Expiration Force Majeure Records Services State Termination B. Contractor Obligations Credits and Rights in Data Annual Financial Audit and Inspection of Plant and Places of Business, and Records Reports Delinquent Reports Related Transactions Suspension or Debarment Subcontracts Independent Capacity of Contractor Contractor Obligations cont. Sovereign Immunity Indemnification; Insurance Choice of Law/Choice of Forum; Settlement of Disputes; Claims Against the State Litigation Compliance with Law and Policy, Facilities Standards and Licensing Representations and Warranties Protection of Confidential Information C. Changes To The Contract, Termination, Cancellation and Expiration Contractor Amendment Contractor Changes and Assignment Breach Ending the Contractual Relationship; Termination; Transition after Termination of Contract D. Statutory and Regulatory Compliance Americans with Disabilities Act Utilization of Minority Business Enterprises Non-discrimination Executive Orders Campaign Contribution Restrictions Disclosure of Records Freedom of Information Summary of State Ethics Laws