Attachment F. EVIDENCE-BASED REQUIREMENT – Description of the supporting evidence or evidence-producing strategy related the project selection, design, and implementation.
Attachment F. DSHS ASSURANCES AND CERTIFICATIONS Note: It is not required that the respondent return the DSHS Assurances and Certifications with the OE. Some of these Assurances and Certifications may not be applicable to your project. If you have questions, contact the contact person named in this OE. These assurances and certifications will remain in effect throughout the project period of this solicitation and the term of any contract between respondent and DSHS. As the duly authorized representative of the respondent, my signature on FORM A: FACE PAGE certifies that the respondent –
Attachment F. The Recipient must maintain current county emergency management and other contacts through the Division’s SharePoint including County Director and Alternate contacts, State Mutual Aid Agreement contacts, and many more; • Attachment F - Maintain site data in SharePoint including location and attribute information for all fire stations, law enforcement, emergency medical services, emergency operations center(s) and call centers; • Attachment F - Maintain site data in WebEOC including location and attribute information for all pre-identified sites for County Staging Areas (CSAs) and County Points of Distribution (PODs); • Attachment G - Complete the Hurricane Shelter Retrofit items A-G in the worksheet provided no later than March 31, 2021 and upload into WebEOC.
Attachment F. Third Revised and Restated Table 1: PHP Time/Distance Standards
Attachment F. Attestation
Attachment F. DETAILED RATE REVIEW METHODOLOGY
Attachment F. Designation of Confidential, Trade Secret & Proprietary Information. Must be completed, signed/dated and submitted in ProcureAZ.
Attachment F. Contractor agrees to utilize one consistent pricing source for determining average wholesale price (AWP) information for use in claims pricing and to disclose its source in the contract with the County. If the Contractor decides to change its pricing source, it agrees to (1) provide the County with at least 90 days notice of the change and (2) provide the County with written validation that the change in pricing source is economically neutral or beneficial to the County. Contractor will provide validation noted above to the County at least 75 days prior to the change. Contractor agrees that when AWP-based pricing is replaced in the market it will (1) provide the County with at least 90 days notice of the new pricing methodology; (2) guarantee that any changes in pricing source/index result in economic equivalence or improvements to the County; (3) provide the County with an externally audited illustration of the economic equivalence and (4) hold the County harmless from any charges the PBM may incur from (a) making said changes (e.g., IT costs); (b) auditing or (c) external validation. Contractor will provide written illustration and the statement noted above to the County within at least 75 days of the change. Contractor agrees that in the event of a pricing methodology change or a change in the Contractor’s pricing source, in which the Contractor does not agree to pass through pricing improvements to the County, or if the change results in a higher gross cost (before member cost share) to the County, the County reserves the right to renegotiate financial terms or terminate the contract with 90 days written notice following notice from Contractor of the change in pricing methodology without penalty or early termination charges. In the event of a pricing methodology change or a pricing source change, results in higher gross cost (before participant cost share) to the County then the County reserves the right to renegotiate contract terms or to terminate with 90 days written notice following notice from Contractor of the change in pricing methodology without any termination charges.
Attachment F. Regional Pricing Proposal Tool
