REQUIRED ATTACHMENTS AND APPENDICES. Attachment 1: MBE, WBE, and/or Disability Enterprise Participation Plan [Appendix A] • Attachment 2: Copy of 501(c)(3) Non-Profit Status • Attachment 2: A completed and signed W-9 downloaded from the RI Division of Purchases Internet home page at xxx.xxxxxxxxxx.xx.xxx. • Attachment 3: Staff resumes and job descriptions • Attachment 4: DUNS number and an active registration in the federal System for Award Management (XXX) • Attachment 5: Outcome Monitoring Measurement Tools • Attachment 6: Signed Partner/Collaborative Agreement(s) • Attachment 7: List of designated staff with title, name, qualification, job description, resume and xxxxx of Qualified Professional Test Counselor (QPTC) Certification • Attachment 8: Budget Worksheet [Appendix F] • Attachment 9: Budget Narrative Worksheet • Attachment 10: Other Funding Sources
1. Proposer’s ISBE Responsibilities (from 150-RICR-90-10-1.7.E)
1. Proposal of ISBE Participation Rate. Unless otherwise indicated in the RFP, a Proposer must submit its proposed ISBE Participation Rate in a sealed envelope or via sealed electronic submission at the time it submits its proposed total contract price. The Proposer shall be responsible for completing and submitting all standard forms adopted pursuant to 105-RICR-90- 10-1.9 and submitting all substantiating documentation as reasonably requested by either the Using Agency’s MBE/WBE Coordinator, Division, ODEO, or Governor’s Commission on Disabilities including but not limited to the names and contact information of all proposed subcontractors and the dollar amounts that correspond with each proposed subcontract.
2. Failure to Submit ISBE Participation Rate. Any Proposer that fails to submit a proposed ISBE Participation Rate or any requested substantiating documentation in a timely manner shall receive zero (0) ISBE participation points.
3. Execution of Proposed ISBE Participation Rate. Proposers shall be evaluated and scored based on the amounts and rates submitted in their proposals. If awarded the contract, Proposers shall be required to achieve their proposed ISBE Participation Rates. During the life of the contract, the Proposer shall be responsible for submitting all substantiating documentation as reasonably requested by the Using Agency’s MBE/WBE Coordinator, Division, ODEO, or Governor’s Commission on Disabilities including but not limited to copies of purchase orders, subcontracts, and cancelled checks.
REQUIRED ATTACHMENTS AND APPENDICES. Attachment 1: MBE, WBE, and/or Disability Enterprise Participation Plan Attachment 2: Copy of 501(c)(3) Non‐Profit Status Attachment 2: A completed and signed W‐9 downloaded from the RI Division of Purchases Internet home page at xxx.xxxxxxxxxx.xx.xxx. Attachment 3: Staff resumes and job descriptions Attachment 4: DUNS number and an active registration in the federal System for Award Management (XXX) Risk Positive (+) are infants with: Any 1 of the following: Developmental disabilities and certain other established conditions Birth weights less than 1500 grams (3.3 lbs) Intensive care hospitalization greater than 48 hours Hepatitis B surface antigen positive mother Any 2 of the following: Care giver’s education less than 11th grade Mother’s age less than 19 or greater than 37 Single Care giver Mother’s number of live births greater than 5 or no other live births One parent characteristic, e.g. chronic illness Less than 6 prenatal care visits before 36 weeks or total number less than 10 No prenatal care visits before 5 months Gestational age greater than 37 weeks and birth weight 1500‐2500 grams (3.3‐5.5 lbs) Apgars at 1 and 5 minutes less than 7 Medicaid Eligible Clinical Information is also included in the determination. East Bay 58% East Urban Core 81% Kent/Washington Counties 53% Northern RI 67% West Urban Core 80% Note: These regions reflect the defined service areas for this new solicitation, however the percentages are based on data from 2017 births. Note: there are eight priority populations used to define these key risk factors:
(1) Low income
(2) Mother less than 21 years old at birth
(3) DCYF history
(4) Substance use history
(5) Mother education less than 12th grade
(6) Armed forces
(7) Mother has developmental disability (8) Mother with inpatient or outpatient mental health
