GUILFORD COUNTY SCHOOLS RFP # 5651 Request For Proposal to provide Occupational Therapy Services

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GUILFORD COUNTY SCHOOLS RFP # 5651 Request For Proposal to provide Occupational Therapy Services Proposals are being solicited for Occupational Therapy Services for students in the Guilford County Schools. The Guilford County Schools (GCS) provides an appropriate education for all students identified as having special needs pursuant to the Individuals with Disabilities Education Act (IDEA). Some students need Occupational therapy as part of their individual education program (IEP). Proposal Proposals shall include, but are not limited to, all performance requirements/specifications listed below. Any proposed services which are over and above standards for professional practice and/or the requirements/specifications listed below shall also be noted. All financial considerations shall be noted, as well as a listing of recent similar work in school districts, including the Guilford County Schools. Performance Requirements/Specifications 1. Complete observations, screenings, and evaluations of students with suspected occupational or motor difficulties and completing written reports as required by the established providers of the Guilford County Schools. 2. Develop IEPs for students as needed for the current school year, based on student s identified needs for occupational therapy. Develop IEPs for students reflecting progress made during the year and setting goals for the upcoming school year. 3. Provide direct occupational therapy services, based on the student s Individual Education Program (IEP). 4. Provide consultation and training to other staff members working with students receiving occupational therapy services, based on the individual student s evaluation results and the IEP intervention goals. 5. Attend all parent conferences to explain need for services, results of evaluations, and development of IEPs. Attend other meetings as required by Guilford County Schools. 6. Follow all Medicaid logging procedures as outlined by GCS, including completing and maintaining all required documentation. 7. Service providers must have current driver s licenses and personal transportation. RFP-Occupational Therapy - Page 1 of 6

General Requirements 1. Proposals must address all aspects of the above stated performance requirements. 2. Proposals must include the maximum number of hours of occupational therapy services that could be provided per week. 3. Proposals must include at least two references of persons familiar with similar work done by the offerer of the proposals. 4. Proposals must clearly state the cost per hour of services delivered. Guilford County Schools does NOT reimburse for mileage in addition to cost/hour rate. Proposals must clearly state all other financial considerations that may be incurred in addition to the hourly rate. 5. Proposals must include a copy of all service provider professional licenses. 6. Proposals must include copies of current required insurance certificates, with Guilford County Schools listed as an Additional Insured. Please refer to the following section, Insurance Requirements for Professional Services for Guilford County Schools, for updated coverage requirements. 7. Proposals must specify any services or supplies to be provided by GCS (e.g., testing materials, equipment). General Conditions 1. All applicable sections of the Guilford County Board of Education Policies and the General Statutes of North Carolina, as amended, are made part of this contract by this reference. This includes, but is not limited to, purchasing and payment procedures. Copies of the above are available for inspection and review at 712 North Eugene Street, Greensboro, NC, 27401. 2. Any exceptions to the performance requirements/specifications and/or conditions shall be noted and explained in a clearly identified section of the proposal. 3. Contract may be renewed for subsequent one-year periods if mutually agreeable between both parties. Evaluation of Proposal Evaluation shall be based on an assessment of submitted proposals and shall include consideration of the performance requirements/specifications, financial considerations, qualifications, and prior experiences. Follow-up discussion with the offerers best suited to complete the work may be requested. Questions Questions regarding the provision of services to GCS or the proposal and evaluation process should be directed to Fonda Curtis, Coordinator, Exceptional Children Services, curtisf@gcsnc.com RFP-Occupational Therapy - Page 2 of 6

Proposal Due Date TWO (2) signed, sealed ORIGINAL copies of the proposal shall be sent to Don Reid, Purchasing Officer, Guilford County Schools, 501 West Washington St, Greensboro, North Carolina 27401, beginning on Tuesday, April 22, 2014. Due to our ongoing need for providers, there will NOT be a closing date for proposals. However, if you wish to be considered as a provider for the 2014-15 school year, your proposal should be submitted no later than Friday, May 2, 2014, by 4:00pm. Proposal Format 1. Initial Proposals Initial proposals must include, as a minimum, the attached Proposal Form page. You may include additional information, as desired. Please also include the following statement: In addition to the proposal as presented and any exceptions clearly noted, I understand that all requirements, specifications and conditions of the Request for Proposal are made part of any subsequent contract. 2. Proposal Update If you are currently providing services to our district, please submit ONLY the Proposal Form page, including updated requested attachments. (If there is additional information you would like to submit, you may include it with the form, as well.) Please also include the following statement: In addition to the proposal as presented and any exceptions clearly noted, I understand that all requirements, specifications and conditions of the Request for Proposal are made part of any subsequent contract. Billing Requirements Please refer to the separate GCS Billing instructions for details on how to submit invoices for payment for services rendered. Termination of Contract Contracts may be terminated by either party upon 30 days written notice. Drug and Alcohol Free Workplace Please refer to Guilford County Schools Board of Education Policies and Procedures, under the Board of Education link on the GCS website. Under Section G, Personnel, carefully review GA and GA-P, regarding GCS commitment to a Drug and Alcohol Free Workplace. RFP-Occupational Therapy - Page 3 of 6

Special Requirements Regarding Criminal Background Criminal Background Investigations of individuals working on school property A. At a minimum, a vendor shall obtain a complete North Carolina statewide criminal background investigation for all employees who will work on a site, covering a period for the last seven (7) years. In the event that the vendor is from out of state, the criminal background investigation shall be broadened to include their home state, as well as the state of North Carolina as outlined above. The company providing such information must be recognized by local law enforcement agency as qualified to do so. All costs associated with these criminal background checks are the responsibility of the vendor. B. Any individual with the following criminal convictions or pending charges will NOT be permitted on any school property. 1. Child Molestation or Abuse or indecent liberties with a child; 2. Rape; 3. Any Sexually Oriented Crime; 4. Drugs: Felony use, possession or distribution;. 5. Murder, manslaughter or other death related charge; or 6. Assault with a deadly weapon or assault with intent to kill. C. Any individual with a prior conviction or pending charges contained in the aforementioned list, shall be banned (not allowed) from any school property. D. Each person on site must wear a plastic laminated identification badge or item of clothing that identifies the name of the company and the person s name. These badges are to be computer produced at a font large enough to be clearly visible. Guilford County Schools, may, at any time, request verification of criminal background investigation for any employee on school property. RFP-Occupational Therapy - Page 4 of 6

INSURANCE REQUIREMENTS for PROFESSIONAL SERVICES for GUILFORD COUNTY SCHOOLS Consultant/service provider shall procure and maintain for the duration of the contract insurance against claims for injuries to persons or damages to property which may arise from or in connection with the performance of the work hereunder by the Consultant, its agents, representatives, or employees. MINIMUM SCOPE AND LIMIT OF INSURANCE Coverage shall be at least as broad as: 1. Commercial General Liability (CGL): Insurance Services Office Form CG 00 01 covering CGL on an occurrence basis for bodily injury and property damage, including products-completed operations, personal injury and advertising injury, with limits no less than $1,000,000 per occurrence 2. Automobile Liability: Insurance Services Office Form Number CA 0001 covering, Symbol 1 (any auto), or if Consultant has no owned autos, Symbol 8 (hired) and 9 (non-owned), with limit no less than $1,000,000 per accident for bodily injury and property damage. 3. Workers Compensation insurance as required by the State of North Carolina, with Statutory Limits, and Employer s Liability Insurance with limit of no less than $500,000 per accident for bodily injury or disease. (Not required if consultant provides written verification it has no employees and waives coverage) 4. Professional Liability (Errors and Omissions) Insurance appropriate to the Consultant s profession, with limit no less than $1,000,000 per occurrence or claim, $2,000,000 aggregate. If the Consultant maintains higher limits than the minimum shown above, the Entity requires and shall be entitled to coverage for the higher limits maintained by the contractor. The insurance policies are to contain, or be endorsed to contain, the following provisions: Additional Insured Status The Entity, its officers, officials, employees, and volunteers are to be covered as additional insureds on the auto policy with respect to liability arising out of automobiles owned, leased, hired or borrowed by or on behalf of the Consultant; and on the CGL policy with respect to liability arising out of work or operations performed by or on behalf of the Consultant including materials, parts, or equipment furnished in connection with such work or operations. M/WBE or HUB DESIGNATION: please read and complete as applicable (Minority/Women Business Enterprise or Historically Underutilized Business) Per NC General Statute 143-128.4, to qualify as a historically underutilized business, a business must be at least 51 % owned, controlled and managed by one or more citizens or lawful permanent residents of the United States who are members of one or more of the following groups: (1) Black, (2) Hispanic, (3) Asian American, (4) American Indian, (5) Female, (6) Disabled and (7) Disadvantaged Please check if you, as a sole proprietor are, or your firm is: Female Business Enterprise Male Business Enterprise Disabled Business Enterprise African American African American (G.S.168-1 or G.S. 168-A3) Asian American Asian American Disadvantaged (15 U.S.C. 637) Caucasian Hispanic/Latino Hispanic/Latino Native American/Indian Non-Profit Work Center for the Native American/Indian for the Blind and Severely Disabled RFP-Occupational Therapy - Page 5 of 6

Initial Proposal Submission Updated Proposal Submission PROPOSAL FORM REQUIRED FOR ALL PROPOSALS Provider Name Proposal to Offer Occupational Therapy Services In response to the current Request for Proposal for Occupational therapy services, I am proposing the following: 1. I agree to meet all the Performance Requirements/Specifications described in the Request for Proposal. 2. I have the following specialized skills:.. 3. I can provide a maximum of hours of services per week. 4. a. b. (Provide names, addresses and phone numbers) are familiar with my professional work and may be contacted for references. 5. My fee will be $ per hour of service delivered. 6. My Licensure status in North Carolina is. (Please submit a copy of your most current License, and forward new Licenses when received) 7. I would expect the Guilford County Schools to provide the following equipment and services:.. 8. I have attached copies of my most current Certificates of Insurance, and will forward updated certificates when received. In addition to the proposal as presented and any exceptions clearly noted, I understand that all requirements, specifications and conditions of the Request for Proposal are made part of any subsequent contract. Signature of Provider Email address. Federal ID or SS Number Date RFP-Occupational Therapy - Page 6 of 6