Bid Solicitation: BD-22-1071-AO-02021-71827

Header Information

Bid Number:

BD-22-1071-AO-02021-71827

Description:

Vehicle Modification Services - VEHICLEMODFY22

Bid Opening Date:

04/15/2032 04:00:00 PM

Purchaser:

David Barach

Organization:

Massachusetts Rehabilitation Commission

Department:

AO - Administrative Office

Location:

02021 - Central Service Admin

Fiscal Year:

Type Code:

Allow Electronic Quote:

Yes

Alternate Id:

Required Date:

Available Date :

02/25/2022 01:54:08 PM

Info Contact:

Contact Eugene Blumkin @ eugene.blumkin@mass.gov, or 617-590-5680

Bid Type:

OPEN

Informal Bid Flag:

Yes

Purchase Method:

Open Market

Pre Bid Conference:

March 14th, 2022 at 3:00pm Please see more detailed info in 'Notes'. Tab

Bulletin Desc:

Ship-to Address:

Eugene Blumkin
600 Washington St
2nd Floor
Boston, MA 021111
US
Email: test@periscopeholdings.com
Phone: (123) 456-7890

Bill-to Address:

Eugene Blumkin
600 Washington St
2nd Floor
Boston, MA 021111
US
Email: test@periscopeholdings.com
Phone: (123) 456-7890

Print Format:

File Attachments:

Job Aid create-a-quote-in-commbuys~48.pdf
Job Aid using-q-and-a-tab-within-a-commbuys-bid~30.pdf
RFR Cover Page - VEHICLEMODFY22.docx
NEW SDP_Plan_Form - as of Feb 2022~3.xlsx
Prompt Payment Discount Form~48.doc
MA DOR Certificate of Good Standing - 101718~22.docx
CORI Assurance Letter Agency~15.docx
CORI Form~7.pdf
How to verify Cori~6.doc
Electronic Funds Transfer Sign Up Form REVISED AUG 2020~13.pdf
newmass-w9~7.pdf
Contractor Authorization Signatory Listing~38.rtf
Business Reference Form
StandardContractFormAndInstructions 102519
CommonwealthTermsAndConditions 102519
71827 -Vehicle Modification QA.docx
Disclosure Form for Entities.
Instructions for Disclosure Form for Entities
Provider Type 35
MA Medicaid Program Provider Agreement and Acknowledgement of Terms of Participation
MRC Appendix 1-2.docx
Vehicle_Modification_RFR_FY22 Amendment 1

Form Attachments:

SBPP (Small Business Purchasing Program) Eligible?:

See SBPP requirements and exceptions at www.mass.gov/sbpp :

Amendments:

Amendment #	Amendment Date	Amendment Note
1	03/17/2022 05:26:13 PM	Added forms required to serve waiver participants 1.Disclosure Form for Entities 2.Provider Type 35 3. MA Medicaid Provider Agreement and Acknowledgement of Terms of Participation Attachment File Changes: Header 1. File 'Vehicle_Modification_RFR_FY22 Amendment 1': File 'Vehicle_Modification_RFR_FY22 Amendment 1' added . 2. File 'Disclosure Form for Entities.': File 'Disclosure Form for Entities.' added . 3. File 'Instructions for Disclosure Form for Entities': File 'Instructions for Disclosure Form for Entities' added . 4. File 'Provider Type 35': File 'Provider Type 35' added . 5. File 'MA Medicaid Program Provider Agreement and Acknowledgement of Terms of Participation': File 'MA Medicaid Program Provider Agreement and Acknowledgement of Terms of Participation' added .
2	03/25/2022 02:34:04 PM	attaching completed approved Q&A Attachment File Changes: Header 1. File '71827 -Vehicle Modification QA.docx': File '71827 -Vehicle Modification QA.docx' added .

Required Quote Attachments

Item Information

Item # 1: ( 25-10 - 19 )

MRC is seeking responses for the purpose of procuring modifications to vehicles to be used by eligible individuals with severe disabilities who will require motor vehicle modifications to drive independently or be safely transported as passengers. The types of disabilities vehicle modification services may include but are not limited to mobility, neurological and neuromuscular disabilities. "Motor Vehicle Modifications" refers to any alteration to a vehicle to assist a person with a disability to drive independently or be safely transported as a passenger.

U N S P S C Code:

25-10-19
Specialized and recreational vehicles

Qty

Unit Cost

UOM

Total Discount Amt.

Total Cost

10.0

EA - Each

Manufacturer:

Brand:

Model:

Make:

Packaging: