REQUEST FOR PROPOSALS

REQUEST FOR PROPOSALS

ATTACHMENTS AND FORMS

Attachments for RFR/As:

Please review the relevant application packet (posted above) to see which attachments and/or forms are needed for your submission.

RFR/A RESUME/APPLICATION FORM:
https://garretthealth.org/wp-content/uploads/2024/04/Resume-Application-Form.docx

RFR/A APPLICATION PRICE SHEET:
https://garretthealth.org/wp-content/uploads/2024/04/Price-Sheet.docx

CONFLICT OF INTEREST AFFIDAVIT AND DISCLOSURE:
(Please print and sign this attachment from the PDF packet.)

CRIMINAL BACKGROUND CHECK AFFIDAVIT:
https://garretthealth.org/wp-content/uploads/2024/04/Background-Check.docx

Additional Attachments for Therapist RFR/As:

RFR/A APPLICATION PRICE SHEET – INDEPENDENT THERAPIST VISITS
Coming soon w/ new RFR/As.

RFR/A APPLICATION PRICE SHEET – INDEPENDENT THERAPIST VISITS – ADMINISTRATIVE TIME
Coming soon w/ new RFR/As.

Attachments for IFBs:

Please review the relevant application packet (posted above) to see which attachments and/or forms are needed for your submission.

Purchasing Preference Affidavit (Attachment B):
https://garretthealth.org/wp-content/uploads/2023/03/AttachmentB-PurchasingPreferenceAffidavit.pdf
Bid/Proposal Instructions & Form (Attachment B-1):
https://garretthealth.org/wp-content/uploads/2024/03/AttachmentB-1.05152023.a.pdf
Bid/Proposal Affidavit (Attachment C):
https://garretthealth.org/wp-content/uploads/2023/03/AttachmentC-BidProposalAffidavit.pdf
Maryland Living Wage Requirements for Service Contracts and Affidavit of Agreement Attachments D):
https://garretthealth.org/wp-content/uploads/2023/03/AttachmentD-1-MLWAASC.pdf & https://garretthealth.org/wp-content/uploads/2023/03/AttachmentD-LivingWageAffidavit.pdf
Federal Funds (Attachment E):
https://garretthealth.org/wp-content/uploads/2023/03/Attachment-E-Federal-Funds-Attachments.pdf
Conflict of Interest Affidavit and Disclosure (Attachment F):
https://garretthealth.org/wp-content/uploads/2024/03/AttachmentF-Conflict-of-InterestAffidavit.pdf
Non-Disclosure Agreement (Contractor) (Attachment G):
https://garretthealth.org/wp-content/uploads/2023/03/Attachment-G-NDA-Contractor.pdf
Bidder/Offeror Information Sheet (Attachment H):
https://garretthealth.org/wp-content/uploads/2023/06/AttachmentH-Bidder_OfferorInformationSheet-1.pdf
HIPAA Business Associate Agreement (Attachment I):
https://garretthealth.org/wp-content/uploads/2023/03/GCHDBAARev01132023.pdf
Contract Affidavit Attachment (J):
https://garretthealth.org/wp-content/uploads/2023/03/Attachment-J-ContractAffidavit.pdf
Contract (Attachment M):
https://garretthealth.org/wp-content/uploads/2023/05/STANDPROCContractTemp.pdf

Maryland Strategic Data Initiative Agreement Review:
https://www.cognitoforms.com/MDH3/strategicdatainitiativeagreementreview
(This is an online form from the Maryland Department of Health.)

ARCHIVED NOTICES

Garrett County Health Department Requests for Proposals, Requests for Bids, and Open Funding Applications

WESTERN MARYLAND SCHOOL-BASED HEALTH CENTER PARTNERSHIP (WMSBHCP) PLANNING CONSULTANT – INVITATION FOR BIDS: https://garretthealth.org/wp-content/uploads/2024/03/WMSBHCPPlanningConsultantIFB.docx.pdf

MEDICAL ASSISTANCE TRANSPORTATION FOR QUALIFIED GARRETT COUNTY PARTICIPANTS – AMBULATORY & WHEELCHAIR INVITATION FOR BIDS
Packet: https://garretthealth.org/wp-content/uploads/2023/05/AMB_WHLCIFBMATransp041523.05152023.a.docx.pdf

MEDICAL ASSISTANCE TRANSPORTATION FOR QUALIFIED GARRETT COUNTY PARTICIPANTS – NON-EMERGENCY AMBULANCE SERVICES INVITATION FOR BIDS
Packet: https://garretthealth.org/wp-content/uploads/2023/05/AMBULANCEIFBMATransp041523.05152023.a.docx.pdf

Attachments for Open IFBs:
Download Attachments for MAT IFBs at: https://garretthealth.org/mat-ifb/

MAT IFB Questions & Answers:
Download: https://garretthealth.org/wp-content/uploads/2023/05/MATIFBsQuestions_Answers05302023.pdf