SPEECH LANGUAGE PATHOLOGISTS FOR CHESTERFIELD

Harlingen Consolidated Independent School District

Occupational Therapist Services #SEOT1111

HARLINGEN CONSOLIDATED

INDEPENDENT SCHOOL DISTRICT

Request for Qualifications

For

Occupational Therapist Services #SEOT1111

Contact Representative:

Director of Purchasing

Antonio Gracia

407 N. 77 Sunshine Strip

Harlingen, TX 78550

(956) 430-9740

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Table of Contents

A. Invitation to Bid

1.0 Intent

2.0 Scope of Services

3.0 Associates

4.0 Fees and Payment Terms

5.0 Contract Description/Contractor Qualifications

6.0 Information to be Provided in Proposal

7.0 Reference

8.0 Evaluation of Proposals

9.0 Evaluation Criteria

10.0 Contract

11.0 Communication During Evaluation

B. References

C. Acknowledge of Receipt

D. Non-Collusion, Notifications of Criminal History- Signature Page

E. Proposal Signature Page

F. Notice to Vendors: Conflict of Interest Questionnaire

G. W-9 Form

10

11

12

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8

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16

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A. INVITATION

The Harlingen Consolidated Independent School District (hereafter HCISD) invites youR participation and submittal to this Request for Qualifications (RFQ).

RFQ Number: SEOT1111

RFQ Name: Occupational Therapist Services

Due Time: November 17, 2011 @ 2:00 PM

1.0 INTENT

1.1 Harlingen Consolidated Independent School District (HCISD) seeks

Qualification Statements for qualified persons and/or firms (Contractor) capacity to provide Occupational Therapist Services to students within the

HCISD District. Students to be served are those identified for the Services referred by the Special Education Program (Department). Services will be rendered throughout the HCISD ’s campuses and off campus for homebound students.

1.2 One or more Contractors may be approved for services from this solicitation as might be required to fulfill the District’s needs. In situations when obtaining services those contractors able to provide services when needed will be retained, staff may obtain services from one or all vendors as requirement demands are called for.

1.3 Respondents are to respond by written submittal that presents the

Respondent's qualifications, understanding of the work to be performed and a narrative of fee structure (will not be used in the evaluation). The

Respondent's submittal should be prepared simply and economically and should provide all the information pertinent to its qualifications that respond to the Scope of Services and Evaluation Criteria listed herein.

Emphasis should be placed on vendors capacity to meet the needs of the

District as it relates to the services offered and clarity of content.

1.4 POINT-OF-CONTACT: HCISD requires that Respondents restrict all contact and questions regarding this RFQ to the individual named below.

Questions concerning terms and conditions and technical specifications shall be directed in writing to:

ANTONIO GRACIA

Director of Purchasing

Harlingen Consolidated Independent School District


Harlingen, Texas 78550

Phone: (956) 430-9740

Fax: (956) 430-9796

Antonio.Gracia@hcisd.org

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1.5 INQUIRIES AND INTERPRETATIONS: Responses to inquiries which directly affect an interpretation or change to this RFQ will be issued in writing by HCISD as an addendum, and faxed or mailed to all parties recorded by HCISD as having received a copy of the RFQ. All such addenda issued by.

1.6 Only those District replies to inquiries by addenda shall be binding. Oral and other interpretations or clarifications will be without legal effect.

2.0 SCOPE OF SERVICES

2.1 The Contractor shall provide those services to the District on an asneeded basis. At a minimum, the Contractor shall:

2.1.1 Assess students and provide therapeutic intervention to maximize physical or mental functioning, increase independent functioning, and/or adjust to disabilities;

2.1.2 Provide occupational therapy services as hereinafter defined;

2.1.3 Provide a written progress report for parents at the end of each grading period regarding the progress of each student receiving direct occupational therapy services for an undetermined number of clients when and if the Department and the Director thereof determine the need for any of the above services.

2.2 Occupational therapy services as used herein shall include but not be limited to the following:

2.2.1 Student treatment programming (Individual Education Plans);

2.2.2 Department staff consultation;

2.2.3 Department staff training;

2.2.4 Student consultation;

2.2.5 Parent consultation;

2.2.6 Attendance at Admission, Review, and Dismissal Committee meetings;

2.2.7 Written reports; and

2.2.8 Reasonable preparation time necessary to provide any of the above.

2.3 The Contractor agrees that it will permit the Director for the Department to examine and evaluate the Contractor’s program of services provided under the Contract and to inspect all records relating to these services, as they apply to clients for the Department. The Contractor will also furnish to the Department, within three (3) business days, such information, in writing, as may be requested relating to the services. Contractor shall furnish to district evidence of a current license and other professional credentials.

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2.4 The Department shall be responsible for obtaining consent/release and social case history and providing same to the Contractor.

2.5

The Contractor shall, at Contractor’s expense keep or cause to be kept for five (5) years following the provision of the Services accurate and complete records in an adequate filing system. Contractor shall furnish

HCISD on written request copies of all such records to the extent such records are not prohibited from disclosure to HCISD by applicable law.

3.0 ASSOCIATES: The Contractor may, at the Contractor’s expense, contract with such other Contractors as the Contractor deems necessary or appropriate

(hereinafter collectively referred to as Associate) to assist Contractor in the fulfillment of Contractor’s obligations under this Agreement. The Contractor will be fully responsible for performing or assuring that any Associate performs the

Services in compliance with the provisions of this Agreement. Furthermore, all

Associates must be currently licensed in the State of Texas to provide the

Services to the extent licensure is required to provide the Services.

4.0 FEES AND PAYMENT TERMS

4.1 In consideration for provision of Services, the District shall pay the

Contractor an hourly/daily rate for services rendered. The hourly/daily rate is for services and should not include travel expenses.

4.2 The Department will periodically request the Contractor to travel within the

HCISD to perform the Services. Mileage expenses may be reimbursed to the Contractor at the District’s mileage reimbursement rate for In-District travel.

4.3 All invoices for Contractor’s services shall include the following:

4.3.1 a record of the services performed;

4.3.2 the date(s) service(s) were performed; (including the name and recipient of service).

4.5 The Department will pay all statements within thirty (30) days of the date submitted to the Department, provided all required data in 4.4 has been submitted.

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5.0 CONTRACT DESCRIPTION / CONTRACTOR QUALIFICATIONS

The Contractor shall, in order to be considered for award:

5.1 Be fully licensed, and certified as applicable by existing federal, state and/or local mandates pertaining to the services to be provided.

5.2 Possess the staff (if Responded is a firm) and experience to successfully service this contract.

5.3 Meet all insurance requirements as listed herein.

5.3.1

Contractor will, at Contractor’s expense, carry professional liability insurance with coverage not less than $100,000.00 per occurrence and $300,000.00 in the aggregate. The Contractor will provide a certificate of insurance to the Director of the Department evidencing such coverage and will notify the Director in writing immediately if any change in coverage occurs for any reason.

5.3.2 In the event of cancellation or termination of the Agreement,

Contractor shall purchase the Optional Extension Period Coverage available to Contractor under Contractor’s malpractice insurance policy. Evidence of such coverage shall be immediately furnished to the District on termination or cancellation of the Agreement.

6.0 INFORMATION TO BE PROVIDED IN SUBMITTAL

6.1 FORMAT AND NUMBER OF COPIES TO BE SUBMITTED: In order to be considered for selection, Respondent must submit one (1) original and two (2) copies of your submission.

6.2 Proposal shall be signed by an authorized representative of the

Respondent.

6.3 Respondents shall include as part of their responses to the following information at a minimum:

6.3.1 Name, address, telephone number etc. of the firm or person submitting the proposal;

6.3.2 Qualifications, certifications and educational professional resume of all persons that would provide services under any resulting contract; (format at your discretion).

6.3.3 A straightforward, concise description of capabilities and capacities to satisfy the requirements of the RFQ;

6.3.4 References, to include Name, Address, telephone number, name of

District or Affiliations.

6.3.5 Completed W-9 Forms (Attached), Felony Conviction (attached),

References Form (attached), Signature Page (attached) and

Conflict of Interest Questionnaire (attached).

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7.0 REFERENCES

All Respondents shall include a list of a minimum of five references, for similar services only, who could attest to the Proposer’s knowledge, quality of work, timeliness, diligence and flexibility. Include names, contact persons, and phone numbers of all references.

8.0 EVALUATION OF PROPOSALS

District representatives will evaluate the Responses. The evaluation of submittals is based on requirements described below. The District may request an interview with one all of the respondents. The interview will allow the invited

Respondents to further discuss their qualifications, and to respond to questions from HCISD.

9.0 EVALUATION CRITERIA

The following criteria are to be utilized in the evaluation of submittals.

Respondents are required to address each evaluation criteria in the order listed and to be specific in presenting their qualifications.

9.1 Flexibility/Understanding of Requirements - The degree to which the

Respondent has responded to the purpose and scope of specifications - e.g., services to be provided, flexibility of Respondent to meet HCISD needs, conformance in all material respects to this RFP, etc.

9.2 Capability - The Respondents that have the capability in all respects to perform fully the contract requirements and the moral and business integrity and reliability that will assure good faith performance as required by these specifications. Also includes Respondent's capability and skill to provide the products or perform the services stated in these specifications.

9.3 Experience - Respondent's experience in providing the services as requested in these specifications and in similar instructional setting.

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10.0 CONTRACT

10.1 The Successful Contractor(s) will be required to enter into a contract with

HCISD after successful contractor (s) has been notified of award.

10.2 Contract Term: The initial term of the contract shall be for a one-year period, commencing on the date of award. Services shall generally only be required during the regular school year unless HCISD needs to provide make-up services or extended school year services during the summer months.

10.3 Renewal of Contract: This contract may be renewed by HCISD and contractor, the terms and conditions of the original contract may be adjusted only at the time of renewal, by mutual agreement.

10.4 Cancellation of Contract: HCISD reserves the right to cancel and terminate any resulting contracts, in part or in whole, for any reason or for no reason, without penalty, upon notice to the Contractor. If so canceled,

Contractor shall deliver all data and material developed to date to HCISD.

Contractor shall not be entitled to lost profits or any further compensation not earned prior to the time of cancellation.

11.0 COMMUNICATION DURING EVALUATION

Under no circumstances shall any Respondent contact in person, by telephone, or otherwise any representative of HCISD without the authorization of Purchasing

Department. Failure to comply with this provision may result in the disqualification of that entity from this procurement process.

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Request for Occupational Therapist Services #SEOT1111

B. REFERENCES

Provide a list of a minimum of five references, for similar services only, who could attest to the Proposer’s knowledge, quality of work, timeliness, diligence and flexibility.

1. Customer Name:

Contact Person:

Phone Number:

Scope of Service:

2. Customer Name:

Contact Person:

Phone Number:

Scope of Service:

3. Customer Name:

Contact Person:

Phone Number:

Scope of Service:

4. Customer Name:

Contact Person:

Phone Number:

Scope of Service:

5. Customer Name:

Contact Person:

Phone Number:

Scope of Service:

Title:

Fax:

Title:

Fax:

Title:

Fax:

Title:

Fax:

Title:

Fax:

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C. ACKNOWLEDGEMENT OF RECEIPT

Request for Qualifications for Occupational Therapist Services #OTS1111

 I have reviewed the Harlingen Consolidated Independent School District Request for Proposal

(RFQ) and will respond by November 17, 2011.

 I will not be able to respond to the Harlingen Consolidated Independent School District RFQ by

November 17, 2011 due to the reason(s) described below.

 Further information (described below) is required by HCISD in order to complete the Harlingen

Consolidated Independent School District RFQ.

Description of reason for declining to quote and/or description of information required to complete the

RFP:

Name:

Title:

Company Name:

Address:

City, State, Zip:

Email address (REQUIRED):

Phone: Fax:

Please return (Acknowledgement only) as soon as possible via fax to receive addenda if applicable:

Antonio Gracia, Jr., Director of Purchasing

Harlingen Consolidated Independent School District

Fax Number (956) 430-9796

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NOTIFICATION OF CRIMINAL HISTORY OF CONTRACTOR

A person or business entity that enters into a contract with a school district must give advance notice to the district if the person or an owner or operator of the business entity has been convicted of a felony.

The notice must include a general description of the conduct resulting in the conviction of a felony.

COMPANY ____________________________________________________

ADDRESS _____________________________________________________

CITY, STATE, ZIP CODE _________________________________________

AREA CODE/TELEPHONE________________________________________

AREA CODE/FAX________________________________________________

E-MAIL ADDRESS________________________________________________

________________________________ _____________________________

SIGNATURE TITLE

*THIS FORM MUST BE SIGNED AND INCLUDED WITH

SUBMITTAL OF PROPOSALS.

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E. AUTHENTICATING SIGNATURE PAGE

I, , have read the standard terms and conditions.

(Print/Type Name of Company Officer)

I fully understand them, and will fully execute them if I am awarded this proposal.

I fully understand the proposal specifications.

COMPANY ____________________________________________________

ADDRESS _____________________________________________________

CITY, STATE, ZIP CODE _________________________________________

AREA CODE/TELEPHONE________________________________________

AREA CODE/FAX________________________________________________

E-MAIL ADDRESS________________________________________________

________________________________ _____________________________

SIGNATURE TITLE

* THIS FORM MUST BE SIGNED AND INCLUDED WITH SUBMITTAL OF PROPOSALS.

*THE CONFLICT OF INTEREST FORM MUST BE INCLUDED WITH PROPOSAL

SUBMITTAL TO QUALIFY.

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F. NOTICE TO VENDORS: CONFLICT OF INTEREST QUESTIONNAIRE

H

ARLINGEN

C

ONSOLIDATED

I

NDEPENDENT

S

CHOOL

D

ISTRICT

–

P

URCHASING

D

EPARTMENT

Notice to Vendors: Conflict of Interest Questionnaire Required by Chapter 176 of the

Texas Local Government Code

Effective January 1, 2006, any person or entity who contracts or seeks to contract with HCISD for the sale or purchase of property, goods, or services (as well as agents of such persons)

(hereafter referred to as Vendors) are required to file a Conflict of Interest Questionnaire with the

District. Each covered person or entity who seeks to or who contracts with HCISD is responsible for complying with any applicable disclosure requirements. HCISD will post the completed questionnaires on its website.

The Conflict of Interest Questionnaire must be filed:

· No later than the seventh business day after the date that the Vendor begins contract discussions or negotiations with the government entity, or submits to the entity an application, response to a request for proposal or bid, correspondence, or other writing related to a potential agreement with the entity.

· The Vendor also shall file an updated questionnaire not later than September 1 of each year in which a covered transaction is pending, and the seventh business day after the date of an event that would make a statement in the questionnaire incomplete or inaccurate.

Note: A Vendor is not required to file an updated questionnaire if the person had filed an updated statement on or after June 1, but before September 1 of the year.

The Conflict of Interest Questionnaire may be downloaded from the Texas Ethics Commission’s website at http://www.ethics.state.tx.us/whatsnew/conflict_forms.htm

.

Completed forms should be sent to: Harlingen Consolidated Independent School District

Att’n:

Purchasing Department


Harlingen, Texas 78550

The Local Government Officers of the Harlingen Consolidated Independent School District are:

Board of Trustees: Gerry Fleuriet- President

Dr. Cesar Maldonado- Vice President

George McShan- Secretary

Superintendent:

Verna Young- Member

Dr. Nolan Perez- Member

Javier De Leon- Member

Greg Powers- Member

Dr. Steve Flores

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SPEECH LANGUAGE PATHOLOGISTS FOR CHESTERFIELD

HARLINGEN CONSOLIDATED

INDEPENDENT SCHOOL DISTRICT

Request for Qualifications

For

Occupational Therapist Services #SEOT1111

Table of Contents

*THIS FORM MUST BE SIGNED AND INCLUDED WITH

SUBMITTAL OF PROPOSALS.

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SPEECH LANGUAGE PATHOLOGISTS FOR CHESTERFIELD

HARLINGEN CONSOLIDATED

INDEPENDENT SCHOOL DISTRICT

Request for Qualifications

For

Occupational Therapist Services #SEOT1111

Table of Contents

*THIS FORM MUST BE SIGNED AND INCLUDED WITH

SUBMITTAL OF PROPOSALS.

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