Grievance and Appeal Procedures Responders must provide a description of the grievance and appeal procedure. Label this information Response to 6.10 and include in Section VII of your response. Audited Financial Statement Responders must furnish their most recent independently audited financial statement. Label this information Response to 6.11 and include in Section VII of your response. Annual Report Responders must provide a 2015 Annual Report. Label this information Response to 6.12 and include in Tab VII of your response. Proof of Incorporation Responders must furnish trial of State of Incorporation and State in which licensed. Label this information Response to 6.13 and include in Section VII of your response. Authorization to Provide Services Responders must provide certification from the appropriate State offices that your company is authorized to provide the services contained within your response. Label this information Response to 6.14 and include in Section VII of your response. Proposing Company History Responders must indicate number of the company has offered group dental plans. Label this information Response to 6.15 and include in Section VII of your response. Minimum Qualifications Responders must provide documentation of minimum qualification as stated in Section 7 Label this information Response to 6.16 and include in Section VII of your response. Sample Contracts Responders must include samples of any and all contracts that would be executed by MDC under the proposed plans. Label this information Response to 6.17 and include in Section VII of your response. Sample Administration Forms Responders must include a sample identification card, claims trial, enrollment forms and explanation of benefits forms. Label this information Response to 6.18 and include in Section VII of the response. Public Entity Crimes A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a pubic entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to a public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of $25,000 for a period of 36 months from the date of being placed on the convicted vendor list. As per State of Florida Statute 287.133 (2) (a). Please submit, with your proposal response, Form 10.4 included in this ITN document.
Grievance and Appeal Procedures Responders must provide a description of the grievance and appeal procedure. Label this information Response to 6.10 and include in Section VII of your response. Audited Financial Statement Responders must furnish their most recent independently audited financial statement. Label this information Response to 6.11 and include in Section VII of your response. Annual Report Responders must provide a 2015 Annual Report. Label this information Response to 6.12 and include in Tab VII of your response. Proof of Incorporation Responders must furnish of State of Incorporation and State in which licensed. Label this information Response to 6.13 and include in Section VII of your response. Authorization to Provide Services Responders must provide certification from the appropriate State offices that your company is authorized to provide the services contained within your response. Label this information Response to 6.14 and include in Section VII of your response. Proposing Company History Responders must indicate number of the company has offered group dental plans. Label this information Response to 6.15 and include in Section VII of your response. Minimum Qualifications Responders must provide documentation of minimum qualification as stated in Section 7 Label this information Response to 6.16 and include in Section VII of your response. Sample Contracts Responders must include samples of any and all contracts that would be executed by MDC under the proposed plans. Label this information Response to 6.17 and include in Section VII of your response. Sample Administration Forms Responders must include a sample identification card, claims enrollment forms and explanation of benefits forms. Label this information Response to 6.18 and include in Section VII of the response. Public Entity Crimes A person or affiliate who has been placed on the convicted vendor list following a conviction for a public entity may not submit a bid on a contract to provide any goods or services to a public entity, may not submit a bid on a contract with a pubic entity for the construction or repair of a public building or public work, may not submit bids on leases of real property to a public entity, may not be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with any public entity, and may not transact business with any public entity in excess of $25,000 for a period of 36 months from the date of being placed on the convicted vendor list. As per State of Florida Statute 287.133 (2) (a). Please submit, with your proposal response, Form 10.4 included in this ITN document. trial trial,
2016-21-29-itn-wordfile.docx