Part I—General

STATE OF CONNECTICUT STANDARD RFP FOR PROCUREMENTS DPH RFP # 2025-0902

Department of Public Health

STATE OF CONNECTICUT PROCUREMENT NOTICE

Request for Proposals (RFP) #2025-0902

For

Lung Cancer Screening Navigation

Issued By:

Department of Public Health

June 25, 2024

The Request for Proposals is available in electronic format on the

State Contracting Portal by filtering by Organization for Department

of Public Health at:

https://portal.ct.gov/DAS/CTSource/BidBoard

or from the Agency’s Official Contact:

Name: Iris Viruet

Address: 410 Capitol Avenue, MS #11CCC

Phone: 860-509-7804

E-Mail: dph-lungcancerscreening@ct.gov

The RFP is also available on the Agency’s website at

https://portal.ct.gov/DPH/Request-For-Proposals/Request-for-Proposals

RESPONSES MUST BE RECEIVED NO LATER THAN

August 14, 2024

2:30pm EST

The Department of Public Health is an Equal Opportunity/Affirmative Action Employer.

The Agency reserves the right to reject any and all submissions or cancel this procurement at any

time if deemed in the best interest of the State of Connecticut (State).

TABLE OF CONTENTS

Page

Section I — GENERAL INFORMATION

. . . . . . . . . . . . . 2

A. Introduction

B. Instructions

Section II — PURPOSE OF RFP AND SCOPE OF SERVICES.

. . . . . . . 5

A. Agency Overview

B. Service Overview

C. Scope of Services Description

D. Performance Measures

E. Contract Management/Data Reporting

Section III — PROPOSAL SUBMISSION OVERVIEW

. . . . . . . . . 11

A. Submission Format Information

B. Evaluation of Proposals

Section IV — PROPOSAL SUBMISSION OUTLINE AND REQUIREMENTS

. . . . 16

Cover Sheet

B. Table of Contents

C. Executive Summary

D. Main Proposal Submission Questions

E. Attachments

F. Declaration of Confidential Information

G. Conflict of Interest – Disclosure Statement 23

H. Statement of Assurances

Section V — MANDATORY PROVISIONS

. . . . . . . . . . . . 17

A. Standard Contract Provisions

B. Assurances

C. Terms and Conditions

D. Rights Reserved to the State

E. Statutory and Regulatory Compliance

Section VI — APPENDIX . . . . . . . . . . . . . . . . 23

A. Abbreviations / Acronyms / Definitions

B. Statement of Assurances

C. Proposal Checklist

I. GENERAL INFORMATION



A. INTRODUCTION

1. RFP Name and Number. Lung Cancer Screening Navigation Services, RFP# 2025-0902

2. RFP Summary.

The Connecticut Department of Public Health (DPH) is seeking proposals from healthcare

systems and hospitals in Connecticut to participate in the delivery of lung cancer screening

navigation services through the CT Lung Cancer Screening Program (CLCSP). Contractors will

be expected to (1) identify and recruit eligible patients and navigate them into lung cancer

screening and, if indicated, follow-up treatment and services, and (2) engage in community

outreach and education concerning lung cancer and the benefits of lung cancer screening.

3. RFP Purpose.

Lung cancer is the second most commonly diagnosed cancer in Connecticut, and incidence rates

for lung cancer in the state are 55.2 per 100,000 people compared to the US national average of

54.0 per 100,000 people.

(https://statecancerprofiles.cancer.gov/incidencerates)

The purpose of this funding opportunity is to foster the early detection and prevention of lung

cancer by increasing the lung cancer screening rates for Connecticut residents. Early detection

promotes the initiation of treatment at an earlier stage of the disease, when treatment is more

likely to be effective, and thereby reduces the risk of death from lung cancer.

4. Commodity Codes. The services that the Agency wishes to procure through this RFP are as

follows:

• 0600: Services (Professional, Support, Consulting and Misc. Services)

• 1000: Health Service Planning

• 2000: Community and Social Services

• 3000: Education and Training



B. INSTRUCTIONS

1. Official Contact. The Agency has designated the individual below as the Official Contact for

purposes of this RFP. The Official Contact is the only authorized contact for this procurement

and, as such, handles all related communications on behalf of the Agency. Proposers,

prospective proposers, and other interested parties are advised that any communication with

any other Agency employee(s) (including appointed officials) or personnel under contract to the

Agency about this RFP is strictly prohibited. Proposers or prospective proposers who violate this

instruction may risk disqualification from further consideration.

Name: Iris Viruet

Address: 410 Capitol Avenue, MS #11CCC

Hartford, CT 06134

Phone: 860-509-7804

E-Mail: dph-lungcancerscreening@ct.gov

Please ensure that e-mail screening software (if used) recognizes and accepts e-mails from the

Official Contact.

2. Registering with State Contracting Portal. Respondents must register with the State of CT

contracting portal at https://portal.ct.gov/DAS/CTSource/Registration

if not already registered.

Respondents shall submit the following information pertaining to this application to this portal

(on their supplier profile), which will be checked by the Agency contact.

• Secretary of State recognition – Click on appropriate response

• Non-profit status, if applicable

• Notification to Bidders, Parts I-V

• Campaign Contribution Certification (OPM Ethics Form 1):

https://portal.ct.gov/OPM/Fin-

PSA/Forms/Ethics-Forms

3. RFP Information. The RFP, amendments to the RFP, and other information associated with

this procurement are available in electronic format from the Official Contact or from the Internet

at the following locations:

• Agency’s RFP Web Page

https://portal.ct.gov/DPH/Request-For-Proposals/Request-for-Proposals

• State Contracting Portal (go to CTsource bid board, filter by “Department of Public Health”

https://portal.ct.gov/DAS/CTSource/BidBoard

It is strongly recommended that any proposer or prospective proposer interested in this

procurement check the Bid Board for any solicitation changes. Interested proposers may receive

additional e-mails from CTsource announcing addendums that are posted on the portal. This

service is provided as a courtesy to assist in monitoring activities associated with State

procurements, including this RFP.

4. Procurement Schedule. See below. Dates after the due date for proposals (“Proposals Due”)

are non-binding target dates only (*). The Agency may amend the schedule as needed. Any

change to non-target dates will be made by means of an amendment to this RFP and will be

posted on the State Contracting Portal and, if available, the Agency’s RFP Web Page.

• RFP Released: June 25 , 2024

• Letter of Intent Due: July 16, 2024

• Deadline for Questions: July 19 2024

• Answers Released: July 31, 2024

• Proposals Due: August 14, 2024, 2:30 PM

• (*) Proposer Selection: week of August 26, 2024

• (*) Start of Contract: approximately January 2025

5. Contract Awards. The award of any contract pursuant to this RFP is dependent upon the

availability of funding to the Agency. The Agency anticipates the following:

• Total Funding Available: $352,475 per year for 2 years

• Number of Awards: Up to 6 awards depending on award amounts and funding

available.

• Award Range: Proposers can apply for up to $88,000 per year for 2 years.

Contract Term:

1/1/2025-12/31/2026 (anticipated)

• Funding Source: State

Eligibility. Proposals will be accepted from healthcare systems and hospitals in Connecticut

with established lung cancer screening programs. Proposers with long-standing, significant

unresolved issues on current and/or prior year contracts with the Department may be removed

from consideration for funding.

Minimum Qualifications of Proposers. To qualify for a contract award, a proposer must

have the following minimum qualifications:

Proposers must be a healthcare system or hospital in Connecticut with an existing lung cancer

screening program and with the ability to effectively identify, recruit, navigate and follow eligible

patients into the proposer’s established lung cancer screening program.

8. Letter of Intent. A Letter of Intent (LOI) is required for this RFP. The LOI is non-binding and

does not obligate the sender to submit a proposal. The LOI must be submitted to the Official

Contact by e-mail by the deadline established in the Procurement Schedule. The LOI must

clearly identify the sender, including name, postal address, telephone number, and e-mail

address. It is the sender’s responsibility to confirm the Agency’s receipt of the LOI. Failure to

submit the required LOI in accordance with the requirements set forth herein shall result in

disqualification from further consideration.

9. Inquiry Procedures. All questions regarding this RFP or the Agency’s procurement process

must be directed, in writing, electronically (by e-mail) to the Official Contact before the deadline

specified in the Procurement Schedule. The early submission of questions is encouraged.

Questions will not be accepted or answered verbally – either in person or over the telephone. All

questions received before the deadline(s) will be answered. However, the Agency will not

answer questions when the source is unknown (i.e., nuisance or anonymous questions).

Questions deemed unrelated to the RFP or the procurement process will not be answered. At its

discretion, the Agency may or may not respond to questions received after the deadline. If this

RFP requires a Letter of Intent, the Agency reserves the right to answer questions only from

those who have submitted such a letter. The Agency may combine similar questions and give

only one answer. All questions and answers will be compiled into a written amendment to this

RFP. If any answer to any question constitutes a material change to the RFP, the question and

answer will be placed at the beginning of the amendment and duly noted as such.

The Agency will release the answers to questions on the date(s) established in the Procurement

Schedule. The Agency will publish all amendments to this RFP on the State Contracting Portal

and, if available, on the Agency’s RFP Web Page. At its discretion, the Agency may distribute

any amendments to this RFP to prospective proposers who submitted a Letter of Intent.

10. RFP Conference. No RFP conference will be held.

11.

Proposal Due Date and Time. The Official Contact is the only authorized recipient of

proposals submitted in response to this RFP. Proposals must be received by the Official Contact

on or before the due date and time: August 14, 2024, 2:30 PM.

Proposals received after the due date and time will be ineligible and will not be evaluated. The

Agency will send an official letter alerting late respondents of ineligibility.

An acceptable submission must include the following:

• One (1) confirming electronic copy of the original proposal.

The proposal must be complete, properly formatted and outlined, and ready for evaluation

by the Screening Committee.

The electronic copy of the proposal must be e-mailed to the Official Contact for this

procurement. The subject line of the e-mail must read: Lung Cancer Screening

Navigation. Required forms and appendices may be scanned and submitted as PDFs at the

end of the main proposal document. Please ensure the entire e-mail submission is less than

25MB as this reflects the Agency’s server limitations. Respondents should work to ensure

there are no additional IT limitations from the provider side.

12. Multiple Proposals. The submission of multiple proposals is not an option for this

procurement.

II. PURPOSE OF RFP AND SCOPE OF SERVICES



A. AGENCY OVERVIEW

The Connecticut Department of Public Health (DPH) is the state’s leader in public health policy and

advocacy and is an integral part of the public health system. The agency is the center of a

comprehensive network of public health providers and is a partner to local health departments for

which it provides advocacy, training and certification, technical assistance, consultation, and

oversight.

The agency is a source of accurate, up-to-date health information to the Governor, the Legislature,

the federal government, and local communities. This information is used to monitor the health

status of Connecticut’s residents, set health priorities, and evaluate the effectiveness of health

initiatives. The agency is focused on health outcomes, maintaining a balance between assuring

quality and administrative functions among personnel, facilities, and programs. DPH is a leader on

the national scene through direct input to Federal agencies and the United States Congress.

The mission of the CT DPH is to protect and improve the health and safety of the people of

Connecticut by:

• Assuring the conditions in which people can be healthy,

• Preventing disease, injury, and disability, and

• Promoting the equal enjoyment of the highest attainable standard of health, which is a

human right and a priority of the state.



B. PROGRAM OVERVIEW

DPH’s Comprehensive Cancer Control Program is looking for healthcare systems and hospitals to

provide navigation services for eligible patients with the goals of increasing lung cancer screening rates

in Connecticut and decreasing late-stage cancer diagnosis and lung cancer mortality. Contractors must

effectively identify and navigate eligible patients into lung cancer screening programs and follow up on

the patients’ screening outcomes.

Eligible patients are defined by the U.S. Preventive Services Task Force (USPSTF) as people who:

• Have a 20 pack-year or more smoking history, and

• Smoke now or have quit within the past 15 years, and

• Are between 50 and 80 years old.

A pack-year is smoking an average of one pack of cigarettes per day for one year. For example, a

person could have a 20 pack-year history by smoking one pack a day for 20 years or two packs a day

for 10 years. USPSTF recommends yearly lung cancer screening with low-dose computed tomography

(LDCT) for eligible patients.

DPH is committed to the elimination of health inequities. Racial and ethnic minorities and Connecticut’s

disadvantaged residents experience health inequities and therefore do not have the same opportunities

as other groups to achieve healthy outcomes. Proposers must address the scope of health disparities

and inequities in their communities and explain how the proposed program services and activities will

address these discrepancies.

Funds are to be used to enhance an existing lung cancer screening program through navigation

services and outreach and cannot be used to establish a new lung cancer screening program. Funds

cannot be used for lung cancer screening or cancer treatment. All patients must be navigated into

screening and into diagnosis and treatment, if necessary. Patients lacking insurance, and those who are

underinsured, must be navigated into screening and provided assistance in gaining entry into other

funded programs for diagnosis and treatment.



C. SCOPE OF SERVICE DESCRIPTION

The contractor will be responsible for effectively identifying, recruiting, and navigating eligible patients

through the healthcare system to receive lung cancer screening and follow up, if needed.

Proposers must include their specific hospital or healthcare system’s baseline lung cancer screening

rates in the proposal.

A patient navigator (PN) who is trained in motivational interviewing, a technique used to elicit the

client’s active participation in the process of changing their behavior, must be dedicated to the CLCSP.

The PN must dedicate sufficient hours to the program to effectively meet the goals of the CLCSP and

increase the contractor’s lung cancer screening rate by at least 15% over the two-year grant period.

The contractor must identify and recruit eligible patients and, upon enrollment into the program,

patients must be navigated into lung cancer screening services. Patients must be followed for

outcomes of screening and, if necessary, navigated into further treatment and services. Program

participants must be screened yearly.

The contractor must recruit eligible patients by means of review of electronic health records (EHR),

outreach into the community, referrals from healthcare providers, and other mechanisms to meet the

screening goals.

Services must be culturally competent, and information must be provided in multiple languages.

The contractor will be provided with access to a DPH database to collect information such as outreach

activities, patient demographics, tobacco use history, insurance, type of navigation services, lung

cancer screening outcomes and follow up services and outcomes, if necessary.

1. Organizational Expectations:

The proposer must provide a brief overview of the history and structure of the organization,

including the organization’s catchment area, hours of operation and the locations where services will

be provided. The proposer must explain how the proposal will fit into the organization’s overall

mission and meet the intent of this RFP. Proposers must include their current lung cancer screening

rate and the proposed lung cancer screening rate to be achieved with the awarded funding. The

overview should include the following:

a. Purpose, Mission, Vision, and History of Organization

The proposer must provide a brief overview of the history and structure of the organization. The

proposer must explain how the proposal will fit into the organization’s overall mission, with

specific details on patient-centered care, team-based model, medical home model, and

community health needs assessment.

b. Entity Type (profit/non-profit, etc.)/Years of Operation

The proposer must indicate entity type and years of operation. Proposals will be accepted from

CT based hospitals and healthcare systems with an established lung cancer screening program.

Individuals who are not a duly formed business entity are ineligible to participate in this

procurement.

c. Location of Office(s) or Facilities/Hours of Operation

The proposer must describe all locations where services will be provided and hours of operation,

including nontraditional sites and hours. Note – the proposer must offer lung cancer screening

navigation services and lung cancer screening services at least one evening per week or one

weekend per month to permit access to potential participants who cannot schedule

appointments for screening services during regular business hours.

d. Accreditation/Certification/Licensure (if applicable)

The proposer must detail any organizational accreditations, certifications, or licensure.

2. Service Expectations – Scope of Services for Applicant and Any Anticipated

Subcontractors

The following are the services and activities required of the successful proposer. Please discuss in

the proposal how these services and activities will occur:

a. Patient Navigator (PN):

• A PN must be assigned to the lung cancer screening navigation program.

• The PN’s duties must include helping patients navigate through doctors’ offices, clinics,

hospitals, outpatient centers, insurance and payment systems, patient-support

organizations, and other healthcare system components. The PN must also navigate patients

to agencies in their local community in order to assist patients with social determinant of

health issues, such as transportation, food security, childcare and housing.

The number of

hours the PN dedicates to the program must be sufficient to successfully meet the program

deliverables and increase the contractor’s lung cancer screening rate by at least 15% by the

end of the two-year contract period.

b. Outreach:

• The proposer must describe how it will provide community outreach and education regarding

lung cancer, risk behaviors associated with lung cancer, the benefits of lung cancer

screening, and eligibility criteria for screening to the public and healthcare providers within

the proposer’s service area to assist with recruitment of patients into the program.

• The proposer must describe how it will conduct community outreach at a minimum of four

(4) wellness events or other community events each contract year.

• The proposer must describe how it will conduct outreach and education to healthcare

providers to assist with recruitment and lung cancer screening goals.

• The proposer must describe how it will gather data regarding outreach activities, including

the number of people reached and the number of eligible people enrolled in CLCSP.

• The proposer must describe how they will educate healthcare professionals within the

proposer’s agency on lung cancer, screening and referral for lung cancer screening.

• The proposer must identify how and when it will meet these requirements in the proposal.

c. Identification, Recruitment, and Enrollment:

• The proposer must describe how recruitment activities will include community-level outreach

and education through community events and multiple media channels, with an emphasis on

electronic media channels, including social networking sites. The use of EHRs in recruitment

is also encouraged.

• The proposer must describe how it will provide information and education to healthcare

providers within the organization regarding lung cancer screening, eligibility, and referral of

eligible patients. EHR alerts are also encouraged.

• The proposer must describe how it will provide screening reminders for patients and educate

them as to what lung cancer screening is, how it is performed, and its benefits.

• The proposer must describe how it will conduct review of patients’ records to determine

eligibility prior to patients’ appointments so that healthcare providers can discuss lung

cancer screening with eligible patients at their visit.

• The proposer must describe how it will recruit patients identified during outreach events in

the CLCSP.

• The proposer must commit to enrolling identified patients in the CLCSP.

• The proposer must describe how it will collect data regarding the number of people identified

who are eligible for screening and the number of eligible people enrolled in the CLCSP.

• The proposer must identify how and when it will meet these requirements in the proposal.

d. Navigation:

• The proposer must identify in the proposal the protocols used to carry out the provision of

patient navigation for lung cancer screening, diagnostic follow-up, and referral services. The

CDC has outlined the minimum requirements for navigation as written assessment of

individual client social determinant of health issues, individual client education and support,

resolution of social determinant of health issues, client tracking and follow-up, and data

collection to monitor the outcome of patient navigation.

• The PN must assist eligible patients in lung cancer screening and navigate patients into

follow up or treatment services if there is a positive screen or additional follow up is needed.

• Program participants must be screened yearly for lung cancer. The target population eligible

for lung cancer screening are people who:

o Have a 20 pack-year or more smoking history, and

o Smoke now or have quit within the past 15 years, and

o Are between 50 and 80 years old.

In addition, the proposer must explain how it will target eligible patients who are people with

low socioeconomic status, people of color, and LGBTQ+ (target populations) to offer the

screening services.

• The proposer must demonstrate that it will provide lung cancer screening navigation services

and lung cancer screening services at least one evening per week and one weekend per

month to permit access to patients who cannot schedule appointments for screening services

during regular business hours. Service areas and hours should be outlined in the proposal.

• The proposer must provide reminders to patients of appointment times and results of

screening.

• The proposer must provide culturally competent services.

• The proposer must assist those patients who are without insurance or who are underinsured

in finding or applying for insurance or other financial assistance to cover the cost of

screening and follow-up care.

• The proposer must identify how and when it will meet these requirements in the proposal.

e. Data Collection:

• The Department will provide contractors with a database and forms to collect patient data

and information concerning outreach efforts. Training on the database and collection forms

will be provided by the Department.

• The patient data collected must be de-identified by contractors and submitted to the

Department quarterly.

• Contractors must collaborate with the Department evaluation contractor in assessing

program effectiveness and patient satisfaction.

f. Sustainability Plan:

• The proposer must submit a plan to integrate and sustain the tenets of the program within

their organization.

• The proposer must identify a staff person or persons who will act as the internal

champion(s) for the program and present a letter of agreement from that individual stating

their commitment to the program.

g. Subcontractors, if applicable:

If subcontractors will be used in the proposed program, specify the following information for

each one:

• Legal Name of Entity, Address, FEIN

• Contact Person, Title, Phone, Fax, E-mail

• Services Currently Provided

• Services To Be Provided Under Subcontract

• Subcontractor Oversight

• Subcontract Cost and Term

Note: The proposal must include a completed Subcontractor Schedule A-Detail Form (see

Attachments Section – Application Forms) for each subcontractor proposed. If subcontractors

are unknown at the time of the application, any subcontractor information must be

submitted during contract negotiations.

3. Work plan:

A comprehensive and realistic work plan with SMART objectives describing tasks to be

performed, deliverables and timelines, including a project start date, must be provided in the

narrative or included in the Attachments. SMART objectives are objectives that are Specific,

Measurable, Achievable, Realistic, and Time-bound. The work plan must be consistent with the

RFP and the project’s goals and objectives. The project start date will be considered as part of

the review criteria. Please use the work plan template included with the RFP to indicate services

to be provided.

4. Staffing Expectations:

• A PN must be assigned to the lung cancer screening navigation program, as described

above under 2a. Service Expectations.

• The PN must be trained in motivational interviewing and risk reduction counseling.

• The proposer must describe the administrative structure and oversight for the program and

identify the coordinator/supervisor and the individuals that will comprise the program and

the staff assigned, including:

o Job descriptions, hours per week, and hourly rates must be provided for all staff

assigned to this project on the Staffing Form Position Schedule 2a included in

Attachments.

o Resumes must be provided for all management and professional staff assigned to this

project.

o The proposer must complete and attach an organizational Work Force Analysis

included in the Attachments.

o A current organizational chart for the proposer must be submitted with the

application.

The proposer must also provide evidence that their organization will utilize small and minority

businesses whenever feasible and appropriate in the purchase of supplies and services.

5. Data and Technology Expectations:

The proposer must describe its current technological capacity to:

• Collect and secure data and host web-based and telephone conferencing.

• Access e-mail and the internet for the purposes of data collection and record reporting, as well

as for any required or recommended DPH webinars and teleconferences. The proposer must

define current capabilities as well as system restrictions.

• Securely maintain data. The proposer must describe how project-related records and data will

be securely collected, shared, and stored in a manner that ensures compliance with applicable

confidentiality laws and regulations.

6. Financial Expectations:

Monthly or triannual expenditure reports will be required, dependent on the type and cost of the

program to be provided. Budget basis programs will require expenditure reports that are

submitted to the Department through an electronic reporting system, Core-CT.

7. Budget Expectations:

The proposal must contain an itemized budget with justification for each line item on the budget

forms included in the Application Forms in Section VI. A detailed budget is required for the first

year of the grant.

• All costs (salaries, travel, supplies, etc.) must be included in the contract price. Applicants may

include media purchases within their budget as it relates to their work plan. Any organization

including administrative and general costs as part of the project budget must also provide their

cost allocation plan that identifies what categories of costs are included in the plan and how they

are allocated. Competitiveness of the budget will be considered as part of the proposal review

process.

• The State of Connecticut is exempt from the payment of excise, transportation and sales taxes

imposed by the Federal and/or state government. Such taxes must not be included in contract

prices.

• The maximum amount of the bid may not be increased after the proposal is submitted. All cost

estimates will be considered as “not to exceed” quotations against which time and expenses will

be charged.

• The proposed budget is subject to change during the contract award negotiations.

• Use of subcontractors is allowed. Subcontractor information and details also must be in the

itemized budget. Subcontractor Schedule A – Detail form must be completed. All information

required of the contractor must be applied to the subcontractor as well.

• Copies of state set aside certifications for small and/or minority business must also be provided.

• Payments will be negotiated based on time frames and deliverables described in Section V of this

RFP.



D. PERFORMANCE MEASURES

The following performance metrics highlight key priorities that will be analyzed with contractors

collaboratively during the life of the contract. This is not an exhaustive list, but rather an indication of

significant performance metrics of interest to the Agency. The Agency looks forward to working with

contractors to define additional important performance metrics.

• 7% increase in contractor’s lung cancer screening rate by the end of the first contract year.

• 15% increase in contractor’s lung cancer screening rate over the 2 years of the contract.

• 80% of patients report that the contractor’s services were good or very good.

• Contractor will conduct four outreach events each contract year.

• Program progress reports and program data will be submitted on time and accurately.



E. CONTRACT MANAGEMENT/DATA REPORTING

As part of the State’s commitment to becoming more outcomes-oriented, the Department of Public

Health seeks to actively and regularly collaborate with providers/vendors to enhance contract

management, improve results, and adjust service delivery and policy based on learning what works.

Reliable and relevant data is necessary to ensure compliance, inform trends to be monitored, evaluate

results and performance, and drive service improvements. As such, the Department of Public Health

reserves the right to request/collect other key data and metrics from providers/vendors.

• Data must be submitted monthly.

• Narrative progress reports must be submitted quarterly.

• Update meetings with the DPH program manager/staff will occur monthly.

III. PROPOSAL SUBMISSION OVERVIEW



A. SUBMISSION FORMAT INFORMATION

1. Required Outline. All proposals must follow the required outline presented in Section IV –

Proposal Outline. Proposals that fail to follow the required outline will be deemed non-

responsive and not evaluated.

2. Cover Sheet. The Cover Sheet is Page 1 of the proposal. Proposers must complete and use a

Cover Sheet form provided by the Agency in Section VI Appendix and must include the

information listed in Section IV A.

3. Table of Contents. All proposals must include a Table of Contents that conforms with the

required proposal outline.

4. Executive Summary. Proposals must include a high-level summary, not exceeding 2 pages, of

the main proposal and cost proposal. The summary must also include the organization’s

eligibility and qualifications to respond to this RFP.

5. Attachments. Attachments other than the required Appendices or Forms identified in the RFP

are not permitted and will not be evaluated. Further, the required Appendices or Forms must

not be altered or used to extend, enhance, or replace any component required by this RFP.

Failure to abide by these instructions will result in disqualification.

6. Style Requirements.

Submitted proposals must conform to the following specifications:

• THIS IS AN ELECTRONIC SUBMISSION

• Page Limit: 25 pages to include executive summary and proposal, additional pages can be

used for budget and workplan.

• Font Size: 12

• Font Type: Times New Roman

• Margins: 1” inch margins

• Line Spacing: 1.5 spaces

7. Pagination. The proposer’s name must be displayed in the header of each page. All pages,

excluding the required Appendices and Forms, must be numbered in the footer.

8. Declaration of Confidential Information. Proposers are advised that all materials associated

with this procurement are subject to the terms of the Freedom of Information Act (FOIA), the

Privacy Act, and all rules, regulations and interpretations resulting from them. If a proposer

deems that certain information required by this RFP is confidential, the proposer must label such

information as CONFIDENTIAL prior to submission. In subsection IV F of the proposal

submission, the proposer must reference where the information labeled CONFIDENTIAL is

located in the proposal. EXAMPLE: Section G.1.a. For each subsection so referenced, the

proposer must provide a convincing explanation and rationale sufficient to justify an exemption

of the information from release under the FOIA. The explanation and rationale must be stated in

terms of (a) the prospective harm to the competitive position of the proposer that would result if

the identified information were to be released and (b) the reasons why the information is legally

exempt from release pursuant to C.G.S. § 1-210(b).

9. Conflict of Interest - Disclosure Statement. Proposers must include a disclosure statement

concerning any current business relationships (within the last three (3) years) that pose a

conflict of interest as defined by C.G.S. § 1-85. A conflict of interest exists when a relationship

exists between the proposer and a public official (including an elected official) or State employee

that may interfere with fair competition or may be averse to the interests of the State. The

existence of a conflict of interest is not, in and of itself, evidence of wrongdoing. A conflict of

interest may, however, become a legal matter if a proposer tries to influence, or succeeds in

influencing, the outcome of an official decision for their personal or corporate benefit. The

Agency will determine whether any disclosed conflict of interest poses a substantial advantage

to the proposer over the competition, decreases the overall competitiveness of this

procurement, or is not in the best interests of the State. In the absence of any conflict of

interest, a proposer must affirm such in the disclosure statement. Example: “[name of

proposer] has no current business relationship (within the last three (3) years) that poses a

conflict of interest as defined by C.G.S. § 1-85.”



B. EVALUATION OF PROPOSALS

1. Evaluation Process. It is the intent of the Agency to conduct a comprehensive, fair, and

impartial evaluation of proposals received in response to this RFP. When evaluating proposals,

negotiating with successful proposers, and awarding contracts, the Agency will conform with its

written procedures for POS and PSA procurements (pursuant to C.G.S. § 4-217) and the State’s

Code of Ethics (pursuant to C.G.S. §§ 1-84 and 1-85). Final funding allocation decisions will be

determined during contract negotiation.

2. Evaluation Review Committee. The Agency will designate a Review Committee to evaluate

proposals submitted in response to this RFP. The Review Committee will be composed of

individuals, Agency staff or other designers as deemed appropriate. The contents of all

submitted proposals, including any confidential information, will be shared with the Review

Committee. Only proposals found to be responsive (that is, complying with all instructions and

requirements described herein) will be reviewed, rated, and scored. Proposals that fail to comply

with all instructions will be rejected without further consideration. The Review Committee shall

evaluate all proposals that meet the Minimum Submission Requirements by score and rank

order and make recommendations for awards. The DPH Commissioner will make the final

selection. Attempts by any proposer (or representative of any proposer) to contact or influence

any member of the Review Committee may result in disqualification of the proposer.

3. Minimum Submission Requirements. To be eligible for evaluation, proposals must (1) be

received on or before the due date and time; (2) meet the Proposal Format requirements; (3)

meet the Eligibility and Qualification requirements to respond to the procurement; (4) follow the

required Proposal Outline; and (5) be complete. Proposals that fail to follow instructions or

satisfy these minimum submission requirements will not be reviewed further. The Agency will

reject any proposal that deviates significantly from the requirements of this RFP.

Evaluation Criteria (and Weights). Proposals meeting the Minimum Submission

Requirements will be evaluated according to the established criteria. The criteria are the

objective standards that the Review Committee will use to evaluate the technical merits of the

proposals. Only the criteria listed below will be used to evaluate proposals.

Evaluation Criterion

Title

The examples below are intended to provide guidance and

are not an exhaustive list of items to be considered.

Proposers should refer to the specific content requirements

throughout the RFP to address every criterion.

Scope of Services:

Patient Navigator

Outreach

Identification,

Recruitment and

Enrollment

Navigation

• Patient Navigator that will be assigned to the lung

cancer screening navigation program.

• Patient Navigator that will be working the requisite

number of hours to effectively increase the screening

rate by 15% and meet deliverables of grant.

• Outreach and education regarding lung cancer, risk

behaviors associated with lung cancer, lung cancer

screening benefits, and eligibility criteria for screening

to the public within the proposer’s catchment area to

assist with recruitment of patients into the program.

• Outreach and education at a minimum of four (4)

events a year.

• Education to healthcare providers about lung cancer,

screening, and referral.

• Recruitment activities, including community-level

outreach and education through community events.

• Review of records to identify eligible patients prior to

appointment.

• Recruitment and enrollment services of eligible

patients.

• Patient navigation for lung cancer screening,

diagnostic follow-up, and referral services for the

target population.

• Assistance to patients with barriers to care.

Data Collection

Sustainability Plan

Staffing Plan

Data and Technology

Work plan

Budget and Budget

Narrative

Proposer’s approach to:

• collecting required data and submitting it to the

Department.

• working with the Department’s evaluator.

Proposer’s approach to:

• recruiting a program champion or champions.

• continuing the program once funds are no longer

available.

Proposer’s approach to allocating adequate time and trained

staff to manage the services to be provided.

Proposer’s approach to:

• maintaining the provided data collection system and

tracking and documenting information.

• providing required data and program required reports

as outlined by DPH to meet grant requirements.

Thorough and detailed work plan consisting of SMART

objectives and specific, appropriate timelines.

• Use of the funds to effectively provide the services

required.

• Budget that is cost effective and competitive.

Note:

As part of its evaluation of the Staffing Plan, the Review Committee will review the proposer’s

demonstrated commitment to affirmative action, as required by the Regulations of CT State

Agencies § 46A-68j-30(10).

5. Proposer Selection. Upon completing its evaluation of proposals, the Review Committee will

submit the rankings of all proposals to the Commissioner or Agency Head. The final selection of

a successful proposer is at the discretion of the Commissioner or Agency Head. Any proposer

selected will be so notified and awarded an opportunity to negotiate a contract with the Agency.

Such negotiations may, but will not automatically, result in a contract. Any resulting contract will

be posted on the State Contracting Portal. All unsuccessful proposers will be notified by e-mail

or U.S. mail, at the Agency’s discretion, about the outcome of the evaluation and proposer

selection process. The Agency reserves the right to decline to award contracts for activities in

which the Commissioner or Agency Head considers there are not adequate respondents.

6. Debriefing. Within ten (10) days of receiving notification from the Agency, unsuccessful

proposers may contact the Official Contact and request information about the evaluation and

proposer selection process. The e-mail sent date or the postmark date on the notification

envelope will be considered “day one” of the ten (10) days. If unsuccessful proposers still have

questions after receiving this information, they may contact the Official Contact and request a

meeting with the Agency to discuss the evaluation process and their proposals. If held, the

debriefing meeting will not include any comparisons of unsuccessful proposals with other

proposals. The Agency may schedule and hold the debriefing meeting within fifteen (15) days of

the request. The Agency will not change, alter, or modify the outcome of the evaluation or

selection process as a result of any debriefing meeting.

7. Appeal Process. Proposers may appeal any aspect of the Agency’s competitive procurement,

including the evaluation and proposer selection process. Any such appeal must be submitted to

the Agency head. A proposer may file an appeal at any time after the proposal due date, but not

later than thirty (30) days after an agency notifies unsuccessful proposers about the outcome of

the evaluation and proposer selection process. The e-mail sent date or the postmark date on the

notification envelope will be considered “day one” of the thirty (30) days. The filing of an appeal

shall not be deemed sufficient reason for the Agency to delay, suspend, cancel, or terminate the

procurement process or execution of a contract. More detailed information about filing an

appeal may be obtained from the Official Contact.

8. Contract Execution. Any contract developed and executed as a result of this RFP is subject to

the Agency’s contracting procedures, which may include approval by the Office of the Attorney

General. Fully executed and approved contracts will be posted on the State Contracting Portal

and the Agency website.

IV. REQUIRED PROPOSAL SUBMISSION OUTLINE AND REQUIREMENTS

A: Cover Sheet

The Respondent must use the Cover Sheet in Section VI Appendix which captures the following

information:

• RFP Name or Number

• Legal Name

• FEIN (not required for currently contracted providers/vendors)

• Street Address

• Town/City/State/Zip

• Contact Person

• Title

• Phone Number

• E-Mail Address

• Authorized Official

• Title

• Signature

Legal Name is defined as the name of provider, vendor, CT State agency, or municipality submitting the

proposal. Contact Person is defined as the individual who can provide additional information about the

proposal or who has immediate responsibility for the proposal. Authorized Official is defined as the

individual empowered to submit a binding offer on behalf of the proposer to provide services in

accordance with the terms and provisions described in this RFP and any amendments or attachments

hereto.

B: Table of Contents

Respondents must include a Table of Contents that lists sections and subsections with page numbers

that follow the organization outline and sequence for this proposal.

C: Proposer Executive Summary

The page limitation for this section is two (2) pages briefly describing how the Respondent meets the

eligibility and qualification criteria outlined in the Proposal Overview and a brief overview of why the

Respondent should be selected for the activities highlighted in the scope of services.

D: Main Proposal Submission Requirements To Submit a Responsive Proposal:

***Please note the maximum total page length for this section is 25 pages including executive

summary, proposal, work plan and budget (all appendices and other attachments should be referred to

in section D and then placed in section E).

E: Attachments

Attachments other than the required attachments identified are not permitted and will not be

evaluated. See the Proposal Checklist in Appendix VI for a list of relevant attachments. Further, the

required attachments must not be altered or used to extend, enhance, or replace any component

required by this RFP. Failure to abide by these instructions may result in disqualification.

F: Declaration of Confidential Information

If a proposer deems that certain information required by this RFP is confidential, the proposer must

label such information as CONFIDENTIAL prior to submission. The proposer must reference where the

information labeled CONFIDENTIAL is located in the proposal. EXAMPLE: Section G.1.a. For each

subsection so referenced, the proposer must provide a convincing explanation and rationale sufficient

to justify an exemption of the information from release under the FOIA. The explanation and rationale

must be stated in terms of (a) the prospective harm to the competitive position of the proposer that

would result if the identified information were to be released and (b) the reasons why the information is

legally exempt from release pursuant to C.G.S. § 1-210(b).

G: Conflict of Interest – Disclosure Statement

Proposers must include a disclosure statement concerning any current business relationships (within

the last three (3) years) that pose a conflict of interest, as defined by C.G.S. § 1-85. A conflict of

interest exists when a relationship exists between the proposer and a public official (including an

elected official) or State employee that may interfere with fair competition or may be adverse to the

interests of the State. The existence of a conflict of interest is not, in and of itself, evidence of

wrongdoing. A conflict of interest may, however, become a legal matter if a proposer tries to influence,

or succeeds in influencing, the outcome of an official decision for their personal or corporate benefit. In

the absence of any conflict of interest, a proposer must affirm such in the disclosure statement.

Example: “[name of proposer] has no current business relationship (within the last three (3) years)

that poses a conflict of interest, as defined by C.G.S. § 1-85.”

H: Statement of Assurances

Place after Conflict of Interest-Disclosure Statement. Sign and return Statement of Assurances in

Appendix VI.

V. MANDATORY PROVISIONS



A. STANDARD CONTRACT PROVISIONS

By submitting a proposal in response to this RFP, the proposer implicitly agrees to comply with the

provisions of Parts I and II of the State’s standard POS contract. Part I of the standard contract is

maintained by the Department and will include the scope of services, contract performance, quality

assurance, reports, terms of payment, budget, and other program-specific provisions of any resulting

POS contract. A sample of Part I is available from the Department’s Official Contact upon request. Part

II of the standard contract is maintained by OPM and includes the mandatory terms and conditions of

the POS contract. Part II is available on OPM’s website at:

https://portal.ct.gov/OPM/Fin-

POS/Standards/POS-Standard-Contract-Part-II .



B. ASSURANCES

By submitting a proposal in response to this RFP, a proposer implicitly gives the following

assurances:

1. Collusion. The proposer represents and warrants that the proposer did not participate in any

part of the RFP development process and had no knowledge of the specific contents of the RFP

prior to its issuance. The proposer further represents and warrants that no agent,

representative, or employee of the State participated directly in the preparation of the

proposer’s proposal. The proposer also represents and warrants that the submitted proposal is

in all respects fair and is made without collusion or fraud.

2. State Officials and Employees. The proposer certifies that no elected or appointed official or

employee of the State has or will benefit financially or materially from any contract resulting

from this RFP. The Agency may terminate a resulting contract if it is determined that gratuities

of any kind were either offered or received by any of the aforementioned officials or employees

from the proposer, contractor, or its agents or employees.

3. Competitors. The proposer assures that the submitted proposal is not made in connection with

any competing organization or competitor submitting a separate proposal in response to this

RFP. No attempt has been made, or will be made, by the proposer to induce any other

organization or competitor to submit, or not submit, a proposal for the purpose of restricting

competition. The proposer further assures that the proposed costs have been arrived at

independently, without consultation, communication, or agreement with any other organization

or competitor for the purpose of restricting competition. Nor has the proposer knowingly

disclosed the proposed costs on a prior basis, either directly or indirectly, to any other

organization or competitor.

4. Validity of Proposal. The proposer certifies that the proposal represents a valid and binding

offer to provide services in accordance with the terms and provisions described in this RFP and

any amendments or attachments hereto. The proposal shall remain valid for a period of 180

days after the submission due date and may be extended beyond that time by mutual

agreement. At its sole discretion, the Agency may include the proposal, by reference or

otherwise, into any contract with the successful proposer.

5. Press Releases. The proposer agrees to obtain prior written consent and approval of the

Agency for press releases that relate in any manner to this RFP or any resultant contract.



C. TERMS AND CONDITIONS

By submitting a proposal in response to this RFP, a proposer implicitly agrees to comply with the

following terms and conditions:

1. Equal Opportunity and Affirmative Action. The State is an Equal Opportunity and

Affirmative Action employer and does not discriminate in its hiring, employment, or business

practices. The State is committed to complying with the Americans with Disabilities Act of 1990

(ADA) and does not discriminate on the basis of disability in admission to, access to, or

operation of its programs, services, or activities.

2. Preparation Expenses. Neither the State nor the Agency shall assume any liability for

expenses incurred by a proposer in preparing, submitting, or clarifying any proposal submitted

in response to this RFP.

3. Exclusion of Taxes. The Agency is exempt from the payment of excise and sales taxes

imposed by the federal government and the State. Proposers are liable for any other applicable

taxes.

4. Proposed Costs. No cost submissions that are contingent upon a State action will be accepted.

All proposed costs must be fixed through the entire term of the contract.

5. Changes to Proposal. No additions or changes to the original proposal will be allowed after

submission. While changes are not permitted, the Agency may request and authorize proposers

to submit written clarification of their proposals, in a manner or format prescribed by the

Agency, and at the proposer’s expense.

Supplemental Information. Supplemental information will not be considered after the

deadline submission of proposals, unless specifically requested by the Agency. The Agency may

ask a proposer to give demonstrations, interviews, oral presentations or further explanations to

clarify information contained in a proposal. Any such demonstration, interview, or oral

presentation will be at a time and place designated by the Agency. At its sole discretion, the

Agency may limit the number of proposers invited to make such a demonstration, interview, or

oral presentation and may limit the number of attendees per proposer.

7. Presentation of Supporting Evidence. If requested by the Agency, a proposer must be

prepared to present evidence of experience, ability, data reporting capabilities, financial

standing, or other information necessary to satisfactorily meet the requirements set forth or

implied in this RFP. The Agency may make onsite visits to an operational facility or facilities of a

proposer to evaluate further the proposer’s capability to perform the duties required by this RFP.

At its discretion, the Agency may also check or contact any reference provided by the proposer.

8. RFP Is Not An Offer. Neither this RFP nor any subsequent discussions shall give rise to any

commitment on the part of the State or the Agency or confer any rights on any proposer unless

and until a contract is fully executed by the necessary parties. The contract document will

represent the entire agreement between the proposer and the Agency and will supersede all

prior negotiations, representations or agreements, alleged or made, between the parties. The

State shall assume no liability for costs incurred by the proposer or for payment of services

under the terms of the contract until the successful proposer is notified that the contract has

been accepted and approved by the Agency and, if required, by the Attorney General’s Office.



D. RIGHTS RESERVED TO THE STATE

By submitting a proposal in response to this RFP, a proposer implicitly accepts that the following

rights are reserved to the State:

1. Timing Sequence. The timing and sequence of events associated with this RFP shall ultimately

be determined by the Agency.

2. Amending or Canceling RFP. The Agency reserves the right to amend or cancel this RFP on

any date and at any time, if the Agency deems it to be necessary, appropriate, or otherwise in

the best interests of the State.

3. No Acceptable Proposals. In the event that no acceptable proposals are submitted in

response to this RFP, the Agency may reopen the procurement process, if it is determined to be

in the best interests of the State.

4. Award and Rejection of Proposals. The Agency reserves the right to award in part, to reject

any and all proposals in whole or in part, for misrepresentation or if the proposal limits or

modifies any of the terms, conditions, or specifications of this RFP. The Agency may waive

minor technical defects, irregularities, or omissions, if in its judgment the best interests of the

State will be served. The Agency reserves the right to reject the proposal of any proposer who

submits a proposal after the submission date and time.

5. Sole Property of the State. All proposals submitted in response to this RFP are to be the sole

property of the State. Any product, whether acceptable or unacceptable, developed under a

contract awarded as a result of this RFP shall be the sole property of the State, unless stated

otherwise in this RFP or subsequent contract. The right to publish, distribute, or disseminate

any and all information or reports, or part thereof, shall accrue to the State without recourse.

6. Contract Negotiation. The Agency reserves the right to negotiate or contract for all or any

portion of the services contained in this RFP. The Agency further reserves the right to contract

with one or more proposers for such services. After reviewing the scored criteria, the Agency

may seek Best and Final Offers (BFO) on cost from proposers. The Agency may set parameters

on any BFOs received.

7. Clerical Errors in Award. The Agency reserves the right to correct inaccurate awards resulting

from its clerical errors. This may include, in extreme circumstances, revoking the awarding of a

contract already made to a proposer and subsequently awarding the contract to another

proposer. Such action on the part of the State shall not constitute a breach of contract on the

part of the State since the contract with the initial proposer is deemed to be void ab initio and of

no effect as if no contract ever existed between the State and the proposer.

8. Key Personnel. When the Agency is the sole funder of a purchased service, the Agency

reserves the right to approve any additions, deletions, or changes in key personnel, with the

exception of key personnel who have terminated employment. The Agency also reserves the

right to approve replacements for key personnel who have terminated employment. The Agency

further reserves the right to require the removal and replacement of any of the proposer’s key

personnel who do not perform adequately, regardless of whether they were previously approved

by the Agency.



E. STATUTORY AND REGULATORY COMPLIANCE

By submitting a proposal in response to this RFP, the proposer implicitly agrees to comply with all

applicable State and federal laws and regulations, including, but not limited to, the following:

1. Freedom of Information, C.G.S. § 1-210(b). The Freedom of Information Act (FOIA)

generally requires the disclosure of documents in the possession of the State upon request of

any citizen, unless the content of the document falls within certain categories of exemption, as

defined by C.G.S. § 1-210(b). Proposers are generally advised not to include in their proposals

any confidential information. If the proposer indicates that certain documentation, as required

by this RFP, is submitted in confidence, the State will endeavor to keep said information

confidential to the extent permitted by law. The State has no obligation to initiate, prosecute, or

defend any legal proceeding or to seek a protective order or other similar relief to prevent

disclosure of any information pursuant to a FOIA request. The proposer has the burden of

establishing the availability of any FOIA exemption in any proceeding where it is an issue. While

a proposer may claim an exemption to the State’s FOIA, the final administrative authority to

release or exempt any or all material so identified rests with the State. In no event shall the

State or any of its employees have any liability for disclosure of documents or information in the

possession of the State and which the State or its employees believe(s) to be required pursuant

to the FOIA or other requirements of law.

2. Contract Compliance, C.G.S. § 4a-60 and Regulations of CT State Agencies § 46a-68j-

21 thru 43, inclusive. CT statute and regulations impose certain obligations on State agencies

(as well as contractors and subcontractors doing business with the State) to ensure that State

agencies do not enter into contracts with organizations or businesses that discriminate against

protected class persons.

3. Consulting Agreements Representation, C.G.S. § 4a-81. Pursuant to C.G.S. §§ 4a-81 the

successful contracting party shall certify

that it has not entered into any consulting agreements

in connection with this Contract, except for the agreements listed below. "Consulting

agreement" means any written or oral agreement to retain the services, for a fee, of a

consultant for the purposes of (A) providing counsel to a contractor, vendor, consultant or other

entity seeking to conduct, or conducting, business with the State, (B) contacting, whether in

writing or orally, any executive, judicial, or administrative office of the State, including any

department, institution, bureau, board, commission, authority, official or employee for the

purpose of solicitation, dispute resolution, introduction, requests for information, or (C) any

other similar activity related to such contracts. "Consulting agreement" does not include any

agreements entered into with a consultant who is registered under the provisions of chapter 10

of the Connecticut General Statutes as of the date such contract is executed in accordance with

the provisions of section 4a-81 of the Connecticut General Statutes. Such representation shall

be sworn as true to the best knowledge and belief of the person signing the resulting contract

and shall be subject to the penalties of false statement.

4. Campaign Contribution Restriction, C.G.S. § 9-612. For all State contracts, defined in

section 9-612 of the Connecticut General Statutes as having a value in a calendar year of

$50,000 or more, or a combination or series of such agreements or contracts having a value of

$100,000 or more, the authorized signatory to the resulting contract must represent that they

have received the State Elections Enforcement Commission’s notice advising state contractors of

state campaign contribution and solicitation prohibitions, and will inform its principals of the

contents of the notice, as set forth in “Notice to Executive Branch State Contractors and

Prospective State Contractors of Campaign Contribution and Solicitation Limitations.” Such

notice is available at

https://seec.ct.gov/Portal/data/forms/ContrForms/seec_form_11_notice_only.pdf

5. Gifts,

C.G.S. § 4-252. Pursuant to section 4-252 of the Connecticut General Statutes and Acting

Governor Susan Bysiewicz’s Executive Order No. 21-2, the Contractor, for itself and on behalf of

all of its principals or key personnel who submitted a bid or proposal, represents:

(1) That no gifts were made by (A) the Contractor, (B) any principals and key personnel of the

Contractor, who participate substantially in preparing bids, proposals or negotiating State

contracts, or (C) any agent of the Contractor or principals and key personnel, who participates

substantially in preparing bids, proposals or negotiating State contracts, to (i) any public official

or State employee of the State agency or quasi-public agency soliciting bids or proposals for

State contracts, who participates substantially in the preparation of bid solicitations or requests

for proposals for State contracts or the negotiation or award of State contracts, or (ii) any public

official or State employee of any other State agency, who has supervisory or appointing

authority over such State agency or quasi-public agency;

(2) That no such principals and key personnel of the Contractor, or agent of the Contractor or of

such principals and key personnel, knows of any action by the Contractor to circumvent such

prohibition on gifts by providing for any other principals and key personnel, official, employee or

agent of the Contractor to provide a gift to any such public official or State employee; and

(3) That the Contractor is submitting bids or proposals without fraud or collusion with any

person.

Any bidder or proposer that does not agree to the representations required under this section

shall be rejected and the State agency or quasi-public agency shall award the contract to the

next highest ranked proposer or the next lowest responsible qualified bidder or seek new bids or

proposals.

6. Iran Energy Investment Certification C.G.S. § 4-252(a). Pursuant to C.G.S. § 4-

252(a), the successful contracting party shall certify that it has not made a direct investment of

twenty million dollars or more in the energy sector of Iran on or after October 1, 2013, as

described in Section 202 of the Comprehensive Iran Sanctions, Accountability and Divestment

Act of 2010, and has not increased or renewed such investment on or after said date. If the

Contractor makes a good faith effort to determine whether it has made an investment described

in the previous sentence of this subsection, the Contractor shall not be subject to the penalties

for false statement pursuant to section 4-252a of the Connecticut General Statutes. A "good

faith effort" for purposes of this subsection includes a determination that the Contractor is not

on the list of persons who engage in certain investment activities in Iran created by the

Department of General Services of the State of California pursuant to Division 2, Chapter 2.7 of

the California Public Contract Code. Nothing in this subsection shall be construed to impair the

ability of the State agency or quasi-public agency to pursue a breach of contract action for any

violation of the provisions of the resulting contract.

7. Nondiscrimination Certification, C.G.S. §§ 4a-60 and 4a-60a. If a proposer is awarded an

opportunity to negotiate a contract, the proposer must provide the State agency with written

representation in the resulting contract that certifies that the proposer complies with the State's

nondiscrimination agreements and warranties. This nondiscrimination certification is required

for all State contracts – regardless of type, term, cost, or value. Municipalities and CT State

agencies are exempt from this requirement. The authorized signatory of the contract shall

demonstrate his or her understanding of this obligation by either (A) initialing the

nondiscrimination affirmation provision in the body of the resulting contract, or (B) providing an

affirmative response in the required online bid or response to a proposal question, if applicable,

which asks if the contractor understands its obligations.

If a proposer or vendor refuses to

agree to this representation, such proposer or vendor shall be rejected and the State agency or

quasi-public agency shall award the contract to the next highest ranked vendor or the next

lowest responsible qualified proposer or seek new bids or proposals.

8. Access to Data for State Auditors. The Contractor shall provide OPM access to any data, as

defined in C.G.S. § 4e-1, concerning the resulting contract that are in the possession or control

of the Contractor upon demand and shall provide the data to OPM in a format prescribed by OPM

[or the Client Agency] and the State Auditors of Public Accounts at no additional cost.

9. State Business-Related Call Center and Customer Service Work: Pursuant to subsection

(h) of section 31-57aa of the Connecticut General Statutes, Grantee shall perform all required state

business-related call center and customer service work entirely within the State of Connecticut. If

Grantee performs work outside of the State of Connecticut and adds customer service employees

who will perform work pursuant to this Contract, then Grantee shall employ such new employees

within the State of Connecticut prior to any such employee performing any work pursuant to this

Contract.

10. Compliance with Consumer Data Privacy and Online Monitoring: Pursuant to section 4 of

Public Act 23-16 of the Connecticut General Assembly, Contractor shall at all times comply with all

applicable provisions of sections 42-515 to 42-525, inclusive, of the Connecticut General Statutes,

as the same may be revised or modified.

Remainder of Page Intentionally Left Blank

VI. APPENDIX

A. ABBREVIATIONS / ACRONYMS / DEFINITIONS

BFO Best and Final Offer

C.G.S. Connecticut General Statutes

CHRO Commission on Human Rights and Opportunity (CT)

CT Connecticut

DAS Department of Administrative Services (CT)

FOIA Freedom of Information Act (CT)

IRS

Internal Revenue Service (US)

LDCT Low-dose computed tomography

LOI Letter of Intent

OAG Office of the Attorney General

OPM Office of Policy and Management (CT)

OSC Office of the State Comptroller (CT)

POS Purchase of Service

P.A. Public Act (CT)

RFP Request for Proposal

SEEC State Elections Enforcement Commission (CT)

U.S. United States

• contractor: a private provider organization or CT State agency that enters into a POS

contract with the Agency as a result of this RFP.

• proposer: a private provider organization or CT State agency that has submitted a proposal

in response to this RFP. This term may be used interchangeably with respondent throughout

the RFP.

• prospective proposer: a private provider organization or CT State agency that may submit a

proposal to the Agency in response to this RFP but has not yet done so.

• patient navigator: a trained, culturally sensitive healthcare worker who provides support and

guidance throughout the cancer care continuum.

• subcontractor: an individual (other than an employee of the contractor) or business entity

hired by a contractor to provide a specific service as part of a POS contract with the Agency

as a result of this RFP.

B. STATEMENT OF ASSURANCES

Agency Name

The undersigned Respondent affirms and declares that:

1) General

a. This proposal is executed and signed with full knowledge and acceptance of the terms and

conditions stated in the RFP.

b. The Respondent will deliver services to the Agency at the cost proposed in the RFP and within

the timeframes specified therein.

c. The Respondent will seek prior approval from the Agency before making any changes to the

location of services.

d. The Respondent and its officials, and the Respondent’s subcontractors and the subcontractors’

officials, have not received any notices of debarment or suspension from contracting with the

State of Connecticut or the Federal Government.

e. The Respondent and its officials, and the Respondent’s subcontractors and the subcontractors’

officials, have not received any notices of debarment or suspension from contracting with other

states within the United States.

Legal Name of Organization:

___________________________ ____________________________

Authorized Signatory Date

C. PROPOSAL CHECKLIST

To assist respondents in managing proposal planning and document collation processes, this document

summarizes key dates and proposal requirements for this RFP. Please note that this document does not

supersede what is stated in the RFP. Please refer to the Proposal Submission Overview, Required

Proposal Submission Outline, and Mandatory Provisions (Sections II, III, and IV of this RFP) for more

comprehensive detail. This is a tool for proposers to use. It is the responsibility of each respondent

to ensure that all required documents, forms, and attachments, are submitted in a timely manner.

Key Dates

Procurement Timetable

The Agency reserves the right to modify these dates at its sole discretion.

Item

Action

Date

Letter of Intent

July 16,2024

Questions submitted

July 19, 2024

Proposals submitted

August 14, 2024

Registration with State Contracting Portal (if not already registered):

• Register at: https://portal.ct.gov/DAS/CTSource/Registration

• Submit required forms:

o Campaign Contribution Certification (OPM Ethics Form 1):

https://portal.ct.gov/OPM/Fin-

PSA/Forms/Ethics-Forms

Proposal Content Checklist

☐ Cover Sheet

☐ Table of Contents

☐ Executive Summary: high-level summary of proposal and cost

☐ Main proposal body answering all questions with relevant attachments. Proposers should

use their discretion to determine whether certain required information is sufficiently captured in the

body of their proposal or requires additional attachments for clarification. Additional attachments

may include (bullets below are examples only):

o Staffing plan with FTE status

o Agency and program organizational chart detailing reporting structure

o Staff resumes and applicable licensures

o Work plan describing organization’s efforts, progress, or plans to diversify workforce

o Detailed plan on cultural competence and humility in service delivery

o Memoranda of Agreement/Understanding with service partners

o Written financial policies and procedures

☐ IRS Determination Letter (for nonprofit proposers)

☐ Two years of most recent annual audited financial statements; OR any financial

statements prepared by a Certified Public Accountant for proposers whose organizations have

been incorporated for less than two years.

☐ Proposed budget, including budget narrative and cost schedules for planned subcontractors if

applicable.

☐ Conflict of Interest Disclosure Statement

☐ Statement of Assurances

Formatting Checklist

☐ Is the proposal formatted to fit 8 ½” x 11” (letter-sized) paper?

☐ Is the main body of the proposal within the page limit?

☐ Is the proposal in 12-point, Times New Roman font?

☐ Does the proposal format follow normal (1 inch) margins and 1 ½ line spacing?

☐ Does the proposer’s name appear in the header of each page?

☐ Does the proposal include page numbers in the footer?

☐ Are confidential labels applied to sensitive information (if applicable)?

APPLICATION FORMS

Services to be Provided

1. Describe your experience providing the kinds of services described in the “Services to be

Provided” section of the RFP.

2. Provide at least two references (with their telephone numbers) that may be contacted to

support your description of your experience in providing these services.

3. Briefly describe the approach to the services you will provide as outlined in the “Services

to be Provided” section of the RFP. Use the Workplan form to elaborate (see Section E

of this application).

4. Briefly state the hours of operation of your organization and indicate the suitability of

these hours to the Services and Deliverables required in this proposal.

APPLICATION FORMS

NOTIFICATION TO BIDDERS

The contract to be awarded is subject to contract compliance requirements mandated by Sections 4a-60

and 4a-60a of the Connecticut General Statutes; and, when the awarding agency is the State, Sections

46a-71 (d) and 46a-81i (d) of the Connecticut General Statutes. There are Contract Compliance

Regulations codified at Section 46a-68j-21 through 46a-68j-43 of the Regulations of Connecticut State

agencies, which establish a procedure for the awarding of all contracts covered by Sections 4a-60 and 46a-

71 (d) of the Connecticut General Statutes.

According to Section 46a-68j-30 (9) of the Contract Compliance Regulations, every agency awarding a

contract subject to the contract compliance requirements has an obligation to “aggressively solicit the

participation of legitimate minority business enterprises as bidders, contractors, subcontractors and

suppliers of materials.” “Minority Business Enterprise” is defined in Section 4a-60 of the Connecticut

General Statutes as a business wherein fifty-one percent or more of the capital stock, or assets belong to a

person or persons: “(1) Who are active in the daily affairs of the enterprise; (2) Who have the power to

direct the management and policies of the enterprise; and, (3) Who are members of a minority, as such

term is defined in subsection (a) of Section 32-9n.” “Minority” groups are defined in Section 32-9n of the

Connecticut General Statutes as “(1) Black Americans ... (2) Hispanic Americans ... (3) Women ... (4) Asian

Pacific Americans and Pacific Islanders; or (5) American Indians.” The above definitions apply to the

contract compliance requirements by virtue of Section 46a-68j-21 (11) of the Contract Compliance

Regulations.

The awarding agency will consider the following factors when reviewing the bidder’s qualifications under the

contract compliance requirements.

a) the bidder’s success in implementing an affirmative action plan;

b) the bidder’s success in developing an apprenticeship program complying with Sections 46a-68-1

to 46a-68-18 of the Connecticut General Statutes, inclusive;

c) the bidder’s promise to develop and implement a successful affirmative action plan;

d) the bidder’s submission of EEO-1 data indicating the composition of its workforce is at or near

parity when compared to the racial and sexual composition of the workforce in the relevant labor

market area; and,

e) the bidder’s promise to set aside a portion of the contract for legitimate minority business

enterprises. See Section 46a-68j-30 (10) (E) of the Contract Compliance Regulations.

INSTRUCTION: Bidder must sign acknowledgment below line and return acknowledgment to Awarding

Agency along with the bid proposal.

The undersigned acknowledges receiving and reading a copy of the “Notification to Bidders” form.

_______________________________________ ___________________________

Signature Date

On behalf of:

________________________________________________________________________________

COVER SHEET

CONNECTICUT DEPARTMENT OF PUBLIC HEALTH

Applicant Information

Applicant Agency: _ _ _

Legal Name

_ _ _

Address

_ _ __

City/Town State Zip Code

_ _

Telephone No. FAX No. Email Address

Contact Person: _ _ Title: _

Telephone No: _

TOTAL PROGRAM COST: $ _

I certify that to the best of my knowledge and belief, the information contained in this application is true and

correct. The application has been duly authorized by the governing body of the applicant, the applicant has the

legal authority to apply for this funding, the applicant will comply with applicable state and federal laws and

regulations, and that I am a duly authorized signatory for the applicant.

_ _ Signature of

Authorizing Official: Date

_ _ Typed Name and Title

The applicant agency is the agency or organization, which is legally and financially responsible and accountable for

the use and disposition of any awarded funds. Please provide the following information:

•

Full legal name of the organization or corporation as it appears on the corporate seal and as

registered with the Secretary of State

•

Mailing address

•

Main telephone number

•

Fax number, and email address, if any

•

Principal contact person for the application (person responsible for developing application)

The funding application and all required submittals must include the signature of an officer of the

applicant agency who has the legal authority to bind the organization. The signature, typed name and

position of the authorized official of the applicant agency must be included as well as the date on

which the application is signed.

D. APPLICATION FORMS

REQUEST FOR PROPOSAL

RFP DPH Log# 2025-0902

Applicant Information Form (continuation)

PLEASE LIST THE AGENCY CONTACT PERSONS RESPONSIBLE FOR COMPLETION AND SUBMITTAL OF:

Contract and Legal Documents/Forms:

Name

Title

Tel. No.

Street

Town

Zip Code

Fax No.

Program Progress Reports:

Name

Title

Tel. No.

Street

Town

Zip Code

Fax No.

Financial Expenditure Reporting Forms:

Name

Title

Tel. No.

Street

Town

Zip Code

Fax No,

Incorporated: YES NO

Agency Fiscal Year:

Type of Agency: Public Private Other,

Explain:

Profit Non-Profit

Federal Employer I.D. Number:

Town Code No:

Medicaid Provider Status: YES NO

Medicaid Number:

Minority Business Enterprise (MBE):

YES NO

Women Business Enterprise (WBE): YES NO

A. Budget Summary Instructions

1. Position Schedule #2a

Complete the schedule for all positions to be funded even if currently vacant.

b. Complete one Position Schedule #2a for each Program/Fund to be included in the

Budget.

2. Personnel (lines #1 - #2)

Line #1 Salary and Wages: Enter the total salary charged, as listed on Position

Schedule 2a.

b. Line #2 Fringe Benefits Line: Enter the total fringe benefits charged, as listed on

Position Schedule 2a.

3. Line #8 Contractual (Subcontracts): Provide the total of all subcontracts and

complete Subcontractor Schedule.

Lines #3 - #7, #9, and #10: Complete categories as appropriate,

5. Line #11: Other Expenses are any other types of expense that do not fit into the

categories listed.

For example: Equipment. Please note that the state’s definition of equipment is tangible

personal property with a normal useful life of at least one year and a value of at least $5,000

or more.

6. Audit Costs: The cost of audits made in accordance with OMB Circular A133 (Federal Single

Audit) are allowable charges to Federal awards. The cost of State Single Audits (CGS 4-23 to 4-

236) are allowable charges to State awards. Audit costs are allowable to the extent that they

represent a pro-rata share of the cost of such audit. Audit costs charged to Department of

Public Health contracts must be budgeted, reported and justified as an audit cost line item

within the Administrative and General Cost category.

7. Administrative and General Costs, Line Item #12

Are defined as those costs that have been incurred for the overall executive and

administrative offices of the organization or other expenses of a general nature that do not

relate solely to any major cost objective of the overall organization. Examples of A&G costs

include salaries of executive directors, administrative & financial personnel, accounting,

auditing, management information systems, proportional office costs such as building

occupancy, telephone, equipment, and office supplies. Please review the OPM website on

Cost Standards for more information at:

http://www.opm.state.ct.us/finance/pos_standards/coststandards.htm

b. Administrative and General Costs must be itemized on the Budget Justification

Schedule. Costs that have a separate line item in the Budget Summary may not be

duplicated as an Administrative and General Cost. For example, if the Budget

Summary includes an amount for telephone costs, this cannot also be included as an

Administrative and General Cost.

8. Other Program Income list any other program income, if appropriate, such as in-kind

contributions, fees collected, or other funding sources and include brief explanation on Budget

Justification.

9. Multiple Funding Period Contracts: Please complete a full budget for each Funding Period of

the contract, clearly indicating the Period on each form. Absent other instructions, assume

level funding for the second year.

B. Budget Justification Schedule B

1. Please provide a brief explanation for each line item listed on the Budget Summary. This

must include a detailed breakdown of the components that make up the line item and any

calculation used to compute the amount.

Line Item (Description)

Amount

Justification - Breakdown of Costs

Travel

$730

1,659 miles @ .44 = $730.00 outreach

workers going to meetings and site visits.

2. For contractors who have subcontracts, a brief description of the purpose of each

subcontract must be provided. Use additional sheets as necessary.

***Please note: If Laboratory Services is a line item on the primary or subcontract budget,

please supply a justification as to why a private laboratory is being used as opposed to the

Connecticut State Laboratory.

C. Subcontractor Schedule A--Detail

1. All subcontractors used by each program must be included, if it is not known who the

subcontractor will be, an estimated amount and whatever budget detail is anticipated should

be provided. (Submit the actual detail when it is available). A separate subcontractor

schedule must be completed for each program included in the contract. For example: The

contract is providing both a Needle Exchange program and an AIDS Prevention Education

Program and Subcontractor “A” is providing services to both program there must be a

separate budget for Subcontractor “A” for each.

2. Detail of Each Subcontractor:

a. Choose a category below for each subcontract using the basis by which it is paid:

A. Budget Basis B. Fee for Service C. Hourly Rate.

b. Choose whether the subcontractor is a minority or woman owned a business:

c. MBE WBE Neither

d. Provide the detail for each subcontract just as for the primary contract budget

referencing the corresponding program of the contract. Detail must be provided for

each subcontractor listed in the Summary.

Note: If space allowed is not sufficient for large or complex subcontract budgets, the

primary Budget Summary format may be copied and used instead.

Budget Summary

Form

Applicant’s Organization Name

FUNDING PERIOD 1: 9/1/2024 to 6/30/2025

Contract Period: 9/1/2024 to 6/30/2026

Budget Summary

/Program:

Name

Total

1. Salaries & Wages

2. Fringe Benefits

3. Travel

4. Training

5. Educational Materials

6. Office Supplies

7. Medical Materials

8. Contractual

(Sub-Contracts)**

9. Telephone

10. Advertising

11. Other Expenses (list)

12. Administrative and

General Costs

Total DPH Grant

Other Program Income

**Complete Sub-contractor Schedule A

Budget Justification Schedule B*

Applicant’s Organization Name

FUNDING PERIOD 1: 9/1/2024 to 6/30/2025

Contract Period: 9/1/2024 to 6/30/2026

Budget Justification Schedule B

Program/Site:

Line Item (Description)

Amount

Justification including Breakdown of Costs

Position Schedule #2a

Applicant’s Organization Name

FUNDING PERIOD 1: 9/1/2024 to 8/30/2025

Contract Period: 9/1/2024 to 8/30/2026

Position Schedule #2a

Program/Fund:

Position Description and Staff

Person Assigned

Site/

Location

Hours

wk/

wks per

Year

Hourly

Rate

Total

Salary

Charged

Fringe

Benefit

Rate %

Total

Fringe

Benefits

1.Position:

Name:

2.Position:

Name:

3.Position:

Name:

4.Position:

Name:

5.Position:

Name:

6.Position:

Name:

7.Position:

Name:

8.Position:

Name:

9.Position:

Name:

10.Position:

Name:

11.Position:

Name:

12.Position:

Name:

13.Position:

Name:

14.Position:

Name:

15.Position:

Name:

16.Position:

Name:

Totals

*Attach resumes and job descriptions for all Professional Staff

Subcontractor Schedule A-Detail

Subcontractor Name: Address:

Applicant’s Organization Name

FUNDING PERIOD 1: 9/1/2024 to 8/30/2025

Telephone: ( ) ( - )

Select One: A Budget Basis B Fee-for-Service C Hourly Rate

Indicate One: MBE WBE Neither

Program:

Name

Total

Fund:

Line Item(s)

Total Subcontract Amount:

Subcontractor Name:

Address:

Telephone: ( ) ( - )

Select One: A Budget Basis B Fee-for-Service C Hourly Rate

Indicate One: MBE WBE Neither

Program:

Name

Total

Fund:

Line Item(s)

Total Subcontract Amount:

Subcontractor Name:

Address:

Telephone: ( ) ( - )

Select One: A Budget Basis B Fee-for-Service C Hourly Rate

Indicate One: MBE WBE Neither

Program:

Name

Total

Fund:

Line Item(s)

Total Subcontract Amount:

STATE OF CONNECTICUT, DPH RFP Log#: 2025-0902

Work Plan Form

Year 1

(Duplicate as needed and for subsequent years.)

Services to be

Provided

Activities

Staff Responsible

Deliverables / Expected

Outcomes and Measures of

Success

Time Frame

(Quarter 1,2,3

or 4)

WORKFORCE ANALYSIS

Contractor Name: Total Number of CT employees:

Address: Full Time: Part Time:

Complete the following Workforce Analysis for employees on Connecticut worksites who are:

Job

Catego

ries

Overall

Totals

(sum of

all cols.

male &

female)

White

(not of Hispanic

Origin)

Black

(not of Hispanic

Origin)

Hispanic

Asian or Pacific

Islander

American Indian

or Alaskan Native

People with

Disabilities

Male

Female

Male

Female

Male

Female

Male

Female

Male

Female

Male

Female

Officials &

Managers

Professionals

Technicians

Office &

Clerical

Craft Workers

(skilled)

Operatives

(semi-skilled)

Laborers

(unskilled)

Service Workers

Totals Above

Totals 1 year Ago

FORMAL ON-THE-JOB TRAINEES (Enter figures for the same categories as are shown above)

Apprentices

Trainees

EMPLOYMENT FIGURES WERE OBTAINED FROM:

Visual Check:

Employment

Records

Other:

1. Have you successfully implemented an Affirmative Action Plan? YES NO

Date of implementation: If the answer is “No”, explain.

1. a) Do you promise to develop and implement a successful Affirmative Action?

YES NO Not Applicable Explanation:

2. Have you successfully developed an apprenticeship program complying with Sec. 46a-68-1 to 46a-68-18 of the Connecticut

Department of Labor Regulations, inclusive: YES NO Not Applicable Explanation:

3. According to EEO-1 data, is the composition of your work force at or near parity when compared with the racial and sexual

composition of the work force in the relevant labor market area? YES NO Explanation:

4. If you plan to subcontract, will you set aside a portion of the contract for legitimate minority business enterprises? YES

NO Explanation:

_ _ _ _

Contractor’s Authorized Signature Date