Bid Proposal Template for Real Estate by nvb40207

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									PROPOSAL
UCHC-11 Rev. 12/06            STATE OF CONNECTICUT
                               UNIVERSITY OF CONNECTICUT HEALTH
                                              CENTER
Robert W. Murphy                    PURCHASING DEPARTMENT
Purchasing Agent                       263 Farmington Avenue
                                      Farmington CT 06032-4036
RMURPHY@UCHC.EDU                            860-679-2408
Email address



                Acknowledgment: Receipt of RFP Documents
                                     FAX to 860-679-2508


    RFP Number                        RFP Due Date                            Due Date Time
        6-1791                       May 25, 2007                                2:00PM
RFP Title:                 Web-Based Clinical Rotation and Evaluation Software
                           Application




This acknowledgement is crucial in maintaining vendor records for proposal follow-up procedures (i.e.
addendum, questions regarding proposal).
  Please check one of the following boxes:    submitting proposal           NOT submitting proposal

Print or type the following information:
Company name:
Address:
City or Town:
Phone:
Fax:
Received by:
email:
June PROPOSER’S
   CHECKLIST                           State of Connecticut                                     RFP NUMBER:
UCHC-20 REV. 4/07            University of Connecticut Health Center                             6-1791

                                         BIDDER’S CHECKLIST
                                           READ CAREFULLY

     IT IS SUGGESTED THAT YOU REVIEW AND CHECK OFF EACH ACTION AS YOU COMPLETE IT.

1.     Complete and return “Acknowledgement: Receipt of RFP Documents” (Form UCHC-11)
2.     The RFP Proposal (UCHC-26) must be signed by a duly authorized representative of the company. Unsigned
       RFPs will automatically be rejected.
3.     The Proposal Schedule (UCHC-16) must be included with your RFP and contain the following:
          a. VENDORS NAME MUST BE IN THE UPPER RIGHT CORNER OF ALL PROPOSAL
               SCHEDULE PAGES.
          b. The RFP prices you have offered have been reviewed and verified.
          c. The price extensions and totals have been checked. (In case of discrepancy between unit prices and
               total prices, the unit price will govern the RFP evaluation).
          d. Any errors, alterations, corrections or erasures to unit prices, total prices, etc. must be initialed by
               the person who signs the proposal or his designee. Such changes made and not initialed mean
               automatic rejection of proposal.
          e. The payment terms are Net 30 Days (You may offer cash discounts for prompt payment). Cash
               Discounts for Net Terms less than 30 days may be considered when evaluating RFP pricing.
               Exception: State of CT Small Business Set-Aside bids payment terms shall be in accordance with
               CGS 4a-60j.
          f. The delivery information block has been completed. Be specific: In most cases, “as ordered” or “as
               required” is not complete information.
4.     Vendor Affidavit must be signed, notarized, and returned with RFP. Failure to do so may result in RFP
       rejection. (Only required for purchases $500,000.00 or over)
5.     Any technical or descriptive literature, drawing or RFP samples that are required have been included with
       the RFP.
6.     If required the amount of RFP surety has been checked and the surety has been included.
7.     COMMISSION ON HUMAN RIGHTS AND OPPORTUNITIES CONTRACT COMPLIANCE
       REGULATIONS NOTIFICATION TO BIDDERS Form (as applicable) must be completed entirely
       regardless of the number of employees, even if the company is family owned and/or operated and must be
       submitted with each RFP or RFP may be rejected.
8.     Any addenda (UCHC-18) to the RFP have been signed and included.
9.     MAKE SURE TO INCLUDE THE ORIGINAL PROPOSAL SCHEDULE PAGES (UCHC-16) ALONG
       WITH ONE COPY (unless more copies are requested within the RFP specifications).
10.    The RFP number on the pre-addressed mailing label or on your hand marked return envelope exactly matches
       the RFP number inside the envelope.
11.    The pre-addressed mailing label has been used on your RFP envelope or the RFP envelope has been
       addressed as follows:
                       SEALED RFP NO:                                6-1791

                       NOT TO BE OPENED UNTIL:                May 25 2007, 2:00PM

                       RETURN RFP TO:
                       University of Connecticut Health Center
                       Purchasing Department MC4036
                       263 Farmington Avenue
                       Farmington, CT 06032-4036
12.    Hand delivered RFPs are to be presented at University of Connecticut Health Center, Purchasing
       Department 2nd Floor, 16 Munson Road, Farmington, CT 06032.
13.    The RFP is to be mailed or hand-delivered in-time to be received no later than the designated opening date
       and time. Late RFPs are not accepted under any circumstances. Please allow enough time if mailing in your
       RFP. Hand-delivered RFPs must be delivered to the above address.

                    THIS FORM IS NOT TO BE RETURNED WITH YOUR PROPOSAL
RFP PROPOSAL
UCHC 26 REV 4/07                           STATE OF CONNECTICUT                                                    RFP Number:
                                                                                                                      6-1791
                                             UNIVERSITY OF CONNECTICUT HEALTH CENTER
Robert Murphy                                            PURCHASING DEPARTMENT
Purchasing Agent                                       263 Farmington Avenue, MC 4036
                                                                Farmington, CT 06032                               Read & Complete
860-679-2408                                                                                                          Carefully
Telephone Number
                                                                       Page 1 of 3

     RFP NO:                RFP DUE DATE:                RFP DUE TIME:                  RFP SURETY:                     DATE ISSUED:
      6-1791              May 25, 2007          2:00 PM                NA                                                 May 4, 2007
DESCRIPTION:          Web-Based Clinical Rotation and Evaluation Software Application
TERM OF CONTRACT: ONE-TIME

Request for Proposal: Pursuant to the provisions of Section 10a-151b of the General Statutes of Connecticut as amended, sealed
proposals will be received by the Purchasing Department of the University of Connecticut Health Center, at the address above for
furnishing the commodities and/or services.
                        NOTE: Bidder means Individual/Sole Proprietor, Partnership or Corporation Name


IMPORTANT: ALL pages of this form, SECTIONS 1 THROUGH 2 must be completed, signed and returned by the bidder as part of
the RFP package. Failure to submit all pages of this form may constitute grounds for rejection of your RFP.
                                        SECTION 1 of 2: PROPOSER INFORMATION
COMPLETE BIDDER LEGAL BUSINESS NAME:                                                    TAXPAYER ID # (TIN):             SSN           FEIN



                                                                                         W R ITE /T YP E SSN/FEIN N UMBER A BOVE


                                                     AFFIRMATION OF BIDDER
Tbe above named bidder fully acknowledges and agrees with all the terms and conditions contained in this RFP Form UCHC-26, the
accompanying invitation to RFP, Form UCHC-19, entitled RFP Terms and Conditions and Contract 6-1791. Further, if the above named
bidder is awarded a contract for the goods and/or services called for in the invitation to RFP, the bidder’s signature on this RFP Form
UCHC-26 shall mean that the bidder shall be bound by and perform fully in accordance with all of the terms and conditions set forth in the
invitation to RFP, Form UCHC-19 and Contract 6-1791 as if the bidder had actually executed Form UCHC 19 and Contract 6-1791 itself.

That should any part of this proposal be accepted in writing by Director of Purchasing within ninety (90) calendar days from the date of
RFP opening unless an earlier date for acceptance is specified by bidder in proposal schedule, said bidder will furnish and deliver the
commodities and/or services for which this proposal is made, in the quantities and at the prices bid, and in compliance with the provisions of
the STANDARD RFP AND CONTRACT TERMS AND CONDITIONS, COMMODITY SPECIFICATION, PROPOSAL SCHEDULE
AND SPECIAL RFP AND CONTRACT TERMS AND CONDITIONS. Should award of any part of this proposal be delayed beyond the
period of ninety (90) days or an earlier date specified by bidder in proposal schedule, such award shall be conditioned upon bidder’s
acceptance.

Acceptance of the conditions set forth herein, agreement in strict accordance therewith, and will furnish and deliver the commodities and/or
services to the state agency or agencies named in the PROPOSAL SCHEDULE at the prices bid therein.

Written signature of Person Authorized to sign RFPs on behalf of the above named Bidder:                            Date Executed
SIGN HERE
Type or Print Name of Authorized Person                    Title of Authorized Person


IS YOUR BUSINESS CURRENTLY A DAS CERTIFIED SMALL BUSINESS ENTERPRISE?                          YES (Attach a copy of Certificate)         NO
IF YOU ARE A STATE EMPLOYEE, INDICATE YOUR POSITION, AGENCY, AND AGENCY ADDRESS:
RFP PROPOSAL                                                                                                         THIS FORM AND
UCHC 26 REV 4/07                    STATE OF CONNECTICUT                                                        REQUIRED PROPOSAL
 Previous revision
 12/04                                UNIVERSITY OF CONNECTICUT HEALTH CENTER                                       SCHEDULE FORMS
Robert Murphy                                                                                                     MUST BE RETURNED
                                                  PURCHASING DEPARTMENT
Purchasing Agent                                263 Farmington Avenue, MC 4036
                                                          Farmington, CT 06032                                    Read & Complete
860-679-2408
                                                                                                                     Carefully
Telephone Number                                                Page 2 of 3                                    RFP NO:



                               SECTION 1 of 2 –PROPOSER INFORMATION (Continued)


                                                                                                Remittance Address
                                 Proposer’s Address                                         (     Same as Proposer Address)

No. and Street
City, State , Zip
Code

Contact Person                                                              Web Address

Telephone Number                                                            Cell Number

Fax Number
BUSINESS ENTITY:         LLC             NON-PROFIT             PARTNERSHIP:           INDIVIDUAL/SOLE PROPRIETORSHIP

        COPORATION    TYPE OF CORPORATION:                                         STATE ORGANIZED IN:

NOTE: IF INDIVIDUAL/SOLE PROPRIETOR, INDIVIDUAL’S NAME (AS OWNER) MUST APPEAR IN THE LEGAL BUSINESS NAME BLOCK ABOVE.
                                                                                                       D. RENTAL OF PROPERTY
BUSINESS TYPE:        A. SALES OF COMMODITIES         B. MEDICAL SERVICES      C. ATTORNEY FEES
                                                                                                        (REAL ESTATE & EQUIPMENT)
                      E. OTHER (DESCRIBE IN DETAIL)
UNDER THIS TIN, WHAT IS THE PRIMARY TYPE OF BUSINESS YOU PROVIDE THE STATE? (ENTER LETTER FROM ABOVE)
UNDER THIS TIN, WHAT OTHER TYPES OF BUSINESS MIGHT YOU PROVIDE THE STATE? (ENTER LETTER FROM ABOVE)




FOR PURCHASE ORDER DISTRIBUTION: 1) CHECK ONLY ONE BOX BELOW 2) INPUT E-MAIL ADDRESS OR FAX # (IF CHECKED)
   E-MAIL                                    FAX                                      USPS MAIL
NAME:
E-MAIL ADDRESS:
TELEPHONE NUMBER:
FOR REQUEST FOR PROPOSAL (RFP) DISTRIBUTION: 1) CHECK ONLY ONE BOX BELOW 2) INPUT E-MAIL ADDRESS OR FAX # (IF CHECKED)
   E-MAIL                                                           FAX                                USPS MAIL

              Add further Business Address, E-mail & Contact Information below if required
RFP PROPOSAL                                                                                                                            THIS FORM AND
UCHC 26 REV 4/07                            STATE OF CONNECTICUT                                                                   REQUIRED PROPOSAL
 Previous revision
 12/04                                         UNIVERSITY OF CONNECTICUT HEALTH CENTER                                                 SCHEDULE FORMS
Robert Murphy                                                                                                                        MUST BE RETURNED
                                                            PURCHASING DEPARTMENT
Purchasing Agent                                           263 Farmington Avenue MC 4036
                                                                     Farmington, CT 06032                                           Read & Complete
860-679-2408
                                                                                                                                       Carefully
Telephone Number                                                            Page 3 of 3                                          RFP NO:

                                    SECTION 2 of 2: PROPOSER DEBARMENT AND/OR SUSPENSION


The above signed bidder further affirms and declares that neither the bidder and/or any company official nor any subcontractor to the bidder and/or any
company official has received any notices of debarment and/or suspension from contracting with the State of Connecticut. Should Purchasing Department
determine that bidder has not completed Section 2 - Bidder Debarment and/or Suspension included as part of this document, and then such determination may
be just cause for disqualification from the evaluation of this RFP.
                                                                             YES       NO
The above signed bidder further affirms and declares that neither the bidder and/or any company official nor any subcontractor to the bidder and/or any
company official has received any notices of debarment and/or suspension from contracting with other states within the United States.
                                                                               YES      NO
Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion-Lower Tier Covered Transactions.
This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension, 7 CFR part 3017, Section 3017.510,
Participants' responsibilities. The regulations were published as Part IV of the January 30, 1989, Federal Register (pages 4722-4733).
Instructions for Certification
1.    The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its principals is presently debarred, suspended, proposed
      for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal department or agency.
2.    Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such prospective participant shall attach an
      explanation to this proposal.
3.    By submitting this form, the prospective lower tier participant is providing the certification set forth below in accordance with these instructions.
   a. The certification in this clause is a material representation of fact upon which reliance was placed when this transaction was entered into. If it is later
       determined that the prospective lower tier participant knowingly rendered an erroneous certification, in addition to other remedies available to the
       Federal Government, the department or agency with which this transaction originated may pursue available remedies, including suspension and/or
       debarment.
   b. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal is submitted if at any time the
       prospective lower tier participant learns that its certification was erroneous when submitted or has become erroneous by reason of changed
       circumstances.
   c. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction," "participant," "person," "primary covered
       transaction," "principal," "proposal," and "voluntarily excluded," as used in this clause, have the meanings set out in the Definitions and Coverage
       sections of rules implementing Executive Order 12549. You may contact the person to which this proposal is submitted for assistance in obtaining a
       copy of those regulations.
   d. The prospective lower tier participant agrees by submitting this form that, should the proposed covered transaction be entered into, it shall not
       knowingly enter into any lower tier covered transaction with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from
       participation in this covered transaction, unless authorized by the University of Connecticut Health Center.
   e. The prospective lower tier participant further agrees by submitting this form that it will include this clause titled "Certification Regarding Debarment,
       Suspension, Ineligibility and Voluntary Exclusion - Lower Tier Covered Transaction," without modification, in all lower tier covered transactions and in
       all solicitations for lower tier covered transactions.
   f. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier covered transaction that is not debarred,
       suspended, ineligible, or voluntarily excluded from the covered transaction, unless it knows that the certification is erroneous. A participant may decide
       the method and frequency by which it determines the eligibility of its principals. Each participant may, but is not required to, check the Non-
       procurement List.
   g. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to render in good faith the certification
       required by this clause. The knowledge and information of a participant is not required to exceed that which is normally possessed by a prudent person
       in the ordinary course of business dealings.
Except for transactions authorized under paragraph3.(a ) of these instructions, if a participant in a covered transaction knowingly enters into a lower tier
covered transaction with a person who is suspended, debarred, ineligible, or voluntarily excluded from participation in this transaction, in addition to other
remedies available to the Federal Government, the department or agency with which this transaction originated may pursue available remedies, including
suspension and/or debarment
                                                                            YES         NO
If the above signed bidder and/or any company official or any subcontractor to the bidder and/or any company official has received notices of debarment
and/or suspension from contracting with the State of Connecticut, other states within the United States or Federal Government, said notices must be attached
this document when submitted this proposal.
                                                   Number of notices attached:
RFP PROPOSAL                                                                                                                   THIS FORM AND
UCHC 26 REV 4/07                          STATE OF CONNECTICUT                                                             REQUIRED PROPOSAL
 Previous Rev 12/04
                                            UNIVERSITY OF CONNECTICUT HEALTH CENTER                                           SCHEDULE FORMS
                                                         PURCHASING DEPARTMENT                                               MUST BE RETURNED

Robert Murphy                                                                                                               Read & Complete
Purchasing Agent                                        263 Farmington Avenue, MC 4036                                         Carefully
860-679-2408                                                     Farmington, CT 06032
                                                                                                                         RFP NO.
Telephone Number                                                         Page 1 of 1




               UNIVERSITY OF CONNECTICUT HEALTH CENTER BUSINESS ASSOCIATE AGREEMENT
                       Health Insurance Portability and Accountability Act (HIPAA)

  Contractors’ Compliance Certification Regarding Confidentiality and Disclosure of Patient Healthcare Information
Contractor, its agents and employees (collectively, “Contractor”) acknowledge that it may have access to confidential protected health information
(“PHI”), including, but not limited to, patient identifying information. References to PHI include electronic protected health information (“ePHI”).
Contractor agrees that it:
     (a)         will not use or further disclose PHI other than as permitted by this Agreement or required by law as defined in 45 C.F.R. ∫ 164.501;
     (b)         will protect and safeguard from any oral and written disclosure all confidential information regardless of the type of media on which
                 it is stored (e.g., paper, fiche, electronic, etc.) with which it may come into contact;
     (c)         will use appropriate safeguards to prevent use or disclosure of PHI other than as permitted by this Agreement or required by law.
                 These safeguards shall include the implementation of administrative, technical and physical safeguards that reasonably and
                 appropriately protect the confidentiality, integrity, and availability of the ePHI that it creates, receives, maintains or transmits on
                 behalf of the covered entity;
     (d)         will ensure that all of its subcontractors and agents to which it provides PHI pursuant to the terms of this Agreement shall agree to all
                 of the same restrictions and conditions to which Contractor is bound;
     (e)         as soon as the business associate becomes aware it shall report to UCHC any use or disclosure not provided for in by this Agreement
                 immediately upon becoming aware of it and take prompt corrective action including mitigation and sanction procedures to cure such
                 unauthorized use or disclosure and execute incident response and reporting procedures;
     (f)         will mitigate, to the maximum extent practicable, any harmful effect of a use or disclosure in violation of the requirements of this
                 Agreement;
     (g)         will indemnify and hold UCHC harmless from all liabilities, costs, and damages arising out of or in any manner connected with the
                 disclosure by Contractor of any PHI;
     (h)         will make available PHI in accordance with 45 C.F.R. ∫ 164.524;
     (i)         will make available PHI for amendment and incorporate any amendments to PHI in accordance with 45 C.F.R. ∫ 164.526;
     (j)         will document disclosures and make available the information required to provide an accounting of disclosure in accordance with 45
                 C.F.R. ∫ 164.528;
     (k)         will make its internal practices, books, and records relating to the use and disclosure of PHI received from, or created or received by
                 one party on behalf of the other available to the Secretary of Health and Human Services, governmental officers and agencies for
                 purposes of determining compliance with 45 C.F.R. ∫ 164.500-534;
     (l)         upon termination of this Agreement, for whatever reason, will return or destroy all PHI, if feasible, received from, or created or
                 received by it on behalf of UCHC, which Contractor maintains in any form, and retain no copies of such information, or if such
                 return or destruction is not feasible, will inform UCHC of the conditions that make return or destruction infeasible and extend the
                 precautions of this Agreement to the information and limit further uses and disclosures to those purposes that make the return or
                 destruction of the information infeasible;
     (m)         will have a system of sanctions for any employee, subcontractor or agent who violates this Agreement; and
     (n)         will comply with all applicable laws and regulations, specifically including the privacy and security standards of the Health
                 Insurance Portability and Accountability Act of 1996 (“HIPAA”), as amended from time to time.

Contractor recognizes that PHI shall be and remain the property of UCHC and agrees that it acquires no title or rights to PHI, including any de-
identified information, as a result of this Agreement. Contractor further recognizes and agrees that any breach of confidentiality or misuse of
information found in and/or obtained from records may result in the termination of this Agreement and/or legal action, including reporting to the
Secretary of Health and Human Services.


                                                            YES (Applicable)         NO (Non-Applicable)
RFP PROPOSAL                                                                                           THIS FORM AND
UCHC 26 REV 4/07                      STATE OF CONNECTICUT                                         REQUIRED PROPOSAL
 Previous revision
 12/04                                 UNIVERSITY OF CONNECTICUT HEALTH CENTER                        SCHEDULE FORMS
Robert Murphy                                                                                        MUST BE RETURNED
                                               PURCHASING DEPARTMENT MC
Purchasing Agent                                263 Farmington Avenue, MC 4036
                                                       Farmington, CT 06032                         Read & Complete
                                                                                                       Carefully
860-679-2408
Telephone Number                                                                                  RFP NO: 6-1791



                          COMMISSION ON HUMAN RIGHTS AND OPPORTUNITIES
                               CONTRACT COMPLIANCE REGULATIONS

                                             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 43 of the Regulations of Connecticut State Agencies, which establish a procedure
  for awarding 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 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) persons who have origins in the Iberian Peninsula . . .
  (4)Women . . . (5) Asian Pacific Americans and Pacific Islanders; (6) American Indians . . .” An individual
  with a disability is also a minority business enterprise as provided by Section 4a-60g of the Connecticut
  General Statutes. 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-68-17 of the Administrative Regulations of Connecticut State Agencies, inclusive;
              (c) the bidder’s promise to develop and implement a successful affirmative action plan;
              (d) the bidder’s submission of employment statistics contained in the “Employment Information
                     Form”, indicating that 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.
  ___________________________________________________________________________________________
                            INSTRUCTIONS AND OTHER INFORMATION



The following BIDDER CONTRACT COMPLIANCE MONITORING REPORT must be completed in
full, signed, and submitted with the bid for this contract. The contract awarding agency and the Commission
on Human Rights and Opportunities will use the information contained thereon to determine the bidders
compliance to Sections 4a-60 and 4a-60a CONN. GEN. STAT., and Sections 46a-68j-23 of the Regulations
of Connecticut State Agencies regarding equal employment opportunity, and the bidder’s good faith efforts
to include minority business enterprises as subcontractors and suppliers for the work of the contract.

1) Definition of Small and Minority-Owned Contractor
Section 4a-60g CONN. GEN. STAT. defines a small contractor as a company that has been doing business
under the same management and control and has maintained its principal place of business in Connecticut
for a one year period immediately prior to its application for certification under this section, had gross
revenues not exceeding ten million dollars in the most recently completed fiscal year, and at least fifty-one
percent of the ownership of which is held by a person or persons who are active in the daily affairs of the
company, and have the power to direct the management and policies of the company, except that a nonprofit
corporation shall be construed to be a small contractor if such nonprofit corporation meets the requirements
of subparagraphs (A) and (B) of subdivision 4a-60g CONN. GEN. STAT.
2) Description of Job Categories (as used in Part IV Bidder Employment Information)

 MANAGEMENT: Managers plan, organize, direct,                  BUILDING AND GROUNDS CLEANING AND
 and control the major functions of an organization            MAINTENANCE: This category includes occupations
 through subordinates who are at the managerial or             involving landscaping, housekeeping, and janitorial
 supervisory level. They make policy decisions and set         services. Job titles found in this category include
 objectives for the company or departments. They are not       supervisors of landscaping or housekeeping, janitors,
 usually directly involved in production or providing          maids, grounds maintenance workers, and pest control
 services. Examples include top executives, public             workers.
 relations managers, managers of operations specialties        CONSTRUCTION AND EXTRACTION: This
 (such as financial, human resources, or purchasing            category includes construction trades and related
 managers), and construction and engineering managers.         occupations. Job titles found in this category include
 BUSINESS AND FINANCIAL OPERATIONS:                            boilermakers,       masons     (all types),        carpenters,
 These occupations include managers and professionals          construction laborers, electricians, plumbers (and related
 who work with the financial aspects of the business.          trades), roofers, sheet metal workers, elevator installers,
 These occupations include accountants and auditors,           hazardous materials removal workers, paperhangers, and
 purchasing agents, management analysts, labor relations       painters. Paving, surfacing, and tamping equipment
 specialists, and budget, credit, and financial analysts.      operators; drywall and ceiling tile installers; and carpet,
 COMPUTER              SPECIALISTS:            Professionals   floor and tile installers and finishers are also included in
 responsible for the computer operations within a              this category. First line supervisors, foremen, and
 company are grouped in this category. Examples of job         helpers in these trades are also grouped in this category..
 titles in this category include computer programmers,         INSTALLATION, MAINTENANCE AND REPAIR:
 software engineers, database administrators, computer         Occupations involving the installation, maintenance, and
 scientists, systems analysts, and computer support            repair of equipment are included in this group. Examples
 specialists                                                   of job titles found here are heating, ac, and refrigeration
 ARCHITECTURE                AND         ENGINEERING:          mechanics and installers; telecommunication line
 Occupations related to architecture, surveying,               installers and repairers; heavy vehicle and mobile
 engineering, and drafting are included in this category.      equipment service technicians and mechanics; small
 Some of the job titles in this category include electrical    engine mechanics; security and fire alarm systems
 and electronic engineers, surveyors, architects, drafters,    installers; electric/electronic repair, industrial, utility and
 mechanical engineers, materials engineers, mapping            transportation equipment; millwrights; riggers; and
 technicians, and civil engineers.                             manufactured building and mobile home installers. First
 OFFICE AND ADMINISTRATIVE SUPPORT: All                        line supervisors, foremen, and helpers for these jobs are
 clerical-type work is included in this category. These        also included in the category.
 jobs involve the preparing, transcribing, and preserving      MATERIAL MOVING WORKERS: The job titles
 of written communications and records; collecting             included in this group are Crane and tower operators;
 accounts; gathering and distributing information;             dredge, excavating, and lading machine operators; hoist
 operating office machines and electronic data processing      and winch operators; industrial truck and tractor
 equipment; and distributing mail. Job titles listed in this   operators; cleaners of vehicles and equipment; laborers
 category include telephone operators, payroll clerks, bill    and freight, stock, and material movers, hand; machine
 and account collectors, customer service representatives,     feeders and offbearers; packers and packagers, hand;
 files clerks, dispatchers, shipping clerks, secretaries and   pumping station operators; refuse and recyclable
 administrative assistants, computer operators, mail           material collectors; and miscellaneous material moving
 clerks, and stock clerks.                                     workers.

3) Definition of Racial and Ethnic Terms (as used in Part IV Bidder Employment Information)
 White (not of Hispanic Origin)- All persons having            Asian or Pacific Islander- All persons having origins in
 origins in any of the original peoples of Europe, North       any of the original peoples of the Far East, Southeast
 Africa, or the Middle East.                                   Asia, the Indian subcontinent, or the Pacific Islands.
 Black(not of Hispanic Origin)- All persons having             This area includes China, India, Japan, Korea, the
 origins in any of the Black racial groups of Africa.          Philippine Islands, and Samoa.
 Hispanic- All persons of Mexican, Puerto Rican, Cuban,        American Indian or Alaskan Native- All persons having
 Central or South American, or other Spanish culture or        origins in any of the original peoples of North America,
 origin, regardless of race.                                   and who maintain cultural identification through tribal
                                                               affiliation or community recognition.
                                    BIDDER CONTRACT COMPLIANCE MONITORING REPORT

PART I - Bidder Information                                                                                                    RFP No.: 6-1791
 Company Name:                                                                               Bidder Federal Employer
 Street Address:                                                                             Identification Number:
 City & State:                                                                                           Or
 Chief Executive:                                                                            Social Security Number:

 Major Business Activity      (brief description)                                            Bidder Identification
                                                                                             (response optional/definitions on page 1)

                                                                                              -Bidder is a small contractor:                     Yes   No
                                                                                              -Bidder is a minority business enterprise:         Yes   No
                                                                                                 (If yes, check ownership category)
                                                                                             Black     Hispanic      Asian American
                                                                                             American Indian/Alaskan: Native          Iberian Peninsula
                                                                                             Individual(s) with a Physical Disability:         Female:

 Bidder Parent Company (If any)
                                                                                               - Bidder   is certified as above by State of CT   Yes    No


 Other Locations in Ct. (If any)                                                               - DAS Certification Number:




PART II - Bidder Nondiscrimination Policies and Procedures
 1. Does your company have a written Affirmative Action/Equal Employment                     7. Do all of your company contracts and purchase orders contain
 Opportunity statement posted on company bulletin boards?                                    non-discrimination statements as required by Sections 4a-60 &
 Yes     No                                                                                  4a-60a Conn. Gen. Stat.?
                                                                                             Yes      No

 2. Does your company have the state-mandated sexual harassment prevention in the            8. Do you, upon request, provide reasonable accommodation to
 workplace policy posted on company bulletin boards?                                         employees, or      applicants for employment, who have physical
 Yes     No                                                                                  or mental disability?

                                                                                             Yes      No

 3. Do you notify all recruitment sources in writing of your company’s Affirmative           9. Does your company have a mandatory retirement age for all
 Action/Equal Employment Opportunity employment policy                 Yes     No            employees?                                    Yes      No

 4. Do your company advertisements contain a written statement that you are an               10. If your company has 50 or more employees, have you
 Affirmative Action/Equal Opportunity Employer?                   Yes      No                provided at least two (2) hours of sexual harassment training to all
                                                                                             of your supervisors?                       Yes     No      NA

 5. Do you notify the Ct. State Employment Service of all employment                         11. If your company has apprenticeship programs, do they meet
 openings with your company?                                     Yes            No           the Affirmative Action/Equal Employment Opportunity
                                                                                             requirements of the apprenticeship standards of the Ct. Dept. of
                                                                                             Labor?                                    Yes      No      NA

 6. Does your company have a collective bargaining agreement with workers?                   12. Does your company have a written affirmative action Plan?
                                                                       Yes      No           Yes     No
    6a. If yes, do the collective bargaining agreements contain non-discrimination               If no, please explain.
 clauses covering all workers?                                         Yes      No
                                                                                             13. Is there a person in your company who is responsible for
   6b. Have you notified each union in writing of your commitments under the                 equal employment opportunity?                    Yes      No
 nondiscrimination requirements of contracts with the state of Ct?                               If yes, give name and phone number.
                                                                   Yes      No
                                                                                             ____________________________________________________
                                                                                             _____________________________________________________
                                                                                             _______

Part III - Bidder Subcontracting Practices
 1. Will the work of this contract include subcontractors or suppliers?   Yes        No

   1a. If yes, please list all subcontractors and suppliers and report if they are a small contractor and/or a minority business enterprise.
 (defined on page 1 / use additional sheet if necessary)


    1b. Will the work of this contract require additional subcontractors or suppliers other than those identified in 1a. above?                  Yes   No
PART IV - Bidder Employment Information                                                          Date:                                    RFP No.: 6-1791
       JOB                              OVERALL                WHITE                        BLACK                                            ASIAN or PACIFIC            AMERICAN INDIAN
     CATEGORY *                          TOTALS        (not of Hispanic origin)       (not of Hispanic origin)          HISPANIC                ISLANDER                 or ALASKAN
                                                                                                                                                                         NATIVE

                                                      Male           Female          Male           Female       Male        Female         Male         Female          male        Female

 Management


 Business & Financial Ops


 Computer Specialists


 Architecture/Engineering


 Office & Admin Support


 Bldg/ Grounds Cleaning
 Maintenance

 Construction & Extraction


 Installation , Maintenance & Repair

 Material Moving Workers


 TOTALS ABOVE


 Total One Year Ago


                                             FORMAL ON THE JOB TRAINEES (ENTER FIGURES FOR THE SAME CATEGORIES AS ARE SHOWN ABOVE)

 Apprentices


 Trainees

*NOTE: JOB CATEGORIES CAN BE CHANGED OR ADDED TO (EX. SALES CAN BE ADDED OR REPLACE A CATEGORY NOT USED IN YOUR COMPANY)

PART V - Bidder Hiring and Recruitment Practices
                                                                                   2. Check (X) any of the below listed               3. Describe below any other practices or actions that you
 1. Which of the following recruitment sources are used by you?                       requirements that you use as                    take which show that you hire, train, and promote
    (Check yes or no, and report percent used)                                        a hiring qualification (X)                      employees without discrimination
                                                        % of applicants
     SOURCE                            YES      NO      provided by
                                                        source

 State Employment Service                                                                             Work Experience

 Private Employment                                                                                   Ability to Speak or
 Agencies                                                                                             Write English

 Schools and Colleges                                                                                 Written Tests

 Newspaper Advertisement                                                                              High School Diploma

 Walk Ins                                                                                             College Degree

 Present Employees                                                                                    Union Membership

 Labor Organizations                                                                                  Personal
                                                                                                      Recommendation

 Minority/Community                                                                                   Height or Weight
 Organizations

 Others (please identify)                                                                             Car Ownership

                                                                                                      Arrest Record

                                                                                                      Wage Garnishments


Certification: (Read this form and check your statements on it CAREFULLY before signing). I certify that the statements made by me on this BIDDER CONTRACT
COMPLIANCE MONITORING REPORT are complete and true to the best of my knowledge and belief, and are made in good faith. I understand that if I knowingly make any
misstatements of facts, I am subject to be declared in non-compliance with Section 4a-60, 4a-60a, and related sections of the CONN. GEN. STAT.

 (Signature)                                                                      (Title)                                                          (Date Signed)          (Telephone)
RFP PROPOSAL                                                                                                             RFP Number:
UCHC 26 REV 4/07                       STATE OF CONNECTICUT
 Previous revision                                                                                                           6-1791
 12/04                                   UNIVERSITY OF CONNECTICUT HEALTH CENTER
Robert Murphy                                        PURCHASING DEPARTMENT
Purchasing Agent                                   263 Farmington Avenue, MC 4036
                                                             Farmington, CT 06032                                    Read & Complete
                                                                                                                        Carefully
860-679-2408
Telephone Number


     Plain Language Summary of State Ethics Laws for Current and Potential State Contractors

                                                NOTIFICATION TO BIDDERS

Note: The following is a summary of the major ethics laws and related provisions applicable to current and potential state contractors. For
more detailed information or to discuss any questions you may have, contact the Office of State Ethics at (860) 566-4472.

RESTRICTIONS ON THE BENEFITS YOU MAY GIVE TO STATE PERSONNEL

GIFTS: In general, no one doing business with or seeking business from a state or quasi-public agency may give a gift to an official or
employee of that agency. Connecticut’s gift ban is strict, but has some exceptions. For example, under the Ethics Code, you may give: (1)
food and drink up to $50 per person per year, if the person paying, or his or her representative, is in attendance; and (2) tangible gifts up to
$10 per item up to $50 per person per year. Also exempt are certain items such as informational materials, or plaques costing less than
$100. For a complete list of the Code’s gift exceptions, consult Conn. Gen. Stat. § 1-79(e) or contact the Office of State Ethics.

IMPORTANT RECENT CHANGE IN LAW: As of July 1, 2004, gifts for “major life events,” including a wedding or the birth of a child,
which were previously exempt from the gift ban, are now subject to the strict gift limits outlined above if the gifts are provided by any
individual or entity doing business with or seeking business from the state.

NOTE: State agencies may have stricter gift rules than the provisions of the Ethics Code (for example, an agency policy may ban all food
and drink). Be sure to obtain a copy of the agency’s ethics policy before you provide any benefit to an agency official/employee.

NECESSARY EXPENSES: Under the Ethics Code, you may not pay a fee or an honorarium to a state official or employee for making a
speech or appearing at your organization’s event. You may, however, under limited circumstances, pay the “necessary expenses” of such a
state servant. These expenses are limited to: necessary travel, lodging for the nights before, or and after the speech, meals and conference
fees. There may be reporting requirements attached to the giving and taking of necessary expenses, so contact the Office of State Ethics if
you need more information. NOTE: Before providing necessary expenses, check with the state agency’s ethics officer to determine if the
agency allows such payments.

GIFTS TO THE STATE: The Ethics Code allows limited “gifts to the state” which facilitate state action or functions (for example,
donating a piece of equipment to the agency).

NOTE: Recent legislation was passed that may impact gifts to the state. Please contact the Office of State Ethics before giving a gift to the
state to determine if such donations are acceptable.

RULES ON HIRING STATE PERSONNEL

Before you hire a current or former state employee, you should be aware of certain provisions of the Ethics Code. First, if you are
considering hiring a current state employee, especially from a state agency with which you do business or by which you are regulated, you
should know the following:

A current state employee must not accept outside employment that impairs his independence of judgment regarding his state duties, or that
encourages him to disclose confidential information learned in his state job. Also, a current state employee may not use his or her state
position for financial gain, however inadvertent that use may be. Therefore, for example, a current state employee who exercises any
contractual, supervisory or regulatory authority over you or your business may not be able to work for you.

Second, if you are considering hiring a former state employee, you should be aware of the Ethics Code’s post-state employment, or
revolving door, laws:
If you hire or otherwise engage the services of a former state official or employee, he or she may not represent you before his of her former
agency for one year after leaving state service.

NOTE: The former State Ethics Commission established a limited exception to this provision which allows the former employee to return
to his or her former agency within the one year period for the sole purpose of providing technical expertise (for example, to help implement
a previously awarded contract). This is a fact-specific exception that applies in very limited circumstances: therefore, you should contact
the Office of State Ethics for further assistance if you think this exception applies to you.

If a state official or employee was substantially involved in, or supervised, the negotiation or award of a contract valued at $50,000 or
more, and the contract was signed within his or her last year of state service, and you or your business was one of the parties to the contract,
then you and/or your business are prohibited from hiring him or her for one year after he or she leaves state employment.

A former state official or employee can never represent anyone other than the state regarding a particular matter in which he or she was
personally and substantially involved while in state service and in which the state has a substantial interest.

Third, there are approximately 75 state officials or employees who may not negotiate for, seek or accept employment with any business
subject to regulation by their agency, and may not accept employment with such a business for one year after leaving state service. Under
that section of the law, it is also illegal for a business in the industry to employ such an individual.

CONFLICT OF INTEREST RULES THAT APPLY TO YOU AS A STATE CONTRACTOR

Under Conn. Gen. Stat. §1-86e of the Ethics Code, no state contractor, including a consultant or other independent contractor, can use the
authority provided under the contract, or confidential information acquired in the performance of the contract, to obtain financial gain for
himself, his employee, or a member of his immediate family. Also, a state contractor cannot accept another state contract that would
impair his independence of judgment in the performance of the first contract. Finally, a state contractor cannot accept anything of value
based on an understanding that his actions on behalf of the state would be influenced.

It is important to call the Office of State Ethics at (860) 566-4472 to discuss the application of this law, or any of the other ethics laws, to
your specific situation.

OTHER ETHICS PROVISIONS THAT MAY APPLY TO YOU

Contractors seeking large state contracts are required to execute affidavits regarding gifts and/or campaign contributions made to certain
state employees or public officials in the two-year period prior to the submission of a bid or proposal. You need to check the web sites of
both the Department of Administrative Services, www.das.state.ct.us, and the Office of Policy and Management, www.opm.state.ct.us, for
copies of these affidavits and for other updated information regarding state contractors. Also, because the particular agency with which
you wish to contract may have specific rules that you must follow, you need to check with that agency as well.

If you or your business provides “investment services” as defined in the Code of Ethics, and you make a political contribution in
connection with the Office of the Treasurer, you may be prohibited from contracting with that office. See Conn. Gen. Stat. § 1-84(n).

Finally, if you or your business spends or receives $2,000 or more in a calendar year for activities that constitute lobbying under the Ethics
Code, whether to affect legislation or the actions of an administrative state agency, then you and/or your business may have to register as a
lobbyist with the Office of State Ethics, and more ethics rules will apply to you. Contact the Office of State Ethics, or review the lobbyist
registration information at www.ct.gov/ethics.

Recent legislation (Public Act 05-287) prohibits anyone who is a party (or who is seeking to become a party) to a state construction,
procurement, or consultant services contract over $500,000 from:

(1) Soliciting information from a public official or state employee that is not available to other bidders for that contract, with the intent to
obtain a competitive advantage over other bidders;

(2) intentionally or recklessly charging a state agency for work not performed or goods or services not provided, or falsifying invoices or
bills; or

(3) intentionally violating or trying to circumvent the state competitive bidding and ethics laws.

Recent legislation (Public Act 05-287) also requires any prospective state contractor to affirm in writing that he or she has been provided
with a summary of the state’s ethics laws and that his key employees have read and understood the summary and agree to comply with the
applicable provisions of the ethics law.
REQUEST FOR
PROPOSAL                                                    STATE OF CONNECTICUT                                                                 RFP Number:
UCHC-1 9 Rev . 4 /07                                 UNIVERSITY OF CONNECTICUT HEALTH CENTER
Previous Rev. 12/04                                           PURCHASING DEPARTMENT                                                                 6-1791
                                                             263 Farmington Avenue, MC 4036
Robert Murphy                                                      Farmington CT 06032
Purchasing Agent

860-679--2408
Telephone Number                                                              Page 1 of 4
                                             STANDARD                BID AND CONTRACT TERMS & CONDITIONS
All Invitations to Bid issued by the University of Connecticut Health                  10. All bids will be opened and read publicly and upon award are subject to
Center (UCHC) Purchasing Department will bind Bidders to the terms                     public inspection.
and conditions listed below, unless specified otherwise in any individual                                          Guaranty or Surety
Invitations to Bid.                                                                    11. Bid and or performance bonds may be required. Bonds must meet the
                                                                                       following requirements: Corporation - must be signed by an official of the
Incorporated by reference into this contract are applicable provisions of              corporation above their official title and the corporate seal must be affixed
the Connecticut General Statutes including but not limited to Sections                 over the signature; Firm or Partnership - must be signed by all the partners
10a-151b, 4a-50 through 4a-80, and applicable provisions of the                        and indicate they are “doing business as”; Individual - must be signed by the
Regulations of Connecticut State Agencies including but not limited to                 owner and indicated as “Owner”. The surety company executing the bond or
Sections 4a-52-1 through 4a-52-22.                                                     countersigning must be licensed in Connecticut and the bond must be signed
                                                                                       by an official of the surety company with the corporate seal affixed over their
      The contractor agrees to comply with the statutes and regulations                signature. Signatures of two witnesses for both the principal and the surety
as they exist on the date of this contract and as they may be adopted or               must appear on the bond. Power of attorney for the official signing the bond
amended from time to time during the term of this contract and any                     for the surety company must be submitted with the bond.
amendments thereto.
                                                                                                                        Samples
                       Submission of Bids                                              12. Accepted bid samples do not supersede specifications for quality unless
1.   The time and date bids are to be opened is given in each bid issued.              sample is superior in quality. All deliveries shall have at least the same
Bids must be submitted on forms supplied by Purchasing Department.                     quality as the accepted bid sample.
Telephone or facsimile bids will not be accepted in response to a Request for
Proposal.                                                                              13. Samples are furnished free of charge. Bidder must indicate if their
                                                                                       return is desired, provided they have not been made useless by test. Samples
2.    Bids received after the specified time and date of bid opening given in
                                                                                       may be held for comparison with deliveries.
each bid proposal shall not be accepted for consideration and shall be
returned unopened. Bid envelopes must clearly indicate the bid number as
                                                                                                                          Award
well as the date and time of the opening of the bid. The name and address of
                                                                                       14. Award of a contract will be made to the lowest responsible qualified
the Bidder should appear in the upper left hand corner of the envelope.
                                                                                       bidder and shall be based on quality of the articles or services to be supplied,
3.     Incomplete bid forms may result in the rejection of the bid.                    their conformance with specifications, delivery terms, price, administrative
Amendments to bids received by the Purchasing Department after the time                costs, past performance, and financial responsibility. The time and date bids
specified for opening of bids, shall not be considered. An original and one            are to be opened is given in each bid issued.
copy (unless more than one copy is requested) of the proposal schedule shall
be returned to the Purchasing Department. Bids shall be computer prepared,             15. Purchasing Department may reject any bidder in default of any prior
typewritten or handwritten in ink. Bids submitted in pencil shall be rejected.         contract or guilty of misrepresentation of any bidder with a member of its
All bids shall be signed by a person duly authorized to sign bids on behalf of         firm in default or guilty of misrepresentation.
the bidder. Unsigned bids shall be rejected. Errors, alterations or corrections
on both the original and copy of the proposal schedule to be returned must be          16. Purchasing Department may correct inaccurate awards resulting from
initialed by the person signing the bid proposal or their authorized designee.         clerical or administrative errors.
In the event an authorized designee initials the correction, there must be
written authorization from the person signing the bid proposal to the person                                          Contract
initialing the erasure, alterations, or correction. Failure to do so shall result in   17. The existence of the contract shall be determined in accordance with
rejection of bid for those items erased, altered or corrected and not initialed.       the requirements set forth above. However, the award of the contract is not an
                                                                                       order to ship.
4.    Conditional bids are subject to rejection in whole or in part. A
conditional bid is defined as one, which limits, modifies, expands or                  18. The Contractor shall not assign or otherwise dispose of their contract or
supplements any of the terms and conditions and/or specifications of the               their right, title or interest, or their power to execute such contract to any other
Invitations to Bid.                                                                    person, firm or corporation without the prior written consent of the Purchasing
                                                                                       Department.
5.    Alternate bids will not be considered. An alternate bid is defined as
one, which is submitted in addition to the bidder’s primary response to the            19. Bidders have ten days after notice of award to refuse acceptance of the
Invitations to Bid.                                                                    award; after ten days the award will be binding on the Contractor. If the
                                                                                       Contractor refuses to accept the award within the ten-day period, the award
6.    Prices should be extended in decimal, not fraction, to be net, and shall         will be made to the next lowest responsible qualified bidder.
include transportation and delivery charges fully prepaid by the Contractor to
the destination specified in the bid, and subject only to cash discount.               20. Failure of a Contractor to deliver commodities or perform services as
                                                                                       specified will constitute authority for Purchasing Department to purchase
7.    Pursuant to Section 12-412 of the Connecticut General Statutes, the              these commodities or services on the open market. The Contractor agrees to
State of Connecticut is exempt from the payment of excise, transportation              promptly reimburse the State for excess cost of these purchases. The
and sales taxes imposed by the Federal Government and/or the State. Such               purchases will be deducted from the contracted quantities. Rejected
taxes must not be included in bid prices.                                              commodities must be removed by the Contractor from State premises within
                                                                                       48 hours. Immediate removal may be required when safety or health issues
8.    In the event of a discrepancy between the unit price and the extension,          are present.
the unit price shall govern.
                                                                                       21. Contractor agrees to: hold the State harmless from liability of any kind
                                                                                       for the use of any copyright or uncopyrighted composition, secret process,
9.   By its submission the Bidder represents that the bid is not made in
                                                                                       patented or unpatented invention furnished or used in the performance of the
connection with any other Bidder submitting a bid for the same commodity
                                                                                       contract; guarantee their products against defective material or workmanship;
or commodities and is in all respects fair and without collusion or fraud.
REQUEST FOR
PROPOSAL                                                 STATE OF CONNECTICUT                                                                    RFP Number:
UCHC-1 9 Rev . 4 /07                               UNIVERSITY OF CONNECTICUT HEALTH CENTER
Previous Rev. 12/04                                         PURCHASING DEPARTMENT                                                             6-1791
Robert Murphy                                                      263 Farmington Avenue, MC 4036
Purchasing Agent                                                         Farmington CT 06032

860-679-2408
Telephone Number                                                                    Page 2 of 4
                                           STANDARD BID AND CONTRACT                              TERMS & CONDITIONS
repair damages of any kind, for which they are responsible to the premises or             33. All purchases will be in compliance with the law of the State of
equipment, to their own work or to the work of other contractors; obtain and              Connecticut. This contract is subject to the provisions of the following
pay for all licenses, permits, fees etc. and to give all notices and comply with          Statute(s) and Executive Orders:
all requirements of city or town in which the service is to be provided and to
the State of Connecticut; to carry proper insurance to protect the State from             Sec. 22a-194. Definition of controlled substance. As used in sections 22a-
loss.                                                                                     194a to 22a-194g, inclusive, "controlled substance" means a controlled
                                                                                          substance under Annex A, Group 1 of the Montreal Protocol on Substances
22. Notwithstanding any provision or language in this contract to the                     that Deplete the Ozone Layer, signed September 16, 1987, as may be
contrary, the Commissioner may terminate this contract whenever he/she                    amended.
determines in his/her sole discretion that such termination is in the best
interests of the State. Any such termination shall be effected by delivery to             For all State contracts as defined in Public Act 07-1 having a value in a
the Contractor of a written notice of termination. The notice of termination              calendar year of $50,000 or more or a combination or series of such
shall be sent by registered mail to the Contractor address furnished to the               agreements or contracts having a value of $100,000 or more, the authorized
State for purposes of correspondence or by hand delivery. Upon receipt of                 signatory to this Agreement expressly acknowledges receipt of the State
such notice, the Contractor shall both immediately discontinue all services               Elections Enforcement Commission’s notice advising state contractors of
affected (unless the notice directs otherwise) and deliver to the State all data,         state campaign contribution and solicitation prohibitions, and will inform its
drawings, specifications, reports, estimates, summaries, and such other                   principals of the contents of the notice as enclosed.
information and materials as may have been accumulated by the Contractor
                                                                                          Executive Order No. Three of Governor Thomas J. Meskill promulgated June
in performing his duties under this contract, whether completed or in
                                                                                          16, 1971 requires nondiscrimination clauses in state contracts.
progress. All such documents, information, and materials shall become the
property of the State. In the event of such termination, the Contractor shall be          Executive Order No. Seventeen of Governor Thomas J. Meskill promulgated
entitled to reasonable compensation as determined by the Commissioner of                  February 15, 1973 requires contractors and subcontractors having a contract
the Department of Administrative Services; however, no compensation for                   with the state or any business entity having business with the state or which
lost profits shall be allowed.                                                            seeks to do business with the state, and every bidder or prospective bidder
                                                                                          who submits a bid or replies to an invitation to bid on any state contract shall
                                  Delivery                                                list all employment openings with the office of the Connecticut State
23. All products and equipment delivered must be new unless otherwise                     Employment Service.
stated in the bid specifications.
                                                                                          Executive Order No. Sixteen of Governor John G. Rowland promulgated
24. Delivery will be onto the specified State loading docks by the                        August 4, 1999 regarding Violence in the Workplace Prevention Policy.
Contractor unless otherwise stated in the bid specifications.
                                                                                          Executive Order No. Fourteen of Governor M. Jodi Rell promulgated April
25.   Deliveries are subject to re-weighing on State sealed scales.                       17, 2006 states the contractors shall use cleaning and/or sanitizing products
                                                                                          having properties that minimize potential impacts on human health and the
26. Payment terms are net 30 days after receipt of goods or invoice,                      environment, consistent with maintaining clean and sanitary facilities.
whichever is later, unless otherwise specified.                                           Executive Order No. Seven C of Governor M. Jodi Rell promulgated July 13,
                                                                                          2006 establishes the State Contracting Standards Board to address the state’s
27. Charges against a Contractor shall be deducted from current
                                                                                          vulnerabilities in the selection and procurement processes to avoid
obligations. Money paid to the State by the Contractor shall be payable to the
                                                                                          improprieties, favoritism, unfair practices or ethical lapses in state
Treasurer, State of Connecticut.
                                                                                          contracting.
                              Saving Clause                                                                       Records, Files, and Information
28. The Contractor shall not be liable for losses or delays in the fulfillment            34. Incorporated by reference into this contract and Pursuant to Public
of the terms of the contract due to wars, acts of public enemies, strikes, fires,         Act No. 01-169, each contract in excess of two million five hundred
floods, acts of God or any other acts not within the control of or reasonably             thousand dollars between a public agency and a person for the
prevented by the Contractor. The Contractor will give written notice of the               performance of a governmental function shall (1) provide that the public
cause and probable duration of any such delay.                                            agency is entitled to receive a copy of records and files related to the
                                                                                          performance of the governmental function, and (2) indicate that such
                            Advertising                                                   records and files are subject to the Freedom of Information Act and may
29. Contractors may not reference sales to the State for advertising and                  be disclosed by the public agency pursuant to the Freedom of
promotional purposes without the prior approval of Purchasing Department.
                                                                                          Information Act.
                                   Rights
                                                                                          35. Incorporated by reference into this contract is Section 4-61dd(g)(1) and
30. The State has sole and exclusive right and title to all printed material
                                                                                          4-61dd(3) and (f) of the Connecticut General Statutes which prohibits
produced for the State and the contractor shall not copyright the printed
                                                                                          contractors from taking adverse action against employees who disclosed
matter produced under the contract.
                                                                                          information to the Auditors of Public Accounts or the Attorney General.
31. The Contractor assigns to the State all rights title and interests in and to
all causes of action it may have under Section 4 of the Clayton Act, 15 USC                                        Dispute Resolution
15, or under Chapter 624 of the general statutes. This assignment occurs                  36. Contractor may bring claims against Customer for any loss, claim,
when the Contractor is awarded the contract.                                              damage, or liability of whatsoever kind or nature, which may arise from or in
                                                                                          connection with this Agreement in accordance with Chapter 53 of the
32. Contractor agrees that it is in compliance with all applicable federal,               Connecticut General Statutes. Contractor shall have recourse through the
state and local laws and regulations, including but not limited to Connecticut            State of Connecticut Claims Commission as provided under Chapter 53 of the
General Statutes Sections 4a-60 and 4a-60a. The Contractor also agrees that               Connecticut General Statutes in which all claims against the State of
it will hold the State harmless and indemnify the State from any action which             Connecticut and the University of Connecticut Health Center will be filed
may arise out of any act by the contractor concerning lack of compliance with             with Connecticut's Claims Commissioner. The parties agree that if such claim
these laws and regulations.                                                               is not resolved by the State of Connecticut Claims Commission, then the
                                                                                          venue for any the litigation resulting out of any controversy or claim against
REQUEST FOR
PROPOSAL                                                  STATE OF CONNECTICUT                                                                    RFP Number:
UCHC-1 9 Rev . 4 /07                                UNIVERSITY OF CONNECTICUT HEALTH CENTER
Previous Rev. 12/04                                          PURCHASING DEPARTMENT                                                                   6-1791
Robert Murphy                                                       263 Farmington Avenue, MC 4036
Purchasing Agent                                                          Farmington CT 06032

860-679-2408
Telephone Number                                                                     Page 3 of 4
                                            STANDARD BID AND CONTRACT                              TERMS & CONDITIONS
the Customer arising out of or relating to this Agreement, or the breach                   public agency began planning the project, services, procurement, lease or
thereof, shall be the state courts of Connecticut or the federal courts sitting in         licensing arrangement covered by the contract and the date of execution of
Connecticut. Each party hereby irrevocably waives the right to trial by jury in            the contract, by (A) such person, firm, corporation, (B) any principals and
any federal or state judicial proceeding. Each party hereby waives any right               key personnel of the person, firm or corporation, who participated
to seek punitive, exemplary, multiplied or consequential damages,                          substantially in preparing the bid or proposal or the negotiation of the
prejudgment interest or attorneys' fees or costs.                                          contract, or (C) any agent of such person, firm, corporation or principals and
                                                                                           key personnel, who participated substantially in preparing the bid or proposal
                               Other Requirements                                          or the negotiation of the contract, to (i) any public official or state employee
37. Conn. Gen. Stat. § 4a-81 (the “Act”) requires that the Invitation to Bid               of the state agency or quasi-public agency soliciting bids or proposals for the
of which these Terms and Conditions are a part include a notice of the                     contract, who participated substantially in the preparation of the bid
consulting affidavit requirements described in the Act. Accordingly,                       solicitation or request for proposals for the contract or the negotiation or
pursuant to the Act, vendors are notified as follows:                                      award of the contract, or (ii) any public official or state employee of any
 (a) No state agency shall execute a contract for the purchase of goods or                 other state agency, who has supervisory or appointing authority over such
services, which contract has a total value to the state of fifty thousand dollars          state agency or quasi-public agency;
or more in any calendar or fiscal year, unless the state agency obtains the                (2) That no such principals and key personnel of the person, firm or
written affidavit described in subsection (b) of this section.                             corporation, or agent of such person, firm or corporation or principals and
 (b) (1) The chief official of the vendor awarded a contract described in                  key personnel, knows of any action by the person, firm or corporation to
subsection (a) of this section or the individual awarded such contract who is              circumvent such prohibition on gifts by providing for any other principals
authorized to execute such contract, shall attest in an affidavit as to whether            and key personnel, official, employee or agent of the person, firm or
an consulting agreement has been entered into in connection with such                      corporation to provide a gift to any such public official or state employee;
contract. Such affidavit shall be required if any duties of the consultant                 and
included communications concerning business of such state agency, whether                  (3) That the person, firm or corporation made the bid or proposal without
or not direct contact with a state agency, state or public official or state               fraud or collusion with any person. (d) Any bidder or proposer that does not
employee was expected or made. "Consulting agreement" means any written                    make the certifications required under subsection (c) of this section shall be
or oral agreement to retain the services, for a fee, of a consultant for the               disqualified and the state agency or quasi-public agency shall award the
purposes of (A) providing counsel to a contractor, vendor, consultant or other             contract to the next highest ranked proposer or the next lowest responsible
entity seeking to conduct, or conducting, business with the State, (B)                     qualified bidder or seek new bids or proposals.
contacting, whether in writing or orally, any executive, judicial, or                      (e) The date that the state agency or quasi-public agency began planning the
administrative office of the state, including any department, institution,                 project, services, procurement, lease or licensing arrangement to be covered
bureau, board, commission, authority, official or employee for the purpose of              by the contract is defined by the bid release date.
solicitation, dispute resolution, introduction or requests for information or (C)
any other similar activity related to such contract. “Consulting agreement”                              John Dempsey Hospital Polices and Procedures
does not include any agreements entered into with a consultant who is                      38. Contractor will comply with John Dempsey Hospital policies and
registered under the provisions of Chapter 10 of the Connecticut General                   procedures, as well as all applicable laws, ordinances, rules regulations,
Statutes concerning the State’s Codes of Ethics, as of the date such affidavit             standards, and orders of governmental, regulatory and accrediting bodies,
is submitted. (2) Such affidavit shall be sworn as true to the best knowledge              including but not limited to the Joint Commission on the Accreditation of
and belief of the person signing the certification on the affidavit and shall be           Health Care Organizations (JCAHO), having jurisdiction in the premises that
subject to the penalties of false statement. (3) Such affidavit shall include the          are applicable to the conduct of physicians
name of the consultant, the consultant's firm, the basic terms of the consulting
agreement, a brief description of the services provided, and an indication as                                            Whistle Blowing
to whether the consultant is a former state employee or public official. If the            39. This Agreement is subject ot the provisions of §4-61dd of the
consultant is a former state employee or public official, such affidavit shall             Connecticut General Statutes. In accordance with this stature, if an officer,
indicate his or her former agency and the date such employment terminated.                 employee or appointing authority of the Contractor takes or threatens to take
(4) Such affidavit shall be amended whenever the vendor awarded the                        any personnel action against any employee of the Contractor in retaliation for
contract enters into any new consulting agreement during the term of the                   such employee’s disclosure of information to any employee of the
contract.                                                                                  contracting state or quasi-public agency or the Auditors of Public Accounts
(c) If a vendor refuses to submit the affidavit required under subsection (b) of           or the Attorney General under the provisions of subsection (a) of such statute,
this section, then the state agency shall not award the Contract to such vendor            the Contractor shall be liable for a civil penalty of not more than five
and shall award the contract to the next highest ranked vendor or the next                 thousand dollars for each offense, up to a maximum of twenty per cent of the
lowest responsible qualified bidder or seek new bids or proposals.                         value of this Agreement. Each violation shall be a separate and distinct
18. Conn. Gen. Stat. § 4-252 (the “Statute”) requires that the Invitation to               offense and in the case of a continuing violation, each calendar day’s
Bid, of which these Terms and Conditions are a part, include a notice of the               continuance of the violation shall be deemed to be a separate and distinct
vendor certification requirements described in the Statute. Accordingly,                   offense. The State may request that the Attorney General bring a civil action
pursuant to the Statute, vendors are notified as follows:                                  in the Superior Court for the Judicial District of Hartford to seek imposition
(a) The terms “gift,” “quasi-public agency,” “state agency,” “large state                  and recovery of such civil penalty. In accordance with subsection (f) of such
contract,” “principals and key personnel” and “participated substantially” as              statute, each large state contractor, as defined in the statute, shall post a
used in this section shall have the meanings set forth in the Statute.                     notice of provisions of the statute relating to large state contractors in a
(b) No state agency or quasi-public agency shall execute a large state contract            conspicuous place which is readily available for viewing the the employees
unless the state agency or quasi-public agency obtains the written                         of the Contractor.
certifications described in this section. Each such certification shall be sworn
as true to the best knowledge and belief of the person signing the                                                  Federal False Claim Act
certification, subject to the penalties of false statement.                                40. The federal False Claims Act (FCA) imposes civil penalties on people
(c) The official of the person, firm or corporation awarded the contract, who              and companies who knowingly submit a false claim or statement to a
is authorized to execute the contract, shall certify on such forms as the State            federally funded program, or otherwise conspire to defraud the government,
shall provide:                                                                             in order to receive payment. The term “knowingly” is defined as a person,
(1) That no gifts were made between the date that the state agency or quasi-
REQUEST FOR
PROPOSAL                                                 STATE OF CONNECTICUT                                                                 RFP Number:
UCHC-1 9 Rev . 4 /07                              UNIVERSITY OF CONNECTICUT HEALTH CENTER
Previous Rev. 12/04                                        PURCHASING DEPARTMENT                                                                 6-1791
Robert Murphy                                                     263 Farmington Avenue, MC 4036
Purchasing Agent                                                        Farmington CT 06032

860-679--2408
Telephone Number                                                                   Page 4 of 4
                                           STANDARD BID AND CONTRACT                             TERMS & CONDITIONS
with respect to information, that has actual knowledge that a claim is false,                    Certificate of Insurance (Accord Form 25-S or equivalent)
knowingly ignores facts which may reveal false information or disregards the             A Certificate of Insurance shall be received and approved by UCHC prior to
need to check the truth or accuracy of the information. The FCA extends to               work commencement. A person authorized by that insurer to sign on its
any payment requested of the federal government. More specifically, the                  behalf shall sign the certificate.
FCA applies to billing and claims sent from UCHC to any government payor
program, including Medicare and Medicaid. The FCA also includes                          Certificates of Insurance must provide clear evidence that the contractor’s
provisions intended to protect individuals who report suspected fraud.                   insurance policies contain the minimum limits of coverage, terms and
                                                                                         conditions. Additionally, the certificate must include the following:
Anyone, or any company, that submits a false claim or statement to the                      1. Certificate shall clearly identify the University of Connecticut Health
government may be fined under the FCA between $5,500 and $11,000 for                           Center, its officers, officials, employees, agents, boards and
each such claim submitted, regardless of the size of the false claim, and the                  commissions as Additional Insured.
person of company could be required to pay an additional fine of three times                2. Certificate shall clearly indicate project name, project number or some
the value of any charges.                                                                      easily identifiable reference to the relationship to the University of
                                                                                               Connecticut Health Center.
Refer to the following documents for further information:                                   3. Certificate shall indicate a minimum thirty (30) day endeavor to notify
Section 6032 of the Deficit Reduction Act of 2005                                              requirement in the event of cancellation or non-renewal of coverage.
           31 U.S.C. §§ 3729-3733
           31 U.S.C. §§ 3801-3812                                                                                    Background Checks
           Connecticut General Statutes § 31-51m                                         42. UCHC shall conduct background investigations and federal sanctions
           Connecticut General Statutes § 53a-290 et seq.                                checks on all contractor employees working on UCHC premises shall be
           Connecticut General Statutes § 17b-127                                        subject to UCHC Background checks prior to commencement of work. The
                                                                                         inquiries into the background of all persons associated with UCHC shall
                         Insurance Requirements                                          comply with federal and state laws.
41. Before commencing work, the contractor shall obtain at its own cost
and for the duration of the contract, the following insurance:
   1. Commercial General Liability: $1,000,000 combined single limit per
      occurrence for bodily injury, personal injury and property damage.
      Coverage shall include Premises and Operations, Independent
      Contractors, Products and Completed Operations, Contractual Liability
      and Broad Form Property Damage coverage. If a general aggregate is
      used, the general aggregate limit shall apply separately to the project or
      the general aggregate limit shall be twice the occurrence limit.
   2. Automobile Liability: $1,000,000 combined single limit per accident
      for bodily injury. Coverage extends to owned, hired and non-owned
      automobiles. If the vendor/contractor does not own an automobile, but
      one is used in the execution of the contract, then only hired and non-
      owned coverage is required. If a vehicle is not used in the execution of
      the contract then automobile coverage is not required.
   3. Professional Liability: $1,000,000 limit of liability.
   4. Workers' Compensation and Employers Liability: Statutory coverage in
      compliance with the Compensation laws of the State of Connecticut.
      Coverage shall include Employer's Liability with minimum limits of
      $100,000 each accident, $500,000 Disease -Policy limit, $100,000 each
      employee.
   5. A following form (Excess Liability/Umbrella Policy) may be used to
      meet the minimum limit guidelines.

                             Insurance Provisions
   1. The State of Connecticut, its officers, officials, employees, agents,
      boards and commissions shall be named as Additional Insured. The
      coverage shall contain no special limitations on the scope of protection
      afforded to the State.
   2. Contractor shall assume any and all deductibles in the described
      insurance policies.
   3. The contractor's insurer shall have no right of recovery or subrogation
      against the State and the described insurance shall be primary coverage
   4. Any failure to comply with the claim reporting provisions of the policy
      shall not affect coverage provided to the State.
   5. Each required insurance policy shall not be suspended, voided,
      cancelled or reduced except after 30 days prior written notice by
      certified mail, has been given to the State.
   6. “Claims Made” coverage is unacceptable, with the exception of
      Professional Liability.
REQUEST FOR PROPOSAL                                        STATE OF CONNECTICUT                                                               RFP Number:
UCHC-19a Rev. 4/07                                   UNIVERSITY OF CONNECTICUT HEALTH CENTER
Previous Rev. 12/04                                           PURCHASING DEPARTMENT                                                                6-1791
Robert Murphy                                                             263 Farmington Avenue
Purchasing Agent                                                       Farmington CT 06032, MC 4036

860-679--2408
Telephone Number                                                                    Page 1 of 2
                                                              SPECIAL RFP TERMS & CONDITIONS
1.    Conformity and Completeness of Proposals:                                          payment or if the product or services fail to meet the minimum State criteria
To be considered acceptable, proposals must be complete and conform to all               for acceptable and performance reliability.
RFP instructions and conditions. The University of Connecticut Health
Center, at its discretion, may reject in whole or in part any proposal if in its         13. Validation of Proposals:
judgment the best interests of the University of Connecticut Health Center               The proposals shall be binding commitments which the University of
will be served.                                                                          Connecticut Health Center may include, by reference or otherwise, into any
                                                                                         contract with a proposer. The proposals must provide the names, titles,
2.    Stability of Proposed Prices:                                                      addresses and telephone numbers of those individuals with authority to
Any price offerings from Proposers must be valid for a period of 180 days                negotiate a contract with the University of Connecticut Health Center and
from the due date of the proposal.                                                       contractually bind the proposer. The proposal must also include evidence that
                                                                                         is has been duly delivered on the part of the proposer, that the persons
3.     Amendment or Cancellation:                                                        submitting the proposal have the requisite corporate power and authority to
The University of Connecticut Health Center reserves the rights to cancel,               structure, compile, draft, submit and deliver the proposal and subsequently to
amend, modify or otherwise change this RFP at any time if it deems it to be              enter into, execute and deliver and perform on behalf of the proposer any
in the best interest of the University of Connecticut Health Center to do so.            contract contemplated in this RFP.

4.    Multiple Award:                                                                    14. Execution of Contract:
The University of Connecticut Health Center reserves the right to award to               This RFP is not a contract and, alone, shall not be interpreted as such. Rather,
multiple vendors.                                                                        this RFP only serves as the instrument through which proposals are solicited.
                                                                                         Once the evaluation of the proposals is complete and a proposer(s) is
5.     Proposal Modifications:                                                           selected, the elected proposal(s) and this RFP may then serve as the basis for
No additions or changes to any proposal will be allowed after the proposal               a contract that will be negotiated and executed between the University of
due date, unless such modification is specifically requested by the University           Connecticut Health Center and the selected proposer(s). This RFP and the
of Connecticut Health Center. The University of Connecticut Health Center,               proposal will likely be attached to the contract as exhibits. If for some reason,
at its option, may seek proposer retraction and/or clarification of any                  the University of Connecticut Health Center and the initial proposer fail to
discrepancy or contradiction found during its review of proposals.                       reach consensus on the issues relative to the contract, the University of
                                                                                         Connecticut Health Center may commence contract negotiations with other
6.    Proposer Presentation of Supporting Evidence:                                      Proposers. The University of Connecticut Health Center may decide at any
Proposers must be prepared to provide any evidence of experience,                        time to start the RFP process again.
performance, ability, and/or financial surety that the University of
Connecticut Health Center deems to be necessary or appropriate to fully                  15. Oral Agreement or Arrangements:
establish the performance capabilities represented in their proposals.                   Any alleged oral agreements or arrangements made by Proposers with
                                                                                         University of Connecticut Health Center employees will be disregarded in
7.     Erroneous Awards:                                                                 any University of Connecticut Health Center proposal evaluation or
The University of Connecticut Health Center reserves the right to correct                associated award.
inaccurate awards. This may include, in extreme circumstances, revoking the
awarding of a contract already made to a proposer and subsequently awarding              16. Independent Price Determination:
the contract to another proposer. Such action on the part of the University of           In the proposals, Proposers must warrant, represent, and certify that the
Connecticut Health Center shall not constitute a breach of contract on the part          following requirements have been met in connection with this RFP:
of the University of Connecticut Health Center since the contract with the               The costs proposed have been arrived at independently, without consultation,
initial proposer is deemed to be void and of no effect as if no contract ever            communication, or agreement for the purpose of restricting competition as to
existed between the University of Connecticut Health Center and such                     any matter relating to such process with any other organization or with any
proposer.                                                                                competitor.
                                                                                         Unless otherwise required by law, the costs quoted have not been knowingly
8.    Proposal Expenses:                                                                 disclosed by the proposer on a prior basis directly or indirectly to any other.
Proposers are responsible for all costs and expenses incurred in the                     No attempt has been made, or will be made, by the proposed to induce any
preparation of proposals and for any subsequent work on the proposal that is             other person or firm to submit or not to submit a proposal for the purpose of
required by the University of Connecticut Health Center.                                 restricting competition.

9.    Ownership of Proposals:                                                            17. Offer of Gratuities:
All proposals shall become the sole property of the University of Connecticut            The proposer warrants, represents, and certifies that no elected or appointed
Health Center and will not be returned.                                                  official or employee of the
                                                                                         State of Connecticut has or will, benefit financially or materially from this
10. Ownership of Subsequent Products:                                                    procurement. Any contract and/or award arising from this RFP may be
Any product, whether acceptable or unacceptable, developed under a contract              terminated by the University of Connecticut Health Center if it is determined
awarded as a result of this RFP shall be the sole property of the University of          that gratuities of any kind were either offered to, or received by, any of the
Connecticut Health Center unless otherwise stated in the contract.                       aforementioned officials or employees from the proposer, the Proposer's
                                                                                         agent(s), representative(s) or employee(s).
11. Transfer of Data:
All data stored in the successful Proposer's files, electronic or hard copy, will        18. Subletting or Assigning of Contract
be returned to the University of Connecticut Health Center upon the                      The University of Connecticut Health Center must approve any and all
expiration of the contract.                                                              subcontractors utilized by the successful proposer prior to any such
                                                                                         subcontractor commencing any work. Proposers acknowledge by the act of
12. State Fiscal and Product Performance Requirements:                                   submitting a proposal that any work provided under the contract is work
Any product or services acquisition resulting from this RFP must be                      conducted on behalf of the University of Connecticut Health Center and that
contingent upon contractual provisions for cancellation of such acquisition,             the Director of Purchasing or his designee may communicate directly with
without penalty, if the applicable funds are not available for required                  any subcontractor as the University of Connecticut Health Center deems to be
REQUEST FOR PROPOSAL                                        STATE OF CONNECTICUT                       RFP Number:
UCHC-19a Rev. 4/07                                   UNIVERSITY OF CONNECTICUT HEALTH CENTER
Previous Rev. 12/04                                           PURCHASING DEPARTMENT                     6-1791
Robert Murphy                                                         263 Farmington Avenue, MC 4036
Purchasing Agent                                                            Farmington CT 06032

860-679--2408
Telephone Number                                                                     Page 2 of 2
                                                              SPECIAL RFP TERMS & CONDITIONS
necessary or appropriate. It is also understood that the successful proposer
shall be responsible for all payment of fees charged by the subcontractor(s).
A performance evaluation of any subcontractor shall be provided promptly
by the successful proposer to the University of Connecticut Health Center
upon request. The successful proposer must provide the majority of services
described in the specifications.

A contract award or contract resulting from the RFP solicitation may not be
assigned by the Proposer without the express written permission of the
University of Connecticut Health Center.

19. Freedom of Information:
Due regard will be given for the protection of proprietary or confidential
information contained in all proposals received. However, Proposers should
be aware that all materials associated with the procurement are subject to the
terms of the Connecticut Freedom of Information Act (FOIA) and all rules,
regulations and interpretations resulting there from. It will not be sufficient
for Proposers to merely state generally that the proposal is proprietary or
confidential in nature and not, therefore, subject to release to third parties.
Those particular sentences, paragraphs, pages or sections which a proposer
believes to be exempt from disclosure under the FOIA must be specifically
identified as such. Convincing explanation and rationale sufficient to justify
each exemption consistent with Section 1-1 9(b) of the FOIA must
accompany the proposal. The rationale and explanation must be stated in
terms of the prospective harm to the competitive position of the proposer that
would result if the identified material were to be released and the reasons
why the materials are legally exempt from release pursuant to the above cited
statute.

20. State Access to Records, Record Keeping, and Record Transfer:
The successful proposer shall prepare, maintain and preserve all records with
respect to the administration of this program. During the term of the contract
the University of Connecticut Health Center shall have access during normal
business hours to all such records, in whatever form they exist or are stored,
which records shall be the property of the University of Connecticut Health
Center, and upon termination of the contract all such records, or exact copies
thereof, shall be immediately turned over intact to the University of
Connecticut Health Center. The successful proposer shall afford the officers,
attorneys, accountants, auditors, and other authorized representatives of the
University of Connecticut Health Center free and full access to the records to
be maintained by the successful proposer as pertains to the contract. At the
option of the University of Connecticut Health Center, periodic audits may, at
reasonable times, be made of the successful Proposers and all of its
subcontractors' books and records insofar as they pertain to the contract. Such
audits shall be made at the University of Connecticut Health Centers expense
by the University of Connecticut Health Center or independent public
accountants designated by the University of Connecticut Health Center. Said
books and records shall be made available to the Auditors of Public Accounts
of the State of Connecticut.

21. Confidentiality and Care of Data:
The successful proposer agrees to protect the confidentiality of any files, data
or other material pertaining to this contract and to restrict their use solely for
the purpose of performing this contract. The successful proposer shall take all
steps necessary to safeguard data, files, reports or other information from
loss, destruction or erasure. Any costs or expenses of replacing or damages
resulting from the loss of such data shall be borne by the contractor when
such loss or damage occurred through its negligence.

22. Payments under a contract award:
Under no circumstances shall the successful proposer begin to perform under
the contract prior to the effective date of the contract. All payments shall
adhere to the payment terms negotiated in the contract award.
UCHC-16 Rev. 4/07                           State of Connecticut                           RFP Number:
Previous Rev. 12/04              UNIVERSITY OF CONNECTICUT HEALTH CENTER
                                                                                                 6-1791
Robert Murphy                                                                              Delivery:
Purchasing Agent
                                          Proposal Schedule
                                              IMPORTANT!                                   Terms:       Cash Discount:
860-679-2408                          RETURN ORIGINAL AND ONE COPY                                                    #
                                                                                                        %
Telephone Number                                                                                                     Days
                                                                                           Bidder Name:
                                 Payment terms are net 30 days after receipt of invoice.
                                    Any deviation may result in proposal rejection.
                               Bid prices shall include all transportation charges FOB
                                      University of Connecticut Health Center.             SSN or FEIN #:



Item
no.                Description of commodity and/or services                Qty.     Unit   Unit Price        Total Price
The University of Connecticut Health Center wishes to purchase a web-based clinical rotation and
evaluation software application to automate evaluation, scheduling, performance tracking and reporting
for clinical rotations in accordance with the attached Request for Proposal dated February 8, 2007.

INSTRUCTIONS
Contact Information
Please use the following name and address for all correspondence with the University of Connecticut
Health Center concerning this RFP. Bidders who solicit information about this RFP either directly or
indirectly from other sources will be disqualified.

All correspondence must be directed to:
        Robert Murphy, Purchasing Agent
        UConn Heath Center Purchasing
        263 Farmington Ave.
        Farmington, CT 06034-4036
        Voice 860-679-2408
        Fax 860-679-2508
        email: rmurphy@uchc.edu

Complete Response
Bidder must respond to each requirement of the Request for Proposal by noting acceptance or taking
exception with complete explanation, directly beneath each item as outlined in the RFP document. An
official authorized to bind the bidder to its offer must sign the Bidder Information documents included
with this RFP.
UCHC-16 Rev. 4/07                           State of Connecticut                           RFP Number:
Previous Rev. 12/04              UNIVERSITY OF CONNECTICUT HEALTH CENTER
                                                                                                 6-1791
Robert Murphy                                                                              Delivery:
Purchasing Agent
                                          Proposal Schedule
                                              IMPORTANT!                                   Terms:       Cash Discount:
860-679-2408                          RETURN ORIGINAL AND ONE COPY                                                    #
                                                                                                        %
Telephone Number                                                                                                     Days
                                                                                           Bidder Name:
                                 Payment terms are net 30 days after receipt of invoice.
                                    Any deviation may result in proposal rejection.
                               Bid prices shall include all transportation charges FOB
                                      University of Connecticut Health Center.             SSN or FEIN #:



Item
no.                Description of commodity and/or services                Qty.     Unit   Unit Price        Total Price
Submission of Proposals
Proposals are due Friday, May 25, 2007, 2:00PM. Bids must be sealed and not delivered in open
packages or binders. UCHC will not accept any faxed or emailed proposals.
Mail Proposals to:
         UConn Health Center
         Purchasing Department MC 4036
         263 Farmington Ave.
         Farmington, CT 06032
         Attention: RFP 6-1703

Hand Delivered Proposals to:

         UConn Health Center
         Purchasing Department
         16 Munson Road
         Farmington, CT 06032
         Attention: RFP 6-1703
UCHC-16 Rev. 4/07                           State of Connecticut                           RFP Number:
Previous Rev. 12/04              UNIVERSITY OF CONNECTICUT HEALTH CENTER
                                                                                                 6-1791
Robert Murphy                                                                              Delivery:
Purchasing Agent
                                          Proposal Schedule
                                              IMPORTANT!                                   Terms:       Cash Discount:
860-679-2408                          RETURN ORIGINAL AND ONE COPY                                                    #
                                                                                                        %
Telephone Number                                                                                                     Days
                                                                                           Bidder Name:
                                 Payment terms are net 30 days after receipt of invoice.
                                    Any deviation may result in proposal rejection.
                               Bid prices shall include all transportation charges FOB
                                      University of Connecticut Health Center.             SSN or FEIN #:



Item
no.                Description of commodity and/or services                Qty.     Unit   Unit Price        Total Price
Number of Proposals
Vendor must submit one original and four (4) copies of proposal, plus one copy (consolidated to one
(1) PDF file) of the RFP package on CD.

Proposal Preparation
Proposals should be prepared simply and economically without emphasis on the presentation of the
proposal. Expensive bindings, color photographs, and excessive promotional materials, such as videos,
are neither desired nor needed. Suppliers may submit brochures if requested, but should not include
materials not requested. UCHC prefers to receive proposals in appropriately sized three-ring binders
with index tabs to separate sections.



Offer Expiration Date
Proposals in response to this RFP shall be valid for 120 days from the proposal due date. UCHC
reserves the right to ask for an extension of time if needed.

Requests for additional information
UCHC reserves the right to ask for further information from the bidder either in writing or verbally at
any point during the selection process. Only information provided in writing will be relied upon and
expected to be part of any subsequently awarded agreement.

Proposer Presentations
Proposal Finalists may be required to give an oral presentation of their proposals. If required, UCHC
will provide a standardized meeting agenda for preparation purposes.

State of Connecticut contracting affidavits.
Complete and return the following affidavits: FORM5, FORM6A, SEEC FORM SC3, and SEEC
FORM SC3A
REQUEST FOR PROPOSAL                     STATE OF CONNECTICUT                                       RFP Number:
UCHC-19a Rev. 4/07                   UNIVERSITY OF CONNECTICUT HEALTH CENTER
Previous Rev. 12/04                           PURCHASING DEPARTMENT                               6-1791
Robert Murphy                                  263 Farmington Avenue, MC 4036
Purchasing Agent                                     Farmington CT 06032

860-679--2408
Telephone Number




                                                    State of Connecticut

                                    Contract Affidavits, Certifications, and Notices

                                                                      State contracts with      State contracts with
                                                                      a value* of $50,000       a cost* to the State
                                                                      or more                       greater than
                                                                                                     $500,000
         Gift Certification                                                   Form 1                   Form 1
         Campaign Contribution Certification                                  Form 2                   Form 2
                                                                              Form 5                   Form 5
         Consulting Agreement Affidavit (Only to be used
         with contracts for the purchase of goods and services)

         Affirmation of Receipt of Summary of State Ethics                       No               Form 6 (A, B, C)
         Laws(Only to be used with large state construction or
         procurement contracts as defined in §32 of Public Act
         05-287)
         Campaign Contribution and Solicitation Ban                            Form 10         Form 10
         Acknowledgment (Notice to State Contractors and
         Prospective State Contractors)

 * The “value of the contract” means the dollar amount or equivalent benefit expended or received by the State in
accordance with the contract; whereas, the “cost to the State for a contract” means the dollar amount or equivalent
benefit expended by the State in accordance with the contract.

FORM 1 (Gift Certification)

          Gift Certifications are to be used with State Contracts with a value of $50,000 or more within a calendar or
          fiscal year. Such Certifications shall cover the period of time between the “planning date” (i.e., the date
          designated by the agency as the date the project planning process commenced) and the date of the
          execution of the subject contract; accordingly, Form 1 must be completed contemporaneously with the
          execution of the subject contract by the contractor.

FORM 2 (Campaign Contribution Certification)

          Campaign Contribution Certifications are to be used with State Contracts with a value of $50,000 or more
          within a calendar or fiscal year. Such Certifications shall cover the two-year period preceding the
          execution of the subject contract; accordingly, Form 2 must be completed contemporaneously with the
      execution of the subject contract by the contractor.

      Annual Contract Certifications are only to be used annually to update previously submitted gift and
      campaign contribution certifications for state contracts with a value of $50,000 or more within a calendar
      or fiscal year.

FORM 5 (Consulting Agreement Affidavits)

      Consulting Agreement Affidavits are only to be used when contracting for the purchase of goods or
      services, which contract has a total value to the State of $50,000 or more in any calendar or fiscal year.
      This affidavit is not required for leases and licensing arrangements of any value.

SERIES 6 FORMS (Ethics Affirmation)

      Ethics Affirmations are only to be used with “large state construction or procurement contracts” meaning
      any contract, having a cost of more than $500,000, for (A) the remodeling, alteration, repair or
      enlargement of any real asset; (B) the construction, alteration, reconstruction, improvement, relocation,
      widening or changing of the grade of a section of a state highway or a bridge; (C) the purchase or lease
      of supplies, materials or equipment, as defined in section 4a-50 of the general statutes; or (D) the
      construction, reconstruction, alteration, remodeling, repair or demolition of any public building.

      Form 6A - This affirmation is mandatory and must be completed before the Contractor’s bid or proposal
      can be considered by the state, pursuant to Connecticut General Statutes § 1-101qq. This form requires
      the Contractor to affirm that the Contractor and its key employees have read, understand and agree to
      comply with the provisions of the state ethics law.
      Form 6B - This affirmation is mandatory and must be completed and returned prior to the execution of
      the contract by the awarding agency, pursuant to Connecticut General Statutes § 1-101qq. This form is
      similar to Form 6A, except that Form 6B is to be used with no bid contracts.
      Form 6C - This affirmation is mandatory and must be completed and returned in a timely manner. This
      form requires the Contractor to provide a summary of state ethics laws to all subcontractors and
      consultants and obtain an affirmation from such subcontractor or consultant that the provided summary
      has been read, understood and agreed thereto.
FORM 1
                                     STATE OF CONNECTICUT
                                    OFFICE OF POLICY AND MANAGEMENT
                                            University of Connecticut Health Center
                                               POLICIES AND GUIDELINES


                                               Gift Certification
            Gift certification to accompany State Contracts with a value of $50,000 or more in a calendar or
            fiscal year,, pursuant Conn. Gen. Stat. §§ 4-250 and 252, and Governor M. Jodi Rell’s Executive
            Order No. 7C, para. 10.

        I, ___________________________________, am authorized to execute the attached contract on behalf of the
______________________________(the “Contractor”). I hereby certify that between mm/dd/yy (planning date) and
mm/dd/yy (date of execution of the attached contract) that neither myself, the Contractor, nor any of its principals or key
personnel who participated directly, extensively and substantially in the preparation of the bid or proposal (if applicable)
or in the negotiation of this contract, nor any agent of the above, gave a gift, as defined in Conn. Gen. Stat. § 1-79(e),
including a life event gift as defined in Conn. Gen. Stat. § 1-79(e)(12), to (1) any public official or state employee of the
contracting state agency or quasi-public agency who participated directly, extensively, and substantially in the preparation
of the bid solicitation or request for proposals for the contract (if applicable) or in the negotiation or award of this
contract; or (2) any public official or state employee of any other state agency who has supervisory or appointing authority
over the state agency or quasi-public agency executing this contract, except the gifts listed below:


Name of                  Name of recipient         Gift Description                     Value                Date of Gift
Benefactor




        Further, neither I nor any principals or key personnel of the Contractor, nor any agent of the above, knows of any
action by Contractor to circumvent such prohibition on gifts by providing for any other principals, key personnel,
officials, employees of Contractor, nor any agent of the above, to provide a gift to any such public official or state
employee.
        Further, the Contractor made its bid or proposal without fraud or collusion with any person.
Sworn as true to the best of my knowledge and belief, subject to the penalties of false statement.


Signature                                                                     Date

                                                       th
Sworn and subscribed before me on this                      day of   200


                                                   Commissioner of the Superior Court
                                                   Notary Public
FORM 2

                                     STATE OF CONNECTICUT
                                 OFFICE OF POLICY AND MANAGEMENT
                             UNIVERSITY OF CONNECTICUT HEALTH CENTER
                                         Policies and Guidelines


                          Campaign Contribution Certification
             Campaign contribution certification to State Contracts with a value of $50,000 or more in a
             calendar or fiscal year, pursuant to Conn. Gen. Stat. § 4-250 and Governor M. Jodi Rell’s
             Executive Order No. 1, para 8. and No. 7C, para 10.

        I,        ___________________________, hereby certify that during the two-year period preceding the execution
of the attached contract, neither myself nor any principals or key personnel of the Name of Firm or Corporation who
participated directly, extensively and substantially in the preparation of the bid or proposal (if applicable) or in the
negotiation or award of this contract, nor any agent of the above, gave a contribution to a candidate for statewide public
office or the General Assembly, as defined in Conn. Gen. Stat. §9-333b, except as listed below:


Contributor              Recipient        Amount/Value              Date of Contribution      Contribution Description




Sworn as true to the best of my knowledge and belief, subject to the penalties of false statement.



Signature                                                                    Date
                                                      th
Sworn and subscribed before me on this                     day of                    200


                                                   Commissioner of the Superior Court
                                                   Notary Public
FORM 3

                              STATE OF CONNECTICUT
                              OFFICE OF POLICY AND MANAGEMENT
                          UNIVERSITY OF CONNECTICUT HEALTH CENTER
                                      Policies and Guidelines


                Certification By Agency Official or Employee
                      Authorized to Execute Contracts

       I, ________________________m authorized to execute the attached contract on behalf of the University
of Connecticut Health Center. I hereby certify that the selection of (the)________________________ company
was not the result of collusion, the giving of a gift or the promise of a gift, compensation, fraud or inappropriate
influence from any person.



Sworn as true to the best of my knowledge and belief, subject to the penalties of false statement.



            Signature                                                         Date
                                                               th
            Sworn and subscribed before me on this                  day of                    200


                                                          Commissioner of the Superior Court
                                                          Notary Public
FORM 4
                                            STATE OF CONNECTICUT
                                     OFFICE OF POLICY AND MANAGEMENT
                                 UNIVERSITY OF CONNECTICUT HEALTH CENTER

                                            Annual Contract Certification
               Annual contract affidavit to update the preceding gift/campaign contribution certification, pursuant to
               Governor M. Jodi Rell’s Executive Order No. 1, para 8.

         I, __________________________, hereby swear that during the two-year period preceding the date of the instant
certification that neither myself nor any principals or key personnel of the Name of Firm or Corporation (the “Contractor”) who
participated directly, extensively and substantially in the preparation of the bid or proposal (if applicable) or in the negotiation or
award of the subject contract, nor any agent of the above, gave a gift, as defined in Conn. Gen. Stat. § 1-79(e), including a life event
gift as defined in Conn. Gen. Stat. § 1-79(e)(12), to (1) any public official or state employee of the state agency or quasi-public agency
who executed or participated directly, extensively, and substantially in the preparation of the bid solicitation or request for proposals
(if applicable) or in the negotiation or award of the subject contract or (2) to any public official or state employee who has supervisory
or appointing authority over the state agency or quasi-public agency who executed the subject contract, except the gifts listed below:
Name of Benefactor                    Name of Recipient                    Gift Description             Value             Date of Gift




         Further, neither I nor any principals or key personnel of the Contractor who participated directly, extensively and
substantially in the preparation of the bid or proposal (if applicable) or in the negotiation or award of the subject contract know of any
action to circumvent such prohibition on gifts by providing for any other principals, key personnel, official, or employee of the
contractor, nor any agent of the above, the provide a gift to any such public official or state employee.

         Further, during the two-year period preceding the date of the instant certification, neither I nor any principals or key
personnel of the Contractor who participated directly, extensively and substantially in the preparation of the bid or proposal (if
applicable) or in the negotiation or award of the subject contract, nor any agent of the above, gave a contribution to a candidate for
statewide public office or for the General Assembly, as defined in Conn. Gen. Stat. § 9-333b, except the contributions list below:
 Contributor                 Recipient                  Amount/Value                   Date of Contribution      Contribution Description




Sworn as true to the best of my knowledge and belief, subject to the penalties of false statement.



Signature                                                                                       Date
                                                                             th
                          Sworn and subscribed before me on this                  day of                              200


                                                                             Commissioner of the Superior Court
                                                                             Notary Public
FORM 5
                                    STATE OF CONNECTICUT
                                   OFFICE OF POLICY AND MANAGEMENT
                               UNIVERSITY OF CONNECTICUT HEALTH CENTER
                                           Policies and Guidelines

                                 Consulting Agreement Affidavit
            Consulting agreement affidavit to accompany state contracts for the purchase of goods and
            services with a value of $50,000 or more in a calendar or fiscal year, pursuant to Section 51 of
            Public Act 05-287.

         This affidavit is required if a bidder or vendor has entered into any consulting agreements whereby the duties of the
consultant include communications concerning business of such state agency, whether or not direct contact with a state agency, state
or public official or state employee was expected or made. Pursuant to Section 51 of P.A. 05-287, "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 contract. Consulting agreement does not include any agreements entered into with a consultant
who is registered under the provisions of chapter 10 of the general statutes as of the date such affidavit is submitted in accordance
with the provisions of this section.

         I, _________________________________________, hereby swear that I am the chief official of the bidder or
vendor of the Contract or authorized to execute such Contract. I further swear that I have not entered into any consulting
agreement in connection with such contract, except the agreements listed below:
         Contractor’s Name, Title and Firm or Corporation:

         Terms of Consulting Agreement (Date of Execution, Amount, Expiration Date):

         Brief Description of Services Provided (Purpose, Scope, Activities, Outcomes):

             Yes        No          Is the Consultant a former state employee or public official?

                   If yes, provide the following information about the former state employee or public official:
                   •    Former Agency:
                   •    Date Such Employment Terminated:

                   Attach additional sheets if necessary. This affidavit must be amended if Contractor
                       enters into any new consulting agreements during the term of this Contract

Sworn as true to the best of my knowledge and belief, subject to the penalties of false statement.



Signature                                                                                      Date
                                                                                         th
                                   Sworn and subscribed before me on this                     day of              200


                                                                               Commissioner of the Superior Court
                                                                               Notary Public
FORM 6A

                                        STATE OF CONNECTICUT
                               OFFICE OF POLICY AND MANAGEMENT
                           UNIVERSITY OF CONNECTICUT HEALTH CENTER
                                       Policies and Guidelines

This form is MANDATORY and must be completed, signed, and returned before the Contractor’s bid can be considered
by the State. NO STATE AGENCY SHALL ACCEPT A BID FOR A LARGE STATE CONSTRUCTION OR
PROCUREMENT CONTRACT WITHOUT SUCH AFFIRMATION.

AFFIRMATION OF RECEIPT OF SUMMARY OF STATE ETHICS LAWS
                                                     (Bid or Proposal)

    INSTRUCTION: Contractor must sign the affirmation below, and return this form to the awarding State agency.

The undersigned duly authorized representative of the bidding Contractor affirms (1) receipt of the summary of State ethics
laws (2) that key employees of such Contractor have read and understand the summary and (3) that Contractor agrees to
comply with the provisions of State ethics laws.

                                        (Please print name under signature line.)


                                                       Signature


                                                         Title


                                                         Date


                                                    On behalf of:


                                                    Contractor Name


                                                     Street Address


                                 City                     State                   Zip


                                         Federal Employee Identification Number
                                                      (FEIN/SSN)

This form is MANDATORY and must be completed, signed, and returned to the awarding State agency pursuant to
Section 37 of Public Act. No. 05-287
FORM 6B

                                        STATE OF CONNECTICUT
                               OFFICE OF POLICY AND MANAGEMENT
                           UNIVERSITY OF CONNECTICUT HEALTH CENTER
                                       Policies and Guidelines

This form is MANDATORY and must be completed, signed, and returned prior to the execution of the contract by the
awarding agency. NO STATE AGENCY SHALL ENTER INTO A CONTRACT FOR A LARGE STATE
CONSTRUCTION OR PROCUREMENT CONTRACT WITHOUT SUCH AFFIRMATION.

AFFIRMATION OF RECEIPT OF SUMMARY OF STATE ETHICS LAWS
                               (Executed contracts without a previous bid or proposal)

 INSTRUCTION: Contractor must sign the affirmation below, and return this form to the awarding State agency prior to
                                 the execution of the contract by such agency.


The undersigned duly authorized representative of the Contractor affirms (1) receipt of the summary of State ethics laws, (2)
that key employees of such Contractor have read and understand the summary and (3) that Contractor agrees to comply with
the provisions of State ethics laws.


This form is MANDATORY and must be completed, signed, and returned prior to the execution of the contract by the
awarding State agency pursuant to Section 37 of Public Act. No. 05-287.

                                        (Please print name under signature line.)


                                                       Signature


                                                         Title


                                                         Date


                                                    On behalf of:


                                                    Contractor Name


                                                     Street Address


                                 City                     State                   Zip


                                         Federal Employee Identification Number
                                                      (FEIN/SSN)
                                      STATE OF CONNECTICUT
                               OFFICE OF POLICY AND MANAGEMENT
                           UNIVERSITY OF CONNECTICUT HEALTH CENTER
                                       Policies and Guidelines

This form is MANDATORY and must be completed, signed, and returned to the Contractor. Contractor shall be
obligated to provide such affirmation to the awarding State agency in a timely manner. FAILURE TO SUBMIT SUCH
AFFIRMATIONS IN A TIMELY MANNER SHALL BE CAUSE FOR TERMINATION OF THE LARGE
STATE CONSTRUCTION OR PROCUREMENT CONTRACT.


          SUBCONTRACTOR AND/OR CONSULTANT
AFFIRMATION OF RECEIPT OF SUMMARY OF STATE ETHICS LAWS
   INSTRUCTION: Subcontractor(s) and/or consultant(s) must sign the affirmation below, and return this form to the
     Contractor. Contractor is obligated to submit such affirmation to the awarding State agency in a timely manner.

The undersigned duly authorized representative of the subcontractor or consultant affirms (1) receipt of the summary of State
ethics laws, (2) that key employees of such subcontractor or consultant have read and understand the summary and (3) agrees
to comply with the provisions of State ethics laws.

                                        (Please print name under signature line.)


                                                        Signature


                                                           Title


                                                           Date


                                                      On behalf of:


                                           Subcontractor and/or Consultant Name


                                                      Street Address


                         City                                       State          Zip


                                          Federal Employee Identification Number
                                                       (FEIN/SSN)

This form is MANDATORY and must be completed, signed, and returned to the Contractor. Contractor shall
be obligated to provide such affirmation to the awarding State agency pursuant to Section 37 of Public Act No.
05-287.
 SEEC FORM 10

  NOTICE TO EXECUTIVE BRANCH STATE CONTRACTORS AND PROSPECTIVE STATE CONTRACTORS
                   OF CAMPAIGN CONTRIBUTION AND SOLICITATION BAN

This notice is provided under the authority of Connecticut General Statutes 9-612(g)(2), as amended by P.A. 07-1, and
is for the purpose of informing state contractors and prospective state contractors of the following law (italicized
words are defined on page 2):
Campaign Contribution and Solicitation Ban
No state contractor, prospective state contractor, principal of a state contractor or principal of a prospective state contractor,
with regard to a state contract or state contract solicitation with or from a state agency in the executive branch or a
quasi-public agency or a holder, or principal of a holder of a valid prequalification certificate, shall make a
contribution to, or solicit contributions on behalf of (i) an exploratory committee or candidate committee established
by a candidate for nomination or election to the office of Governor, Lieutenant Governor, Attorney General, State
Comptroller, Secretary of the State or State Treasurer, (ii) a political committee authorized to make contributions or
expenditures to or for the benefit of such candidates, or (iii) a party committee;

In addition, no holder or principal of a holder of a valid prequalification certificate, shall make a contribution to, or
solicit contributions on behalf of (i) an exploratory committee or candidate committee established by a candidate for
nomination or election to the office of State senator or State representative, (ii) a political committee authorized to
make contributions or expenditures to or for the benefit of such candidates, or (iii) a party committee.

Duty to Inform
State contractors and prospective state contractors are required to inform their principals of the above prohibitions, as
applicable, and the possible penalties and other consequences of any violation thereof.

Penalties for Violations
Contributions or solicitations of contributions made in violation of the above prohibitions may result in the following
civil and criminal penalties:
 Civil penalties--$2000 or twice the amount of the prohibited contribution, whichever is greater, against a principal or
a contractor. Any state contractor or prospective state contractor which fails to make reasonable efforts to comply
with the provisions requiring notice to its principals of these prohibitions and the possible consequences of their
violations may also be subject to civil penalties of $2000 or twice the amount of the prohibited contributions made by
their principals.
Criminal penalties—Any knowing and willful violation of the prohibition is a Class D felony, which may subject the
violator to imprisonment of not more than 5 years, or $5000 in fines, or both.

Contract Consequences
Contributions made or solicited in violation of the above prohibitions may result, in the case of a state contractor, in
the contract being voided.

Contributions made or solicited in violation of the above prohibitions, in the case of a prospective state contractor,
shall result in the contract described in the state contract solicitation not being awarded to the prospective state
contractor, unless the State Elections Enforcement Commission determines that mitigating circumstances exist
concerning such violation.

The state will not award any other state contract to anyone found in violation of the above prohibitions for a period of
one year after the election for which such contribution is made or solicited, unless the State Elections Enforcement
Commission determines that mitigating circumstances exist concerning such violation.

 Receipt acknowledged:_______________________________________                  ______________
                                (signature)                                        (date)
 Print name:_________________________________________________                      Title:______________________________

 Company Name:_____________________________________________
Definitions:

"State contractor" means a person, business entity or nonprofit organization that enters into a state contract. Such person,
business entity or nonprofit organization shall be deemed to be a state contractor until December thirty-first of the year in
which such contract terminates. "State contractor" does not include a municipality or any other political subdivision of the state,
including any entities or associations duly created by the municipality or political subdivision exclusively amongst themselves
to further any purpose authorized by statute or charter, or an employee in the executive or legislative branch of state
government or a quasi-public agency, whether in the classified or unclassified service and full or part-time, and only in such
person's capacity as a state or quasi-public agency employee.

"Prospective state contractor" means a person, business entity or nonprofit organization that (i) submits a response to a
state contract solicitation by the state, a state agency or a quasi-public agency, or a proposal in response to a request for
proposals by the state, a state agency or a quasi-public agency, until the contract has been entered into, or (ii) holds a
valid prequalification certificate issued by the Commissioner of Administrative Services under section 4a-100.
"Prospective state contractor" does not include a municipality or any other political subdivision of the state, including
any entities or associations duly created by the municipality or political subdivision exclusively amongst themselves to
further any purpose authorized by statute or charter, or an employee in the executive or legislative branch of state
government or a quasi-public agency, whether in the classified or unclassified service and full or part-time, and only in
such person's capacity as a state or quasi-public agency employee.

"Principal of a state contractor or prospective state contractor" means (i) any individual who is a member of the board
of directors of, or has an ownership interest of five per cent or more in, a state contractor or prospective state
contractor, which is a business entity, except for an individual who is a member of the board of directors of a nonprofit
organization, (ii) an individual who is employed by a state contractor or prospective state contractor, which is a
business entity, as president, treasurer or executive vice president, (iii) an individual who is the chief executive officer
of a state contractor or prospective state contractor, which is not a business entity, or if a state contractor or prospective
state contractor has no such officer, then the officer who duly possesses comparable powers and duties, (iv) an officer
or an employee of any state contractor or prospective state contractor who has managerial or discretionary
responsibilities with respect to a state contract, (v) the spouse or a dependent child who is eighteen years of age or
older of an individual described in this subparagraph, or (vi) a political committee established or controlled by an
individual described in this subparagraph or the business entity or nonprofit organization that is the state contractor or
prospective state contractor.

"State contract" means an agreement or contract with the state or any state agency or any quasi-public agency, let
through a procurement process or otherwise, having a value of fifty thousand dollars or more, or a combination or
series of such agreements or contracts having a value of one hundred thousand dollars or more in a calendar year, for
(i) the rendition of services, (ii) the furnishing of any goods, material, supplies, equipment or any items of any kind,
(iii) the construction, alteration or repair of any public building or public work, (iv) the acquisition, sale or lease of any
land or building, (v) a licensing arrangement, or (vi) a grant, loan or loan guarantee. "State contract" does not include
any agreement or contract with the state, any state agency or any quasi-public agency that is exclusively federally
funded, an education loan or a loan to an individual for other than commercial purposes.

"State contract solicitation" means a request by a state agency or quasi-public agency, in whatever form issued,
including, but not limited to, an invitation to bid, request for proposals, request for information or request for quotes,
inviting bids, quotes or other types of submittals, through a competitive procurement process or another process
authorized by law waiving competitive procurement.

 “Managerial or discretionary responsibilities with respect to a state contract” means having direct, extensive and
substantive responsibilities with respect to the negotiation of the state contract and not peripheral, clerical or
ministerial responsibilities.

“Dependent child” means a child residing in an individual’s household who may legally be claimed as a dependent on
the federal income tax of such individual.

 “Solicit” means (A) requesting that a contribution be made, (B) participating in any fund-raising activities for a
candidate committee, exploratory committee, political committee or party committee, including, but not limited to,
forwarding tickets to potential contributors, receiving contributions for transmission to any such committee or
bundling contributions, (C) serving as chairperson, treasurer or deputy treasurer of any such committee, or (D)
establishing a political committee for the sole purpose of soliciting or receiving contributions for any committee. Solicit
does not include: (i) making a contribution that is otherwise permitted by Chapter 155 of the Connecticut General
Statutes; (ii) informing any person of a position taken by a candidate for public office or a public official, (iii) notifying
the person of any activities of, or contact information for, any candidate for public office; or (IV) serving as a member
in any party committee or as an officer of such committee that is not otherwise prohibited in this section.
                                     REQUEST FOR PROPOSAL (RFP)

                         CLINICAL ROTATION AND EVALUATION SYSTEM




                                                                  UCONN HEALTH CENTER
                                                                  DATE: FEBRUARY 8, 2007




RFP - University of Connecticut Health Center
                                          TABLE OF CONTENTS



SECTION I        STATEMENT OF INTENT AND GENERAL INFORMATION     PAGE

            A. Response Requirements                             2
            B. Evaluation Criteria                               3
            C. Proposal and Evaluation Timetable                 3



SECTION II       PROFILE

            A. Background Information                            5
            B. Project Summary                                   5
            C. Statistical Summary                               5



SECTION III COST DATA

            A. System Cost Guidelines                            6
            B. Cost Worksheet (separate excel file)

SECTION IV VENDOR RESPONSE

            A.   Vendor Background                                7
            B.   Vendor References                                7
            C.   System Infrastructure Requirements               8
            D.   System Security & Compliance Requirements       12
            E.   Hardware/Software Support                       23
            F.   Interfaces                                      26
            G.   Project Management, Implementation & Training   27



SECTION V        GENERAL SYSTEM REQUIREMENTS                     29

SECTION VI       SPECIFIC FUNCTIONAL REQUIREMENTS                33




RFP - University of Connecticut Health Center                     Page 1
SECTION I. STATEMENT OF INTENT AND GENERAL INFORMATION

A. Response Requirements

The purpose of this RFP is to request proposals for a clinical rotation and evaluation system.

The review of your product and services will be based on your responses to this RFP and might
include demonstration sessions and visits to a client site.

The vendor must respond to each item in the purchase specification, stating acceptance or taking
exception to the item. If a specification cannot be met, the vendor is required to provide
alternatives or explanations, noted as exceptions to these specifications. If certain functionality
is to be incorporated into future releases of the software product, give expected date of release
to the general client base. If the functionality is currently in alpha or beta testing, state client
testing functionality and start date of testing. If a specific required item or capability is
unavailable, the Vendor may comment on its future availability by providing details on development
status and planned delivery schedules.

The vendor providing this hardware/software should list any special requirements in regards to
power and structural features of the buildings that will house the hardware and include any special
installation requirements in the purchase price. State the electrical power requirements with
respect to power line conditioning and protection from spikes, surges, sags, loss of power, and other
power line interference.

The vendor shall provide UCHC with (4) four complete RFP packages, including itemized quotation,
terms and conditions, maintenance agreements, equipment description/technical product data
specifications, and acceptance test procedure. All proposals become the property of UCHC. Also
provide one copy of the RFP package on CD-Rom.

Any questions or concerns regarding the System requirements should be addressed to Purchasing
Department, 1-860-679-2408.




RFP - University of Connecticut Health Center                                                    Page 2
SECTION I. STATEMENT OF INTENT AND GENERAL INFORMATION

B. Evaluation Criteria

A Committee shall evaluate responses to this RFP against the criteria listed below. A contract
amendment shall be accomplished through negotiation.

    1.   Technical Requirements
    2.   Functional Requirements
    3.   Qualifications and Completeness of Reporting Abilities
    4.   Site Visit (if needed)
    5.   Product Demos and Presentation of Scenario Results
    6.   Completeness of Proposal
    7.   Technical Support
    8.   System Cost


C. Proposal and Evaluation Timetable

The following schedule for this project is provided for planning purposes only, and the dates
reflected are subject to change.

Description:                                           Start Date            End Date



    1.   Issue RFP

    2. Vendor Responses Due

    3. Evaluation of Responses

    4. Vendor Presentation and site visits

    5. Decisions and Next Steps

    6. Contract Amendment Negotiations

Please note:

    •    This timetable is tentative and subject to change.
    •    Site visits will be conducted based on decision by project team.




RFP - University of Connecticut Health Center                                                   Page 3
SECTION II. PROFILE

A. Background Information
The University of Connecticut Health Center (UCHC) is Connecticut's only publicly supported
academic health center. The Health Center is composed of the School of Medicine, School of
Dental Medicine, John Dempsey Hospital, the UConn Medical Group and University Dentists.
Founded in 1961, the Health Center pursues a mission of providing outstanding health care
education in an environment of exemplary patient care, research and public service. The education
provided is at the undergraduate, graduate, and professional levels for medical and dental
practitioners, teachers, and researchers.

Dedicated to providing broad educational opportunities in the biomedical sciences, the Health
Center offers degree programs in medicine (M.D.), dental medicine (D.M.D.), and biomedical science
(Ph.D.); master's degree programs in public health and dental science; postdoctoral fellowships;
residency programs providing specialty training for newly graduated physicians and dentists; and
continuing education programs for practicing health care professionals. Combined degree programs,
such as the M.D./Ph.D., D.M.D./Ph.D., Dental Clinical Specialty/Ph.D. and M.D./M.P.H. are also
offered.

The UConn Health Center is the only academic health center in the nation where a medical school
was founded concurrently with a dental school. As the schools took shape during the 1960s, their
planners took advantage of their simultaneous evolution to forge strong links between them. Most
notably, medical and dental students share an essentially common curriculum during the first two
years of their four-year degree programs. During this period they study the basic medical sciences
together. This experience provides UConn's dental students with an especially strong foundation in
the biomedical sciences that undergird the dental profession. Reflecting its close ties to medicine,
the dental school awards its graduates the D.M.D. - doctor of dental medicine.

Each year in Farmington, about 320 students work toward their medical doctor's degree and 160
toward their doctor of medical dentistry degree. Admission to each school is highly competitive,
but both schools offer preferential consideration to qualified Connecticut residents in their
admissions policies. School of Dental Medicine students have a long history of outstanding
performance on the National Boards, ranking first among the country's 55 dental schools on these
examinations in 2001 and again in 2003. In the years since the Health Center graduated its first
students in 1972, 1,168 men and women have received their D.M.D. degree; 2,509 their M.D. degree.

Through a variety of residency programs, the School of Medicine provides postgraduate training
for more than 550 newly graduated M.D.s each year. These physicians come from all over the
country to acquire advanced skills in fields such as the surgical specialties, internal medicine, and
primary care. Some of the residency training occurs on the Health Center's main campus, but much
of it takes place in community hospitals in Greater Hartford - thus extending the Health Center's
influence far beyond Farmington.




RFP - University of Connecticut Health Center                                                   Page 4
SECTION II. PROFILE

The University of Connecticut Health Center wishes to purchase a clinical rotation and evaluation
system.

2.       Overall Scope of Proposed System

Management of clinical rotations and resident and faculty evaluations is a complex task which is
currently not effectively automated at the University of Connecticut Medical and Dental schools.
We are seeking a web-based software application which will automate evaluation, scheduling,
performance tracking and reporting for clinical rotations.

Required functionality is briefly outlined below:
     •    Administrative management of clinical rotation schedules.
     •    Ability for students to choose their preferences for the year 3 lottery.
     •    Ability for students to view their rotation schedules.
     •    Personal homepages for faculty and students to view available/requested information and
          “to do” items.
     •    Customizable templates for evaluation purposes with a variety of scales available for use.
     •    Templates for faculty evaluation of students and student evaluation of faculty.
     •    Ability for students to view current and past evaluations.
     •    Ability to input exam grades and make them available to students.
     •    Support for administrative distribution of forms for a block of rotations.
     •    Ability for administrators to view and manage overdue evaluations.
     •    Reports providing evaluation information for students, for faculty and for comparisons of
          student and faculty with others.



SECTION III. Cost Data

A. System Cost Guidelines

In the proposal, the vendor shall supply a list of the major components, the individual major
component's costs, and the total cost, including any installation costs of the system. Itemize any
options requested on a separate list. Also, the vendor shall provide a list with costs of any
items/hardware/disposables that are required in order to use the product in typical patient care
settings.

1.   Proposed Hardware Configuration and Costs (Complete Cost Worksheet)
     Describe the required hardware configuration for your system, including Vendor specific model
     numbers and maintenance costs. Disk space requirements should include the application
     software, production data, and full copies of the database files on line. Off site communication,
     links should also be included. All hardware specifications must be configured to allow for three
     years assuming 5% growth in annual study volume.


RFP - University of Connecticut Health Center                                                    Page 5
2. Proposed Application Costs (Complete Cost Worksheet)
   Identify the costs for the application we have identified. Please indicate if there is any
   financial advantage in purchasing other related/-integrated applications planned for the future
   that would be beneficial to be purchased up front. Provide alternative pricing for a leasing
   model, ASP model or Remote Hosting Option.

3. Implementation Costs
   Describe each method available for implementation. Define the costs associated with each of
   the implementation options presented. Please include estimated travel expenses as well as any
   out of pocket expenses, implementation/installation cost and any other costs that will be
   charged to client. All costs associated with the project should be quoted as a not-to-exceed
   amount.

4. Ongoing Maintenance and Support Costs
   Describe the options and components of on-going maintenance and the costs associated with
   them for any system equipment and software. All hardware purchased from the vendor should
   state warranty period as well as ongoing support once the warranty period expires.

     Describe the types of support available and their associated costs for any/or equipment and
     software. Include all peripheral costs such as transportation or dedicated lines.

5. Other Costs
   The vendor shall provide to UCHC, at no additional cost, any safety-related and service
   diagnostic upgrades for the equipment purchased, for the life of the equipment, as well as
   regulatory and compliance related software upgrades (i.e.; HIPAA).

6. Financing
   Describe any alternate methods of financing available to clients. Example - leasing agreement,
   etc.

7. Payment Terms
   Payment terms for software application excluding interfaces shall be 20% on contract signing,
   30% on installation of software, 30% on first use or go-live, and the remaining 20% on
   functional acceptance. Interfaces shall be paid according to the same terms with the exception
   of the first milestone. The first interface milestone will be once the project plan is finalized
   and the interfaces are defined and finalized.

8. System Options
   If multiple pricing options are available (for example Application Service Provider or ASP model
   versus on site here or any other approach), please fill out a cost sheet for each option. Please
   use the attached RFP costing MS Excel spreadsheet to itemize all costs noted on this page.

SECTION IV. VENDOR RESPONSE
A. Vendor Background

1.   Do you intend to subcontract any part of the work for the proposed system? If yes, list the
     pieces to be subcontracted. NOTE: if there are sub-contractors associated with this proposal,
     they must answer all vendor-related questions.

2. How many years have you been in business?

RFP - University of Connecticut Health Center                                                   Page 6
3. How long have you been providing solutions for clinical rotation systems?

4. How many total installations of the proposed system do you currently have installed?

5. Have any customers filed legal action against your company? If so how many are currently in
   litigation?

6. State your primary line of business and the percentage of your business derived from the sale
   of this software.

7. What is the current size and home location of your company?

8. What is the location of the office that will be serving UCHC during implementation? How large
   is the maintenance staff at that location? How large is the support staff at that location?

9. Do you sponsor user groups and/or conferences for client companies?

10. What is the current financial condition of your company? Provide supporting documentation. If
    the company is privately held, supply sufficient information to document the company's financial
    status.

11. Did you design and build the software you are proposing or are you A) marketing the system for
    the designer or B) selling a system you purchased (acquired) from another vendor?

12. Do you provide on-site assistance when required?

13. Describe the Production Support Model utilized by your company (location, hours of support,
    issue tracking methodology, guarantees, etc.)



SECTION IV. VENDOR RESPONSE
B. Vendor References

     1. Provide a list (table form) of at least three (3) customer sites including contact names and
        phone numbers: interfaces (installed and operational) and exactly what functionality is in
        production in each of them.

     2. Please list potential site visit locations and include the following information for each site
       visit listed: name of organization, contact person, organization size, applications installed,
        interfaces, and dates of installation.

     3. Please list clients using the vendor's solution to perform the same or similar functions as
       the functions described in this document.

     4. Please list local (Northeast) clients using the vendor's solutions, and latest sites where the
        vendor has or is installing systems.

SECTION IV. VENDOR RESPONSE


RFP - University of Connecticut Health Center                                                      Page 7
C. System Infrastructure Requirements

1. Overview

The Network, Server and Desktop infrastructure at the University of Connecticut Health Center
(UCHC) is comprised of standard-based technologies that allow for the interconnectivity of all
clinical, research and administrative departments. With these standards, the UCHC Information
Technology Department is able to provide its customers with solutions that provide for the
collaborative sharing of information.
     a Please provide detailed specifications for all hardware. If possible, provide Visio diagram.
     b Does the vendor provide hardware or is UCHC required to purchase hardware?

2. System Location

     a   Does the system have an ASP model (Application Service Provider) that can be utilized?
     b   Are there any other pricing options available for system configuration and support? If yes,
         please explain and provide separate costing for each option in the costing section (Section
         III) of the RFP.

3.   Server Engineering:

     a   Please list the operating system(s) for the proposed project.
     b   Please list responsible parties for installing:
             i) Operating System
             ii) Application Software
     c   If the operating system is Microsoft Server, will the server need to integrate into our
         primary UCHC Domain? If not please specify what security measures will restrict or
         authorize user access.
     d   Does this server need to be accessible from the Internet? Please explain reason.
     e   Will the proposed system server(s) need to integrate/communicate with other servers? If
         yes:
             i) Please describe/list the others
             ii) Please describe how this communication will take place.
     f   Will the proposed system/project run in a Citrix environment? If yes:
             i) What version of Citrix is supported/required?
             ii) How many connections per Citrix server should be anticipated?
     g   Has any hardware, operating system(s), application software or licensing been provided by
         your organization in support of this project (or related project) already? (e.g. existing
         equipment will be used to support this project/system). If yes, please explain.
     h   Describe the language and/or database management system (DBMS) in which your system is
         written. Please tell us why you chose this language and any costs/benefits associated with
         it. Please specify those modules that are a DBMS, if it does not apply to all modules.
     i   If SQL server is utilized for your application:
             i) Who is responsible for database licensing? Please ensure appropriate costs are
                  included as necessary in the costing section of this RFP.
             ii) Please indicate if there is a maximum number of users that can access the database
                  eat any given time.
             iii) Would UCHC have access rights to the backend data for reporting?
     j   How much time per month will be required by a server team member to support this system
         (FTE %)?

RFP - University of Connecticut Health Center                                                  Page 8
            i) During installation
            ii) Post implementation
    k   Please describe the skill set required of a server team member to support this
        system/project.

4. Network Engineering:

    a   Will the system/server require an Internet DNS entry?
    b   Will the system/server require a highly secure network segment?
    c   Please describe network protocols required.
    d   Please define any non IP protocols:
            i) Will any of these protocols need to be:
                (1) Routed.
                (2) Bridged
    e   Will the system run over wireless? If yes:
            i) What encryption methods are supported/used?
            ii) How many users are anticipated to use wireless?

5. Desktop Engineering

    a   Please list the required minimum desktop specifications (software) for the application(s)
        used for the system/project:
        a) Windows OS
            i) Service packs
        b) Macintosh
        c) Linux
    b   Please list the minimum desktop specifications (hardware) for the application(s) used for
        the system/project:
        a) Windows
        b) Macintosh
        c) Linux
    c   Please list the client application type
        a) Web browser:
            i) Supported browsers and version numbers
            ii) Active X
            iii) Java version
        b) SQL client
        c) Full client
        d) Does the application need/require “helper” applications? If yes, please list versions:
            i) .net Framework
            ii) Mdac
            iii) Microsoft Office
            iv) Other applications? (Acrobat, Media player, browser plug-ins, etc)
    d   How often will client application updates be made available?
    e   How quickly do updates need to be deployed?
    f   Are there deployment scripts available for the desktop application? If yes, please indicate:
        a) SMS packages
        b) MS Installer
        c) Install shield
        d) Wyse installer

RFP - University of Connecticut Health Center                                                 Page 9
         e) Other
    g    Identify the effects on availability when updates to the operating system are released.
    h    Is the system interrupted during upgrades/updates or can this be avoided to ensure zero
         downtime?
    i    For Windows systems, will the application appear in the Control Panel as an installed
         application and can it be uninstalled from this panel?
    j    How much time per month will be required by a desktop engineering team member to support
         this system (e.g. FTE %):
         a) During installation
         b) Post implementation
    k    Please describe the skill set required of a desktop engineering team member to support this
         system/project.

6. Disaster Recovery

    a. In the event of a system outage or disaster where the proposed system is impacted, please
       state which recovery design the proposed system supports:
           a. System supports the highest level of redundancy possible to minimize downtime
               even in the event of a very serious disaster. The data is stored in multiple locations
               and can be recovered in less than 5 minutes (e.g. clustering). If yes, please explain
               options available.
           b. System requires a moderate level of recovery possible to decrease downtime even in
               the event of a serious disaster. The data is on tape backups and requires additional
               time to load the system to a recovered state on duplicate hardware at an alternate
               location. This type of solution means that the systems can be recovered (from the
               OS level up) in less than 8 hours. (e.g. standby cold server). If yes, please explain
               options available.
           c. System cannot meet either option. Please explain.
    b. Will Disaster Recovery/restoration instructions/procedures be provided?

7. Test Environment:

    a.   All new systems should be able to fully tested in the testing Lab. Please see the following
         test environment drawing. Will the system support this environment? Please
         comment/explain.




RFP - University of Connecticut Health Center                                                   Page 10
8. Operations/Backup/Retention

    a. Please define the backup requirements for the proposed system/project:
           i. What is being backed up?
                     • Complete image (everything - OS/Application, etc.)
                           1. Type of backup: (full, differential, incremental backup)
                           2. Describe rotation period
                           3. Describe retention period
                     • Partial (may exclude OS, application, etc). Please list what is excluded from
                       backup.
                           1. Type of backup: (full, differential, incremental backup)
                           2. Describe rotation period
                           3. Describe retention period
    b. Will complete documentation be provided explaining the backups, how they are to be setup,
       etc?
    c. How much time per month will be required by an Operations team member to support this
       system (e.g. FTE %):
           i. During installation
           ii. Post implementation
    d. Please describe the skill set required of an Operations team member to support this
       system/project.

9. Help Desk

    a.   Please describe the anticipated level of support that the UCHC Help Desk will need to
         provide:
             i. Approximately how many new Help Desk calls per month will this system/project
                 potentially generate?


RFP - University of Connecticut Health Center                                                 Page 11
    b. Does the application support remote troubleshooting from the Help Desk team via remote
       desktop?
    c. How much time per month will be required by a Help Desk team member to support this
       system (e.g. FTE %):
           i. During installation
           ii. Post implementation
    d. Please describe the skill set required of a Help Desk team member to support this
       system/project.


D. System Security & Compliance Requirements

1. Authentication

    a.   Please list supported methods for user authentication; list supported 3rd-party vendors for
         two-factor authentication solutions, noting preferred vendors if applicable.

    b. How does the application store user account data (database table, flat file, etc.)?

    c.   How is password file encryption accomplished? If hashed or encrypted, please list
         algorithm.

    d. Does the application support user authentication against external directories? If so, please
       list supported directories and methods (e.g. LDAP, Kerberos, Radius, Active Directory, etc.)

    e.   Does the application support the following password security features:
            i. Minimum length (please note if fixed or customizable)
            ii. Maximum length (please note if fixed or customizable)
            iii. Differentiate between upper and lower-case characters
            iv. Supported character set (please define)
            v. Complexity requirement (please explain)
            vi. Rotation (please note if fixed or customizable interval)
            vii. Prevent password re-use
            viii. Set expiration date
            ix. Administrator force change at next logon?
            x. Support concurrent logons (if yes, can this be limited or disabled)
            xi. Support time restrictions on account activity (e.g. x minutes, hours per day, days per
                  week, etc.)
            xii. Support inactivity timeout and/or session timeout (if so, does the application purge
                  current data and/or close?)
            xiii. Support user login/logout without reboot or restarting application
            xiv. Account lockout for incorrect logons (is the threshold variable, is lockout for a
                  variable or fixed interval or until admin reset)
            xv. Support different requirements/settings for different user roles or groups
            xvi. Self-service password recovery (explain implementation in detail and note whether
                  this may be disabled).

    f.   Please list and describe the methods by which user accounts may be added, modified, or
         deleted. (GUI, Command Line, bulk import, remote, local console, etc.)


RFP - University of Connecticut Health Center                                                  Page 12
    g.   Can user accounts be created, modified, deleted while the system is online? Describe how
         the application processes an account deletion if the account is active – is the active
         connection dropped immediately? Similarly, please describe how the application processes a
         change in account permissions.




RFP - University of Connecticut Health Center                                               Page 13
For remaining questions on authentication below, UCHC has described requirements of the
__________ System. For each question, the vendor should respond by making an ‘X’ in the appropriate
column. If additional information is required, please make additional comments on a separate row below
the specification. If a requirement is left blank, we will assume the requirement cannot be met.

            A      The function is available and active for more than 2 years
            B      The function is available and active
            C      The function is in development (include date functionality will be available to
                   general client base)
            D      The function requires customized development (include the estimated cost)
            E      The function is not available

      Security – Additional Authentication Requirements
  Functional Description                                                  A          B      C        D       E
  Please respond to each question with summary answers whenever
  applicable.
  1 System provides automatic locking of records to prevent two people
      from modifying the same data at the same time
  2 Describe the mechanism for controlling simultaneous updates to the
      database:
      • Is file locked?
      • Is the record locked?
      • Is the field locked?
      • Do locks for update affect read-only queries? Describe.
      • Are locks for update applied pessimistically (when the record is
           read) or optimistically (when update occurs)?
 3 System supports the use of additional user authentication devices
     such as:
     a) Tokens
     b) Smart card badge readers
     c) Signature verification
     d) Biometrics
 4 System permits the security administrator to specify:
     • A password expiration interval on a per-user or per class of user
         basis.
 5 System permits users to:
     • Choose their own passwords without assistance or involvement of a
         security administrator
     • Change the password at will
 6 System provides for comparing user-suggested passwords with
     dictionary entries to prohibit weak passwords prior to accepting the
     password change
 7 System automatically prompts users to enter a new password upon
     password expiration.
 8 System provides messages to user upon denial of access due to an
     invalid user identification code or password.
 9 System supports automatic disabling of user identification code after
     a predetermined system administrator defined, number of consecutive
     invalid access attempts.

   RFP - University of Connecticut Health Center                                                         Page 14
Functional Description                                                     A   B   C   D      E
10 Security administration functions are separate from system operation,
   management and maintenance functions.
11 System is designed to permit highest-level security administrators to
   delegate specific security administration functions to departmental
   security administrators.
12 System provides for multiple security administrators to be assigned
   the highest level of authority.
13 System permits security administrator to disable a user identification
   code without deleting it from the system.
14 System supports the disabling of a user identification code
   immediately.
15 System permits the security administrator to force immediate sign-off
   of a user.
16 System allows security administrator to define a period after which
   unused user identification code is automatically disabled and notice is
   provided to the security administrator.
17 System provides system administrator's functions for monitoring
   devices, sign-ons by function/sub-function.
18 System provides security features associated with dial-up diagnosis (of
   system trouble) capability.
19 Vendor support personnel (without the knowledge of the organization)
   cannot access system.
20 System provides password management function to allow password
   change to be announced a number of days before it becomes mandatory
   and to allow coupling of text screens to the password change process
   for security certification.
21 System provides reports of current inventory of users, ids, and access
   authorities based on a complete pattern matching functionality
22 System provides tools for batch and on-line management of IDs
23 System provides for security control of all batch jobs, started tasks,
   and data access by each end user, application and subtask on any
   platform.
24 System provides uniform security controls and password management
   functionality on multiple platforms including Mainframe, Unix and
   Windows in any networked combination.
25 System supports the copying of user access profiles from one to
   another. Describe other time-saving security set up features




 RFP - University of Connecticut Health Center                                             Page 15
 Functional Description                                                      A      B      C       D       E
 26 System can accommodate the user ID and password being passed to it
    by an external security-brokering agent (e.g. a CUI single logon
    product) and consequently, for bypassing logon specific to your system
    Excluding electronic signature.
 27 System will exclude electronic signatures from single sign on and
    normal sign on capabilities (i.e. always needs to be put in separately.)
 28 System provides reporting tools to the security administrator.

For questions below, the vendor should respond by making an ‘X’ in the appropriate column. If additional
information is required, please make additional comments on a separate row below the specification. If
a requirement is left blank, we will assume the requirement cannot be met.

            A      The function is available and active for more than 2 years
            B      The function is available and active
            C      The function is in development (include date functionality will be available to
                   general client base)
            D      The function requires customized development (include the estimated cost)
            E      The function is not available



      Security – Additional Authorization Requirements
 Functional Description                                                             A          B       C       D   E
 Please respond to each question with summary answers whenever applicable.
 1. Does the system allow you to lock down a record for all updates?
 2. System allows access to specific data elements; files, functions, menus, and
     commands based on user's role based security functions.
 3. System supports defining groups of users to be granted access to specific data
     elements, files, functions, menus and commands or collections of these.
 4. System permits the security administrator to grant specific users the
     authority to permit other users to access specific data items, menus, or
     functions.
 5. System supports the encryption of sensitive data and key management tools to
     support the encryption methods.
 6. System has a time-out feature that automatically signs a user off of a terminal
     has been left unattended.
 7. System supports the designated length of the time-out feature by system
     module, terminal location and user, or a combination.
 8. System time-out parameters can be modified without changing a hard-coded
     program.
 9. System provides multi-level security down to options within menus.
 10. System provides multi-level security features for dial-up access.
 11. Access to databases can be restricted at level of schema; subschema, area,
     record, set, element, or menu based on user class.
 12. System allows user to restrict printing and display of confidential data
     elements if flagged in data dictionary.
 13. System restricts access for given functions by location or designation of
     terminal.

   RFP - University of Connecticut Health Center                                                       Page 16
 14. System allows multilevel, read-only access to the system by authorized
     personnel only.
 15. System restricts additions to, changes to, and/or deletion of records by
     security level.
 16. System restricts access to data to specific terminal locations, selectively for
     some security access codes, while permitting access to information from any
     system terminal for other access codes.
 17. System supports various levels of security for programmer and operator
     terminals and logs their activity through audit reports.
 18. Specific terminals can be limited in their access to functions.
 19. Ability to handle an unlimited number of remoter users accessing the system.
 20. Ability to handle an unlimited number of concurrent users on the system.
 21. System prevents access to functions without logging in through the security
     system.
 22. System restricts update and inquiry at the field level for every field in the
     database. If this is not possible, describe where such capability is present and
     where it is absent.
 23. System restricts inquiry to certain fields based on the value of that field
     (such as diagnosis of IDS). Describe all fields for which this level of security is
     supported.
 24. System prevents user from seeing menu items, screen formats, and report
     forms if user's security profile prevents them from accessing the data
     elements associated with these system components.
 25. System provides multiple levels of security, including but not limited to the
     following:
         • By Role:
         -System Manager
         -Technical (programmer)
          -Operator
         -Department Manager
         -Supervisor
         -End-user - departmental personnel
         • By Function:
         -Update, delete, and inquire
         -Update and inquire
         -Inquire only
         -Print



For questions below, the vendor should respond by making an ‘X’ in the appropriate column. If additional
information is required, please make additional comments on a separate row below the specification. If
a requirement is left blank, we will assume the requirement cannot be met.

             A     The function is available and active for more than 2 years
             B     The function is available and active
             C     The function is in development (include date functionality will be available to
                   general client base)
             D     The function requires customized development (include the estimated cost)
             E     The function is not available

   RFP - University of Connecticut Health Center                                                     Page 17
  Security – Additional Audit Requirements
 Functional Description                                             A   B   C   D     E
 Please respond to each question with summary answers whenever
 applicable.
 1 System provides audit trails that document who, date and time
     edited and the content accessed in the following occurred:
     • An update to any field
     • The performance of any transaction
     • Access through view or query functions
     • All users who have signed on the system with date, time
         and location or mode (port, terminal dial-up, LAN) of sign
         on.
 2 System supports alarm/notification feature to provide
     immediate notification of predefined events.
 3 System prevents deletion or unauthorized modification of
     audit trails
 4 System logs and reports all violations of system security
     procedures
 5 Audit trail reports:
     • Logs on all transactions
     • By user name/password
     • By date/time and type of transaction
     • By application
     • Summary reports on all transactions
     • Users who have signed off system with date/time of
         signoff
     • All detected attempts at unauthorized access including
         user identification code and password with date, time and
         location or mode
     • All modifications to security settings and parameters
     • All changes to access authorities, including creating,
         disabling and deleting user identification codes
     • All activity of a given user
 6 Audit trails can be produced identifying all users who have:
     • Used a selected function
     • Access the system via the remote diagnostic capabilities
     • Used any debugging tools which may modify data, the
         operating system, or application programs
     • Used commands to enable and disable logging of activities
 7 At user's request, system prints management reports of
     security access by application and by department
 8 System maintains information on security violations by day of
     violation
 9 System displays a message on-line at organization-designated
     points warning users that a record of their access is being
     maintained
 10 System allows sign on ID to tag on-line transaction audit
     records for reporting capabilities
 11 System supports separate files or transactions to allow
     training without corrupting the operational database.
RFP - University of Connecticut Health Center                                   Page 18
 12 Are there three platforms, Training, Test, Live environment?
 13 System log records all production changes in organization's
    environment
 14 Third-party audit packages can access system files. List them



E. Hardware/Software Support

1. Support Requirements

        a.   Does the vendor contract include support for:

                 i.   Hardware
                           1. Support for all hardware on this project?
                           2. Is this onsite hardware support?
                           3. What are the hours of support?
                           4. Length of the support contract?

                 ii. Operating system
                          1. Support for the core operating system (for example Microsoft Server
                              2003, Open VMS, Linux)?
                          2. Is this onsite support?
                          3. What are the hours of support?
                          4. Length of support contract?
                          5. Please explain how patches and updates are distributed for the
                              Operating System. Please also note who will be responsible for
                              installing patches and updates.
                          6. Does the vendor certify operating system patches, updates for server,
                              database, and/or client systems? How long does this certification
                              process take? Will installation of a non-certified patch or upgrade
                              void support agreement or FDA approval of the system?

                 ii. Application
                           1. Support to the application?
                           2. Is this phone support or onsite support?
                           3. What are the hours of support?
                           4. Duration of support contract?
                           5. Are application upgrades included in the support contract?
                           6. Are incremental or full versions covered in this agreement?
                           7. Please explain how patches and updates are distributed for the
                               Application. Please also note who will be responsible for installing
                               patches and updates.
                           8. Who will be performing application upgrades?
                           9. Will application upgrades be performed by a vendor technician onsite?
                           10. What type of documentation is provided with each new
                               release/upgrade?
                           11. Will the vendor support the system if the client elects not to install an
                               update/set of enhancements?
                           12. Describe the procedure for requesting application software changes.


RFP - University of Connecticut Health Center                                                    Page 19
                           13. Describe your software maintenance philosophy. Draw any distinctions
                               between releases/updates to the application under the software
                               maintenance agreement versus customized billable enhancements.
                           14. Are documentation updates to subsequent releases provided as part of
                               annual maintenance payments?
                           15. Are client-required customizations incorporated into the
                               documentation? If so, is there an additional charge?
                           16. Are there any circumstances under which our software support
                               agreement would be invalid?

                 iii. Other:
                           1.   Does the vendor certify operating system patches, updates for server,
                                database, and/or client systems? How long does this certification
                                process take? Will installation of a non-certified patch or upgrade
                                void support agreement or FDA approval of the system?

        b. Is there any recurring maintenance or updates required that falls outside of those
           mentioned above? If so, please how often, by whom and percentage of Full Time
           Equivalent (FTE) required.

    2. Contractual Requirements

        a.   Will the vendor commit to 99.9% up time with the proposed configuration, excluding
             acts of God, scheduled downtime and operator error?

        b. What system response time will the vendor commit to with the proposed configuration
           (response time is defined as the time from hitting the key until the next screen appears
           or an update tales place)?

        c.   Will the vendor agree to post a system performance bond?

        d. What nightly batch processing time will the vendor commit to for all
           applications/modules?

        e.   What guarantees and warranties does the vendor provide for the proposed system
             hardware and software?

        f.   What impact do client software modifications have on warranties and guarantees?

        g.   Will the vendor agree to keep the source code in an escrow account and agree that, in
             the event it discontinues maintenance of the source code that operates the system or in
             the event of the involuntary dissolution of the vendor?

        h. Who has ownership of any enhancements made by or on behalf of UConn Health Center?

        i.   Will the vendor offer UConn Health Center a 6-month termination clause?

        j.   Will the vendor undertake and agree to indemnify UConn Health Center against all
             damages and costs awarded in any suits, actions, or proceedings in which UConn Health
             Center is a made a defendant for actual or alleged infringement upon any patent?

RFP - University of Connecticut Health Center                                                 Page 20
        k.   Will any discounts apply, on a percentage basis, to all future product releases?

        l.   Will the vendor guarantee that it will sell any new products at the lowest price being
             offered to any other customer of the vendor?

        m. Will the vendor commit to an agreement governed by and construed in accordance with
           the laws of the state of Connecticut?


F. System Interfaces

1.   Describe in detail the types of interfaces that you have developed to date. Describe how your
     developed interfaces address starting/stopping, queuing transactions, transaction resends and
     transaction error monitoring/notifications.

2. List systems you have successfully integrated with and indicate whether your interfaces to
   them were real time, batch, uni- or bi-directional.

3. Can you support real-time standard HL7 interface feeds using TCP/IP protocol? Will you
   support standard UCONN Health Center HL7 specifications?

4. All information must be extractable to external applications.




G. Project Management, Training and Implementation Requirements

1. Implementation Plan/Project Management
       a. Provide a sample plan for the application implementation.
       b. Describe your implementation process.
       c. Please list personnel who would be involved in the implementation of this system and
          what roles they would have, including the project manager.

2. Training
       a. Describe your approach to user training, including the use of training aids and training
            courses.
       b. The successful bidder shall provide formal and informal on-site training for the
            personnel in the operation of the System. The vendor shall cover all training expenses
            including tuition, travel, and per diem, if training is performed off-site.
       c. If applicable, do you provide training for database specialists, system analysts and
            other Information Technology personnel? If yes, where and when does the training
            take place? Who is trained? What is covered? Indicate the duration of the training.
       d. Do you provide web-based training? Computer-based training?
       e. How many Health Center staff members in each area do you envision will be needed at
            our site to accomplish the installation plan? Please describe the skill set required for
            each member of the implementation team.
       f. How many vendor staff do you envision will be needed at our site to accomplish the
            installation plan? Please list the names, and describe the experience and areas of
            expertise of the consultants who will be assigned to the UCHC project.

RFP - University of Connecticut Health Center                                                   Page 21
        g. Once the project is complete, how many Health Center staff members do you envision
           will be needed to support and maintain the product? Please describe the skill set
           required for the implementation team.
        h. Describe your approach to training for new releases of the system.
        i. What is the estimated training time required?
        j. How many staff, both business administration super users as well as IT staff will be
           needed to maintain the system after go-live? Please include any technical requirements
           and % required.
        k. Is there an existing active user group and/or list serve for your products? What is
           your role in the user group and/or list serve?
        l. Please define a training schedule for initial system implementation to be included in the
           contract.
        m. Describe end-user training time commitment and how it is conducted.

3.   Documentation
        a. Provide a listing of all documentation relevant to the proposed system.
        b. Do you provide your documentation on CD-Rom? On-line?
        c. Do you provide new documentation as you upgrade your applications?
        d. Do you provide the following documents to your customers:
                   i. Systems operations manuals
                   ii. Technical/operations manuals
                   iii. User manuals for each application
                   iv. Installation manuals
                   v. Training manuals
                   vi. Disaster Recovery Manual
        f. Provide information on cost benefit analysis/ROI.
        g. Please identify metrics that can be measured.




RFP - University of Connecticut Health Center                                                 Page 22
   Section V. General System Requirements

   In this section of the RFP, UCHC has described general functional requirements of the system.
   For each question, the vendor should respond by making a checkmark in the appropriate column,
   If additional information is required please make additional comments on a separate sheet
   identifying the specification: If a requirement is left blank, we will assume the requirement
   cannot be met.

             A     The function is available and active for more than 2 years
             B     The function is available and active
             C     The function is in development (include date functionality will be available to
                   general client base)
             D     The function requires customized development (include the estimated cost)
             E     The function is not available

   A. Timeliness of Information
Functional Description                                                  A       B       C       D         E
Please respond to each question with summary answers whenever
applicable.
1 System is on-line, real-time, Internet accessible.
2 System can be easily accessed offsite.
3 Revised data immediately updates all applications
4 Response time for system is one (1) second or less

   B. Help Functions
Functional Description                                                A         B       C       D         E
Please respond to each question with summary answers whenever
applicable.
1 Help provides information about valid entries for the field
    currently being accessed
2 There is help for every data entry field without leaving the field
3. Every data element with a list of valid entries has the following:
    • Searches by full or partial name
    • Searches by full or partial code
    • Searches by full or partial, long or short description
    • Ability to scroll up and down the list of entries
    • Select entry off list and have system automatically put value
        into field
4. User may define narrative for all help during system installation,
    and there are no limitations as to size of help descriptions.

   C. User Friendly Features
Functional Description                                                  A       B       C       D         E
Please respond to each question with summary answers whenever
applicable.
1 System is menu driven, user friendly
2 System uses windows, windows, split screens, etc.


RFP - University of Connecticut Health Center                                                   Page 23
    3. Allow data entry using abbreviations or codes. Always
        display full description.
    4. Ability to have a default value in any field.
    5. Ability to easily update default values in all fields by a non-
        IT system administrator.
    6. Ability to access more detailed data related to display data
        real time allow.
    7. Automatic skipping ability, when the following is true:
        • Fields are not required
        • Skip questions, when the response to one question
            renders subsequent questions not applicable.
        • Can this skipping ability be user defined?
    8. Required field ability
        • When fields are required
        • Require questions, when a response to one question
            renders subsequent questions required.
        • Can this required ability be user defined.
    9. Can you access multiple parts of the system simultaneously?
    10. Right click context sensitive mouse functions
    11. Mouse Scroll wheel support vertical and or horizontal
        navigation
    12. Table/Screen/ Pathway Maintenance
        • Ability to update/edit/enhance system defined
            screens/tables in a timely fashion as needed.
            Please describe the process in comments.
        • Identify any tables/screens that are not user
            maintained and explain why in comments
        • Please identify any tables that are limited in size in
            comments
        • User can create user-defined pathways.
    13. Retention of Data
        • Data can be retained on-line based on user defined
            criteria
        • Data can be archived based on user defined criteria
        • How is archived data accessed?
        • Data can be easily retrieved from the database for
            reporting.
    14. Special Requirements
        • Ability to define any additional data requirements as
            necessary both initially in set-up and on-going as needed
        • Ability to generate user defined reports/work lists on
            demand
        • Ability to access any reports/work lists on-line
        • Ability for any non-IT system administrator to export
            user defined reporting data to std Microsoft software
            tools (excel, word, access, etc)?
    15. System has separate platforms for production, test and
        training.
    16. System has rules functionality to allow users to add edits.
RFP - University of Connecticut Health Center                            Page 24
    17. Enhancements selected for upgrades and new versions are
        based on input from client user groups who can vote on
        functional priorities.
    18. Ability to add new data elements to a screen without a
        system request (can be accomplished by a user system
        administrator). Data added in this manner is added to the
        DBMS and is available for reporting and data collection.
    19. The system can easily integrate with standard Microsoft
        office tools.




   D. General Requirements
    Functional Description                                            A   B   C   D         E
    Please respond to each question with summary answers
    whenever applicable if additional software or cost is necessary
    please state in detail.
    1 System supports a multiple facility organization
    2 System supports multiple printers
    3 System supports printing to fax machines
    4 System supports Internet Access
    5 System supports e-mail usage
    6 Database supports the following Data/types:
    • Integers
    • Floating point #’s
    • Characters
    • Binary #’s
    • Binary large objects (BLOB)
    • Graphic data (bitmap, tif, Jpeg)
    • Unstructured text data
    7 System requires a fax server?
    8 Standard documented set-up for the system?
    9 Ability for UConn to maintain master files and tables?
    10 Average number of enhancement releases per year?
    11 Is purging of database necessary? If so, how often?




RFP - University of Connecticut Health Center                                     Page 25
   Section VI. SPECIFIC FUNCTIONALITY


 In this section of the RFP, UCHC has described specific requirements. For each question, the vendor
 should respond by making a checkmark in the appropriate column, If additional information is required
 please make additional comments on a separate sheet identifying the specification: If a requirement is
 left blank, we will assume the requirement cannot be met. Any comments pertaining to a specific
 requirement should be added under the requirement itself, and not under a separate section.
 A The function is available and active for more than 2 years
 B The function is available and active
 C The function is in development (include date functionality will be available to general client base)
 D The function requires customized development (include the estimated cost)
 E The function is not available

  A    Clinical Rotation Administration
       Description                                                         A   B    C       D     E
       Please respond to each question with summary answers
       whenever applicable.
       Student information can be automatically populated via
  1.
       feeds from the student administration system.
  2.   Students can select their preferences for 3rd year lottery.
       System automatically matches students to rotation
  3.
       preferences via computer algorithm.
       Scheduler allows inclusion of all rotations available by clinical
  4.   type (cardiology, pediatrics), location (x hospital, y hospital)
       and faculty preceptor.
       Students can view their clinical rotation schedule and
  5.
       associated materials.
       Administrators can use the system to provide rotation-
  6.   specific instructions and attachments: orientation materials,
       specific forms to complete, pre-reading materials, etc.
       Administrators can send all forms for a block of rotations
  7.
       via automatic mass distribution capability.
       Status of forms can be displayed in several views:
            All overdue forms
  8.        Status of all forms, by student
            Status of all forms, by faculty member
            Dates on which forms were viewed by students, faculty
       Mass distribution e-mail reminders can be sent to all staff
  9.
       with overdue forms.




RFP - University of Connecticut Health Center                                               Page 26
  B    Evaluations                                                      A   B   C   D     E
       Description
       Please respond to each question with summary answers
       whenever applicable.
       Evaluation templates include forms for evaluation of
  1.
       students and evaluation by students of faculty preceptor.
  2.   Evaluation forms allow different scales for evaluation.
  3.   Evaluation templates are flexible and customizable.
       Students homepage allows them to click on completed
  4.
       evaluations and view them.
       Students homepage allows them to click on evaluations to be
  5.
       completed and then automatically complete the evaluations.
       Students homepage allows students to click on a list of
  6.   current and past evaluations (both completed by them and
       received by them.)
       Faculty homepage allows them to click on completed
  7.
       evaluations and view them.
       Faculty homepage allows them to click on evaluations to be
  8.
       completed and then automatically complete the evaluations.
       Faculty homepage allows students to click on a list of current
  9.   and past evaluations (both completed by them and received
       by them.)
 10.   System includes capability to flag low performers.
       Faculty and administrators can be notified of low
 11.
       performance flags and view the correlated evaluation.
 12.   Head preceptors can view evaluations of peer preceptors.

  C    Procedures/Competency Review                                     A   B   C   D     E
       Please respond to each question with summary answers
       whenever applicable.
  1.   Students can complete logs of encounters.
       Students and faculty can view each student’s procedure
  2.
       summary.
       Administrators can view:
           Student summaries of competencies
  3.
           Procedure log counts by student
           Diagnosis counts by rotation




RFP - University of Connecticut Health Center                                       Page 27
 D     Reports                                                A   B   C   D     E
       Please respond to each question with summary answers
       whenever applicable.
  1.   Student evaluation of faculty by clinical rotation.
       Individual faculty member evaluations
           by student
  2.
           by all students
           compared to other faculty
       Individual student evaluations
           by faculty member
  3.
           for all faculty members
           compared to other students
 4.    Grade reporting, by student.
       System data exportable to:
 5.        Excel
           SAS/other statistical programs




RFP - University of Connecticut Health Center                             Page 28

								
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