Breach of Contract in Teaxas

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					     HARRIS COUNTY
 REQUEST FOR PROPOSAL                                              JOB NO.: 07/0148
                                                               Date Due: Monday, April 16, 2007
       Cover Sheet                                                 DUE NO LATER THAN 2:00 P.M.
                                                                  LOCAL TIME IN HOUSTON, TEXAS
                                                               Proposals received later than the date
                                                               and time above will not be considered.


 PROPOSAL FOR: Temporary Social Workers for the Harris County Hospital District
             (beginning on or about May 1, 2007 and ending one year thereafter)

                                       PROPOSALORS NOTE!!
Carefully read all instructions, requirements and          Please return proposal in an appropriately sized
specifications.  Fill out all forms properly and           envelope or box. PACKAGE MUST SHOW THE JOB
completely. Submit your proposal with all appropriate      NUMBER, DESCRIPTION AND BE MARKED
supplements and/or samples.                                "SEALED PROPOSAL".

                                     RETURN PROPOSAL TO:
                             HARRIS COUNTY PURCHASING AGENT
                               1001 PRESTON AVENUE, SUITE 670
                                     HOUSTON, TEXAS 77002

For additional information, contact: Juanita Duke at 713-755-4644 or juanita_duke@hctx.net

You must sign below in INK; failure to sign WILL disqualify the Proposal. All prices must be typewritten or
written in ink.
                                    Total Amount of Proposal $

Company Name:

Company Address:

City, State, Zip Code:

Taxpayer Identification Number (T.I.N.):

Telephone No.:                         FAX No.:                    E-mail:

Do you carry Health Insurance on your employees? ___Yes ___No

If yes, what is the percentage of employees insured? _____%
Print Name:

Signature:
Revised 11/06
JHD/dlm




                                                                                             Page 1 of 31
                                                    TABLE OF CONTENTS

Items checked below represent components which comprise this bid/proposal package. If the item IS NOT checked, it is NOT
APPLICABLE to this bid/proposal. Proposalors are asked to review the package to be sure that all applicable parts are included. If any
portion of the package is missing, notify the Purchasing Department immediately.

It is the Proposalor's responsibility to be thoroughly familiar with all Requirements and Specifications. Be sure you understand the
following before you return your bid packet.
__X__ 1.          Cover Sheet
                  Your company name, address, the total amount of the bid/proposal, and your signature (IN INK) should appear on this
                  page.

__X__ 2.         Table of Contents
                 This page is the Table of Contents.

__X__ 3.         General Requirements
                 You should be familiar with all of the General Requirements.

__X__ 4.         Special Requirements/Instructions
                 This section provides information you must know in order to make an Proposal properly.

__X__ 5.         Specifications
                 This section contains the detailed description of the product/service sought by the County.

__X__ 6.         Pricing/Delivery Information
                 This form is used to solicit exact pricing of goods/services and delivery costs.

__X__ 7.         Attachments
                 __X__ a.           Residence Certification/Tax Form
                                    Be sure to complete this form and return with packet.

                 _____    b.        Bid Guaranty & Performance Bond Information & Requirements
                                    This form applies only to certain bids/proposals. All public work contracts over $25,000 require a
                                    Payment Bond and over $100,000 must also have a Performance Bond, in a form approved by the
                                    County. Please read carefully and fill out completely.

                 _____    c.        Bid Check Return Authorization Form
                                    This form applies only to certain bids/proposals. Please read carefully and fill out completely.

                 _____    d.        Vehicle Delivery Instructions
                                    Included only when purchasing vehicles.

                 ___X__ e.          Minimum Insurance Requirements
                                    (Included in specific requirements when applicable (does not supersede ―Hold Harmless‖ section of
                                    General Requirements).

                 _____    f.        Worker’s Compensation Insurance Coverage Rule 110.110
                                    This requirement is applicable for a building or construction contract.

                 _____    g.        Financial Statement
                                    When this information is required, you must use this form.

                 ___X__ h.          Reference Sheet
                                    When this information is required, you must use this sheet.

                 ___X__ i.          Other
                                    From time to time other attachments may be included.
Revised 03/04




                                                                                                                          Page 2 of 31
                                             GENERAL REQUIREMENTS FOR PROPOSALS

READ THIS ENTIRE DOCUMENT CAREFULLY. FOLLOW ALL INSTRUCTIONS. YOU ARE RESPONSIBLE FOR FULFILLING
ALL REQUIREMENTS AND SPECIFICATIONS. BE SURE YOU UNDERSTAND THEM.

General Requirements apply to all advertised requests for proposals; however, these may be superseded, whole or in part, by the SPECIAL
REQUIREMENTS/INSTRUCTIONS OTHER DATA CONTAINED HEREIN. Review the Table of Contents. Be sure your proposal package is
complete.

ACCESS TO RECORDS
In special circumstances, vendor may be required to allow duly authorized representatives of Harris County, the Harris County Hospital District
or the state and federal government access to contracts, books, documents, and records necessary to verify the nature and extent of the cost of
services provided by vendor.

ADDENDA
When specifications are revised, the Harris County Purchasing Agent will issue an addendum addressing the nature of the change. Proposalors must
sign it and include it in the returned proposal package.

ASSIGNMENT
The successful Proposalor may not assign, sell or otherwise transfer this contract without written permission of Harris County Commissioners Court.

AWARD
Harris County reserves the right to award this contract on the basis of LOWEST AND BEST PROPOSAL in accordance with the laws of the State of
Texas, to waive any formality or irregularity, to make awards to more than one Proposalor, to reject any or all proposals. In the event the lowest
dollar Proposalor meeting specifications is not awarded a contract, the Proposalor may appear before the Commissioners Court, Hospital District
Board of Managers, the Juvenile Board or other applicable governing body and present evidence concerning his responsibility after officially
notifying the Office of the Purchasing Agent of his intent to appear.

BONDS
If this proposal requires submission of proposal guarantee and performance bond, there will be a separate page explaining those requirements.
Proposals submitted without the required proposal bond or Cashier's Checks are not acceptable.

CONTRACT OBLIGATION
Harris County Commissioners Court must award the contract and the County Judge or other person authorized by the Harris County Commissioners
Court must sign the contract before it becomes binding on Harris County or the Proposalor. Department heads are NOT authorized to sign
agreements for Harris County. Binding agreements shall remain in effect until all products and/or services covered by this purchase have been
satisfactorily delivered and accepted.

CONTRACT RENEWALS
Renewals may be made ONLY by written agreement between Harris County and the Proposalor. Any price escalations are limited to those stated by
the Proposalor in the original proposal.

DIGITAL FORMAT
If Proposalor obtained the proposal specifications in digital format in order to prepare a response, the proposal must be submitted in hard copy
according to the instructions contained in this proposal package. If, in its proposal response, Proposalor makes any changes whatsoever to the
County's published proposal specifications, the County's proposal specifications as published shall control. Furthermore, if an alteration of any
kind to the County's published proposal specifications is only discovered after the contract is executed and is or is not being performed, the
contract is subject to immediate cancellation.

DISQUALIFICATION OF PROPOSALOR
Upon signing this proposal document, an Proposalor Proposaling to sell supplies, materials, services, or equipment to Harris County certifies
that the Proposalor has not violated the antitrust laws of this state codified in §15.01, et seq., Business & Commerce Code, or the federal
antitrust laws, and has not communicated directly or indirectly the Proposal made to any competitor or any other person engaged in such line of
business. Any or all proposals may be rejected if the County believes that collusion exists among the Proposalors. Proposals in which the
prices are obviously unbalanced may be rejected. If multiple proposals are submitted by an Proposalor and after the proposals are opened, one
of the proposals is withdrawn, the result will be that all of the proposals submitted by that Proposalor will be withdrawn; however, nothing
herein prohibits a vendor from submitting multiple Proposals for different products or services.
E-MAIL ADDRESSES CONSENT
Vendor affirmatively consents to the disclosure of its e-mail addresses that are provided to Harris County, the Harris County Flood Control
District, the Harris County Hospital District including its HMO, the Harris County Appraisal District, or any agency of Harris County. This
consent is intended to comply with the requirements of the Texas Public Information Act, Tex. Gov’t Code Ann. §522.137, as amended, and
shall survive termination of this agreement. This consent shall apply to e-mail addresses provided by Vendor, its employees, officers, and
agents acting on Vendor’s behalf and shall apply to any e-mail address provided in any form for any reason whether related to this bid/proposal
or otherwise.
Revised 08/06




                                                                                                                                Page 3 of 31
EVALUATION
Evaluation shall be used as a determinant as to which proposed items or services are the most efficient and/or most economical for the County. It
shall be based on all factors which have a bearing on price and performance of the items in the user environment. All proposals are subject to
negotiations by the Purchasing Agent and other appropriate departments, with recommendation to the appropriate governing body. Compliance with
all requirements, delivery and needs of the using department are considerations in evaluating proposals. Pricing is NOT the only criteria for
making a recommendation. A preliminary evaluation by Harris County will be held and appropriate proposals will be subjected to the negotiating
process. Upon completion of the negotiations, Harris County will make an award. All proposals that have been submitted shall be available and
open for public inspection after the contract is awarded except for trade secrets or confidential information contained in the proposals and identified
as such.

FISCAL FUNDING
A multi-year lease or lease/purchase arrangement (if requested by the specifications), or any contract continuing as a result of an extension option,
must include fiscal funding out. If, for any reason, funds are not appropriated to continue the lease or contract, said lease or contract shall become
null and void on the last day of the current appropriation of funds. After expiration of the lease, leased equipment shall be removed by the contractor
from the using department without penalty of any kind or form to Harris County. All charges and physical activity related to delivery, installation,
removal and redelivery shall be the responsibility of the Proposalor.

GOVERNING FORMS
In the event of any conflict between the terms and provisions of these requirements and the specifications, the specifications shall govern. In the
event of any conflict of interpretation of any part of this overall document, Harris County's interpretation shall govern.
GOVERNING LAW
This request for proposals is governed by the competitive bidding requirements of the County Purchasing Act, Texas Local Government Code,
§262.021 et seq., as amended. Proposalors shall comply with all applicable federal, state and local laws and regulations. Proposalor is further
advised that these requirements shall be fully governed by the laws of the State of Texas and that Harris County may request and rely on advice,
decisions and opinions of the Attorney General of Texas and the County Attorney concerning any portion of these requirements.

GRANT FUNDING
Any contract entered into by the County that is to be paid from grant funds shall be limited to payment from the grant funding and the
vendor/provider understands that the County has not set aside any County funds for the payment of obligations under a grant contract. If grant
funding should become unavailable at any time for the continuation of services paid for by the grant, and further funding cannot be obtained for
the contract, then the sole recourse of the provider shall be to terminate any further services under the contract and the contract shall be null
and void.

HIPAA COMPLIANCE
Proposalor agrees to comply with the Standards for Privacy of Individually Identifiable Health Information of the Health Insurance Portability
and Accountability Act of 1996, PL 104-191, 45 CFR Parts 160-164, as amended, and the Texas Medical Records Privacy Act, Texas Health
and Safety Code Chapter 181, as amended, collectively referred to as "HIPAA", to the extent that the Proposalor uses, discloses or has access to
protected health information as defined by HIPAA. Proposalor may be required to enter a Business Associate Agreement pursuant to HIPAA.

HOLD HARMLESS AGREEMENT
Contractor, the successful Proposalor, shall indemnify and hold Harris County harmless from all claims for personal injury, death and/or property
damage resulting directly or indirectly from contractor's performance. Contractor shall procure and maintain, with respect to the subject matter of
this proposal, appropriate insurance coverage including, as a minimum, public liability and property damage with adequate limits to cover
contractor's liability as may arise directly or indirectly from work performed under terms of this proposal. Certification of such coverage must be
provided to the County upon request.

INSPECTIONS & TESTING
Harris County reserves the right to inspect any item(s) or service location for compliance with specifications and requirements and needs of the
using department. If an Proposalor cannot furnish a sample of a bid item, where applicable, for review, or fails to satisfactorily show an ability
to perform, the County can reject the bid as inadequate.

INVOICES AND PAYMENTS
Proposalors shall submit an original invoice on each purchase order or purchase release after each delivery, indicating the purchase order
number. Invoices must be itemized. Any invoice which cannot be verified by the contract price and/or is otherwise incorrect will be returned to
the Proposalor for correction. Under term contracts, when multiple deliveries and/or services are required, the Proposalor may invoice
following each delivery and the County will pay on invoice. Contracts providing for a monthly charge will be billed and paid on a monthly
basis only. Prior to any and all payments made for goods and/or services provided under this contract, the Proposalor should provide his
Taxpayer Identification Number or social security number as applicable. This information must be on file with the Harris County Auditor’s
office. Failure to provide this information may result in a delay in payment and/or back-up withholding as required by the Internal Revenue
Service.
MAINTENANCE
Maintenance required for equipment proposed should be available in Harris County by a manufacturer-authorized maintenance facility. Costs for
this service shall be shown on the Pricing/Delivery Information. If Harris County opts to include maintenance, it shall be so stated in the purchase
order and said cost will be included. Service will commence only upon expiration of applicable warranties and should be priced accordingly.
Revised 06/05




                                                                                                                                   Page 4 of 31
MATERIAL SAFETY DATA SHEETS
Under the "Hazardous Communication Act", commonly known as the "Texas Right To Know Act", an Proposalor must provide to the County with
each delivery, material safety data sheets which are applicable to hazardous substances defined in the Act. Failure of the Proposalor to furnish this
documentation will be cause to reject any bid applying thereto.

NEW MILLENIUM COMPLIANCE
All products and/or services furnished as part of this contract must be compliant for the present year and forward. This applies to all computers
including hardware and software as well as all other commodities with date sensitive embedded chips.

POTENTIAL CONFLICTS OF INTEREST
An outside consultant or contractor is prohibited from submitting a proposal for services on a Harris County project of which the consultant or
contractor was a designer or other previous contributor, or was an affiliate, subsidiary, joint venturer or was in any other manner associated by
ownership to any party that was a designer or other previous contributor. If such a consultant or contractor submits a prohibited proposal, that
proposal shall be disqualified on the basis of conflict of interest, no matter when the conflict is discovered by Harris County.

PRICING
Prices for all goods and/or services shall be negotiated to a firm amount for the duration of this contract or as agreed to in terms of time frame. All
prices must be written in ink or typewritten. Where unit pricing and extended pricing differ, unit pricing prevails.

PROPOSAL COMPLETION
Fill out and return to Purchasing, ONE (1) complete proposal form in an appropriately sized envelope or box. PACKAGE MUST SHOW THE
JOB NUMBER, DESCRIPTION AND BE MARKED “SEALED PROPOSAL.” An authorized company representative should sign the
Proposal Cover Sheet. Completion of these forms is intended to verify that the Proposalor has submitted the proposal, is familiar with its contents
and has submitted the material in accordance with all requirements.

PROPOSAL RETURNS
Proposalors must return all completed proposals to the office of the Harris County Purchasing Agent reception desk at 1001 Preston Avenue, Suite
670, Houston, Texas before 2:00 P.M. LOCAL TIME IN HOUSTON, TEXAS on the date specified. Late proposals will not be accepted.

PURCHASE ORDER AND DELIVERY
The successful Proposalor shall not deliver products or provide services without a Harris County Purchase Order, signed by an authorized agent of
the Harris County Purchasing Agent. The fastest, most reasonable delivery time shall be indicated by the Proposalor in the proper place on the
proposal document. Any special information concerning delivery should also be included, on a separate sheet, if necessary. All items shall be
shipped F.O.B. INSIDE DELIVERY unless otherwise stated in the specifications. This shall be understood to include bringing merchandise to the
appropriate room or place designated by the using department. Every tender or delivery of goods must fully comply with all provisions of these
requirements and the specifications including time, delivery and quality. Nonconformance shall constitute a breach which must be rectified prior to
expiration of the time for performance. Failure to rectify within the performance period will be considered cause to reject future deliveries and
cancellation of the contract by Harris County without prejudice to other remedies provided by law. Where delivery times are critical, Harris
County reserves the right to award accordingly.

RECYCLED MATERIALS
Harris County encourages the use of products made of recycled materials and shall give preference in purchasing to products made of recycled
materials if the products meet applicable specifications as to quantity and quality. Harris County will be the sole judge in determining product
preference application.

SCANNED OR RE-TYPED RESPONSE
If in its response, Proposalor either electronically scans, re-types, or in some way reproduces the County's published proposal package, then in the
event of any conflict between the terms and provisions of the County's published proposal package, or any portion thereof, and the terms and
provisions of the response made by Proposalor, the County's proposal package as published shall control. Furthermore, if an alteration of any kind
to the County's published proposal package is only discovered after the contract is executed and is or is not being performed, the contract is subject to
immediate cancellation.

SEVERABILITY
If any section, subsection, paragraph, sentence, clause, phrase or word of these requirements or the specifications shall be held invalid, such holding
shall not affect the remaining portions of these requirements and the specifications and it is hereby declared that such remaining portions would have
been included in these requirements and the specifications as though the invalid portion had been omitted.

SILENCE OF SPECIFICATIONS
The apparent silence of specifications as to any detail, or the apparent omission from it of a detailed description concerning any point, shall be
regarded as meaning that only the best commercial practice is to prevail and that only material and workmanship of the finest quality are to be used.
All interpretations of specifications shall be made on the basis of this statement. The items furnished under this contract shall be new, unused of the
latest product in production to commercial trade and shall be of the highest quality as to materials used and workmanship. Manufacturer furnishing
these items shall be experienced in design and construction of such items and shall be an established supplier of the item proposed.


Revised 06/05




                                                                                                                                    Page 5 of 31
SUPPLEMENTAL MATERIALS
Proposalors are responsible for including all pertinent product data in the returned proposal package. Literature, brochures, data sheets, specification
information, completed forms requested as part of the proposal package and any other facts which may affect the evaluation and subsequent contract
award should be included. Materials such as legal documents and contractual agreements, which the Proposalor wishes to include as a condition of
the proposal, must also be in the returned proposal package. Failure to include all necessary and proper supplemental materials may be cause to
reject the entire proposal.

TAXES
Harris County is exempt from all federal excise, state and local taxes unless otherwise stated in this document. Harris County claims exemption from
all sales and/or use taxes under Texas Tax Code §151.309, as amended. Texas Limited Sales Tax Exemption Certificates will be furnished upon
written request to the Harris County Purchasing Agent.

TERM CONTRACTS
If the contract is intended to cover a specific time period, the term will be given in the specifications under SCOPE.

TERMINATION
Harris County reserves the right to terminate the contract for default if Seller breaches any of the terms therein, including warranties of Proposalor or
if the Proposalor becomes insolvent or commits acts of bankruptcy. Such right of termination is in addition to and not in lieu of any other remedies
which Harris County may have in law or equity. Default may be construed as, but not limited to, failure to deliver the proper goods and/or services
within the proper amount of time, and/or to properly perform any and all services required to Harris County's satisfaction and/or to meet all other
obligations and requirements. Harris County may terminate the contract without cause upon thirty (30) days written notice.

TESTING
Harris County reserves the right to test equipment, supplies, material and goods proposed for quality, compliance with specifications and ability to
meet the needs of the user. Demonstration units must be available for review. Should the goods or services fail to meet requirements and/or be
unavailable for evaluation, the Proposal is subject to rejection.

TITLE TRANSFER
Title and Risk of Loss of goods shall not pass to Harris County until Harris County actually receives and takes possession of the goods at the point or
points of delivery. Receiving times may vary with the using department. Generally, deliveries may be made between 8:30 a.m. and 4:00 p.m.,
Monday through Friday. Proposalors are advised to consult the using department for instructions. The place of delivery shall be shown under the
"Special Requirements/Instructions" section of this proposal and/or on the Purchase Order as a "Deliver To:" address.

WAIVER OF SUBROGATION
Proposalor and Proposalor's insurance carrier waive any and all rights whatsoever with regard to subrogation against Harris County as an indirect
party to any suit arising out of personal or property damages resulting from Proposalor's performance under this agreement.

WARRANTIES
Proposalors shall furnish all data pertinent to warranties or guarantees which may apply to items in the proposal. Proposalors may not limit or
exclude any implied warranties. Proposalor warrants that product sold to the County shall conform to the standards established by the U.S.
Department of Labor under the Occupational Safety and Health Act of 1970. In the event product does not conform to OSHA Standards, where
applicable, Harris County may return the product for correction or replacement at the Proposalor's expense. If Proposalor fails to make the
appropriate correction within a reasonable time, Harris County may correct at the Proposalor's expense.



                                                            VENDORS OWING TAXES
Pursuant to TX Local Government Code 262.0276, the Hospital District Board of Managers has adopted a policy which requires that vendors’
taxes be current as of the date bids/proposals are due. Bidders/proposers with delinquent taxes on the due date will not be eligible for award.
Whether or not a vendor’s taxes are delinquent will be determined by an independent review of the Tax Office records. Vendors who believe a
delinquency is reflected in error must contact the Tax Office to correct any errors or discrepancies prior to submitting their bid in order to ensure
that their bid will be considered. Tax records are available online at the Tax Office website—www.hctax.net. Prior to submitting a bid, vendors
are encouraged to visit the Tax Office website, set up a portfolio of their accounts and make their own initial determination of the status of their
tax accounts. This policy is effective for all bids due on or after July 1, 2004.




Revised 06/05



                                                                                                                                    Page 6 of 31
                             SPECIAL REQUIREMENTS/INSTRUCTIONS

The following requirements and instructions supersede General Requirements where applicable

VENDOR INSTRUCTIONS
Responses to this request for proposal shall be formatted as follows:
All proposals must be typed on standard 8 1/2 x 11‖ paper, indexed with a table of contents or a detailed list
reflecting the order or organization of the proposal and placed in a binder or folder. Proposals should be bound
such that sections are easily detachable. Proposals should be organized in the following order for consistency
and ease of screening:

Section I:     Table of Contents; RFP Cover page; Residence Certification
Section II:    Detailed Description of Proposed Program
Section III:   Pricing/Delivery Information/Renewal Option; Budget Information, References (Attachment H)
Section IV:    Responses to Attachment J
Section V:     Descriptive Literature, Detailed Specifications and/or Additional Information as Appropriate

Proposers should include an "Original" and four (4) copies of their response sealed in an envelope or package
for delivery to the Office of the Harris County Purchasing Agent per instructions in the general requirements
(see Proposal Completion and Proposal Returns). All documents included in the proposal and the outside of
the envelope must be labeled with the vendor's name and the job number which corresponds to this RFP.

Under the Request For Proposal process, sealed offers will be received and opened in the Office of the
Purchasing Agent. At and after opening, proposals will NOT be part of the public record and subject to
disclosure, but will be kept confidential until time of award. When such award is completed, proposals will
be available for public inspection including those portions marked confidential and/or proprietary.

Evaluation will consider the most cost productive, efficient and effective plan. Emphasis will be placed on
capability to perform within the program as well as meeting the needs of the Harris County Hospital District.
While Harris County appreciates a brief straightforward concise reply, the vendor must fully understand that
the evaluation is based on the information provided. Accuracy and completeness are essential. Omissions,
ambiguous or equivocal statements may be construed against the vendor. The proposal response may be
incorporated into any contract which results from this RFP. Vendors are cautioned not to make claims or
statements which they are not prepared to commit to contractually. Failure by the vendor to meet such claims
will result in a requirement that the vendor provide resources necessary to meet submitted claims.

The vendor is expected to examine all documents, forms, specifications, and all instructions. Failure to do so
will be at vendor's risk.




                                                                                                 Page 7 of 31
                      SPECIAL REQUIREMENTS/INSTRUCTIONS - (Continued)

Harris County will not be liable for any costs incurred by any vendor in preparing a response to this RFP.
Vendors submit proposals at their own risk and expense. Harris County makes no guarantee that any service
will be purchased as a result of this request for proposal, and reserves the right to reject any and all proposals.
All proposals and their accompanying documentation will become the property of Harris County.

Harris County requires a Purchase Order to be generated prior to the performance of any work by a
contractor and all invoices for said work must include the purchase order number along with other
pertinent data. Failure to obtain a purchase order may result in nonpayment for service.

EVALUATION PROCESS
All proposals will be examined by an evaluation committee.

Proposals which do not conform to the instructions given or which do not address all the services as specified
may be eliminated from consideration. Harris County, however, reserves the right to accept such a proposal if
it is determined to be in the County’s best interest to do so.

Harris County may initiate discussions with vendors. Discussions may not be initiated by vendors. Harris
County expects to conduct discussions with vendor personnel authorized to contractually obligate the vendor
with an offer.

Selected vendors may be expected to make a presentation to the evaluation committee of one (1) hour or less.
Vendor presentations will develop into negotiating sessions with the successful vendor as selected by the
evaluation committee. If Harris County is unable to agree to contract terms, Harris County reserves the right to
terminate contract negotiations with that vendor and initiate negotiations with another vendor. Vendors shall
not contact any Harris County Hospital District personnel during the RFP process without the express
permission from the Office of the Harris County Purchasing Agent. Harris County Purchasing may disqualify
any vendor who has made site visits, contacted Harris County Hospital District personnel or distributed any
literature without authorization from this office.

All correspondence relating to this RFP shall be sent to the Office of the Harris County Purchasing Agent. All
presentations and/or meetings between the Harris County Hospital District and the vendor relating to this RFP
shall be coordinated by the Office of the Harris County Purchasing Agent.

No award or acquisition can be made until the Harris County Hospital District Board of Managers approves
such action.

Submission of a proposal implies the vendor's acceptance of the evaluation criteria and vendor recognition that
subjective judgments must be made by the evaluating committee.




                                                                                                   Page 8 of 31
                       SPECIAL REQUIREMENTS/INSTRUCTIONS - (Continued)

This request for proposal in no manner obligates the County to the eventual rental, lease, purchase, etc. of any
equipment or service described, implied or which may be proposed, until confirmed by a written contract.
Progress toward this end is solely at the discretion of Harris County and may be terminated at any time prior to
the signing of a contract.

EVALUATION CRITERIA
The award of the contract shall be made to the responsible vendor whose proposal is determined to be the best
evaluated offer resulting from negotiations, taking into consideration the importance of service, compliance
with the Americans with Disabilities Act, proposer's qualifications, demonstrated ability to provide the required
services, demonstrated ability to respond to the Department's needs on a timely basis, references, price,
location, professional acumen and other factors set forth in the RFP. Prices must be fixed and will serve as the
basis for awarding additional funds if received.

A single supplier or provider will be preferred if at all possible. In the event a single agreement is not accepted,
the County reserves the right to split awards as is in its best interest. If necessary, the contract may be awarded
to multiple vendors, based on geographical location.

Harris County reserves the right to contract with the vendor best meeting the needs and requirements of Harris
County Hospital District and may use reference and site visit information to make judgments directly affecting
the award of this contract.

EVALUATION AND AWARD
The award of the contract shall be made to the responsible vendor(s) whose proposal is determined to be the
best evaluated Proposal resulting from negotiations, taking into consideration compliance with instructions, the
importance of service and demonstrated ability to respond to Harris County’s needs on a timely basis. In
addition to the following, but not limited to:
     Demonstrated ability to provide the required services and ability to respond to the District’s needs in a
        timely manner                                         50%
     References                                                      10%
     Rate comparisons                                                10%
     Licensure and qualifications of staff                           10%
     Experience with other clients of similar size to the District 15%
     Current proof of insurance (Certificate of Insurance with
        designated overages and amounts) evidence of insurability 5%

Award of the request for proposal does not guarantee any particular profit, revenue, or volume of work to the
vendor.

The awarded vendor will be required to execute an agreement with Harris County which finalizes the terms
and conditions set forth in the requirements of this Request for Proposal package and Proposal as submitted
by the vendor. Vendor must include agency’s standard agreement with bid submission.

Estimated contract expenditure will not exceed $124,800 (4160 hrs.). Harris County reserves the right to
purchase more or less.




                                                                                                    Page 9 of 31
LICENSURE
Contractors shall provide, as part of their response, evidence of compliance with all governing requirements for
licensure, registration and/or certification. Photocopies of relevant documents shall be sufficient for proposal
submission, but Harris County reserves the right to require presentation of original licenses or certified copies
thereof prior to the contractor's beginning service.

By the submission of a response to this RFP, Contractor warrants and represents to Harris County that they
have and will maintain compliance with all governing regulations and laws, including Federal, State and
Municipal.

NONPERFORMANCE BY CONTRACTOR
Contractor may be placed on probation, or the contract may be suspended or terminated, by Harris County.
Circumstances resulting in probation, suspension or termination may include, but are not limited to, any or all
of the following:
    1.      Failure to meet and maintain minimum quality or performance standards;
    2.      Failure to provide qualified temporary healthcare personnel three consecutive times*;
    3.      Failure to maintain required insurance coverage;
    4.      Failure of temporary healthcare personnel to have and maintain required licensure and
            certifications;
    5.      Failure to cure any deficiencies found as a result of tests or other analyses or performance of
            services.
    6.      Failure to follow Harris County procedures when accepting/filling work requests

Probation shall be for a three (3) month period. Harris County may deem it appropriate to change the probation
period to more or less time. Failure to satisfactorily cure any deficiency within that time may result in
suspension of services or termination of contract. Under conditions of suspension/termination, the
contractor will not be entitled to damages or compensation beyond payment for goods and/or services already
rendered through the end of the probation period and Harris County shall not be liable for any penalties,
attorneys’ fees, costs, consequential or liquidated damages as a result of this action.

*Consecutive times is defined as one day\multiple shifts or three consecutive occurrences.

PRICING, INVOICING AND PAYMENTS
Correct purchase order numbers must be noted on each invoice for goods and/or services. All goods and/or
services shall be F.O.B. inside delivery and be all-inclusive. "All-inclusive" shall be construed as costs
incorporating all charges for personnel, travel, and any other cost incurred to produce the desired results. No
separate line item charges for these will be accepted.

Contractor must furnish to the appropriate user departments all invoices for services in a timely
manner. Invoices submitted ninety (90) days after services were rendered will not be honored. Original time
sheets or charge slips shall be submitted to Harris County by the temporary personnel on a weekly basis and
must meet Harris County’s minimum standards with respect to information to be entered including, but not
limited to Agency Performance Standards section of the specifications. In addition to the weekly time sheet or
charge slip, the Contractor will submit a monthly invoice for payment indicating the name of the Harris County
department/nursing unit that utilized the Contractor’s services, temporary’s name, title or classification, billing
rate and total cost for that employee based on hours worked. The invoice should also



                                                                                                  Page 10 of 31
                       SPECIAL REQUIREMENTS/INSTRUCTIONS (continued)

include sub-totals by department/nursing unit, a total number of employees, total hours worked and a total
billing amount. This monthly invoice must be submitted to the specific Harris County facility that utilized the
Contractor’s services.

Failure to provide accurate invoices in a timely manner will result in contractor being placed on
probation, contract suspension or termination.

INSURANCE
The Contractor must provide proof of the Minimum Insurance Requirements (attachment e) and professional
liability at the time of Proposal submission and must maintain such insurance for the term of the contract.
Contractor shall decline to provide temporaries at any such time insurance is not in effect, and shall inform the
District in writing within 2 business days of any such loss of insurance coverage or modification.

CONFLICTS OF INTEREST
The Contractor must disclose any financial interest held by a Harris County employee in the Contractor’s
business. The Contractor must also disclose an interest between the Contractor, the Contractor’s employees
and any Harris County employees arising from relationships within the first degree of consanguinity or affinity.
A financial interest arises if the Harris County employee:
             Owns 10 percent or more of the voting stock or shares of the contractor’s business:
             Owns either 10 percent or more or $15,000 or more of the fair market value of the
                Contractor’s business: or
             Receives funds from the Contractor’s business that exceed 10 percent of the Harris County
                employee’s gross income from the previous year.

The Contractor must fully disclose the existence of any relationships as defined above in its response to this
RFP. Additionally, the Contractor must notify Harris County if the information provided in its response
changes at any time (attachment i).


REFERENCES
Contractor will provide a minimum of three references from companies for whom contractor has provided
similar services in the last twelve months as demonstration of contractor’s prior experience. Include
company name, address, phone number, contact person, a description of the services provided with a
description of any major variation to the requirements of this Request for Proposal.


References provided must be current and verifiable. Harris County will conduct reference checks to verify and
validate contractor’s past performance. Reference checks indicating poor or failed performance by the
contractor will be cause for rejection of the Proposal submitted. In addition, failure to provide verifiable
references will be cause for rejection of Proposal submitted.




                                                                                                 Page 11 of 31
                                              SPECIFICATIONS

                       Temporary Social Workers for the Harris County Hospital District

Scope
The Harris County Hospital District is seeking proposals from qualified vendors to provide temporary social
workers for a period of one year beginning on or about May 1, 2007 and ending twelve months thereafter.
For additional information, contact Juanita Duke in the Office of the Harris County Purchasing Agent at
(713) 755-4644 or juanita_duke@hctx.net

All questions regarding this proposal should be faxed to (713) 755-6695 Attention: Juanita Duke or emailed
to juanita_duke@hctx.net before 2:00 p.m. on April 10, 2007. A response to all questions received by that
date and time will be issued by April 12, 2007.

Renewal
Harris County may consider two (2) one year renewal options, renewable one year at a time under the same
terms, conditions and pricing as the original year. Once the renewal options are exhausted, a new bid will be
issued. If Agency does not wish to renew, mark "NA" in the space provided on the Pricing/Delivery sheet.
Harris County retains the option to rebid at any time as is in its best interest and is not automatically bound to
renewal.

Background
The Harris County Hospital District is the public hospital and community health center system for the
Houston metropolitan area. Created in 1965, the Hospital District’s primary mission is to provide affordable
health care to county residents in a compassionate manner regardless of their ability to pay. To aid in this
effort, about 48 percent of the Hospital District’s operating budget is funded by local taxpayers.

The Hospital District’s physicians are faculty members and residents of Baylor College Medicine and/or the
University of Texas – Houston Medical School. It is one of the largest healthcare providers in the country,
accommodating 1.11 million emergency and non-emergency visits in Fiscal Year (FY) 2004/2005. Its two
major hospitals, Ben Taub General Hospital and Lyndon B. Johnson General Hospital are recognized in the
community for the quality of care provided. In FY2004/2005, the hospitals together delivered 11,182 babies
to area residents.

During the 1990s, the Hospital District was nationally recognized for its staff and high level of care. It was
twice named to the top 100 hospitals in the nation by Modern Healthcare magazine.

Ben Taub General Hospital (Ben Taub) has 588 beds; about one-fifth are intensive care beds. Eighty percent
of the hospital’s patients are admitted as emergencies. Ben Taub has a nationally renowned emergency
center, as well as other centers of excellence: pediatrics, neonatal intensive care, rehabilitation, obstetrics,
general surgery, neurosurgery and a large general medicine service. In FY2004/2005, Ben Taub had 92,703
emergency visits, 42,486 adult and pediatric admissions and 204,220 specialty clinic visits. Ben Taub is
staffed by Baylor College of Medicine faculty and residents.




                                                                                                    Page 12 of 31
                                      SPECIFICATIONS-(Continued)

Lyndon B. Johnson General Hospital (LBJ) has 286 beds and opened in 1989 to serve the northeast quadrant
of the county—an area that lacked any sophisticated health care delivery system. This hospital has been
warmly embraced by the community and has grown yearly in terms of patient visits. In FY2004/2005, LBJ
had 20,079 admissions, 114,785 clinic visits and 70,755 emergency center visits. LBJ is staffed by the
University of Texas – Houston Medical School.

Quentin Mease Community Hospital (Quentin Mease) is a 49-bed facility for the Hospital District’s geriatric
and long-term physical rehabilitation programs. Patients’ suffering from spinal cord injuries, falls or
violence-related injuries receive top quality care here. Quentin Mease is staffed by Baylor College of
Medicine faculty and residents.

The Community Health Program was one of the country’s first efforts in public community facilities
devoted to primary care. The network of 11 centers account for 11 percent of the Hospital District’s
operating budget. In FY2004/2005, the centers treated 549,666 patients. The first health center, Settegast,
opened in 1967. The other health centers are Acres Home, Aldine, Baytown, Casa De Amigos, E. A.
―Squatty‖ Lyons, Martin Luther King Jr., Northwest, People’s, Gulfgate and Strawberry.

Thomas Street Clinic was the country’s first freestanding HIV/AIDS facility when it opened in 1989. About
60 percent of all HIV/AIDS patients in Harris County are treated at Thomas Street. The four-story building
provides patients with a full-range of services including healthcare counseling, housing and job placement.
The clinic is jointly staffed by Baylor College of Medicine and the University of Texas – Houston Medical
School faculty and residents.

Requirements:
The Harris County Hospital District desires to enter into a contract with a qualified contractor(s) capable of
providing, on an as-needed basis, licensed, qualified social workers for the following job category:

Social Worker Case Manager II

Contractor’s personnel will have the necessary education, training, certification and registration for each
position to be filled. A qualified credeatialed professional is defined as an individual who is either certified,
licensed, approved or registered by the State of Texas as a Licensed Master Social Worker (LMSW) or a
licensed Clinical Social Worker (LCSW). Vendor shall have on staff LMSW’s or LCSW’s to meet the needs
of Spanish speaking clients referred for services. Any documentation (licenses, certifications, etc) necessary to
demonstrate fitness for position(s) being filled will be made available to Harris County prior to assignment and
upon request.

Administrative Services
1.    The Contractor will be expected to maintain records for all requests submitted by the designated Harris
      County representatives and invoices sent to Harris County for payment. All such records shall be kept
      at a location suitably accessible to Harris County representatives and other authorized individuals.




                                                                                                 Page 13 of 31
                                      SPECIFICATIONS-(Continued)

2.     Contractors should identify, or assign, one representative and/or designee within the Contractor’s
       organization to be responsible for handling all needs, facilitating communication and insuring quality.
       If the assigned individual is replaced, Harris County using departments must be notified in writing
       immediately. This representative must become familiar with the personnel needs and job requirements
       of Harris County. A visit must be made quarterly by a senior staff representative of the Contractor to
       the using departments.

Peer Review
The Contractor assumes full responsibility for conducting peer review of temporary personnel in accordance
with the laws of the State of Texas. Upon request, the Contractor shall disclose written and oral
communications and the records and proceedings of the peer review to Harris County as applicable.

Payroll Services
The Contractor will prepare payroll checks, make all necessary deductions, pay all taxes and insurance required
by Federal, State or Local laws. Harris County will be billed for the applicable rate of pay.

The Contractor accepts full responsibility for the payment of wages, compensation and benefits to its
personnel. The Contractor further accepts responsibility for payment of all taxes, assessments, fees, and fines
that may be due and owing to any State or Federal government.

Immunization
The Contractor shall comply with Harris County immunization requirements for all healthcare personnel
providing direct patient care. All contract personnel assigned to Harris County facilities shall meet, at a
minimum, the following requirements:

       a. Tuberculin (PPD) Skin Test - The Contractor shall perform PPD skin testing yearly on all
          healthcare personnel who have not previously tested positive. For any healthcare personnel whose
          test becomes positive, the agency must present documentation of treatment status. For healthcare
          personnel with previous known positive skin tests, the Contractor will present a yearly screening of
          clinical symptoms for active tuberculosis.
       b. Hepatitis B - The Contractor shall maintain information as to whether each healthcare personnel has
          received Hepatitis B vaccination or has been offered the vaccine and declined.
       c. Chicken Pox (Varicella) - The Contractor should ensure that healthcare personnel are immune to
          varicella by providing acceptable documentation of varicella vaccination, serologic testing for the
          presence of varicella antibodies, or a positive medical history for varicella disease. All histories of
          varicella illness must be supported by a written documentation such as a statement from a physician
          containing wording such as: "This is to verify that (name of patient) had varicella disease
          (chickenpox) on or about (date) and does not need varicella vaccine." If the healthcare
          personnel is unable to submit such a statement or serologic evidence, then the Agency will not
          assign such personnel to any Harris County facility.

The Contractor agrees to provide documentation to Harris County that each temporary healthcare staffer has
met the above requirements prior to assignment to a Harris County facility. Contractor will bear the costs
associated with providing any testing, documentation, examination, vaccinations or immunizations
necessary to comply with the requirements of this RFP and any Harris County policies.



                                                                                                Page 14 of 31
                                        SPECIFICATIONS CON’T

Both parties agree that release of healthcare information may be subject to proper written authorization and
it shall be the Contractor's responsibility to obtain such authorization. Contractor agrees not to assign any
healthcare personnel that fails or refuses to meet these requirements.


Agency Performance Standards
No person currently employed by Harris County may be assigned to work at any Harris County facility. No
person previously employed by Harris County may be dispatched to a Harris County facility within six months
of their last day of employment with Harris County.

1.     Harris County must be completely satisfied with the performance of every assigned temporary. If not
       satisfied, and upon notification to the Contractor, all charges for the unsatisfactory employee will not be
       paid.

2.     The Contractor will be evaluated on ability to perform satisfactorily including, but not limited to: a)
       number of staff designated as ―Do Not Return‖; b) number of, and types of, deficiencies; and c) a
       quarterly review of the Contractor’s ability to fill staffing requests with qualified personnel.

       The Contractor agrees that any temporary identified by Harris County as "Do Not Return to any Harris
       County Facility‖ may not work nor be dispatched to work at any Harris County facility. Contractor
       staff/employees designated as ―Do Not Return‖ may be dispatched to a Harris County facility only after
       Harris County removes the "Do Not Return" status in writing to the Contractor. Violation by
       Contractor will result in probation, suspension or termination of the contract.

3.     Temporaries must park in the visitor’s parking lot. Harris County will not be responsible for payment of
       parking fees, towing, mileage, fuel, damage or loss to vehicle. Furthermore, Harris County does not
       provide free or reduced priced meals.

4.     Temporaries must sign in and out of designated areas according to standard written procedures and
       report to the person in charge.

5.     Upon discovering an error that meets the definition as described in the patient safety plan, the agency
       employee must report the error before the completion of the shift. Failure to do so will result in an
       investigation of the incident with appropriate actions taken at the conclusion of the investigation.

       Patient safety medical/health care errors are defined as:
       a) unintended acts, either of omission or commission, or acts that do not achieve their intended
           outcome.
       b) the failure of a planned action to be completed as intended (i.e. error of execution) or the use of a
           wrong plan to achieve an aim (i.e. error of planning).




                                                                                                 Page 15 of 31
                                      SPECIFICATIONS CON’T

6.   Temporaries are assigned to work for a specific department. They may be reassigned within the
     department, based on their level of competency, patient care experience and the healthcare needs of the
     patients. Temporary healthcare personnel whose performance exposes a patient or other person
     unnecessarily to a risk of harm, engages in unprofessional conduct, or whose practice fails to conform
     to the minimum standards of acceptable practice for their area/profession, may be designated as a ―Do
     Not Return to any Harris County facility‖.

7.   The Contractor will report to Harris County any assigned temporary undergoing investigation by his or
     her appropriate regulatory board or who is participating in any substance abuse rehab program. Such
     notification will be made verbally to the designated contact person of the using facility within 24 hours
     of the Contractor’s becoming aware of such status, followed in writing to Corporate Compliance.

8.   The Contractor will provide its temporary with appropriate forms for documenting labor time. These
     time/charge tickets must meet Harris County minimum standards with respect to information to be
     entered, including:
     a.      Name of temporary employee
     b.      Employee's classification; social security and license numbers
     c.      Name and responsibility number of the employee's unit of assignment
     d.      A brief description of services rendered
     e.      Date, time and number of hours worked
     f.      The signature of the temporary employee
     g.      The signature of the designated department representative

     The time/charge tickets must have no fewer than two parts and the original will be left with the unit
     supervisor or designee before the temporary leaves the facility.

     Only charge documents from the proper agency can be accepted. The temporary is expected to provide
     the charge slip.

9.   At all times, temporary personnel shall be subject to, and the contractor shall provide for, the
     satisfaction of the following minimum requirements:
             a. No temporary may be under the influence of, show evidence of having recently consumed,
                 or be in possession of alcohol, Cannabis in any form, or any other "Controlled Substance"
                 as defined by applicable Texas Controlled Substance Act as amended, including legally
                 prescribed medications, while on Harris County grounds.
             b. No temporary may be under the influence of, show evidence of having recently consumed,
                 or, with the exception of authorized Harris County patient medications handled in the
                 course of his or her directed responsibilities, be in possession of any sedative, hypnotic,
                 tranquilizer or antidepressant, as identified by the United States Pharmacopoeia or the
                 current Physician's Desk Reference Manual, including legally prescribed medications, while
                 on Harris County grounds




                                                                                              Page 16 of 31
                                       SPECIFICATIONS CON’T

             c. No temporary may be under the influence of, show evidence of having recently consumed,
                or be in possession of any product required by law to carry a warning to the effect that
                consumption of the product may cause drowsiness, reduce alertness, or reduce motor
                control.

10.   The Contractor agrees not to assign or refer any temporary for duties at Harris County facilities if:
            a. He or she is under indictment for any crime of violence or violation of the Texas or U.S.
                Controlled Substances Acts,
            b. He or she is subject to other judicial action and has posted bail or bond while awaiting trial
                for any crime of violence or violation of the Texas or U.S. Controlled Substances Acts
            c. He or she is on deferred adjudication or parole for any crime of violence or violation of the
                Texas or U.S. Controlled Substances Acts,
            d. He or she is under suspension by the contractor, whether that suspension has been placed in
                effect for a confirmed impropriety or for investigative purposes, or
            e. He or she is suffering any degree of physical or mental incapacitation.
            f. He or she has restrictions on his or her license through the regulating board.

11.   Contractor agrees to refer to Harris County only employees who have worked for contractor previously
      or those whose character and work is known by them to be of the quality expected by Harris County.

12.   Proposal only personnel qualified to meet the specified request and who have been screened,
      interviewed, background checked, both personal and skills. A packet consisting of copies of resumes,
      vendor employment applications, signed consent form for drug and alcohol testing, and a criminal
      conviction background check, along with the actual skills test results pertinent to performing tasks for
      which they may be assigned must be submitted to the department prior to the temporary reporting for
      work. Any unusual information revealed in background checks must be made known to the using
      department prior to an individual being assigned under this contract.

13.   Provide all personnel information on any given employee to the County upon request.

14.   Provide only employees who have been previously confirmed with using department’s personnel
      section and approved for assignment.

15.   Contractors are responsible for all employees sent to work under this contract as to their actions, errors,
      performance, attendance, etc. The County will not be liable for errors/omissions by temporary
      personnel, which may result in suits or litigation.

16.   Contractor shall agree that work time is figured to the nearest completed one-tenth (1/10) hour of
      any given hour. No employee will be permitted to work additional hours to make-up time lost during
      a given day or week without the approval of the using departments personnel section and no make-up
      time will be approved which would constitute more than forty (40) hours in a given week. Harris
      County will not be responsible for payment for holidays, vacation, sick time or any other hours not
      actually worked by the temporary.




                                                                                                Page 17 of 31
                                          SPECIFICATIONS CON’T

17.      Each proposer must have a sufficient number of qualified employees on file, when the proposal is
         returned, to meet all contract personnel demands. Contractor MAY NOT subcontract employees from
         another firm without prior written approval from Harris County. Failure to meet the total contract
         requirements will violate this contract and make it subject to cancellation without notice.

All temporary staff shall be subject to the continuing acceptance of Harris County, which reserves the right,
and the contractor may anticipate its exercise thereof, to rejection of the contractor’s assigned personnel or
other persons when in the opinion of Harris County, the retention of that individual is not in the best interest of
Harris County, its employees, medical staff, patients and/or visitors. Such rejection may be exercised with or
without cause and without effect on the contract. The contractor is responsible for notifying the assigned
personnel of the rejections after notification by Harris County representative.

Temporary Personnel Qualifications
Social Workers will perform psychosocial assessment and intervention, including crisis intervention and
supportive counseling; transitional care planning; collaboration and effective communication skills,
utilization of community resources including regulatory agencies.

Social Worker Case Manager’s duties will include but not be limited to:
    Assess psychological, social, functional and financial impact of illness and hospitalization on the
       patient/family. Formulate a transitional care plan with the patient/family.
    Provide psychosocial/supportive counseling and crisis intervention to patients/families during the
       hospital stay to assist in adjustment to the illness and its impact. Shows ability to relate social and
       psychological theory to practice situations and utilize appropriate brief intervention/counseling
       techniques to implement interventions.
    Participate in interdisciplinary care planning, clinical conferences/meetings and medical rounds as
       assigned.
    Provide for the resolution/facilitation of moderate to complex patient placement issues.
    Promote close alignment with the medical staff and nursing staff to facilitate appropriate patient care
       delivery, including alternative level of care opportunities.
    Include patient and family in care facilitation and education activities. Identify opportunities for
       process improvement in patient care delivery.
    Maintain accurate, up-to-date documentation in the medical record, departmental records and
       electronic record.
    Demonstrate competencies in community resource utilization i.e. hospice, rehab, nursing home, the
       Texas Department of Regulatory and Protective Services (APS & CPS), Harris County guardianship
       process, etc.
    Act as an advocate for the patient and family.
    Exhibit excellent communication skills with both team members of patients and their families.
    Adhere to departmental practice guidelines.

      Educational/licensure requirements
      Licensed Master Social Worker (LMSW) or Licensed Clinical Social Worker (LCSW)




                                                                                                   Page 18 of 31
                                          SPECIFICATIONS CON’T

      Minimum Licensure Requirement
      Licensed Master Social Worker (LMSW)

      Minimum experience requirements
      Two (2) years of Hospital/Medical Social Work

1.       All temporary staff shall meet, on a continuing basis, all regulatory requirements appropriate to their
         duties.

2.       All temporary staff shall meet, on a continuing basis, all training requirements appropriate to their
         duties. The Contractor shall submit annual verification of: orientation provided to staff, peer review
         mechanism, performance improvement (QA, CQI) programs, annual credentialing for staff (utilizing
         validation forms submitted annually by Harris County representatives). Verification must be submitted
         immediately upon request by Harris County facilities.

3.       All temporary staff and Agency representatives shall maintain a professional appearance and demeanor,
         and a courteous attitude at all times.

4.       All temporary staff must disclose their entire name including aliases, assumed names, nicknames,
         previous names or name usage if there is a difference.

5.       All temporary staff shall report promptly to assigned work areas.

6.       All temporary staff must show proof of their respective professional license or certification. Contractor
         shall check and clear all temporary personnel prior to providing service to Harris County facilities.

7.       At the request of Harris County, contractor shall provide references, resumes, and/or test scores.
              Harris County reserves the right to conduct interviews with selected individuals after review of
                 such information
              Harris County reserves the right to reject any or all individuals selected by the contractor.

8.       Harris County reserves the right, at its discretion, to test each temporary on a series of skills when they
         report for work. Any temporary failing to meet job criteria may be rejected and replaced by the
         contractor, at department’s discretion. Regular occurrences of noncompliance may result in
         cancellation and will be a consideration in future awards.

9.       Contractor shall inform the using department as to whether or not a temporary has previously worked
         for Harris County, either as an agency temporary or as a regular employee, when the employee's name
         is confirmed for assignment.

10.      Contractor shall inform the temporary, in advance, that the temporary may be required to complete a
         bond form, or have a photograph made, upon arrival. Should the employee fail to comply, the
         contractor will be notified and the employee shall be immediately replaced. Temporaries are not


                                                                                                   Page 19 of 31
                                         SPECIFICATIONS CON’T

       eligible for any salaries or benefits of any kind from Harris County unless otherwise specified.
       Temporaries furnished by the contractor are not entitled to participate in any plans or benefits available
       to Harris County employees.

11.    Contractor shall inform the temporary, in advance, of the fluctuating nature of daily Harris County
       work, which may require a temporary to perform duties other than those originally assigned. Harris
       County reserves the right to reassign any temporary, at any time, in order to meet workload needs of a
       given area on a given day.

12.    Harris County reserves the right to transfer any temporary to its payroll and it is understood that
       contractor will, upon demand, release said temporary without fee to Harris County or employee
       regardless of the amount of time said temporary was assigned to Harris County.

13.    It is understood that any information released to the contractor by Harris County regarding the
       performance of the temporaries is given under absolute confidence and any release of that information
       to      anyone, in any manner, without prior written approval by Harris County, on an individual basis,
       is expressly prohibited by virtue of this contract.

Orientation/Training
The Contractor must pay all required orientation costs. Temporary staff that is new to Harris County must have
at least eight (8) hours of on-site orientation at the Contractor’s expense.

Scheduling

1.     The Contractor must provide twenty-four (24) hour staffing services.

2.     The Contractor will respond to all staffing requests within thirty (30) minutes.

3.     Requests are considered ―late call‖ if the Contractor receives a fax and accepts a work assignment from
       an authorized Harris County representative one (1) hour prior to beginning of a shift or one (1) hour
       after the start of the shift. The Contract employee must then arrive at the assigned department within
       one (1) hour and thirty (30) minutes after acceptance of the work assignment by Contractor
       representative. Late call rate will consist of one additional hour at standard rate of pay plus actual hours
       worked. If the employee is unable to complete the shift, employee will be paid for actual worked hours
       only.

4.     Once the Contractor confirms acceptance of a work assignment, Harris County may cancel the
       assignment at any time.

       If Harris County cancels less than one (1) hour and thirty (30) minutes prior to the start of the shift and
       the employee arrives on time at the assigned department, the department may pay two (2) hours travel
       time.

5.     Temporaries should not be scheduled more than 40 hours per week. (HARRIS COUNTY WILL
       NOT PAY OVERTIME DIFFERENTIAL)



                                                                                                  Page 20 of 31
                                  SPECIFICATIONS CON’T

6.   Holiday pay rates may be available but will be for the Harris County Hospital District approved
     holidays only.

     Harris County Hospital District
     New Years Day
     MLK Day
     Memorial Day
     Independence Day
     Labor Day
     Thanksgiving Day
     Christmas Day




                                                                                     Page 21 of 31
                                 PRICING/DELIVERY INFORMATION

The Bill Rate is the rate charged to Harris County for the services of the temporary employee.

                                                                     % Markup        Bill Rate

Item 1         Licensed Master Social Worker
               Hourly compensation

               $26.50                                                       %        $__________



RENEWAL
Vendor agrees to continue this contract for the time frame stated below under the same terms and conditions
and pricing as the original contract. If bidder does not wish to renew, write ―N/A‖ in the space provided.

Renewal Year 1 (2008-2009): ____________

Renewal Year 1 (2009-2010): ____________


CASH DISCOUNT
Please insert in the blank space below your company’s cash discount policy for payment of invoices.
(Example – 2% 15-days, 1% 30-days, Net 30-days) ____________ %. The County would prefer to pay on
the 15th and 30th of the month.




                                                                                                 Page 22 of 31
                                                                                                            Attachment a
                                                                                                          Job No. 07/0148

                                   RESIDENCE CERTIFICATION/TAX FORM
Pursuant to Texas Government Code §2252.001 et seq., as amended, Harris County requests Residence Certification.
§2252.001 et seq. of the Government Code provides some restrictions on the awarding of governmental contracts; pertinent
provisions of §2252.001 are stated below:

        (3)      ―Nonresident bidder‖ refers to a person who is not a resident.

                         B. ―Resident bidder‖ refers to a person whose principal place of business is in this state,
                            including a contractor whose ultimate parent company or majority owner has its
                            principal place of business in this state.

        I certify that                             is a Resident Bidder of Texas as defined in
                   [Company Name]
        Government Code §2252.001.

        I certify that                        is a Nonresident Bidder as defined in
                   [Company Name]
        Government Code §2252.001 and our principal place of business is                           .
                                                                         [City and State]

Taxpayer Identification Number (T. I. N.):

Company Name submitting Bid/Proposal:

Mailing Address:

If you are an individual, list the names and addresses of any partnership of which you are a general partner:




PROPERTY: List all taxable property owned by you or above partnerships in Harris County.

Harris County Tax Acct. No.* Property address or location**




                       C. This is the property account identification number assigned by the Harris County Appraisal
                           District.
** For real property, specify the property address or legal description. For business personal property, specify the
   address where the property is located. For example, office equipment will normally be at your office, but inventory
   may be stored at a warehouse or other location.

Revised 11/06




                                                                                                           Page 23 of 31
                                                                                                          Attachment e.


                                Minimum Insurance Requirements

•        The contractor shall, at all times during the term of this contract, maintain insurance coverage with not less
         than the type and requirements shown below. Such insurance is to be provided at the sole cost of the
         contractor. These requirements do not establish limits of the contractor’s liability.

•        All policies of insurance shall waive all rights of subrogation against the County, its officers, employees
         and agents.

•        Upon request, certified copies of original insurance policies shall be furnished to Harris County.

•        The County reserves the right to require additional insurance should it be deemed necessary.


                        D. Workers’ Compensation (with Waiver of subrogation to Harris County) Employer’s
                           Liability, including all states, U.S. Longshoremen, Harbor Workers and other
                           endorsements, if applicable to the Project.

         Statutory, and Bodily Injury by Accident: $100,000 each employee. Bodily Injury by Disease: $500,000
         policy limit $100,000 each employee.


                        E. Commercial General Liability Occurrence Form including, but not limited to, Premises
                           and Operations, Products Liability Broad Form Property Damage, Contractual Liability,
                           Personal and Advertising Injury Liability and where the exposure exists, coverage for
                           watercraft, blasting collapse, and explosions, blowout, cratering and underground
                           damage.

         $300,000 each occurrence Limit Bodily Injury and Property Damage Combined $300,000 Products-
         Completed Operations Aggregate Limit $500,000 Per Job Aggregate $300,000 Personal and Advertising
         Injury Limit. Harris County shall be named as ―additional insured‖ on commercial general liability policy.


C.       Automobile Liability Coverage:

         $300,000 Combined Liability Limits. Bodily Injury and Property Damage Combined. Harris County shall
         be named as ―additional insured‖ on automobile policy.

Revised 12/00




                                                                                                       Page 24 of 31
                                            Attachment h
                              REFERENCES


Reference #1

Organization Name:
Contact Name/Telephone No.:
Address:

Services provided:




Reference #2

Organization Name:
Contact Name/Telephone No.:
Address:

Services provided:




Reference #3

Organization Name:
Contact Name/Telephone No.:
Address:

Services provided:




                                           Page 25 of 31
                              REFERENCES (Continued)

                                    Reference #4

Organization Name:
Contact Name/Telephone No.:
Address:

Services provided:




Reference #5

Organization Name:
Contact Name/Telephone No.:
Address:

Services provided:




Reference #6

Organization Name:
Contact Name/Telephone No.:
Address:

Services provided:




                                                       Page 26 of 31
                                                                                                 Attachment i


CONTRACTOR’S RESPONSIBILITIES REGARDING USE AND DISCLOSURE OF PROTECTED HEALTH
      INFORMATION (―PHI‖) AND ELECTRONIC PROTECTED HEALTH INFORMATION (―EPHI‖)

    A.   General: Contractor agrees to

         1.     hold all Protected Health Information (―PHI‖) confidential except to the extent that
                disclosure is required by Federal or State law, including the Texas Public Information Act,
                Chapter 552, Texas Government Code. Tex. Gov’t Code Ann. §§ 552.001 et seq., as
                amended. PHI is defined in 45 CFR § 164.501 and is limited to information created or
                received by Contractor from or on behalf of District. Electronic protected health information
                (EPHI) is defined in 45 CFR § 160.103 and means individually identifiable health
                information that is transmitted by or maintained in electronic media.

         2.     be bound by all applicable Federal and State of Texas licensing authorities’ laws, rules, and
                regulations regarding records and governmental records, including the Health Insurance
                Portability and Accountability Act of 1996, PL 104-191, the HIPAA regulations (codified at
                45 CFR Parts 160 and 164) referred to herein as ―Privacy and Security Requirements‖.


         3.     cooperate with the Texas Medicaid Fraud Control Unit and to make appropriate personnel
                available for interviews, consultation, grand jury proceedings, pre-trial conference, hearings,
                trial, and in any other process, including investigations that are required as a result of
                Contractor’s Services to District. Compliance with this paragraph is at Contractor’s own
                expense.

         4.     terms used in this agreement shall have the same meaning as those terms in the Privacy and
                Security Requirements.


    B.   Representations: Contractor represents that he/she is familiar with Privacy and Security
         Requirements, State HIV/AIDS and mental health information, and State and Federal drug/alcohol-
         related health information.

    C.   Contractor: Contractor is a ―Business Associate‖ of District as that term is defined under the
         Privacy Requirements. Contractor agrees:


         1.     Nondisclosure of PHI: Not to use or disclose the PHI received from District or on behalf of
                District other than as permitted or required by this Agreement, or as otherwise required by
                law;




                                                                                                   Page 27 of 31
2.    Limitation on Further Use or Disclosure: Not to further use or disclose the PHI received
      from or on behalf of District in a manner that would be prohibited by the Privacy and
      Security Requirements of HIPAA if disclosure was made by District, or if either Contractor
      or District is otherwise prohibited from making such disclosure by any present or future
      State or federal law, regulation, or rule;

3.    Safeguards: To use appropriate safeguards to prevent use or disclosure of the PHI other than
      as provided for by this Agreement or as required by State or federal law, regulation, or rule;

4.    EPHI Safeguards. To implement and use reasonable administrative, physical, and technical
      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;

5.    Reporting Unauthorized Disclosures: To report to District any use or disclosure of PHI that
      is not authorized by this Agreement immediately upon becoming aware of such unauthorized
      use or disclosure;

6.    EPHI and Subcontractors: To ensure that any agent to whom it provides EPHI, including a
      subcontractor, agrees to implement reasonable and appropriate safeguards to protect such
      EPHI;

7.    Reporting: To report to Covered Entity any security incident within 5 business days of
      becoming aware of such incident. For the purposes of this paragraph, ―security incident‖
      shall mean the attempted or successful unauthorized access, use, disclosure, modification, or
      destruction of information or interference with systems operations in an information system;

8.    Subcontractors and Agents: To make all reasonable efforts to ensure than any subcontractor
      or agent to whom Contractor provides PHI received from District agrees to the same
      restrictions and conditions that apply to Contractor with respect to such PHI;

9.    Mitigation: To inform the District in advance and mitigate, to the extent practicable, any
      harmful effect that is known to Contractor of a use or disclosure of PHI by Contractor or by
      a subcontractor or agent of Contractor resulting from a violation of this Agreement;

10.   Notice – Access by Individual: To notify District in writing within three business days of
      any request by the individual for access to the individual’s PHI and upon receipt of such
      request from the individual, direct the individual to contact the District to obtain access to
      the individual’s PHI. Upon request by District, Contractor agrees to make available PHI, to
      the District or, as directed by District, to an individual in accordance with 45 CFR §
      164.524;

11.   Notice – Request for Amendment: To notify District in writing within three business days
      of any request by the individual for amendment to the individual’s PHI and upon receipt of
      such request from the individual, direct the individual to District to request amendment of
      the individual’s PHI. Contractor agrees to make available upon request PHI for amendment
      and incorporate any amendments to PHI agreed to or directed by District in accordance with
      45 CFR § 164.526;

12.   Notice – Request for Accounting: To notify District in writing within three business days of
      any request by the individual for an accounting of disclosures made of the individual’s PHI
                                                                                    Page 28 of 31
            and upon receipt of such request from the individual, direct the individual to District for an
            accounting of the disclosures of the individual’s PHI. Contractor agrees to make available
            upon request the information required to provide an accounting of disclosures in accordance
            with 45 CFR § 164.528;

     13.    HHS Inspection: Upon written request, to make available to the Secretary of Health and
            Human Services (―HHS‖) or his designee, Contractor’s internal practices, books, and records
            relating to the use and disclosure of PHI received from, or created or received on behalf of,
            District in a time or manner designated by the Secretary for purposes of the Secretary
            determining District’s compliance with the HIPAA Privacy and Security Requirements;

     14.    District Inspection: Upon written request, to make available to District during normal
            business hours Contractor’s internal practices, books, and records relating to the use and
            disclosure of PHI received from, or created or received on behalf of, District in a time and
            manner designated by District for the purposes of the District determining compliance with
            the HIPAA Privacy and Security Requirements;


     15.    Notice-Termination: Upon written notice to Contractor, District may terminate any portion
            of the Agreement under which Contractor maintains, compiles, or has access to PHI.
            Additionally, upon written notice to Contractor, District may terminate the entire Agreement
            if District determines, at its sole discretion, that Contractor has violated a material term of
            this contract; and

     16.    Termination Procedures: Upon termination of this Agreement for any reason, to return all
            PHI received from District, or created or received by Contractor on behalf of District, to
            District or, if specially requested to do so by District in writing, destroy all PHI received
            from District. This provision applies when Contractor maintains PHI from District in any
            form. If Contractor determines that returning or destroying the PHI received from District,
            or created or received on behalf of District is infeasible, Contractor shall (i) provide to
            District notification of the conditions that make return or destruction infeasible; (ii) extend
            the protections of this Agreement to such PHI; and (iii) limit any further uses and disclosures
            of such PHI to those purposes that make the return or destruction infeasible.

     17.    Uses and Disclosures by Contractor: Except as otherwise limited in this agreement,
            Contractor may use District PHI for the proper management and administration of
            Contractor or to carry out legal responsibilities of the Contractor.

     18.    Uses and Disclosures by Contractor: Except as otherwise limited in this agreement and only
            if requested by the District, Contractor may use District PHI to provide data aggregation
            services relating to the health care operations of the District.

D.   Survival of Privacy Provisions: Contractor’s obligations with regard to District PHI shall survive
     the termination of this Agreement.



E.   Amendment Related to Privacy and Security Requirements: The Parties agree to take such action as
     is necessary to amend this Agreement if District, in its reasonable discretion, determines that
     amendment is necessary to comply with the Privacy and Security Requirements of HIPAA and Tex.
     Health & Safety Code Ann. §§ 181.001 et seq., as amended, and any other law or regulation

                                                                                           Page 29 of 31
       affecting the use or disclosure of PHI. Any ambiguity in this Agreement shall be resolved to permit
       District to comply with the Privacy and Security Requirements of HIPAA and Tex. Health & Safety
       Code Ann. §§ 181.001 et seq., as amended.

F.     Indemnification: Contractor agrees to indemnify and hold harmless District and its directors,
       officers, employees, and agents (individually and collectively ―District Indemnitees‖) against any
       and all losses, liabilities, judgments, penalties, awards and costs (including costs of investigation
       and legal fees and expenses) arising out of or related to (a) a breach of this Agreement relating to the
       Privacy and Security Requirements by Contractor, or (b) any negligent or wrongful acts or
       omissions of Contractor or its employees, directors, officers, subcontractors, or agents, relating to
       the Privacy and Security Requirements including failure to perform their obligation under the
       Privacy and Security Requirements.

G.     Assignment: Contractor may not assign its rights and obligations under this Agreement without the
       prior written consent of District; District may assign its rights and obligations under this Agreement
       upon providing prior written notice of assignment to Contractor.

H.     Electronic Mail Addresses: Contractor affirmatively consents to the disclosure of its e-mail
       addresses that are provided to District including any agency or department of District. This consent
       is intended to comply with the requirements of the Texas Public Information Act, Tex. Gov’t Code
       Ann. § 552.137, et seq., as amended, and shall survive termination of this Agreement. This consent
       shall apply to e-mail addresses provided by Contractor and agents acting on Contractor’s behalf and
       shall apply to any e-mail address provided in any form for any reason whether related to this
       Agreement or otherwise.

GOVERNING LAW

This Agreement shall be interpreted under the laws of the State of Texas and applicable federal law.
Exclusive venue for any cause of action arising out of or in relation to this Agreement shall be in Harris
County, Texas.




                                                                                               Page 30 of 31
                                                                                Attachment j



                           QUESTIONNAIRE



1.   Describe your organization (form of business, size, years of experience, types of
     services provided).

2.   Describe clientele you have served in the last five (5) years.

3.   Describe the experience and educational background of your administrative staff.

4.   Include a list of your Board of Directors.

5.   List minimum qualifications of those persons who provide direct services to clients.

6.   List other organizations for whom you have provided similar services.

7.   Please indicate whether or not you have a culturally diverse staff, if your staff has
     had training on cultural diversity within the past year and if you have bilingual
     professional staff to serve Spanish speakers referred for services.

8.   Define the operation of your business.

9.   Attach current copies of relevant license(s) of staff who will provide direct services
     to clients.




                                                                                  Page 31 of 31

				
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