Issue Date: March 19, 2014 COUNTY OF MERCED REQUEST FOR QUALIFICATIONS NUMBER 7042 LOCUM TENENS SERVICES Mark A. Cowart Administrative Services, Chief Information Officer 2222 M Street Merced, CA 95340 (209) 385-7331 (209) 725-3535 Fax www.co.merced.ca.us Equal Opportunity Employer Please carefully read and follow the instructions. Please direct all questions to: County of Merced Department of Administrative Services-Purchasing Division 2222 "M" Street, Room 1 Merced, California 95340 Attn. Kim Nausin Phone: 209-385-7513 Fax: 209-725-3535 E-Mail: knausin@co.merced.ca.us PLEASE RESPOND BY: 4:00 P.M., ON Thursday, April 10, 2014 STRIVING FOR EXCELLENCE 1
TABLE OF CONTENTS Cover Page...1 Table of Contents...2 SECTIONS: 1 Intent... 3 2 Requested info...5 ATTACHMENTS: A Signature Page..7 EXHIBITS: Ex 1 Insurance..8 2
SECTION 1 INTENT OF THE REQUEST FOR QUALIFICATIONS 1.1. INTRODUCTION It is the intent of the County of Merced (hereafter County ) to solicit and contract with a supplier to provide locum tenens services to the Department of Mental Health. The County s goal is to gather levels of interest and qualification. Information realized as a result of this RFQ will be used to either develop service contract(s) or to determine the feasibility of creating a Request for Proposal (RFP) for such services and may be used to construct a list of prospective vendors. There is no commitment, implied or otherwise, by the County to continue with the procurement process. 1.2. SCHEDULED ACTIVITIES To the extent achievable, the following schedule shall govern the RFQ. The County reserves the right to modify the dates below. Activity Estimated Schedule Date 1.2.1. Availability of the Request for Qualification 03/19/2014 1.2.2. Deadline for Submission of Interpretation and/or 04/02/2014 Questions 1.2.3. Closing Date for the Request for Qualification 04/10/2014 3
SECTION 2 PROGRAM REQUIREMENTS 2.1. REQUIREMENTS The County is looking to secure provider(s) of locum tenens services to supply licensed and qualified temporary psychiatrists to the Department of Mental Health. Services of the temporary psychiatrists will be rendered at County of Merced, Mental Health outpatient facilities, located in Merced, Livingston and Los Banos, California and the Marie Green Psychiatric Center, inpatient Psychiatric Health Facility, located in Merced, California. The locum tenens provider must be able to meet the needs of the County which include, but are not limited to, the following: A. Use its best effort to source, screen and present licensed qualified psychiatrist(s) in the State of California to provide psychiatric inpatient and outpatient services, for adults and children, on a temporary basis to meet the needs of the County. B. Provide candidates who are properly certified to provide Medi-Cal billable services in the State of California. C. Provide candidates who meet the criminal background clearance requirements of the County, pursuant to State of California, Welfare and Institutions Code, Section 5405. D. Provide up-to-date evidence of candidate licensure. E. Reimburse candidate s fees directly to candidate. F. Allow County to retain any patient revenue generated by candidate s services (i.e. Medi-Cal revenue). G. Provide a comprehensive cost sheet with all-inclusive rates for all services to be provided, including any special fees, such as recruitment/reassignment fees. H. Provide evidence of insurance coverage that meets the County requirements for locum tenens provider and temporary psychiatrist (Exhibit 1). 2.2 FINGERPRINTING AND CRIMINAL CLEARANCE Pursuant to State of California, Welfare and Institutions Code, Section 5405, County of Merced must ensure that any contractor for services provided directly to patients at the Marie Green Psychiatric Center, inpatient Psychiatric Health Facility, and at the outpatient clinics, is cleared through a fingerprinting and criminal clearance background check through the Department of Justice and, as applicable, also through the Department of Health Care Services. County of Merced will conduct the background checks as necessary for the proposed locum tenens candidate. County of Merced will only accept candidates cleared in advance through this process. 4
SECTION 3 REQUESTED INFORMATION 3.1. RESPONSE Responses to the RFQ must include, but are not limited to: A. Provide a description of the organization and a summary of its skills/strengths. B. Provide a summary of the vendor s approach in providing locum tenens services, including a history of competency in providing placements. C. Provide names, titles, addresses and telephone numbers of three references for the vendor s suitability, experience, satisfactory performance, and timely responses with a similar program. D. Any exceptions to the RFQ requirements including insurance and criminal clearance. 3.2. EVALUATION CRITERIA The following criteria will be used by the County of Merced in evaluating submissions: A. Experience and competence of the identified key areas of work identified in the Requirements. B. Comprehensive rates for locum tenens services. C. Evidence of insurance. D. Reference recommendations. 5
SECTION 4 INFORMATION TO BIDDERS 4.1. REQUEST FOR INFORMATION CLOSING DATE County would like to receive the responses in the Merced County Department of Administrative Services-Purchasing Division on or before 4:00 p.m. on April 10, 2014. Please provide responses in an e-mail, sealed envelope, box or appropriate package with the RFQ number marked on the outside (or in the subject line of the e-mail) and deliver to: Merced County Department of Administrative Services-Purchasing Division: 2222 "M" Street Merced, California95340 Attention: Kim Nausin Phone: 209-385-7513 Fax: 209 725-3535 E-mail: knausin@co.merced.ca.us 4.2. INTERPRETATION, CORRECTIONS AND ADDENDA Please carefully examine the specifications, terms and conditions provided in the Request for Qualifications. If you find an ambiguity, conflict, discrepancy, omission or error or if you have any questions please notify the contact person as shown above in 3.1 REQUEST FOR QUALIFICATION CLOSING DATE by the date shown in Deadline for Submission of Interpretation and/or Questions in 1.2 SCHEDULE OF ACTIVITIES. Any change in the RFQ will be made only by written addendum, issued by the Department of Administrative Services-Purchasing Division and shall be incorporated in the RFQ. 4.3. GENERAL INFORMATION THE COUNTY SHALL NOT BE LIABLE FOR ANY COSTS INCURRED BY THE BIDDER IN CONNECTION WITH THE PREPARATION AND SUBMISSION OF THIS OR ANY OTHER RESPONSE TO AN RFQ. All responses and accompanying documentation submitted will become the property of the County and will not be returned. 4.4. RESPONSE CONTENT Please keep your response in the format outlined within this document. Use as much space as necessary to give as complete an answer as possible. If additional space is required, feel free to attach additional pages. Please feel free to include any relevant brochures, white papers, etc., a brief history of your company, a summary of relevant background information, a describing your company s experience of major accomplishments and/or activities similar to the information requested, etc. 6
ATTACHMENT A SIGNATURE PAGE (PLEASE COMPLETE AND PLACE IN FRONT OF RFQ) INDIVIDUAL/COMPANY: ADDRESS: (P.O. Box/Street) (City) (State) (Zip) CONTACT PERSON: TITLE: TELEPHONE NO.: FAX NO.: E-MAIL ADDRESS: WEB SITE URL: The undersigned hereby certifies that he/she is a duly authorized official of their organization and has the authority to sign on behalf of the organization and assures that all statements made in the response to the RFQ are true. Authorized Representative - Name Title Signature Date 7
EXHIBIT 1 INSURANCE (CONTRACTOR = Locum Tenens Company and PROVIDER = Locum Tenens Doctor assigned to COUNTY) A. Prior to commencement of work, CONTRACTOR shall purchase and maintain the following type of insurance for minimum limits indicated during the term of this Agreement and provide a Certificate of Insurance from CONTRACTOR s Insurance Carrier guaranteeing such coverage to the COUNTY for CONTRACTOR and for PROVIDER. Such Certificate shall be mailed directly to the COUNTY department as referenced under Section, NOTICES. For the purposes of this section, the parties agree that PROVIDERS are to be placed with COUNTY, but not considered direct employees, agents or assigns of either party. 1. Commercial General Liability: $1,000,000 per occurrence and $3,000,000 annual aggregate covering bodily injury, personal injury and property damage. The COUNTY and its officers, employees and agents shall be endorsed to above policies as an Additional Insured for liability arising from any negligent act, error, omission, or negligence of Contractor or its employees, or PROVIDER from the performance of this Agreement. 2. Automobile Liability: $1,000,000 per accident for bodily injury and property damage, or split limits of $500,000 per person/$1,000,000 per accident for bodily injury and $250,000 per accident for property damage. 3. Workers Compensation: Contractor and Provider shall provide WC coverage as required by law. 8
4. Medical Professional Liability: $1,000,000 minimum limit per occurrence and $5,000,000 minimum annual aggregate limit covering PROVIDER s wrongful acts. B. Insurance Conditions 1. Insurance is to be placed with admitted insurers rated by A.M. Best Co. as A:VII or higher. Lower rated, or approved but not admitted insurers, or insurance pooling agreements may be accepted if prior approval is given by the County s Risk Manager. 2. Each of the above required policies shall be endorsed to provide COUNTY with 30 days prior written notice of cancellation. COUNTY is not liable for the payment of premiums or assessments on the policy. No cancellation provisions in the insurance policy shall be construed in derogation of the continuing duty of CONTRACTOR to furnish insurance during the term of this Agreement. 9