C-IV M&O Procurement Planning Project
California Healthcare Eligibility, Enrollment, and Retention System (CalHEERS) Development and Operations Services
| |
|Notice of Intent to Respond |
|Purpose |The purpose of this Notice of Intent to Respond is to: |
| |Determine if your firm intends to submit a proposal as a Prime Vendor or your firm’s reason for not submitting a |
| |proposal. |
| |Assist the Exchange in determining the potential number of Prime Vendor bids and its staffing needs to support the |
| |Proposal evaluation process. |
| |Identify Vendors that may be invited to attend the Confidential/Concept Presentations. |
|Preliminary Information |Vendors are encouraged to review the Draft Solicitation posted on the California Health Benefit Exchange website |
| |(hbex.) to determine their intent to respond to the Solicitation once it is officially released. |
|Action to Take |This action is to be taken by Prime Vendors only. Indicate your intention by completing the attached document and |
| |return the document to the Exchange Contact via one of the following methods: |
|Mailing Address |
|Email |
|Fax |
| |
|California Health Benefit Exchange |
|Attention: Solicitation Officer |
|CalHEERS Project Development and Operations Services Solicitation |
|2535 Natomas Park Drive, Suite 120 |
|Sacramento, CA 95833 |
|hbexsolicitation@hbex. |
|(916) 263-5634 |
| |
| | |
|Due Date |Notices of Intent to Respond are due December 30, 2011. |
| |Response is neither binding nor mandatory; however, it provides valuable information to the Exchange and helps to keep |
| |potential bidders informed. |
|1 |[pic] |My firm intends to submit a proposal. |
| | |A |Check box number 1 if the above statement reflects your intention. |
| | |B |Complete the bottom portion of this form and return it to the California Health Benefit Exchange as instructed on the above |
| | | |cover page. |
| |The Single Point of Contact for our firm is : |
| | |
| |Name |
| |Mailing Address |
| |E-Mail |
| |Telephone |
| |Fax |
| | |
| | |
| | |
| | |
| | |
| | |
| | |
|2 |[pic] |My firm does not intend to submit a proposal for this project. |
| | |A |Check box Number 2 if this statement reflects your intention. |
| | |B |Indicate the reason(s) for not submitting a proposal by checking each of the following statements that apply: |
| | |[pic] |My firm lacks sufficient staff expertise or personnel resources to meet all Solicitation requirements. |
| | |[pic] |My firm lacks sufficient experience (i.e., not enough or wrong type). |
| | |[pic] |My firm believes that qualification requirements are too restrictive. |
| | |[pic] |Insufficient time was allowed for proposal preparation. |
| | |[pic] |Too much paperwork is required to prepare a proposal response. |
| | |[pic] |Other commitments and projects have a greater priority. |
| | |[pic] |My firm did not learn about the contract opportunity soon enough. |
| | |[pic] |My firm does not provide the full range of services that the Exchange is seeking. |
| | |[pic] |My firm is only interested in becoming a subcontractor, consultant, or supplier. |
| | |[pic] |Other reasons (please explain): |
| | | | |
| | | | |
| | |C |Complete the second page of this form and return both pages to the California Health Benefit Exchange as instructed on the |
| | | |above cover page. |
| | | | |
| | |
|Name of Firm | |
| | |
|Printed Name/Title | |
| | |
|Date | |
|Signature | |
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