Case Record Storage and Retrieval Services RFP (Part I)

APPENDIX A: SAMPLE CONTRACT
ATTACHMENT C: PRICING SHEET
(RFP Appendix D, Required Form D-11)
ATTACHMENT D: JURY SERVICE ORDINANCE
(RFP, Appendix G)
ATTACHMENT E: LISTING OF CONTRACTORS DEBARRED
IN LOS ANGELES COUNTY
(RFP, Appendix H)
ATTACHMENT F: IRS NOTICE 1015
(RFP, Appendix I)
ATTACHMENT G: SAFELY SURRENDERED BABY LAW
(RFP, Appendix J)
ATTACHMENT H: DETERMINATION OF CONTRACTOR NON-RESPONSIBILITY
AND CONTRACTOR DEBARMENT
(RFP, Appendix K)
ATTACHMENT I:
BACKGROUND AND RESOURCES: CALIFORNIA CHARITIES
REGULATION
(RFP, Appendix L)
ATTACHMENT J: DEFAULTED PROPERTY TAX REDUCTION PROGRAM
(RFP, Appendix M)
ATTACHMENT K: CONTRACTOR’S OBLIGATIONS
AS A “BUSINESS ASSOCIATE” UNDER THE HEALTH
INSURANCE PORTABILITY AND ACCOUNTABILITY ACT OF
1996 (HIPAA) AND THE HEALTH INFORMATION TECHNOLOGY
FOR ECONOMIC AND CLINICAL HEALTH ACT (HITECH)
(RFP Appendix N)
ATTACHMENT L
CERTIFICATION OF NO CONFLICT OF INTEREST
(RFP Appendix D, Required Form D-5 )
ATTACHMENT M FAMILIARITY WITH THE COUNTY LOBBYIST ORDINANCE
CERTIFICATION
(RFP Appendix D, Required Form D-6)
ATTACHMENT N
REQUEST FOR LOCAL SBE PREFERENCE PROGRAM
CONSIDERATION AND CBE FIRM/ORGANIZATION
INFORMATION FORM
(RFP Appendix D, Required Form D-7)
ATTACHMENT O PROPOSER’S EEO CERTIFICATION
(RFP Appendix D, Required Form D-8)
ATTACHMENT P
ATTESTATION OF WILLINGNESS TO CONSIDER GAIN/GROW
CASE RECORD STORAGE AND RETRIEVAL SERVICES (RFP) 2012 Page 56