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HomeMy WebLinkAbout21- Affidavit of Publication - RFP EMS Billing AFFIDAVIT OF PUBLICATION REQUEST FOR As such, each entity submit- STATE OF MONTANA cu PROPOSALS(RFP) l under this notice shall � EMS BILLING SERVICES elude a provision wherein the COUNTY OF GALLATIN FOR THE BOZEMAN submitting entity, or entities, FIRE DEPARTMENT affirms in writing it will not dis- criminate on the basis of race, 1, Ann Harms, Legal Specialist being first duly sworn, e- NOTICE IS HEREBY color, religion, creed, sex, L g p g y d giv- age, marital status, national en that the City of Bozeman origin, or because of actual or pose and say that I am the principal clerk of the publisher City) is seeking proposals perceived sexual orientation, m firms to provide ambu- gender identity or disability of the Bozeman Daily Chronicle, a newspaper in general lance and response billing, and which also recognizes the collection, financial reporting eventual contract will contain a circulation, Bozeman, Gallatin County, Montana; that I and analytical services. The service desired includes the Provision prohibiting di above know from m personal knowledge that the Legal# 105283 complete management of in d t t described above y p g g billing from receipt of patient disand that this prohibition to REQUEST FOR PROPOSALS (RFP) EMS BILL care/incident reports to ac- the hiringg and treatment oon shall f the count closure, meeting the submitting entity's employees a printed copy of which is hereto annexed,was published in minimum requirements stated and to all subcontracts. in this document. the entire issue of said newspaper for: 2 pies of the Request for Pro- In addition, pursuant to City Copies are available on the Commission Resolution 5169, p the entity awarded a contract City's website at under this RFP and any sub- https://weblink.bozeman. contractors must abide by Insertion(s) in the following issues: 11/21/21, 11/28/21 net/WebLink/Browse. the Equal Pay Act of 1963 aspx?id=256964&dbid=0&re- and Section 39-3-104, MCA po=BOZEMAN (the Montana Equal Pay Act), All proposals must be pro- and affirm it will abide by the above and that it has visited vided as a single, searchable the State of Montana Equal PDF document file and be Pay for Equal Work"best prac- submitted digitally as an email agent attachment to the RFP Re- tices" Tactwebic e, or equivalent Total Cost: $120.00 ci ient email address below. "best practices publication and p has read the material. Respondents are advised that Recipient's email attachment Any administrative questions size limit is 25MB and that only regarding proposal proce- one PDF file will be allowed dures should be directed to: per response. The subject Mike Maas, City Clerk (406) line of the transmittal email 582-2321, agenda@boze- shall clearly identify the RFP man net. title, company name and due date/time. File sizes greater Questions relating to the RFP than 25MB in size may be up- should be directed to: Josh loaded to bzncloud.bozeman. Waldo, Fire Chief, (406) 582- net upon special arrangement 2350,jwaldo@bozeman.net of the Recipient; however, it is the respondent's sole re- DATED at Bozeman, Subscribed and sworn by Ann Harms before me on: sponsibility to ensure the file Montana,this 16th On 29th da of November, in the ear of 2021 upload is completed, and that of November,2021 y )' the Recipient is separately no- tified via email of same, prior Mike Maas to the given deadline. City Clerk Deliver RFPs via email to the City of Bozeman City Clerk by Dec 3. 2021 at MNAxcP 17:00 MST. It is the sole re- sponsibility of the proposing party to ensure that proposals t, are received prior to the clos- ing time as late submittals will Notary Public for State of Montana Residing at not be accepted and will be Belgrade Montan returned unopened. � The email address for sub- mission is: aaenda@bozeman.net —W 'mW�.0 Cm-cY o 0 My °L 2z-w 0E Cc of E fISCRIMINATION AND JCL Z � Na(� $-vi10ica0O)Z5 oc o CU ac_0CD � oL� PAY W o o o a o w c Y o � 1i a) `c c d o 0 0 C.Cc W W 2 w m o--o a) Ei o� aa) c co 0) � �Ca � �af6i o uc°,� n ty of Bozeman is an O U) OC o o)o o f6 u�.E m a o :� a) -0 m u) m as a)-o as c NJ 0 m Q a. = o a M 0 c .ai E `a o 3 ces c a fQ_as opportunity Employer. Q s -o oa c dE«.0o`t E aa''mm Mer- LU OJ=tu U)CD— _•`2-F, `:3 0 E a)Ca a) CDQ 6 0 E °'� `� °E'N.�eatofnany agreement WOJHW W"toEMcm-oaDoa—°0Eo oo� m�NN oowo�cEivW>ud under thisgRFQ on cm o c 0 W— c> >a 0 3 3 a,a o ca a E c m -Gis of race, color, reli- N O� `ac^� o `-' 0�c.E `) a)a h v; x m o a c c a.a areed, sex, age, mari- �WW ~- EE "Q1aZ5E= `:cY au,Y a oW0m°' c'Naaus, national origin, or W zm�?°c0MU) cois: ci° 0E.- UaiJrccao ¢>�u,ro'U�oC ncor perceived exual o m o. Q v >> a o o a a,c w-cn _ = - — - pion, gender identity or uitidonity is prohibited. This prohibition shall apply to the hiring and treatment of the awarded entity's employees and to all subcontracts. AD#171443