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Office of Procurement and Support Sevices    

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 DHMH Home Home > Standard Forms Index > OPASS Standard Forms

Standard Forms - Office of Procurement and Support Services

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File Name Date last Updated Description
1993FORM.doc  Microsoft Word document 06/06 Determination of Sole Procurement of Services
1993form.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
Joint Chairman.doc  Microsoft Word document 09/03 Joint Chairmen's Report
Joint Chairman.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
DHMH_ECIForm.doc  Microsoft Word document 09/30/03 Certification of Impartiality for Member of Evaluation Committees
DHMH_ECIForm.pdf This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
ECD&R06.doc  Microsoft Word document 08/18/06 Instructions Pertaining to the Duties & Responsibilities of Members DHMH of Evaluation Committees
ECD&R06.pdf This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
DHMH3882HumServ09-07.doc Microsoft Word document 09/07 Human Service Contract under the first category of forms.
DHMH3882HumServ09-07.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
DHMH3882_1108.doc  Microsoft Word document 11/08 DHMH Standard Service Contract
DHMH3882_1108.pdf This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
DHMH3982IFB11-08.doc  Microsoft Word document 11/08 Standard Solicitation, Bid & Acceptance Form & Contract for Competitive Bids
DHMH3982IFB11-08.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
HSForm4133.doc  Microsoft Word document 09/01/03 Human Service Funding Agreement
HSForm4133.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
BidProposalAffidavitrev07.doc  Microsoft Word document 04/04/07 Bid/Proposal Affidavit
BidProposalAffidavitrev07.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
contr_assign.doc  Microsoft Word document 05/01/03 Contract Assignment Affidavit
contr_assign.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
conflict.doc  Microsoft Word document 03/27/03 Conflict of Interest
conflict.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
ContractAffdvt.doc  Microsoft Word document   06/14/04 Contract Affidavit
ContractAffdvt.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
bidtabul.doc  Microsoft Word document   Bid Tabulation Form
bidtabul.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
contcare.doc  Microsoft Word document 04/99 Certification of Sole Source Status for Continuity of Care in Human Services Programs
contcare.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
delbidpr06.doc  Microsoft Word document 08/18/06 Standard Addendum for Means of Delivering Bids or Proposals
delbidpr06.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
fedfund.doc  Microsoft Word document 01/08 Federal Funds Attachment B
fedfund.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
fndcert.doc  Microsoft Word document 11/97 Funds Certification for Delegated & Exempt Solicitations & Contracts, Grants, Agreements, LHDs or Info Technology
fndcert.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
hireagree.doc  Microsoft Word document   MD Department of Human Resources Hiring Agreement
hireagree.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
MOU_0805.doc  Microsoft Word document 06/29/05 Standard Memorandum of Understanding Inter-Agency/Intergovernmental Agreement
MOU_0805.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
MOU2_06.doc  Microsoft Word document 08/18/06 Standard Memorandum of Understanding Inter- Agency/ Intergovernmental Agreement for Public Safety & Corrections
MOU2_06.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
PROOFFDE-0905.doc  Microsoft Word document 09/08/05 Report of Emergency Procurement Action COMAR 21.05.06
PROOFFDE-0905.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
DHMHStandRFP11-08.doc  Microsoft Word document 11/08 State of MD DHMH Request for Proposals (RFP)
DHMHStandRFP11-08.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
TAXVERI.doc  Microsoft Word document 04/02

Comptroller's Verification Form
TAXVERI.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
NOTICEOFINTENT06.doc  Microsoft Word document 08/18/06 Notice Of Intent
NOTICEOFINTENT06.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
EFT_register.doc  Microsoft Word document 06/28/04 Vendor Electronic Funds Transfer (EFT) Registration Request Form
EFT_register.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
NOTICE.doc  Microsoft Word document 04/02 State of Maryland Notice to Vendors/Contractors
NOTICE.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
PRGform_06.doc  Microsoft Word document 08/18/06 Preparation for Procurement Review Group (PRG)
PRGform_06.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
NoSubstitutionForm.doc  Microsoft Word document   No Substitution Form
NoSubstitutionForm.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
BusinessAssoc.doc  Microsoft Word document   Business Associate Agreement
BusinessAssoc.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.

Cover Sheets
File Name Date last Updated Description
Tel_sol.doc  Microsoft Word document 09/30/03 Telephone Solicitation Log (OPASS-SPTSL)
Tel_sol.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
legend04.doc  Microsoft Word document 03/29/04 Fiscal Services Administration Disk Legend
legend04.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
revfc3tn04.doc  Microsoft Word document 03/05/04 Cover Sheet for the Exercise of a Contract Option of any Amount
revfc3tn04.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
revfcad304.doc  Microsoft Word document 03/05/04 Cover Sheet for an Intergovernmental Agreement (MOU) of any Amount also for Modifications and/or Options to an MOU
revfcad04.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
revfcelv04.doc  Microsoft Word document 03/05/04 Contract Modification Cover Sheet of any Amount
revfcelv04.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
revfcfiv04.doc  Microsoft Word document 03/05/04 Cover Sheet for a Small Procurement of $25,000 or LESS but greater than $2,500
revfcfiv04.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
revfcfor04.doc  Microsoft Word document 03/05/04 Contract Cover Sheet for Standard Service Contract GREATER THAN $200,000 or for a Contract GREATER THAN $50,000 if only one Response was Received
revfcfor04.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
revfcone04.doc  Microsoft Word document 03/05/04 Contract Cover Sheet for Human Service Contract of $200,000 or LESS but GREATER THAN $25,000
revfcone04.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
revfcsix04.doc  Microsoft Word document 03/05/04 Solicitation for a Procurement of GREATER THAN $25,000
revfcsix04.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
revfcsvn04.doc  Microsoft Word document 03/05/04 Solicitation for a Small Procurement of $25,000 or LESS but GREATER THAN $2,500
revfcsvn04.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
revfcthr04.doc  Microsoft Word document 03/05/04 Contract Cover Sheet for Standard Service Contract of $200,000 or LESS but GREATER THAN $25,000
revfcthr04.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
revfctw04.doc   Microsoft Word document 03/05/04 Contract Cover Sheet for a Human Service Contract GREATER THAN $200,000 or for a Contract GREATER THAN $50,000 if only one Response was Received
revfctw04.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.

Minority Business Enterprise Forms
File Name Date last Updated Description
MBEforms Microsoft Word document 11/08 MBE Forms
MBEforms This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
MBE_IFB_Instructions Microsoft Word document 11/08 Instructions for IFB
MBE_IFB_Instructions This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
MBE_RFP_Instructions Microsoft Word document 11/08 Instructions for RFP
MBE_RFP_Instructions This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
cftforms.doc  Microsoft Word document 08/02 CFT Form
cftforms.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
mbegoalset.doc Microsoft Word document 03/08 MBE Goal Set
mbegoalset.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
prgwaiverreq.doc  Microsoft Word document 04/06 PRG Waiver Request -
DHMH Waiver Request Review and Approval
prgwaiverreq.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
opasscoversheet.doc  Microsoft Word document 04/06 OPASS Coversheet for MBE Waiver Request
opasscoversheet.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.

Modification Forms
File Name Date last Updated Description
4133AMOD.doc  Microsoft Word document 12/01 Modification to the MD DHMH Human Services Funding Agreement
4133AMOD.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
chnamod.doc  Microsoft Word document   Change of Name Modification Form for all Services Contracts
chnamod.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
moumod.doc  Microsoft Word document 02/97 DHMH MOU Inter-Agency/Intergovernmental Agreement
moumod.pdf  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
STDSVMOD.doc  Microsoft Word document 02/08 Standard Service Contract (DHMH Form 3882 & 3982)

Consulting and Technical Services Procurement

File Name Date last Updated Description
TORFPMaster-Template.doc  Microsoft Word document 12/07 TORPF Preparation, Selection, and Award Process
TORFPMaster-Template.pdf   This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
Consult-TechSvcs.doc   Microsoft Word document 12/05 Consulting and Technical Services (CATS)
Consult-TechSvcs.pdf   This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.

BPW Action Agendas
BPWschedule_2007.doc  Microsoft Word document 11/28/07 BPW Action Agenda Schedule
BPWschedule_2007.pdf This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
agenda_renew07.doc  Microsoft Word document 10/16/07  BPW Action Agenda Contract Renewals
agenda_renew07.pdf This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
ITContract_07.doc  Microsoft Word document 10/16/07 BPW Action Agenda New Contracts
ITContract_07.pdf This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
agenda_mod07.doc  Microsoft Word document 10/16/07 BPW Action Agenda Contract Modifications
agenda_mod07.pdf This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
agenda_mis07.doc  Microsoft Word document 10/16/07 BPW Action Agenda for General Miscellaneous Items
agenda_mis07.pdf This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.

Small Business Reserve Program
Solicitation Coversheet  Microsoft Word document 10/04/04 SBRP Solicitation Coversheet - Greater than $25,000
Solicitation Coversheet  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
Contract Coversheet_less   Microsoft Word document 10/04/04 SBRP Contract Coversheet - 200,000 or less
Contract Coversheet_less  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
Contract Cover for Human Svcs   Microsoft Word document 10/04/04 SBRP Contract Cover Sheet for Human Services $200,000 or greater
Contract Cover for Human Svcs  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
Contract Coversheet_great  Microsoft Word document 10/04/04 SBRP Contract Coversheet - Greater than $200,000
Contract Coversheet_great  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
Human Services Cover  Microsoft Word document 10/04/04 SBRP Human Services Cover Sheet - $200,000 or less
Human Services Cover  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
Small Procurement Contract  Microsoft Word document 10/04/04 SBRP Small Procurement Contract Coversheet
Small Procurement Contract  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
Small Procurement Solicitation  Microsoft Word document 10/04/04 SBRP Small Procurement Solicitation Coversheet - $25,000 or less
Small Procurement Solicitation  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.
SBRexemp_form  Microsoft Word document 07/06 SBR Exemption Form
SBRexemp_form  This is a PDF file. Adobe Acrobat Reader download is required to view PDF files.

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