Cancer Screening for The WOFD

Request For Qualifications
Cancer Screening for The West Orange Fire Department
DUE DATE & TIME: May 27, 2026 at 4:00PM
Issued by: Township of West Orange
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REQUEST FOR QUALIFICATIONS
NOTICE IS HEREBY GIVEN that pursuant to a fair and open process in accordance with N.J.S.A.
19:44A-20.5, qualifications are being solicited by the Township of West Orange for the
following professional services for the 2026 calendar year. The submission date is May 27, 2026
at 4:00PM. Proposal packages are available via email to: preynolds@westorange.org or on the
Township website.
Professional Services Requested: Cancer Screening for The West Orange Fire Department
The Township of West Orange, is seeking the services of a Cancer Screening for The West
Orange Fire Department. The proposal package can be obtained in person at the Township of
West Orange, 66 Main St., Purchasing Room 111, West Orange, NJ 07052, during regular
business hours M-F 8:30 AM - 4:30 PM or online at www.westorange.org. Any questions can
be sent via email to preynolds@westorange.org. Proposals must be clearly marked with the
title of project, name and address of party submitting to the above-mentioned address.
Submission date and time is May 27, 2026 at 4:00PM. RFQ shall be opened in the Council
Chambers of the above address on May 27, 2026 at 4:00PM No proposals received after this
date and time will be accepted. Submissions by Corporations, Partnerships and sole proprietors
must include a completed Disclosure of Ownership (N.J.S.A. 52:25-24.2), a valid NJ Business
Registration Certificate P.L. 2004, c57, and must comply with the Equal Employment
Opportunity requirements of N.J.S.A. 10:5-31 et seq. and N.J.A.C. 17:27. Additional Pay to Play
Requirements Contractors are advised of the responsibility to file an annual disclosure
statement on political contributions with the New Jersey Election Enforcement Commission,
pursuant to N.J.S.A. 19:44-20.13(P.L. 2005, c, 271, s.3), if the contractor receives contracts in
excess of $50,000 in the aggregate from public entities during the calendar year. It is the
contractor's responsibility to determine if filing is necessary. Additional information on this
requirement is available from ELEC at 888-313-3532 or at www.elec.state.nj.us .
As of March 1, 2026, pursuant to the provisions of P.L. 2025, c.72, all Township of West Orange
current legal notices will be published on the Township's official website for at least one week,
or other time period as required by law, before transferring the publication to the Legal Notice
Archive. Notices shall be published at the following link: https://westorange.org/2141/Current-
Legal-Notices The NJ Secretary of State will create a centralized portal linking to the public
notice pages of all public entities. Once completed, the hyperlink will be shared on all Township
of West Orange legal notices: https://nj.gov/state/statewide-legal-notices-list.shtml
Panayiota Reynolds
Purchasing Agent
Township of West Orange
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TOWNSHIP OF WEST ORANGE
REQUEST FOR QUALIFICATIONS
FOR THE POSITION OF CANCER SCREENING FOR THE WEST ORANGE FIRE DEPARTMENT
SUBMISSION DATE: May 27, 2026 at 4:00PM
SUBMISSION OF PROPOSAL STATEMENTS: One (1) original and one (1) copy, copy should be a flash/usb
stick/CD should be sent to the contact below in sealed envelopes.
CONTACT PERSON:
Panayiota Reynolds, R.P.P.S, QPA
Purchasing Agent
Township of West Orange
66 Main Street
West Orange, NJ 07052
The Township of West Orange (Township) is issuing this Request for Qualifications (RFQ) for qualified
individual to provide Consultant services of a specialized nature for the Township as directed by the
appropriate official within the Township for a contract period ending 12.31.2026. All candidates are
required to comply with N.J.S.A. 10:5-31 et seq. and N.J.A.C. 17:27 et seq. as amended (Affirmative
Action). The successful professional must have significant experience in representing municipal clients
or other local governments and public agencies in the State of New Jersey. The Township of West
Orange reserves the right to pre-qualify and/or contract with an individual.
N.J.S.A 52:14-17.29ii(a) requires access to periodic cancer screenings for full-time paid
firefighters not enrolled in the State Health Benefits Plan (SHBP) within three years after the
start of the firefighter's employment and every three years thereafter during the course of
employment. The examination shall include, at a minimum and as applicable, the screening for
eleven types of cancer pursuant to N.J.S.A 52:14-17.29ii(a). The State of New Jersey, through
the Department of the Treasury's Division of Administration, will reimburse eligible public
employers a maximum of $1,250 per firefighter over a three year period towards the costs
associated with providing the required cancer screenings.
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SCOPE OF SERVICES
2 Phases
a. Phase 1 - Onsite or in office visit
Physical & Blood draw - Provider review of complete health history, Oral Cancer
Screening & Full Skin Cancer Screening.
Cancer Screening Ultrasound
Script provided for Low Dose Lung CT Screening & appt
scheduled at an offsite location convenient to member
Telehealth appt 1 week out from onsite or in office visit appt
Testing should include, at a minimum, testing and screenings for the following
types of cancer in accordance with N.J.S.A. 52:14-17.29ii(a)(1)-(11):
1. Colon
2. Lung
3. Bladder
4. Oral
5. Thyroid
6. Skin
7. Blood
8. Breast
9. Cervical
10. Testicular
11. Prostate
Phase 2 - 20-minute telehealth results review -Provider consults on patient results
(Ultrasound & comprehensive Blood Work review). If member completed the CT
screening and results are ready the consult will include those as well.
i. All members have access to their complete medical record & results in
a medical system provided by you. Vendor to provide login instructions
for accessing those results to ease follow up.
ii. Provider follow up ensures all members understand their results and if
any follow up is required they are directed appropriately to their primary
care provider.
Additional Services to be included:
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a. provides all marketing & scheduling materials.
i. Registration information - Demographics of members (for lab
requisitions), eligibility (active members only and have at least 3 years as
an active-duty firefighter).
Scheduling - Program delivered mostly on duty - provides registrant list to contact of Township
choice to have them coordinate the schedule/times provides coverage for all shifts.
Procurement Process and Schedule
The selection of Qualified Respondents is not subject to the bidding provisions of the Local
Public Contracts Law, N.J.S.A. 40A:11-1 et seq. The selection is subject to the New Jersey
Local Unit Pay to Play Law, N.J.S.A. 19:44A-20.4 et seq. The Township has structured a
procurement process to assure that each Individual is provided an equal opportunity to
submit a Qualification Statement in response to the RFQ. Qualification statements will be
evaluated in accordance with criteria set forth in section 2 of this RFQ, which will be applied
in the same manner to each Qualification Statement received. Respondents agree to at all
times to abide by all requirements of the New Jersey law, including, but not limited to the
aforementioned "Pay to Play" laws, as well as any and all relevant Executive Orders and the
New Jersey Election Law Enforcement Commission disclosure requirements.
Conditions Applicable to RFQ
Upon submission of a Qualification Statement in response to this RFQ, the Respondent acknowledges
and consents to the following conditions:
This RFQ does not commit the Township of West Orange to issue a Request for Proposal.
The Township reserves the right to exercise its judgment to weigh the relative merit and
deficiencies, if any, in all responses and commits. The Township reserves the right to reject for
any reason, all responses and components thereof and eliminate any and all Respondents
submitting this RFQ from consideration.
The Township reserves the right (in its sole judgment) to reject any Respondent that submits
incomplete responses to this RFQ, or a Qualification Statement that is not responsive to this
RFQ.
The Township reserves the right, without prior notice, to supplement, amend, or otherwise
modify this RFQ, or otherwise request additional information.
All Qualification Statements shall become the property of the Township and will not be
returned.
All Qualification Statements will be made available to the public at the appropriate time, as
determined by the Township (in the exercise of its sole discretion) in accordance with law.
The Township may request Respondents to send representatives to the Township for
interviews.
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Neither the Township, nor its respective staff, consultants nor advisors shall be liable for any
claims for damages resulting from the solicitation or preparation of the Qualification Statement.
There shall be no reimbursement to Respondents for the cost of preparing and submitting a
Qualification Statement for participating in this procurement process.
Addenda or Amendments to RFQ
During the period provided for the preparation of responses to the RFQ, the Township may issue
addenda, amendments or answers to written inquiries. Those addenda will be noticed by the Township
and will constitute a part of the RFQ. All responses to the RFQ shall be prepared with full consideration
of the addenda issued prior to the proposal submission date.
Standard Requirements of Technical Qualifications
Respondents shall submit technical qualifications which contain the following:
Graduation from an accredited medical school
To practice medicine in NJ, you must be licensed by the State Board of Medical Examiners.
Any healthcare professional who uses telehealth to deliver services to a patient must possess a
valid NJ license, follow state licensing board laws, have liability coverage, and remain subject to
NJ jurisdiction. Practitioners in or outside of NJ using telemedicine or telehealth to provide
healthcare services to clients must hold a license issued by the Board. Exceptions apply to
healthcare providers located in other states who only provide consultation services to New
Jersey licensees without directing client care.
SUBMISSION CHECKLIST
1. Submission Form and Cost Proposal in accordance with Section II
2. Statement of Ownership Disclosure
3. Mandatory Equal Employment Opportunity Language
4. Affirmative Action Compliance Notice (Exhibit A)
5. Americans with Disabilities Act of 1990
6. Non-Collusion Affidavit
7. New Jersey Business Registration Certificate (Copy)
9. Certification of Non-Involvement in Prohibited Activities in Russia or Belarus
10. Political Disclosure Statement
11. Certificate of Insurance
12. Disclosure of Investments Activities in Iran
13. Licenses pertaining to this RFQ
14. Addendum
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Cost Analysis
Respondents should submit a cost proposal which would include any proposed retainer, the
services to be provided at a flat rate, if all or any services will be billed through hourly rates and what
are the established rates. The Township shall in its discretion, provide a fee schedule with hourly rates
depending on the nature of the matter. By submission of a proposal, you acknowledge and agree to
adhere to the fee schedule.
Submission Evaluation
When the Township is in need of a particular service, the selection will be the most advantageous
submission based on all of the evaluation factors set forth in this RFQ.
Each submission must satisfy the objectives and requirements detailed in this RFQ. The successful
respondent shall be determined by an evaluation of the total content of the qualifications submitted.
The Township reserves the right to:
Not select any of the submissions or select only portions of a particular Respondent's qualifications for
further consideration (however Respondents may specify portions of proposal that they consider
"bundled").
Award a contract for the requested services at any time within contract period after review of the
qualifications and approval by Township Council through resolution. Every submission shall be valid
through this time period.
Submission Limitations
This RFQ is not intended to be an offer, order, or contract and should not be regarded as such, nor shall
any obligation or liability be imposed on the Township by issuance of this RFQ. The Township reserves
the right to refuse any submission.
Use of Information
Any specifications, drawings, sketches, models, samples, data, computer programs, documentation,
technical or business information and the like, furnished or disclosed by the Township to the
Respondent in connection with this RFQ, shall remain the property of the Township. When in tangible
form, all copies of such information shall be returned to the Township upon request. Unless such
information was previously known to the Respondent, free of any obligation to keep it confidential, or
has been or is subsequently made public by the Township or a third party, it shall be held in confidence
by the Respondent, shall be used only for the purposes of this RFQ and shall not be used for other
purposes except upon such terms and conditions as may be mutually agreed upon in writing.
General Terms and Conditions
The Township reserves the right to reject any or all submissions, if necessary, or waive any informality in
the submission.
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In case of failure by the successful Respondent, the Township may procure the articles or services
from other sources, deduct the cost of the replacement from money due the Respondent under the
contract and hold the Respondent responsible for any excess cost.
The Respondent shall maintain sufficient insurance to protect against all claims under Workmen's
Compensation, General, Professional, and Automobile Liability.
Each submission must be signed by the person authorized to do so.
Township assumes no responsibility for submissions received after designated date and time due.
By submission of qualifications, the Respondent certifies that the service to be furnished will not
infringe upon any valid patent, trademark, or copyright.
The successful Respondent shall, at its expense, defend any and all actions or suits charging such
infringement, and will save the Township harmless.
No Respondent shall influence, or attempt to influence, or cause to be influenced, any Township Officer
or employee to use their official capacity in any manner.
No Respondent shall cause or influence, or attempt to cause influence, any Township Officer or
employee to use their capacity to secure unwarranted privileges or advantages for the Respondent.
Should any differences arise between the contracting parties as the meaning or intent of these
instructions or specifications, the Townships decision shall be final and conclusive.
The Township shall not be responsible for any expenditure of monies or other expenses incurred by the
Respondent in making its request for consideration.
All necessary forms required by this RFQ shall be completed and submitted as part of this submission
Instructions for Submission
Respondents must submit an original and one (1) copy of their Qualification Statement
Designated Contact Person:
Panayiota Reynolds, Purchasing Agent, RPPS, QPA
Township of West Orange
66 Main Street
West Orange, NJ 07052
Submissions must be received May 27, 2026 at 4:00PM . Preferred delivery methods are US mail or
hand delivery. Facsimile or electronic delivery will not be accepted.
To be responsive, Qualification Statement must provide all requested information and conform to
instructions. Qualification Statements and related information must be bound and signed by
Respondent.
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All Respondents hereby agree to work under the terms and conditions as set by the Township. If
awarded a contract by Township Council Resolution during 2026 calendar year, that contract will be in
effect until 12.31.2026.
Ranking Percentage and Criteria for Evaluations
35% Experience and reputation in the field
20% Knowledge of the Township and subject matter as it's related to contract
10% Availability to accommodate meeting attendance
25% Cost details, including the hourly rates of each of the individuals who will
perform certain services and time estimates for each individual, all expenses (if applicable)
5% The utilization of local contractors and businesses, whenever possible.
5% Other factors demonstrated to be in the best interest of the Township
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(REVISED 4/10)
EXHIBIT A
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
N.J.S.A. 10:5-31 et seq. (P.L. 1975, C. 127)
N.J.A.C. 17:27
GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTS
During the performance of this contract, the contractor agrees as follows:
The contractor or subcontractor, where applicable, will not discriminate against any employee
or applicant for employment because of age, race, creed, color, national origin, ancestry, marital status,
affectional or sexual orientation, gender identity or expression, disability, nationality or sex. Except with
respect to affectional or sexual orientation and gender identity or expression, the contractor will ensure
that equal employment opportunity is afforded to such applicants in recruitment and employment, and
that employees are treated during employment, without regard to their age, race, creed, color, national
origin, ancestry, marital status, affectional or sexual orientation, gender identity or expression, disability,
nationality or sex. Such equal employment opportunity shall include, but not be limited to the
following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff
or termination; rates of pay or other forms of compensation; and selection for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available to employees and
applicants for employment, notices to be provided by the Public Agency Compliance Officer setting forth
provisions of this nondiscrimination clause.
The contractor or subcontractor, where applicable will, in all solicitations or advertisements for
employees placed by or on behalf of the contractor, state that all qualified applicants will receive
consideration for employment without regard to age, race, creed, color, national origin, ancestry,
marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or
sex.
The contractor or subcontractor will send to each labor union, with which it has a collective
bargaining agreement, a notice, to be provided by the agency contracting officer, advising the labor
union of the contractor's commitments under this chapter and shall post copies of the notice in
conspicuous places available to employees and applicants for employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations promulgated
by the Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and supplemented from time to time
and the Americans with Disabilities Act.
The contractor or subcontractor agrees to make good faith efforts to meet targeted county
employment goals established in accordance with N.J.A.C. l7:27-5.2.
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