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COMMONWEALTH OF PUERTO RICO

PUERTO RICO MEDICAL TOURISM CORPORATION


















REQUEST FOR PROPOSALS
DATE: SEPTEMBER 16, 2014
CONCIERGE FOR THE PROJECT OF MEDICAL TOURISM
























DEADLINE FOR THE SUBMITAL OF PROPOSALS: NOVEMBER 1 2014
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TABLE OF CONTENT:

A. Introduction ..............................................................................................................3

1.1 Purpose and Background ...............................................................................3
1.2 Definitions......................................................................................................3
1.3 Minimum Requirements to Qualify as a Proponent ......................................5

B. Request for Proposals ..............................................................................................6

2.1 Coordinator of the Request for Proposals .....................................................6
2.2 Estimated Itinerary of the Activities Related to the Request for Proposals ...6
2.3 There is no obligation to Execute a Contract .................................................7
2.4 Complete Acceptance of the Terms and Conditions......................................7
2.5 Filing of Proposals .........................................................................................7

C. Content of Proposals ................................................................................................8

3.1 Terms and Conditions ....................................................................................8
3.2 General Documents of the Proposal ..............................................................9
3.3 Financial Proposal ..........................................................................................10
3.4 Technical Proposal .........................................................................................11
3.5 Administration of the Tasks ...........................................................................12

D. Evaluation of Proposals and Reconsiderations ....................................................13

4.1 Procedure of Evaluation .................................................................................13
4.2 Evaluation and Grading .................................................................................13
4.3 Communications between the Corporation and the Proponents during the ...
evaluation of Proposals ..................................................................................14
4.4 Notification to the Proponents .......................................................................15
4.5 Objections and Reconsideration ....................................................................15

E. General Conditions for Negotiations and Possible Award of Contract ..............16

F. Information of Relevant Government Entities......................................................16







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A. INTRODUCTION

Greetings on behalf of the Commonwealth of Puerto Rico. We are addressing you as part
of our efforts to develop the Medical Tourism in the Puerto Rico. The Commowealth of Puerto
Rico is proposing this project as part of the joint effort of the Department of Economic
Development and various governmental entities.

Since many decades ago the Commonwealth of Puerto Rico has been making effects in
order to develop different industries in our country. Among this efforts is the development of
Medical Tourism in Puerto Rico, which is among the areas of greater growth internationally. The
latter is consistent with providing medical and health services for tourist and travelers of
different jurisdiction.

Medical Tourism is an industry that reflects a great potential for development during the
years to come. As a consequence, the House of Representatives approved Act Number 196 on
December 15 2010, also known as the Medical Tourism of Puerto Rico Act.

Medical and health facilities in Puerto Rico are of first class. Therefore the Department of
Economic Development and Commerce and other government agencies are developing projects
to promote and develop the medical tourism and bring out the maximum benefit to the medical
and health facilities in Puerto Rico, so that the medical tourism will develop into a substantial
component of our economy including the development of employments.

This request for proposals is lead by the Puerto Rico Medical Tourism Corporation, a
subsidiary of the Puerto Rico Tourism Company, with the purpose of encouraging the medical
tourism sector and executing the public policy of the Commonwealth of Puerto Rico.

1.1 PURPOSE AND BANCKGROUNG
Puerto Rico is proposing a National Project (in spanish, Proyecto de Pas) that includes
the development of the Medical Tourism industry in Puerto Rico, specifically the area of proving
medical and health services to tourist and travelers that come from different jurisdictions.
The Puerto Rico Medical Tourism Corporation is requesting proposals to Proponents
interested in providing the services specified in this Application for Proposals, consistent in
serving as the concierge between the patients from abroad that wish to receive medical services
from providers certified in Puerto Rico.
1.2 DEFINITIONS
The definitions for purposes of the Request for Proposal include the following:
a. Adjudication of Request for Proposal- The act on behalf of which the
Corporation notifies all the proponents, in accordance with the procedure
established in this Request for Proposals, the Prevailing Proponent, in order to
continue the negotiations and the execution of the contract.

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b. Evaluation Committee- Group designated by the Corporation to select the
Prevailing Proponent. This group is composed by the Secretary of the DDEC, the
Executive Director of the Tourism Company, the Executive Director of the
Commerce and Exportation Company, the Executive Director of the
Cardiovascular Center of Puerto Rico and the Caribbean and two professionals in
the medical field designated by the Executive Director of the Tourism Company
of the Government of the Commonwealth of Puerto Rico.

c. Company or Tourism Company- Tourism Company of the Government of the
Commonwealth of Puerto Rico

d. Contract- The written contract, issued and executed by the Corporation and the
Prevailing Proponent, as established in the present Request for Proposal and its
respective exhibits. By participating in this process of Request for Proposals, the
Corporation is not bound to execute the contract.

e. Corporation- Puerto Rico Medical Tourism Corporation, a corporation organized
under the laws of the Commonwealth of Puerto Rico, created by Act No. 10 of
June 18, 1970, as amended, also known as Puerto Rico Tourism Company Act,
as a subsidiary entity of the Puerto Rico Tourism Company.

f. ELA- Government of the Commonwealth of Puerto Rico. It also includes its
agencies, instrumentalities, public corporations and/or municipalities.

g. DDEC- Department of Economic Development and Commerce.

h. Deadline to file proposals- last day in which the proposals have to be received by
the Corporation, as specified in the cover page of the Request for Proposals and in
the activities established in the present Request for Proposals.

i. Applicable Law - It means any law, statute, ordinance, code, rule or regulation
whether state or federal, and any other order, mandate, requirement,
determination, execution or, concession of any governmental body either state or
federal that is in effect or is applicable in the future, or any agreement or contract
binding with any governmental entity state or federal including technical
standards codes and specifications.

j. Execution of the Contract- the act of signing the Contract on behalf of the
Corporation and the Prevailing Proponent.

k. Proponent- The individual, corporation, partnership, or any other judicial person
authorized to do business in Puerto Rico, that issues a proposal, as established in
the Request in anticipation of the Contract.

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l. Prevailing Proponent-Proponent that submits the Proposal accepted by the
Corporation.

m. Proposal- a formal offer submitted in response to the present Request for
Proposal.

n. Alternate Proposal- Proposal of additional and/or different elements to the ones
established in the present Application for Proposal.

o. Application for Proposal- documents through wish the corporation requests and
pretends to obtain the best Proposal of servicers as defined in this Request.

1.3 MINIMUN REQUEREMENTS TO QUALIFY AS A PROPONENT
For Request for Proposals, the Corporation will only allow the participation of
Proponents that are authorized to do business in compliance with the laws of ELA. The
Proponents shall submit the following documentation:
a. A copy of the Certificate of Incorporation.
b. A copy of the Corporate Statutes.
c. A copy of the licenses and certifications of the Proponent to do business in the
Commonwealth of Puerto Rico.

d. A certificate of Good Standing issued by the Department of State
e. A list of the Directors, officials and shareholders.
f. A declaration whereby the Proponent recognizes that has read and understood the
terms and conditions as described in the Request for Proposals.
Every proponent shall submit the documents requested in this section and in any other
portion of this Request for Proposal. The Corporation will verify the compliance with the
requirements set for herein. The Corporation will automatically disqualify Proponents that do not
comply with any one of the Mandatory Elements requested in the Present Request for Proposal.







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B. REQUEST FOR PROPOSALS
2.1 COORDINATOR OF THE REQUEST FOR PROPOSALS
The Coordinator of the Request for Proposal is the only contact person of the Corporation
for this process of proposals. All the communications between the Proponent and the
Corporation after the receipt of the present Request for Proposal will be through written
communications sent by regular or electronic mail, addressed to the Executive Director of the
Corporation, as the Coordinator of the Request for Proposal at:
Sr. Francisco Bonet Rivera
PO Box 362350
San Juan, PR 00936-2350
Tel. (787) 765-2900
E-mail: francisco.bonet@ddec.pr.gov

Any other form of communication will be considered unofficial and not binding to the
Corporation. The Proponent shall only rely on written communications issued by the
Coordinator of the Request for Proposal. The communications addressed to any other party other
than the Coordinator of the Request for Proposal could lead to the denial of the Proposal.
2.2 ESTIMATED ITINERARY OF THE ACTIVITIES RELATED TO THE
REQUEST FOR PROPOSALS
The estimated itinerary for the activities related to the Request for Proposals is detail bellow:
Deadline Matter
September 16 de 2014
The Corporation will submit the Request for
Proposals.
September 30 de 2014
(10:00 am)
Meeting with all the interested parties
November 1 2014
(on or before 3:00pm)
Dealine for the Proponents to submmit the
Proposals.
The Corporation reserves the right to review the itinerary at any moment as it deems
necessary. In said instance, the Corporation will notify the proponents through regular or
electronic mail of any modification to the itinerary. The non receipt of any written
communication will not discharge the Proponents of their obligation to comply with the
modifications. For said reason, the Proponents shall be diligent and take the necessary measures
in order to be informed of events related to this Request for Proposal.
The Corporation shall summon one (1) or more meetings before the deadline for the
presentation of Proposals in order to provide a general discussion of the requirements established
in the Contractual Clauses. The Corporation urges the Proponents to participate in said meetings.
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The Proponents can submit questions, require clarifications, or request more information
regarding the technical specifications of the Request for Proposals no later than five (5) days
prior to the deadline for the presentation of the Proposal, as established in the present Request for
Proposal. The answers to said questions, clarifications and/or requests for information will
written and electronically sent to all the Proponents, no later than three (3) labor days prior to
the deadline to present the Proposals.
2.3 THERE IS NO OBLIGATION TO EXECUTE A CONTRACT
Even though ELA and the Corporation are performing this Request for Proposal, there is
no obligation to adjudicate the Request for Proposal or execute a Contract.
2.4 COMPLETE ACCEPTANCE OF THE TERMS OF THE CONTRACT
By submitting a Proposal in response to this Request for Proposals, the Proponent accepts
and agrees to follow and be subject to the procedures, terms, conditions and instructions here
established. As part of the requirements of the present Request for Proposal, each Proponent
shall complete a Declaration of Acceptance of the Terms and Conditions. See Exhibit A.
2.5 FILING OF PROPOSALS
In response to the Request for Proposal, the Proponents shall submit one (1) original and
seven (7) copies of the Proposal; in addition to one (1) electronic copy of the Proposal. The
Proposals will be submitted in a sealed envelope or box. The Proponents shall identify each
envelop or box with the following information:
a. Title
b. Name of the Company
c. Physical address
d. Postal Address
e. Telephone number
f. Fax number
g. Web site address
h. Name of the contact person, including the position occupied and the contact
information.
The sealed envelope or box containing the Proposal shall contain the necessary
documents in order to demonstrate compliance with all the requirements established in the
request for Proposal.
The Proposals shall be delivered in the form previously indicated, no later than 3:00pm
on the deadline to file the Request for Proposal. In addition, the electronic copy of the Proposal
shall be received by the Coordinator of the Request for Proposals prior to the 3:00pm deadline.
If the Proposal is not received by the above mentioned time and date, the Proposal will be
considered incomplete and disqualified.
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The proposal will be valid from the date it is submitted until its final adjudication.
By submitting a Proposal, the Proponent certifies knowing and accepting the terms and
conditions regulating the bidding process of this Request for Proposal. Also, the Proponent
certifies that all the information provided is true and correct. Submitting false or incorrect
information on the Request for Proposal could result in the elimination of the Proponent from the
bidding process.
The Proponent shall be responsible for all the costs and expenses incurred and related to
the preparation and development of the Proposal in response to the Request for Proposal.
C. CONTENT OF THE PROPOSALS

3.1 TERMS AND CONDITIONS

The required elements in order to participate and be considered as an operator of the project
are:

a. Technical and Operation Capacity (experience) of the Proponent- the experience of
the organization of the Proponent will be evaluated on its technical and operational
points of view in the development phase and in the implementation of the same.
Additionally, its capacity and experience in the financial development of this type of
projects will be evaluated.

b. Technical Viability of the Proposal- The Proposal shall comply with the requirements
established by Applicable Law and the Request for Proposal. To determine the
viability of the proposal, the technical qualifications and alternatives included in the
operations model will also be evaluated.

c. Financial Offer of the Proposal The financial scheme for the operation of this
initiative will be sustained with funds from the ELA for a maximum period of two (2)
years, with the aim that once said period of time elapses, the entity will be self-
sufficient and self- sustainable in all of its aspects. The Proposals will be evaluated
taking into consideration the framework that requires less public funds, together with
the rest of the requirements.

The Proponents shall contemplate that the Corporation will contribute the maximum
amount of $500,000.00 in order to finance the operational activities and logistics for a
maximum period of two (2) years. After said date, the monies generated as a
consequence of the operational and logistic activities as described in the present
Request for Proposal will be the only source of income in order to finance the
promotional, operational and logistic activities.

Regarding the aforementioned, it is important to note that during the first two (2)
years of operation of the Medical Tourism Project, the ELA will make a contribution
of 100% of all the promotional and marketing costs that will be incurred by the
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concierge. After said term, the ELA will contribute up to a maximum of 50% of the
aforementioned costs, subject to the terms and conditions agreed by the parties.

3.2. GENERAL DOCUMENTS OF THE PROPOSAL

a) Certification of Proponent pursuant to Act No. 428-2004: The Proponent must
include with the proposal a sworn statement, as detailed in Exhibit B, in which the
proponent express that: (I) is in compliance with Act No. 428 of September 22, 2004,
as amended, which requires contractors who provide services to ELA, to certify that
the Proponent and its officers have not been convicted of any of the crimes in the
above-mentioned law; (ii) acknowledges, represents and warrants that no officer or
employee of the Corporation, its parent company or subsidiaries, have direct or
indirect interest in the rights of the Proponent, given the latter signs this Agreement,
as accordance to Act No. 84 of 2002, as amended, known as the Code of Ethics for
Contractors; and (iii) certifies that it will comply with the provisions of Act No. 1 of
January 3
rd
of 2012, as amended, known as the Government Ethics Law of Puerto
Rico.

b) Compliance Certification: The Proponent must include with the proposal an sworn
statement stating whether, in the last five (5) years, any contract with any other entity,
governmental or otherwise, was cancelled or terminated. If certified in the
affirmative, detail reasons why the contract was cancelled or terminated, including
the name of the granting parties, address and phone numbers. The Corporation will
evaluate the facts and may reject motu proprio the Proposal based on past experiences
of the Proponent. See Exhibit C.

c) Conflict of interest and other matters: The Act No. 237 of August 31, 2004, as
amended, requires every professional service or consultant doing business with ELA
to include certain provisions related to conflict of interest. For which reason, every
Proponent will need to complete documentation certifying the absence of conflict of
interests. See Exhibit D. In addition, in order to be awarded a contract with the
Corporation, the Prevailing Proponent shall demonstrate full compliance with
government permits and certifications, by obtaining and delivering, (i) two (2)
certificates issued by the Treasury Department of Puerto Rico: one certifying the
absence of tax debts or the existence of a payment plan; and the other certifying the
filing of income tax returns for the past five (5) years; (ii) one (1) certification issued
by the Municipal Revenue Collection Center (CRIM for its spanish acronym),
proving the absence of tax debts or the existence of a payment plan, among others. As
well, the Act No. 237, supra, will require additional clauses to be included in the
Agreement.

d) Executive Summary: The Proponent must present an Executive Summary that shall
include; (i) the legal status of the Proponent (sole proprietorship, partnership,
corporation, etc.), (ii) the year the Proponent was organized to do business in its
current legal status, (iii) the Employer Tax Identification number or Social Security
number, (iv) Proponents experience in similar projects, (v) the main elements of the
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Proposal, and (vi) the designated primary contact person.

e) Financial Information: Each Proposal must include the financial statements of the
Proponents past three (3) fiscal years, each one certified by a Certified Public
Accountant under the ELAs laws. The Corpoaration may, at its own discretion,
request from the Proponent a letter of credit subscribed by a high-ranking officer of a
financial institution duly authorized to do business in ELA.

f) Local products and services: As required by Act No. 14 of January 8, 2004, as
amended, the Proponent, in a possible and applicable scenario, must use goods and
products extracted, produced, assembled, packaged or distributed in Puerto Rico by
companies or agents operating in Puerto Rico.
3.3 FINANCIAL PROPOSAL
The evaluation process is designed to award this procurement not necessarily to the
Proponent of least cost, but rather to the Proponent whose Proposal best meets the requirements
of this RFP. However, Proponents are encouraged to submit Proposals which are consistent with
ELAs efforts to conserve its resources.

Proponents should contemplate that the Corporation will only finance operations and
logistics activities for a period of two (2) years. The maximum amount funded shall be five
hundred thousand dollars ($ 500,000). After funds reached its maximum amount, the sole source
of income will be monies generated by the operations and logistics activities described in this
RFP.

In addition, during the first two (2) years of the Medical Tourism project operations, ELA
shall contribute one hundred percent (100%) of promotion and marketing costs incurred by the
Facilitator (concierge). After said term, ELA will provide fifty percent (50%) of the above costs.
The promotional initiatives will be carried out with the input and coordination of the selected
management group.

The Proponent must submit a Financial Proposal based on American Dollars ($), in
figures and in words and shall include all costs and expenditures, including personnel costs and
expenses necessary to achieve tasks set out in this RFP . In addition, a business plan must be
submitted demonstrating, within a maximum time frame of two (2) years, the course to steer the
operation into achieving financial independence from government funds of the Corporation or
any other ELA entity. In the proposal, the Proponent shall specify the distribution of funds for
the five hundred thousand dollars ($ 500,000) provided by ELA (e.g., for the first year, four
hundred thousand dollars ($ 400,000) and for the second year, a hundred thousand dollars ($
100,000) ).
3.4 TECHNICAL PROPOSAL
The Proposal shall include information which would allow the Corporation to assess the
areas detailed below. The Technical Information should include a work plan indicating the
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methodology and enforceable timetable, broken down according to the tasks in this RFP, for
implementing the project of Medical Tourism.
The Prevailing Proponent will have to perform the following tasks and duties:
a. Coordinate patient care.
b. Guide the patient through the entire process and make sure the patient get results
and positive experiences.
c. Serve as an intermediary between the patient and/or the medical plan and service
providers.
d. Provide the patient and/or health plan, according to their needs, a list of hospitals
and certified specialists that perform medical procedures.
e. Provide the patient information regarding the approximate cost of procedures and
how long the patient should remain in Puerto Rico.
f. Coordinate telephone calls or any other type of communication between the
potential patient and/or health plan and the doctor to perform the procedure; and
also, between the medical services provider in the country of origin and the
specialist in Puerto Rico.
g. Provide the patient and/or medical plan detailed information about Puerto Rico as
a destination.
h. Transfer, to the center where the medical services will be offered, the medical
information of the patient, taking into account the laws, regulations and protocols
applicable for such transfers in Puerto Rico, United States and the country of
origin.
i. Coordinate and/or process for the services offered, the payment issued by the
patient.
j. Make arrangements related to the patients passports, visas, flights, lodging, and
air transportation, maritime and/or terrestrial.
k. In relation to the services to be rendered, send the patient a complete itinerary,
recommendations and contact numbers.
l. Keep constant contact with the patient and/or health plan and the specialists
during their stay on the island.
m. Follow-up with the patient after returning to its place of origin.
n. Coordinate phone calls, appointments, and surgical procedures, as recommended
or required for each particular case.
o. Coordinate transportation services from the airport and all the destinations to be
visited by the patient during stay in Puerto Rico.
p. Coordinate, as needed or requested, lodging services, transportation, and any type
of tours.
q. Coordinate hospital or treatment centers admission on the island.
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r. Have contact, during and after surgical procedures, with family, primary medical
care, tutor, guardian or any contact persons.
s. Service evaluation: develop documentation, in order for the patient and their
families, to evaluate the services offered (e.g., quality of services offered,
treatment from the doctor and the hospital institution, services offered by the
facilitator and whether they would recommend to a family member services
received in Puerto Rico); in addition, to the audit by the Corporation and results-
driven quantitative analysis for improvement purposes.
t. Manage a call center, available twenty-four (24) hours and seven (7) days a week,
having nurses and doctors available to respond to the calls.
u. In conjunction with the Corporation and the entity responsible for certifications
and trainings, the Facilitator, as part of Medical Tourism Program, must
contribute to the development of a standardized price chart for medical
procedures to be performed, and negotiate economic agreements with healthcare
plans outside of Puerto Rico.
v. In conjunction with the Corporation and the entity responsible for certifications
and trainings, the Facilitator has to make efforts to market and advertise services
of the Medical Tourism Program. The Corporation, for the first two (2) years, will
take care of marketing and advertising services of the entity. From the third year
on, the Facilitator will hire marketing and advertising services for the Medical
Tourism Program.
3.5 ADMINISTATION OF TASKS
The proponent shall include a detailed description of the services offered, including the
following elements:
a. Project Management:

i. Project Team Structure: Provide a description of team structure in
charge of development and implementation of the project and internal
controls to be used during the course of the project, including any
subcontractors. Provide an organizational chart of your firm indicating
lines of authority for the personnel that will be involved in
performance of the project and the relationship of this staff to other
programs or functions of the Proponent. This chart must also show
lines of authority to the next senior level of management. Also include
the names of the Proponent personnel with the primary responsibility
and final authority over the work.

ii. Staff Qualifications/Experience: Identify staff, including
subcontractors, who will be assigned to the project, indicating the
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responsibilities and qualifications of such personnel.

b. Experience of the Proponent
A general description of the company that is bidding shall be included; in
addition to their experience in relevant projects, the Proponent should not
have any conflict of interest if carrying out similar initiatives in other
jurisdictions.

D. EVALUATIONS OF PROPOSALS AND RECONSIDETRATIONS

4.1 EVALUATION PROCEDURE

Proposals will be strictly evaluated by the Evaluation Committee in accordance with the
requirements stated in this RFP and any addenda issued. However, the Corporation may request
additional information from the Proponents to assist the Corporation in evaluating the Proposals.
The Evaluation Committee shall rank Proposals pursuant to their compliance with evaluation
criteria.

4.2 EVALUATION PROCEDURE

Proposals will, in general, be evaluated based on price, compliance with the Technical
Specifications, and any other evaluation criteria set forth on this RFP.
The Proposals will be evaluated by the following criteria:
a. Technical and Operation Capacity (experience) of the Proponent The evaluation
will assess the experience of the Proponents organization from a technical and
operational perspective, both in the development phase, and the implementation
thereof. In addition, their ability to finance a project of this type will be evaluated.

b. Technical Viability of the Proposal - Compliance with the parameters required by
applicable regulations and this RFP. The viability score obtained in the technical
qualification and alternatives in regards to the proposed operation model will also be
evaluated.

c. Financial Offer of the Proposal - will assess ability to financially develop a project of
this type, according to the conditions set out in this RFP, including the initial funds
provided by the Corporation, as well as, mechanisms necessary to achieve self-
sustainability for the shortest time possible, to a maximum of two (2) years. As
specified in the previous sections of this solicitation, the Corporation will provide
monies to fund the activity for a maximum of two (2) years. After that date, the
monies generated by the operations and logistics activities, as described in this RFP,
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will be the sole source of revenue funding the whole operation which includes
promotional activities, operations and logistics. Within two (2) years above-
mentioned, ELA shall contribute one hundred percent (100%) of the costs of
marketing and promotions incurred by the Facilitator (concierge). After the said term,
only fifty percent (50%) of the above costs will be funded by ELA.

Criteria Evaluation Table

Criteria Ponderacin Puntuacin
Operational and Technical Capacity 1/3
Technical Feasibility of the Proposal 1/3
Economic Bid Proposal 1/3

The evaluation criteria described above are for illustrative purposes only and not to be
considered as an exhaustive list of the evaluation factors. The Corporation may add other
evaluation factors as it deems necessary.
Before awarding a contract, the Corporation shall be authorized to negotiate the terms
and conditions, as well as the performance of the contract. After negotiations, the Corporation
may apply for a Final and Improved Proposal for the sole purpose of granting the proponent an
opportunity to review and modify its initial proposals. The Corporation will analyze and qualify
these new offerings using the elements deemed relevant at that time.
4.3 COMMUNICATIONS BETWEEN THE CORPORATION AND THE
PROPONENTS DURING THE EVALUATION OF PROPOSALS

a. General Communications

The Corporation is committed to protecting the integrity and transparency of the RFP.
The Corporation is also committed to obtaining the most efficient services. In order to balance
these interests, communications between the Proponent and the Corporation shall comply with
the requirements of this RFP.

The Corporation will initiate communications with one, several, or all Proponents, if any
of the following occur:
i. The Corporation identifies a mistake or need to clarify information provided in
the RFP or its Exhibits;
ii. A Proponent has submitted to the Corporation information that requires
clarification in order to meet criteria and evaluate merits of the proposal;
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iii. One or more Proponents have not satisfactorily submitted all documentation and
information required by this RFP, and the Corporation deems it necessary and
appropriate in the public interest, not to reject the proposal; or
iv. Any other reason for which the Corporation understands to adversely affect the
efficiency of this RFP and the best public interest.

b. Oral presentations

The Corporation, at its sole discretion, may request any Proponent to provide an oral
presentation of its Proposal. The purpose of this presentation will be to clarify any questions
regarding the requirements of the RFP and, to ensure compliance with specifications, confirm its
terms are understood by the Proponent. The Corporation will contact the Proponent to arrange a
date, time and place for the presentation. After each presentation, the Corporation may require
the Proponent to submit a written confirmation of the terms clarified during the presentation.

Previous to awarding the RFP, any information related to a proposal or evaluation will
not be discussed with any party other than the Proponent submitting information and the
personnel involved in the evaluation and selection process.

4.4 NOTIFICATION TO PROPONENTS

The Successful Proponent, as well as, non-winning Proponents will be notified via
certified mail.

4.5 OBJECTIONS AND RECONSIDERATION

a. Request for Reconsideration

Any Proponent adversely affected by a decision made by the Corporation in connection
with the selection and award procedures, provided in this RFP, may submit a request for
reconsideration to the Executive Director of the Corporation in accordance with the Uniform
Administrative Procedure Act, Law No. 170 of August 12, 1988, as amended, and the
Corporations regulations, within ten (10) days from the notification date. Such application shall
be considered within ten (10) days after presented. If a determination is made on motion, the
period for requesting a reconsideration request will consist of ten (10) days, like any objection or
protest shall be in writing and identify the name and address of the requesting party; shall include
the reasons for making the request, including copies of relevant documents; and shall specify the
relief sought.

Protests based on alleged restrictive specifications, violations of law or regulations, or
other alleged improprieties in the solicitation process which are apparent prior to the Proposal
Due Date shall be submitted no later than five (5) working days after these occurrences became
or should have been apparent to the Proponent submitting the protest. A request for
reconsideration shall not stay any action of the Corporation related to the procurement process.
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A request for reconsideration or objections that does not comply with the terms the
applicable law or in this RFP will be rejected outright or denied within ten (10) days after being
filed.
If a determination is made on the motion, the term to apply for judicial review with the
Court of Appeals shall be counted from the date on which a copy of the notification of the
decision of the Corporation is filed in the case. If the Corporation fails to take any action with
respect to the request for reconsideration within ten (10) days after presented, it shall be deemed
to have been outright rejected and, thereafter, the term shall run for judicial review with the
Court of Appeals.
E. GENERAL CONDITIONS FOR NEGOTIATIONS AND POSSIBLE AWARD OF
CONTRACT

The Prevailing Proponent shall enter into negotiations with the Corporation and
eventually sign Contract. The Corporation will evaluate requested exceptions and accept or reject
in accordance to their assessment.
Negotiations will be conducted in good faith between the Prevailing Proponent and the
Corporation. However, the Corporation may terminate the same, in its sole discretion and
without any penalty, if it determines the negotiations do not serve the public interest.
The proposal submitted by the Prevailing Proponent will be, in its entirety, incorporated
to the Contract. Any exceptions to the stated above should be agreed by the Corporation and the
Prevailing Proponent (the parties) before granting the Contract.
F. INFORMACIN OF RELEVANT GOVERNMENTAL ENTITIES

Department of Economic Development and Commerce (DDEC)
http://ddec.pr.gov/es/
Tourism Company of Puerto Rico
http://www.gotopuertorico.com
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EXHIBIT A
DECLARATION OF ACCEPTANCE OF THE TERMS AND CONDITIONS
Puerto Rico Medical Tourism Corporation
Commonwealth of Puerto Rico
[Postal Address]

Attention: Coordinator for Request for Proposals
Re: FACILITATOR MEDICAL TOURISM PROJECT
RFP # _______

I, ___________________________, in representation of ___________________ (Proponents
Name), declare that ____________________________(Name of Proponent) has read, understood, and
accepted the terms and conditions descrbied in the Request for Proposal.


Sincerely,

Signature: _______________________

Name:__________________________

Position:________________________

In ____________________________, Puerto Rico, dated this _______ day of _____________,
2014.


In (city or town), Puerto Rico, dated this _______ day of _____________, 2014.

AFFIDVIT No. _____

Sworn to and subscribed before me by _________________, of age, (marital status),
(occupation), resident (village), Puerto Rico, whom I know by (personal knowledge or identification
method).


__________________________
Notary Public

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EXHIBIT B
SWORN STATEMENT OF COMPLIANCE UNDER THE
ACT NO. 458-2000 AS AMENDED

Puerto Rico Medical Tourism Corporation
Commonwealth of Puerto Rico
[Postal Address]

Attention: Coordinator for Request for Proposals
Re: FACILITATOR MEDICAL TOURISM PROJECT
RFP # _______

I, ___________________________,(occupation), in representation of
___________________(Proponents Name), of age, (marital status), resident of ______, under the most
solemn oath, certify the following:

1. My name and other circumstances are expressed above.

2. I provide the following sworn statement in compliance with the provisions of Act No.
428 of 22 September 2004, which imposes the obligation for any natural or legal person intending to
participate in the award of a auction or the awarding of a contract with any agency or instrumentality,
public corporation or municipality, to submit a sworn statment informing of any convictions or guilty
verdicts related to provisions contained in article 3 of Act No. 458 Of 29 December 2000, as amended.

3. For this reason, I certify that in relation to the provisions of Act No. 428, supra, I have
not been convicted or found guilty of any of the following crimes:

Aggravated Illegal misappropriation, in all its forms, extortion, construction fraud (if
damage is caused to persons or property), fraud in the execution of construction works (if
damage is cause to persons or property), undue interference in the process procurement of
auctions or government operations, bribery in all its forms, undue influence, crimes
against public funds, preparing false writings, submitting false writings, forgery,
possession and transfer of forged documents, conspiracy, destruction or mutilation of
documents, concealment (if the offense is serious concealing, fraud in the delivery of
license, certificate or other documentation, concealment (if the crime is a misdeameanor,
hinder a Public Official in debt collection).

4. For purposes of federal jurisdiction, state or territory of the United States of America or
any other country, it shall apply the prohibition here contained in this sworn statement in cases of
conviction for offenses whose elements are equivalent to those contained in paragraph five (5) of this
sworn statement.

5. In addition, I note, that I am not under investigation or any criminal proceedings for acts
related to the offenses listed above, at this time. I pledge and undertake to immediately report if ever
result of investigation or criminal proceedings for acts related to these crimes.

6. The declarant acknowledges, represents and warrants that no officer or employee of the
Commonwealth shall have direct or indirect interest in the rights of (Name of Proponent), if finally
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signing Contract, as established by Act No.. 84 of 2002, as amended, known as the Code of Ethics for
Contractors.

7. The declarant also certifies that (Name of the Proponent) shall comply with the
provisions of Act No. 1 OF 3 January 2012, as amended, known as the Government Ethics Laws of
Puerto Rico.

8. Everything declared is true and not at all more truth, on penalty of incurring the crime of
perjury.

IN WITNESS WHEREOF, I give this affidavit to comply with the provisions of the regulations in force.

And for the record, and hereunto swear before a notary public.

In ____________, Puerto Rico, dated this _______ day of ____________2014.

Signature: _______________________

Name:__________________________

Position:________________________







In (city or town), Puerto Rico, dated this _______ day of _____________, 2014.

AFFIDVIT No. _____

SWORN and SUBSCRIBED before me by _________________, of the above stated
circumstances, whom I personally know or I have identified by means of _________________.


__________________________
Notary Public







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EXHIBIT C
COMPLIANCE CERTIFICATION

Puerto Rico Medical Tourism Corporation
Commonwealth of Puerto Rico
[Postal Address]

Attention: Coordinator for Request for Proposals
Re: FACILITATOR MEDICAL TOURISM PROJECT
RFP # _______

I, ___________________________,(occupation), in representation of ____________
(Proponents Name), of age, (marital status), resident of ______, under the most solemn oath, certify the
following:

1. My name and other circumstances are expressed above.
2. Certify, that in the last five (5) years, (Name of Proponent) has not had cancelled or
terminated any contract with the Commonwealth of Puerto Rico, the government of the
United States, or any private institution in Puerto Rico, United States or abroad. [In the
alternative, having cancelled or terminated any contract, detail in this paragraph the
reasons why the contract was cancelled or terminated, and include the name of the
granting parties, address and phone number.]
3. Everything declared is true and not at all more truth, on penalty of incurring the crime of
perjury.

IN WITNESS WHEREOF, I give this affidavit to comply with the provisions of the regulations in force.

And for the record, and hereunto swear before a notary public.

In ____________, Puerto Rico, dated this _______ day of ____________2014.

Signature: _______________________
Name:__________________________
Position:________________________


In (city or town), Puerto Rico, dated this _______ day of _____________, 2014.

AFFIDVIT No. _____

SWORN and SUBSCRIBED before me by _________________, of the above stated
circumstances, whom I personally know or I have identified by means of _________________.


__________________________
Notary Public

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EXHIBIT D
STATEMENT OF CONFLICT OF INTEREST
Puerto Rico Medical Tourism Corporation
Commonwealth of Puerto Rico
[Postal Address]

Attention: Coordinator for Request for Proposals
Re: FACILITATOR MEDICAL TOURISM PROJECT
RFP # _______

I, ___________________________, in representation of ___________________ (Proponents Name),
declare that ____________________________(Name of Proponent) does not fall under any of the
following prohibitions:

1. Is not an employee of the Department of Economic Development and Trade, the Tourism
Company of Puerto Rico and/or the Puerto Rico Medical Tourism Corporation.
2. Is not an employee of the Commonwealth of Puerto Rico.
3. Knows of any natural or legal person, other than, the Proponent who has interests on the
current proposal.
4. There is no agreement with other Bidders participating in this proposal to agree on prices
(collusion).
5. Is not a representantive, diplomat or delegate, or other government employee of the
Commonwealth of Puerto Rico.
6. Is not a person who is legally incapacitated; in the process of being prosecuted by any
criminal court; or convicted of serious criminal offenses.

Sincerely,

Signature: _______________________
Name:__________________________
Position:________________________


In (city or town), Puerto Rico, dated this _______ day of _____________, 2014.

AFFIDVIT No. _____

Sworn to and subscribed before me by _________________, of age, (marital status),
(occupation), resident of (village), Puerto Rico(Country), whom I know by (personal knowledge or
identification method).


__________________________
Notary Public