RFA for Volunteer Organization Enrollment Assistance and System Navigation RFA Attachment 1 - see RFA page 6

Header InformationBid Number: S-44300-00001160 Description: RFA for Volunteer Organization Enrollment Assistance and System Navigation Bid Opening Date: 11/09/2026 03:00:00 PM Purchaser: Jewelee Bell Organization: Oregon Health Authority Department: 44320 - External Relations Location: 99999 - _OTHER EXTERNAL RELATIONS SERVICES Fiscal Year: 21 Type Code: Allow Electronic Quote: Yes Alternate Id: Required Date: Available Date : 11/09/2021 12:00:00 AMInfo Contact: jewelee.m.bell@odhsoha.oregon.gov Bid Type: OPEN Informal Bid Flag: Yes Purchase Method: Open Market Pre Bid Conference: Bulletin Desc: The Oregon Health Authority requests applications from qualified individuals or organizations to provide volunteer enrollment assistance and system navigation to Oregon families and individuals applying for health coverage through OHA or HealthCare.gov. Ship-to Address: Bill-to Address: Print Format: File Attachments: RFA

5304 Application Form - Fillable RFA 5304 updated Feb 15, 2022.pdf Form Attachments: Required Quote Attachments Desired Attachment Name: Application Form Description: RFA Attachment 1 - see RFA page 6 Discipline Type: Personal Services Procurement Method: Competitive Sealed Proposal Amendments: Amendment #Amendment DateAmendment Note 1 02/09/2022 02:37:19 PM Updated RFA to include Sole Point of Contact work cell phone number. Updated RFA to include Fillable Application Form. Attachment File Changes: Header 1. File 'RFA 5304': File 'RFA 5304' deleted . 2. File 'Complete RFA 5304': File 'Complete RFA 5304' added . 3. File 'RFA 5304 Application Form - Fillable': File 'RFA 5304 Application Form - Fillable' added . 2 02/15/2022 01:16:08 PM Update to correct administrative error. Attachment File Changes: Header 1. File 'Complete RFA 5304': File 'Complete RFA 5304' deleted . 2. File 'RFA 5304 updated Feb 15, 2022.pdf': File 'RFA 5304 updated Feb 15, 2022.pdf' added . 3 10/02/2023 07:46:13 AM RFA 5304 is amended to update the email address for the RFA contact person. Header 1. Contact email changed to jewelee.m.bell@odhsoha.oregon.gov. Item Information Item # 1: ( 952 - 59 ) Enrollment Assistance and System Navigation NIGP Code: 952-59 Human Services (Not Otherwise Classified) QtyUnit CostUOMTotal Discount Amt.Tax RateTax AmountTotal Cost 1.0 EA - Each Manufacturer: Brand: Model: Make: Packaging: Item # 2: ( 918 - 32 ) Enrollment Assistance and System Navigation NIGP Code: 918-32 Consulting Services (Not Otherwise Classified) QtyUnit CostUOMTotal Discount Amt.Tax RateTax AmountTotal Cost 1.0 EA - Each Manufacturer: Brand: Model: Make: Packaging: