TSB & RFB

Iowa Department of Administration Services Bid # RFB091826-01
Iowa Health & Human Services
Pharmacy Carve-Out Letter
Print to Mail
9-18-26 State of Iowa DAS PRINT
Page 1 of 7
1305 E Walnut St Level A
Hoover State Office Building
Des Moines, IA 50319
Phone 515-954-0755
Bids will be opened and recorded 2:30P.M September 18, 2026
Contracts will be awarded 2:30 P.M. September 18, 2026 for the work specified below, in accordance with the terms and
conditions herein forth, and at the hour named will open said proposals and act thereon.
Bids are invited from all who are qualified to bid, but bidder must be able to show facilities and equipment for the prompt doing of the work. Bids
to be considered must be made out in ink or typewritten upon this form; with no amendment or changes; must be signed by the person of firm
making the offer; must be accompanied by the guarantee referred to herinafter; must be in seal envelope provided, addressed to and in the
hands of DAS Print, Hoover State Office Building, 1305 E Walnut Street Level A, Des Moines, Iowa 50319, by the hour indicated above.
By virtue of statutory authority, in the award of contract, due consideration shall be given not only to the price bid, but to the mechanical and other
equipment, and financial responsibility of the bidder, and his ability and experience in the performance of like or similar contracts. Preference shall
be given to purchasing Iowa Products and purchases from Iowa based businesses if the bids submitted therefor are comparable in price to bids
submitted by out-of-state businesses and otherwise meet the required specifications.
Sub-letting of awarded contract will be allowed, unless otherwise stated in the specifications. Whenever any portion of awarded contract is to be
sub-let, it will be necessary for all bidders to list separately the portions to be sub-let and who is fulfilling that portion of the contract. This also
applies to portions of product that are produced outside the State of Iowa. For the bidders that are sub-letting portions outside the State of Iowa
that portion of contract must be shown in either percentage or dollar amount.
All materials and workmanship contemplated to be contracted hereunder must be first class in every respect. The state reserves the right to reject
goods not meeting this requirement, and when such rejection involves a loss to the state, the contractor shall be required to stand such loss and
reimburse the state.
Take notice that bids are taken upon the specification in the offering, and acceptance of a bid results in a binding contract. Bidders should avail
themselves of samples of previous like printing prior to making a bid or if such is not available it is the obligation of the bidder to understand
the requirements of the specifications prior to making his bid. The bid is the maximum of the successful bidder's compensation unless the
specifications permit additional compensation for changes therein reserved to the State Printing Division. Please note, however, that overruns of
more than 5% will be rejected, underruns are unacceptable.
The State Printing Division reserves the right to accept any bid or part of bids submitted that seem to be to the best interest of the state; or to reject
any or all bids.
Pharmacy Carve-Out Letter
Print to Mail
for
Iowa Department of Health & Human Services
Specifications on page two through six
Bid sheet on page seven
Attachment A: Form 22 - Request for Confidentiality
Read Carefully: Proofs must be submitted to department for approval. No more than 5% over-run will be approved for payment. Full count is always required.
Printing Division No. must appear. No printer's imprint. State recycled logo must appear if produced on recycled stock. Vendor must use soy-oil based ink
whenever applicable. All negatives become property of state. All cuts, artwork and negatives must be returned to department immediately on completion of order.

Iowa Department of Administration Services Bid # RFB091826-01
Iowa Health & Human Services
Pharmacy Carve-Out Letter
Print to Mail
9-18-26
Page 2 of 7
AGENCY: Iowa Department of Administrative Services
Iowa Department of Health & Human Services
Procurement
Officer: Iowa Department of Administrative Services - Print
Stella Sussex
1305 E Walnut St Level A
Des Moines, IA 50319
Phone Number: 515-954-0755
Fax Number: 515-242-6307
e-mail: stella.sussex@das.iowa.gov
Vendors shall not contact the agency in reference to this bid at any time while the bid is opened for bidding nor shall
they contact the agency while the bid is in the review status. All questions pertaining to this bid shall be directed to the
Procurement Officer.
DESCRIPTION: Pharmacy Carve-Out Letter - Print to Mail
470-4223 - #10 Window Envelope
QUANTITY: 387,484 approximately
No Over-runs or under-runs allowed
FORMAT: Variable data fields will include the mail address, date and account number
SIZE: Letter: 8.5" x 11" page size
#10 Window Envelope - 4 1/8" x 9.5"
PAGES: Letter: 1 page
Envelope: 1 page
STOCK: Letter: 50# white offset recycled 30% postconsumer waste
Envelope: 24# white wove recycled, 30% post consumer waste.

Iowa Department of Administration Services Bid # RFB091826-01
Iowa Health & Human Services
Pharmacy Carve-Out Letter
Print to Mail
9-18-26
Page 3 of 7
COPY STATUS PREPRESS:
* Form template and artwork will be furnished in PDF
* Variable Data File will be furnished in either a CSV/Excel or flat file
* Vendor to add integrity markings
* Vendor to print in presort order, insert and mail
* These forms contain HIPPA data and are highly confidential, they must be kept in order, any
comingling of participant's letters within a mail envelope will be considered a breach of HIPPA
information.
* The vendor is responsible for the integrity of the mailing.
* All negatives, dies and artwork remain the property of the state of Iowa and must be surrendered upon
demand
FILE TRANSFER:
* Vendor will be required to provide HHS with a secure means of transferring the data files to them and
proofing files back and forth.
Printing:
* Letter: 1/0 Black ink one side, no bleed, variable data
* Envelope: 1/0 Black ink, corner card print. Will also print the State of Iowa's Permit Indicia.
* Vendor to add integrity markings to ensure all variable data pieces being inserted into the envelope
are match to that record.
* Soy Oil based inks required
Bindery:
* Envelope: Diagonal seams, commercial flap fully gummed.
Window size: 4 1/2" x 1 1/8"
Window located: 7/8" from the left edge and 5/8" from the right bottom
* Letter: Fold one letter and insert it into the #10 window envelope, seal and mail

Iowa Department of Administration Services Bid # RFB091826-01
Iowa Health & Human Services
Pharmacy Carve-Out Letter
Print to Mail
9-18-26
Page 4 of 7
Mail Prep:
* Vendor will be required to send the mail address through the NCOA and CASS certification process
to receive the best pre-sort first class postage rates.
* Vendor will mail this mailing using the State of Iowa's Permit number.
* Vendor must include the agency postage ID on the postage statement. This must be located in the
Permit Holder's Name and Address box on the CAPS Cust. Ref. No. line.
* Vendor will be required to return an excel file of the updated/corrected addresses to HHS.
* Vendor will be required to return an excel file of the bad addresses to HHS.
* Vendor must send a copy of the postage statement to DAS Print and HHS .
* Vendor will be required to mail the pieces that don't qualify for discounts.
Packaging: Vendor must package according to the US Postal Services requirements and regulations.
Production Schedule:
* The Artwork files and Variable Data Files will be available upon Bid Award, approximately
September 28, 2026
* The vendor is required to have a proof to the agency two (2) days from the date they receive the files.
* The agency will be required to have the proof back to the vendor within 24 hours of receiving the
proofs.
* Any subsequence proofs the vendor will have 12 hours to have the agency a new proof.
* The agency will need to respond to any subsequence proofs within 12 hours.
* The vendor will be required to contact the agency when they send the proofs
Mail Schedule:
All pieces must be mailed no later than November 6, 2026.
This is a firm mailing schedule and must be adhered to by the awarded vendor.
The agency would like the mailing broken down into smaller mailings, approximately 80,000 per mailing.
The vendor will be required to make one mail drop to the US Post Office once a week, Monday or
Wednesday would be the preferred date.
A mail schedule will be discussed between the vendor, HHS and DAS Print to determine the final mail
schedules.
HHS is under strict regulations on notifications and every intent to meet the required schedule will be
made. The lowest compliant vendor will be awarded the bid, schedule is part of the determination in
being complaint.
Penalty Clause will be enforced for late deliveries.

Iowa Department of Administration Services Bid # RFB091826-01
Iowa Health & Human Services
Pharmacy Carve-Out Letter
Print to Mail
9-18-26
Page 5 of 7
DELIVERY:
* Vendor to present the mailing to the 2nd Ave, Des Moines, IA USPS postal service and send a copy
of the Cass Certification to HHS for proof of mailing and mailing costs to DAS Print and HHS.
* All shipments will be FOB destination
* If the vendor is an approved full mail service provider by the USPS they may mail from their
location.
RECORD FILES:
* Vendor will provide HHS with a searchable PDF file of each customized record that was printed and mailed
for each mailing. These files must be broken down per each mailing.
There must be one PDF record for each letter printed.
* PDF records must not contain security settings (e.g., self-sign security, user passwords, and/or permissions)
that prevent HHS from opening, viewing, or printing the record.
* Vendor will work with the agency to transfer the file via a secure transfer location.
PROOF: See agency contact for who will receive the proofs.
* Letter: A variable data digital proof will be acceptable
* Envelopes: A PDF proof will be required.
* If there are issues with either proof the agency will require a hard copy proof.
Agency Contacts: Vendor must contact both the primary and secondary contacts.
* DAS Print: Stella Sussex, stella.sussex@das.iowa.gov
* HHS Contacts:
Bianca Finley, bianca.finley@hhs.iowa.gov
o
Abby Cate, abby.cate@hhs.iowa.gov
o
Rene Moen, rene.moen@hhs.iowa.gov
o
Vendor Contact:
* Vendor will be required to give a contact list of all parties that will be involved with this job to the agency
upon the bid award to the vendor.
Pre-Planning Meeting:
* There will be a meeting between the vendor, HHS and DAS Print to discuss this job and the schedule for the
mail dates.

Iowa Department of Administration Services Bid # RFB091826-01
Iowa Health & Human Services
Pharmacy Carve-Out Letter
Print to Mail
9-18-26
Page 6 of 7
Security: This is a secure, confidential mailing and all HIPAA rules apply. Mail must contain use of multiple
integrity markings so all mail is accounted for and they are inserted correctly.
Vendor must pull letters every 1,000 to verify the mail is accurate.
Vendor is responsible for any data breaches, timelines, notification to the state agency and any costs
associated with data breaches resulting from handling either the data files, printing of the documents or
the inserting of the paper documents. Any errors or test prints, reprints that have client specific data on
them must be destroyed/shredded confidentially.
There is zero tolerance for counts being off, any discrepancy the agency contact must be consulted as how
to proceed.
Vendor agrees to the terms outlined in the Iowa Department of Human Services Business Associate
Agreement.
Business Associate Agreement. The Contractor, acting as the Iowa Department of Health and Human Services
("HHS") Business Associate, performs certain services on behalf of or for HHS pursuant to this Contract that
require the exchange of information protected by the Health Insurance Portability and Accountability Act of
1996, as amended, and the federal regulations published at 45 CFR part 160 and 164. The Business Associate
agrees to comply with the Business Associate Agreement Addendum (BAA), and any amendments thereof, as
posted to the HHS website: Business Associate Agreement. The BAA, and any amendments thereof, is
incorporated into the Contract by reference.
By signing this Contract, the Business Associate consents to receive notice of future amendments to the BAA
through electronic mail. The Business Associate shall file and maintain a current electronic mail address with
HHS for this purpose. HHS may amend the BAA by posting an updated version of the BAA on the HHS website
at: Business Associate Agreement and providing the Business Associate electronic notice of the amended
BAA. The Business Associate shall be deemed to have accepted the amendment unless the Business Associate
notifies HHS of its non-acceptance in accordance with the Notice provisions of the Contract within 30 days of
HHS' notice referenced herein. Any agreed alteration of the then current HHS BAA shall have no force or effect
until the agreed alteration is reduced to a Contract amendment that must be signed by the Business Associate,
HHS Director, and the HHS Security and Privacy Officer.
TERMS & COND: https://das.iowa.gov/sites/default/files/procurement/pdf/050116%20terms%20goods.pdf
ATTACHMENT A: Form 22 - Request for Confidentiality
NOTE: All usual rules and penalties as set forth by the Code of Iowa apply.
BID AWARD: Bidding vendors must be located within the continental United States.
This job must be produced within the continental United States.
Bids will be awarded to the lowest compliant bidder.
The state of Iowa reserves the right to accept or reject any and all bids.

Iowa Department of Administration Services Bid # RFB091826-01
Iowa Health & Human Services
Pharmacy Carve-Out Letter
Print to Mail
9-18-26
Page 7 of 7
BID AS FOLLOWS:
All pricing is F.O.B. Destination - bids will not be accepted if freight is not included
387,484 letters, envelopes and inserting per specifications..............$_____________________/total
Bids must be accompanied by statements requested in the specifications or
they will be considered non compliant.
The state of Iowa reserves the right to accept or reject any or all bids.
Please read all information carefully. Bids will be rejected if they are not signed, are not submitted on the bid forms
furnished, or missing any required components.
NOTE: Such Bids will be accepted up to 2:30 P.M. the day of the opening.
NOTICE TO BIDDERS
This information must be completed or your bid will be non-compliant
Is any part of the contract to be sub-let? YES NO If yes, to whom?_______________________________________________
(Vendor must identify sub-contractor if you answer yes to this question)
Recycled content of sheet __________________% of which __________________% is postconsumer.
How much is sub-let or produced out of the State of Iowa? Show either dollar or percentage________________________________________
Soy-oil based ink? YES NO If yes, please specify portion of bid which is ink cost-$_________________________________
Bidder agrees that if awarded a contract to supply any part of the above listed material, bidder will not engage in any discriminatory practices based on sex, race, color, creed,
religion, physical or mental handicaps or national origin and they will in all contract comply with all statutes of the State of Iowa against discrimination. Failure to do so could
be deemed a material breach of contract.
NOTE: One percent per day of the contract price will be penalized for each day of delayed delivery. Department to furnish copy and read proof according to
specifications and the printer is required to give written notice of any delay by the Department.
PLEASE READ the specifications carefully. Any deviation from specifications will automatically void the bid. If requested, be sure and specify the stock you plan to use,
and furnish sample, or bid will be voided. Estimate carefully - Low bidders who refuse contract will be penalized.
**All questions pertaining to this bid should be directed in writing to the Iowa Department of Administrative Services (DAS)Print Stella
Sussex at stella.sussex@das.iowa.gov , Public Service Manager, phone number is 515-954-0755. Vendors shall not contact the agency in
reference to this bid. If vendors contact the agency directly it will result in their bid not being accepted.
Renewal option for this contract: May be renewed annually for up to five renewals for a total of six years, at the agreement of the
customer, vendor and the Iowa State Printing division. Vendor must provide written renewal information Sixty (60) days prior to
expiration of contract to das print.
Dated at _____________________________________________________, this __________day of __________________________________, 20____________.
(City, State)
Signed by_______________________________________________ __________________ for ________________________________________________________
(Telephone) (Company Name)
Print Name: ______________________________________________________ Email: ________________________________________________________________

Form 22 - Request for Confidentiality
CONTRACTOR NOTE: SUBMISSION OF THIS FORM 22 IS REQUIRED
THIS FORM 22 (FORM) MUST BE COMPLETED AND INCLUDED WITH YOUR RESPONSE (PROPOSAL) TO
THE REQUEST FOR PROPOSALS (RFP). THE FORM IS REQUIRED WHETHER THE PROPOSAL DOES OR
DOES NOT CONTAIN INFORMATION FOR WHICH CONFIDENTIAL TREATMENT WILL BE REQUESTED.
FAILURE TO SUBMIT A COMPLETED FORM WILL RESULT IN THE PROPOSAL CONSIDERED NON-
RESPONSIVE AND ELIMINATED FROM EVALUATION.
I. Confidential Treatment Is Not Requested
A request for confidential treatment of information contained in our Proposal is not submitted.
_________________________________ _______________________ ___________________
Company RFP Number RFP Title
_________________________________ _______________________ ___________________
Signature Title Date
**************************************
II. Confidential Treatment Is Requested
The below information is to be completed and signed ONLY if Contractor is requesting
confidential treatment of any information submitted in its Proposal.
Per the paragraph labeled as Public Records and Requests for Confidential Treatment in section 2 of
the Request for Proposals (RFP), a Contractor requesting portions of its Proposal be maintained in
confidence must complete this form and submit it with its Proposal. Contractors should read and
familiarize themselves with chapter 22 of the Iowa Code regarding release of public records before
completing this Form. Contractor shall refer to the paragraph labeled as Public Records and Requests
for Confidential Treatment in section 2 of the RFP for instructions regarding how to request
confidential treatment of portions of its proposal.
NOTE:
1 Completion of this Form is the sole means of requesting confidential treatment.
2 A CONTRACTOR MAY NOT REQUEST PRICING PROPOSALS BE HELD IN CONFIDENCE.
Completion of the Form and Agency's acceptance of Contractor's submission does not guarantee the
agency will grant Contractor's request for confidentiality. The Agency may reject Contractor's Proposal
entirely in the event Contractor requests confidentiality and does submit a fully completed Form or
requests confidentiality for portions of its Proposal that are improper under the RFP.
To request confidentiality, Contractor must provide the following information:
1 Contractor must conspicuously mark confidential material in its Proposal in accordance with
the section titled Public Records and Requests for Confidential Treatment. Check box when
completed.
2 Contractor must specifically identify and list the proposal section(s) for which it seeks
confidentiality and answer the following questions for each section listed:
1

Form 22 - Request for Confidentiality
Explain the specific grounds in Iowa Code Chapter 22 or other applicable law which support
treatment of the material as confidential.
Justify why the material should be kept in confidence.
Explain why disclosure of the material would not be in the best interest of the public.
Provide the name, address, telephone, and email for the Contractor's person authorized to
respond to inquiries by the Agency concerning the status of confidential materials.
Please provide the information in the table below. Contractor may add additional lines if necessary or
add additional pages using the same format as the table below.
RFP Contractor must Contractor must justify why the Contractor must explain why Contractor must provide the
Section: cite the specific material should be kept in disclosure of the material would name, address, telephone, and
grounds in Iowa confidence. not be in the best interest of the email for the person at
Code Chapter 22 or public. Contractor's organization
other applicable authorized to respond to inquiries
law which by the Agency concerning the
supports status of confidential materials.
treatment of the
material as
confidential.
3 Contractor must submit a Public Copy of its Proposal from which the confidential information
has been excised. The confidential material must be excised in such a way as to allow the public to
determine the general nature of the material removed and to retain as much of the Proposal as
possible. Check box when completed.
This Form must be signed by the individual who signed the Contractor's Proposal. The Contractor shall
place this Form completed and signed in its Proposal immediately following the transmittal letter. A
copy of this document shall be placed in all Proposals submitted including the Public Copy.
*Failure to provide the information required on this Form may result in rejection of Contractor's
submittal to request confidentiality or rejection of the Proposal as being non-responsive.
*Please note that this Form is to be completed and signed only if you are submitting a request for
confidential treatment of any information submitted in your Proposal.
_________________________________ ___________________ ___________________
Company RFP Number RFP Title
_________________________________ ___________________ ___________________
Signature Title Date
2

Form 22 - Request for Confidentiality
--------------------------------------------------------------------------------------------------------------
Department of Administrative Services - Central Procurement Bureau Review
(For Agency use only)
Contractor's Proposal is rejected as non-compliant because of one or more of the following
reasons:
Contractor's Proposal is rejected due to not submitting a fully completed Form 22 to
either request or not request confidential treatment of information.
Contractor's Proposal is rejected due to the request to treat the entire response as
confidential.
Contractor's Proposal is rejected due to the request to treat Proposal pricing as
confidential.
Contractor requested confidentiality without submitting a fully completed Form 22.
Contractor requested confidentiality and failed to conspicuously mark such material as
confidential within its Proposal in accordance with the RFP.
Contractor requested confidentiality without submitting a public copy of its Proposal
with the confidential information redacted.
Contractor requested confidentiality on material in contravention of the RFP.
Other: _______________________________________________________.
Contractor's submission is accepted.1
________________________________________ ___________________
Purchasing Agent Signature Date
_______________________ ___________________________
RFP Number RFP Title
NOTE: Agency's acceptance of Contractor's submission should not be construed as Agency's approval of Contractor's request
for confidentiality. Instead, acceptance of Contractor's submission simply means that Agency believes Contractor's Form 22
appears fully completed in accordance with the RFP.
3