00016105_Att A Cover Sheet.docx
DOCX document 33 KB Posted
- Attached to
- Central Point TSP Update Mini-Solicitation
- Solicitation number
- S-73000-00016105
- Issued by
- Oregon
About this file
This is a proposal cover sheet for the Central Point Transportation System Plan (TSP) Update Mini-Solicitation issued by the Oregon Department of Transportation (ODOT) under Mini-RFP/Requisition #73000-00016105. The cover sheet serves as the formal submission document for interested firms and requires completion of standard proposal information including the name of the firm, primary contact name, email address, and telephone number. The document does not specify project timelines, response deadlines, site visit requirements, or bidder conference details within the cover sheet itself, as these elements are typically contained in the main Mini-RFP document referenced throughout.
The cover sheet establishes mandatory certifications and representations that proposers must affirm, including receipt of all addenda, acknowledgment that the agency bears no liability for proposal preparation costs or claims related to requirement comprehension, and confirmation that all proposal contents are truthful and accurate. Proposers must certify compliance with Oregon Revised Statute requirements regarding non-discrimination in subcontractor awards, sexual harassment prevention policies (for contracts exceeding $150,000), absence of undisclosed delinquent debt to the State, and full acceptance of Mini-RFP terms and conditions. Additionally, proposers must complete Conflict of Interest (COI) disclosures and certify either full conformance with COI Guidelines or provide detailed disclosure documentation. An authorized representative must approve and sign the cover sheet to bind the proposer and validate all certifications contained within the proposal submission.
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Other files
| File | Type | Posted |
|---|---|---|
| 00016105_Mini_RFP.docx | DOCX document | |
| 00016105_ Att C Key Staff Resumes.docx | DOCX document | |
| 00016105_Att B References.docx | DOCX document |
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Text version
Attachment A – Proposal Cover Sheet Mini-RFP/Requisition #: 73000-00016105 Oregon Department of Transportation Project name: Central Point TSP Update Name of Firm:
Type name of primary contact for this Proposal:
Email address: Telephone:
MINIMUM REQUIREMENTS
(If any minimum requirements are listed in the Mini-RFP document (normally Section 2.4.7), Proposer must list here how they meet those requirements.)
As the authorized representative named below, I certify on behalf of Proposer that:
1. Proposer has received copies of all addenda to this Mini-Solicitation.
2. Agency shall not be liable for: a) any claims or be subject to any defenses asserted by Proposer based upon, resulting from, or related to, Proposer's failure to comprehend all requirements of the Mini-RFP; or b) any expenses incurred by Proposer in either preparing and submitting its Proposal, or in participating in the proposal evaluation/selection or WOC negotiation process.
3. All contents of the Proposal, and this Mini-Solicitation Cover Sheet, are truthful and accurate.
4. Proposer has not and will not discriminate against a subcontractor in the awarding of a subcontract because the subcontractor is a minority, women or emerging small business enterprise certified under ORS 200.055.
5. If applicable, Proposer has, or will have prior to WOC execution, a written policy and practice, that meets the requirements described in ORS 279A.112, of preventing sexual harassment, sexual assault and discrimination against employees who are members of a protected class. (Agency may not enter into a contract with an anticipated contract price of $150,000 or more with a Proposer that does not certify it has such a policy and practice. See additional information and sample policy template.).
6. Proposer has no undisclosed liquidated and delinquent debt owed to the State or any department or agency of the State (Executive Order 17-09).
7. Proposer accepts all the terms and conditions contained in the Mini-RFP, and the referenced PA.
8. Proposer has made all required Conflict of Interest (COI) disclosures, if any, and (Check one of the following two certifications as applicable) |_| Proposer understands and has provided to all Associates (which includes subcontractors) the Conflict of Interest (COI) Guidelines and COI Disclosure Form. Proposer and (to the best of the below-named authorized representative’s information, knowledge and belief) Proposer’s Associates (as defined in the COI Guidelines) are in conformance with the COI Guidelines, have no employees that were employed by ODOT within the last two-year period, and have no conflicts of interest or other disclosures required per the COI Guidelines. The response to each question on the COI Disclosure Form was “no”.
|_| Proposer understands and has provided to all Associates (which includes subcontractors) the Conflict of Interest (COI) Guidelines and COI Disclosure Form. Proposer and (to the best of the below-named authorized representative’s information, knowledge and belief)all Associates (as defined in the COI Guidelines) have provided on the COI Disclosure Form(s) submitted as separate documents with this Proposal all disclosures required per the ODOT COI Guidelines.
9. By entering my name and title below and checking the “APPROVED” checkbox, I certify I am an Authorized Representative of the Proposer, duly authorized to bind the Proposer and make all representations, attestations, and certifications contained in the Proposal document and to submit this Proposal document on behalf of Proposer.
| APPROVED |_| |
| Authorized Representative |
Title Date xx/xx/xxxx
(Mini RFP Cover, ver. 7/01/21)
File details come from the government source that posted it. Updated .