00016505 Attach A Cover Sheet.doc
DOC document 58 KB Posted
- Attached to
- RUC Outreach and Communications
- Solicitation number
- S-73000-00016505
- Issued by
- Oregon
About this file
This is a proposal cover sheet for Mini-RFP #S-73000-00016505 issued by the Oregon Department of Transportation (ODOT) for a project titled "RUC Outreach and Communications." The cover sheet serves as the formal submission document for interested firms to provide their primary contact information, including name, email address, and telephone number. Proposers are required to demonstrate how they meet any minimum requirements specified in the Mini-RFP document, typically found in Section 1.4.11, and must certify their qualifications and compliance with all solicitation requirements.
The cover sheet requires proposers to make several binding certifications, including confirmation of receipt of all addenda, accuracy of proposal contents, non-discrimination practices in subcontractor selection, compliance with sexual harassment and discrimination prevention policies (required for contracts anticipated at $150,000 or more), and disclosure of any undisclosed liquidated and delinquent debt owed to the State of Oregon. Proposers must also complete Conflict of Interest (COI) disclosures and certify either full compliance with COI Guidelines or provide separate COI Disclosure Forms documenting any required disclosures. The authorized representative of the proposing firm must sign and date the cover sheet, confirming their authority to bind the organization and submit the proposal on its behalf.
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Other files
| File | Type | Posted |
|---|---|---|
| 00016505 Attach B Key Staff Resumes.docx | DOCX document | |
| 00016505 RUC Mini-RFP.docx | DOCX document | |
| 00016505 Attach E Price Proposal.xls | XLS spreadsheet |
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Text version
Attachment A – Proposal Cover Sheet
Mini-RFP #: S-73000-00016505 Oregon Department of Transportation
Project name: RUC Outreach and Communications 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 1.4.11), 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.
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)
FORMCHECKBOX
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”.
FORMCHECKBOX
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.12/31/25)
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