00016737 Mini RFP Att A Cover Sheet.doc
DOC document 79 KB Posted
- Attached to
- Crash Data Safety Consultant Support Services
- Solicitation number
- S-73000-00016737
- Issued by
- Oregon
About this file
This is a proposal cover sheet for a Mini-RFP issued by the Oregon Department of Transportation for Crash Data Safety Consultant Support Services (Mini-RFP/Requisition #S-73000-00016737). The document serves as the submission form for interested firms to respond to the solicitation and requires proposers to provide their firm name, primary contact information, email address, and telephone number. The cover sheet requires proposers to document how they meet any minimum requirements specified in the Mini-RFP document, typically found in Section 2.4.7 of the solicitation materials.
The cover sheet includes mandatory certifications that proposers must acknowledge and attest to, including confirmation of receipt of all addenda, verification of proposal accuracy and truthfulness, confirmation of non-discrimination practices toward minority and women-owned business enterprises, and disclosure of any conflicts of interest. Proposers must certify that they have no undisclosed delinquent debt owed to the State of Oregon, accept all terms and conditions of the Mini-RFP, and possess a written policy preventing sexual harassment and discrimination if the anticipated contract price exceeds $150,000. The authorized representative of the proposing firm must sign and date the cover sheet and check the "APPROVED" checkbox to certify their authority to bind the organization and submit the proposal on its behalf. The document does not specify response deadlines, contract terms, pricing information, or funding amounts within the cover sheet itself.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 00016737 Mini RFP Att B References.doc | DOC document | |
| 00016737 Matrix for release.xlsx | XLSX spreadsheet | |
| 00016737 Mini Final.docx | DOCX document | |
| 00016737 Mini RFP Att C Key Staff Resumes.docx | DOCX document | |
| 00016737 Mini RFP Att D BOC.xlsx | XLSX spreadsheet | |
| 00016737 ITA.docx | DOCX document |
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Text version
Attachment A – Proposal Cover Sheet
Mini-RFP/Requisition #: S-73000-00016737 Oregon Department of Transportation
Project name: Crash Data Safety Consultant Support Services 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.
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”.
9. 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.
10. 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)
File details come from the government source that posted it. Updated .