00016902_Att A Cover Sheet.doc
DOC document 57 KB Posted
- Attached to
- RFP for A&E Services, ADA Project Design Phase
- Solicitation number
- S-73000-00016902
- Issued by
- Oregon
About this file
This is a proposal cover sheet for the Oregon Department of Transportation's Mini-RFP for Architecture and Engineering (A&E) services related to the Northwest Oregon ADA Curb Ramp Design, Phase 1 project, which encompasses Linn, Benton, Polk, and Marion Counties. The cover sheet serves as the mandatory submission document for proposers responding to Mini-RFP Requisition #73000-00016902. Proposers must complete all required fields including firm name, primary contact information, and certification of meeting any specified minimum requirements outlined in the solicitation documents. The sheet functions as the formal declaration of proposal acceptance and compliance with all terms, conditions, and requirements established in the Mini-RFP.
The cover sheet requires proposers to make nine critical certifications, including confirmation of receipt of all addenda, accuracy of proposal contents, non-discrimination in subcontracting practices, and compliance with Oregon Revised Statutes regarding sexual harassment prevention policies for contracts anticipated to exceed $150,000. Proposers must disclose all conflicts of interest and confirm that neither they nor their associates have been employed by ODOT within the preceding two-year period. An authorized representative must sign and date the cover sheet with approval to legally bind the proposing firm and validate all representations and attestations contained within the proposal submission.
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Other files
| File | Type | Posted |
|---|---|---|
| 00016902_Att C Sample WOC.docx | DOCX document | |
| 00016902_Mini_RFP.docx | DOCX document | |
| 00016902_Att B Key Staff Resumes.docx | DOCX document |
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Text version
Attachment A – Proposal Cover Sheet
Mini-RFP/Requisition #: 73000-00016902 Oregon Department of Transportation
Project name: Northwest Oregon ADA Curb Ramp Design, Phase 1 (Linn/Benton/Polk/Marion County ADA Ramps) 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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