00017142_RFP_Att A Cover Sheet_FINAL.doc
DOC document 58 KB Posted
- Attached to
- Human Services Coordinated Plan Assistance
- Solicitation number
- S-73000-00017142
- Issued by
- Oregon
About this file
This is a Proposal Cover Sheet for Mini-RFP #S-73000-00017142 issued by the Oregon Department of Transportation (ODOT) for the Human Services Coordinated Transportation Plan Assistance project. The cover sheet serves as the required submission document for proposers responding to this solicitation. Proposers must complete all required fields including firm name, primary contact information, email address, and telephone number. The document does not identify specific response deadlines, due dates, site visits, bidder conferences, award dates, or contract terms within the cover sheet itself, as these details are referenced as being contained in the referenced Mini-RFP document and Project Authorization (PA).
The cover sheet establishes critical certifications and representations that proposers must attest to upon submission, including confirmation of receipt of all addenda, accuracy of proposal contents, non-discrimination practices regarding minority and women-owned business enterprises, and compliance with sexual harassment and discrimination prevention policies for contracts with anticipated prices of $150,000 or more. Proposers must disclose any conflicts of interest and confirm the absence of undisclosed liquidated and delinquent debt owed to the State of Oregon. An authorized representative must sign and approve the cover sheet, certifying their authority to bind the proposer and make all representations contained in the proposal. No pricing information, set-asides, incumbent contractor details, or specific funding amounts are detailed in this cover sheet document.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 00017142_RFP_Att B_Sample WOC_FINAL.docx | DOCX document | |
| 00017142_RFP_Att C_Keystaff_FINAL.docx | DOCX document | |
| 00017142_Mini_RFP_FINAL.docx | DOCX document |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Attachment A – Proposal Cover Sheet
Mini-RFP #: S-73000-00017142 Oregon Department of Transportation
Project name: Human Services Coordinated Transportation Plan Assistance Name of Firm:
Type name of primary contact for this Proposal:
Email address:
Telephone:
MINIMUM REQUIREMENTS
Not Applicable.
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)
File details come from the government source that posted it. Updated .