JRivera Winning Bid.pdf

EXHIBIT A-1 – BIDDER’S CERTIFICATION: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA)

(REV 2022-12-06) PAGE 1

EXHIBIT A-1 – BIDDER’S CERTIFICATION

Competitive Solicitation: No. 18222 – Spoken Language Interpreter Services for IPI, OPI, & VRI (Non-CBA)

Contract Category(ies):

Note: Open to all bidders

Covering at least the Top 20 Languages (via ALL scheduling options):

: In-Person Interpreting (IPI) [regional]

: Olympic Region : Northwest Region : Southwest Region : South Central Region : North Central Region : Eastern Region

: Over the Phone Interpreting (OPI) & Video Remote Interpreting (VRI) [statewide]

Reserved Award Contract Category(ies):

Note: Limited to bidders who certify and qualify as a Washington Small Business and/or Certified Veteran- Owned Business

Covering at least one language (via ALL scheduling options):

: Over the Phone Interpreting (OPI) & Video Remote Interpreting

(VRI) [statewide]

Bidder: _Jose R. Rivera___________________ Type/print full legal name of Bidder

Bidder’s Address: __285 Technology Center Way, Wenatchee, WA 98801__ Type/print Bidder’s Address

Bidder Organization Type:

Check appropriate box

Corporation: : Domestic � Foreign

Limited Liability Company (LLC): � Domestic � Foreign

Partnership: � Domestic � Foreign

Sole Proprietorship: �

* Note: A sole proprietorship is an unincorporated business owned and run by an individual with no distinction between the business and the owner. It is not a legal entity. It simply refers to a person who owns the business and is personally responsible for its debts and who pays personal income taxes on profits earned from the business. If

EXHIBIT A-1 – BIDDER’S CERTIFICATION: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA)

(REV 2022-12-06) PAGE 2

you are a bidder who operates a business on your own, you automatically are a sole proprietor unless you have adopted a business structure (e.g., corporation, LLC, partnership).

State of Formation for Corp./LLC/Partnership :

___Washington_______________________ Type/print the state where the corporation, LLC, or partnership is formed – e.g., ‘Washington’ if domestic and the name of the state if ‘Foreign’ (i.e., not Washington)

Doing Business Under Another Name:

Check appropriate box

State whether Bidder has been doing business under another name during the past five years:

: Bidder has NOT done business under another name

� Bidder HAS done business under another name

If Bidder HAS done business under another name, provide the name(s) and addresses:

Name: ___________________________________

Address: ___________________________________

Bidder, through the duly authorized undersigned, makes this certification as a required element of submitting a responsive bid. Bidder certifies, to the best of its knowledge and belief that the following are true, complete, correct, and made in good faith:

1. UNDERSTANDING. Bidder certifies that Bidder has read, thoroughly examined, and fully understands all of the provisions in the Competitive Solicitation (including all exhibits) and the terms and conditions of the Contract and any amendments or clarifications to the Competitive Solicitation, and agrees to abide by the same.

2. ACCURACY. Bidder certifies that Bidder has carefully prepared and reviewed its bid and fully supports the accuracy of the same. Bidder further understands and acknowledges that Enterprise Services shall not be responsible for any errors or omission on the part of Bidder in preparing its bid. Bidder further certifies that the facts declared here are true and accurate. Bidder further understands and acknowledges that the continuing compliance with these statements and all requirements of the Competitive Solicitation are conditions precedent to the award or continuation of the resulting Contract.

3. NO COLLUSION, ANTI-COMPETITIVE PRACTICES, OR SHARING BID INFORMATION. Bidder certifies that Bidder has not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive bidding in connection with this Competitive Solicitation. Bidder further certifies that Bidder’s bid prices have been arrived at independently, without engaging in collusion, bid rigging, or any other illegal activity, and without for the purpose of restricting competition any consultation, communication, or agreement with any other bidder or competitor relating to (a) those prices, (b) the intention to submit a bid, or

(c) the methods or factors used to calculate the prices offered. Bidder further certifies that Bidder has not been and will not knowingly disclose its bid prices, directly or indirectly, to any other bidder or competitor before award of a Contract, unless otherwise required by law. Bidder further certifies that Bidder has made no attempt and shall not make any attempt to induce any other person or firm to submit or not to submit a bid for the purpose of restricting competition.

EXHIBIT A-1 – BIDDER’S CERTIFICATION: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA)

(REV 2022-12-06) PAGE 3

Bidder, however, freely may join with other persons or organizations for the purpose of presenting a joint bid. Whether done directly or indirectly, communicating bid information with other bidders, collusion, or anti-competitive actions among bidders are prohibited. If there is evidence of such communication, collusion, or anti-competitive activities among bidders, Enterprise Services reserves the right to disqualify such bidders.

4. FIRM OFFER. Bidder certifies that its bid pertaining to the above-referenced Competitive Solicitation is a firm offer which cannot be withdrawn for a time period of ninety (90) days from and after the bid due date specified in the Competitive Solicitation. Enterprise Services may accept such bid, with or without further negotiation, at any time within such period. In the event of a protest, Bidder’s bid shall remain valid for such time period or until the protest and any related court action is resolved, whichever is later.

5. CONFLICT OF INTEREST. Bidder certifies that, in preparing its bid, Bidder has not been assisted by any current or former employee of the State of Washington whose duties relate (or did relate) to this Competitive Solicitation or prospective Contract and who was assisting in other than the employee’s official, public capacity. Bidder further certifies that no such current or former public employee nor any member of such person’s immediate family have any financial interest in the outcome of Bidder’s bid.

6. NO REIMBURSEMENT. Bidder certifies that Bidder understands that the State of Washington will not reimburse Bidder for any costs incurred in the preparation of Bidder’s bid. All bids become the property of the State of Washington, and Bidder claims no proprietary right to the ideas, writings, items, or samples unless so stated in the bid.

7. PERFORMANCE. Bidder certifies that Bidder understands that its submittal of a bid and execution of this Bidder’s Certification certifies Bidder’s willingness to comply with the Contract, if awarded such. By submitting this bid, Bidder hereby offers to furnish the goods and/or services solicited pursuant to this Competitive Solicitation in compliance with all terms, conditions, and performance requirements contained in this Competitive Solicitation and the resulting Contract or, if applicable, as detailed on a Contract Issues List, if permitted, in this Competitive Solicitation.

8. INSURANCE. Bidder certifies as follows (must check one):

� BIDDER HAS REQUIRED INSURANCE. Bidder has attached a current, valid Certificate of

Insurance for each and all of the required insurance coverages as specified in the Contract (note: Bidder must attach the Insurance Certificate).

OR

: BIDDER WILL OBTAIN REQUIRED INSURANCE. Bidder does not have a current, valid

Certificate of Insurance for each and all of the required insurance coverages as specified in the Contract but, if designated as an Apparent Successful Bidder, Bidder will provide such a Certificate of Insurance, without exception of any kind, to Enterprise Services within twenty-four (24) hours of such designation or notification by Enterprise Services or be deemed a nonresponsive bid.

OR

� BIDDER DOES NOT HAVE REQUIRED INSURANCE. As detailed on the attached explanation

(Bidder to provide), Bidder does not have a current, valid Certificate of Insurance for each and all of the required insurance coverages as specified in the Contract and, if designated as an Apparent Successful Bidder would not be able to provide such a Certificate of Insurance to Enterprise Services within twenty-four (24) hours of such

EXHIBIT A-1 – BIDDER’S CERTIFICATION: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA)

(REV 2022-12-06) PAGE 4

designation.

9. DEBARMENT. Bidder certifies as follows (must check one):

: NO DEBARMENT. Bidder and/or its principals are not presently nor has ever been debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from contracting with any federal, state, or local governmental entity within the United States.

OR

� DEBARRED. As detailed on the attached explanation (Bidder to provide), Bidder and/or its principals presently are debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from contracting with a federal, state, or local governmental entity within the United States.

10. CRIMINAL OFFENSE. Bidder (including Bidder’s officers) certifies as follows (must check one):

: NO CRIMINAL OFFENSE. Bidder has not, within the three (3) year period preceding the date of this Competitive Solicitation, been convicted or had a civil judgment rendered against Bidder for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a governmental contract; violation of any federal or state antitrust statute; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property. Bidder further certifies that it is not presently indicted or otherwise criminally or civilly charged by a governmental entity with commission of any of the offenses enumerated in this paragraph.

OR

� CRIMINAL OFFENSE. As detailed on the attached explanation (Bidder to provide), within the three (3) year period preceding the date of this Competitive Solicitation, Bidder has been convicted or had a civil judgment rendered against Bidder for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a governmental contract; violation of any federal or state antitrust statute; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property.

11. WAGE THEFT PREVENTION. Bidder certifies as follows (must check one):

: NO WAGE VIOLATIONS. Bidder has NOT been determined by a final and binding citation and notice of assessment issued by the Washington Department of Labor and Industries or through a civil judgment entered by a court of limited or general jurisdiction to have willfully violated, as defined in RCW 49.48.082, any provision of RCW chapters 49.46, 49.48, or 49.52 within three (3) years prior to the date of the above-referenced Competitive Solicitation date.

OR

� VIOLATIONS OF WAGE LAWS. Bidder has been determined by a final and binding citation and notice of assessment issued by the Washington Department of Labor and Industries or through a civil judgment entered by a court of limited or general jurisdiction to have willfully violated, as defined in RCW 49.48.082, a provision of RCW chapters 49.46, 49.48, or 49.52 within three (3) years prior to the date of the above-referenced Competitive Solicitation date.

http://app.leg.wa.gov/RCW/default.aspx?cite=49.48.082 http://app.leg.wa.gov/RCW/default.aspx?cite=49.46 http://app.leg.wa.gov/RCW/default.aspx?cite=49.48 http://app.leg.wa.gov/RCW/default.aspx?cite=49.52 http://app.leg.wa.gov/RCW/default.aspx?cite=49.48.082 http://app.leg.wa.gov/RCW/default.aspx?cite=49.46 http://app.leg.wa.gov/RCW/default.aspx?cite=49.48 http://app.leg.wa.gov/RCW/default.aspx?cite=49.52

EXHIBIT A-1 – BIDDER’S CERTIFICATION: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA)

(REV 2022-12-06) PAGE 5

12. CIVIL RIGHTS. Bidder certifies as follows (must check one):

: COMPLIANCE WITH CIVIL RIGHTS REQUIREMENTS. Bidder complies with all applicable requirements regarding civil rights. Such requirements prohibit discrimination against individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, or national origin.

OR

� NON-COMPLIANCE WITH CIVIL RIGHTS REQUIREMENTS. Bidder does not comply with all applicable requirements regarding civil rights.

13. WORKERS’ RIGHTS (EXECUTIVE ORDER 18-03). Bidder certifies as follows (must check one):

: NO MANDATORY INDIVIDUAL ARBITRATION CLAUSES AND CLASS OR COLLECTIVE ACTION WAIVERS

FOR EMPLOYEES. Bidder does NOT require its employees, as a condition of employment, to sign or agree to mandatory individual arbitration clauses or class or collective action waivers.

OR

� MANDATORY INDIVIDUAL ARBITRATION CLAUSES AND CLASS OR COLLECTIVE ACTION WAIVERS FOR

EMPLOYEES. Bidder requires its employees, as a condition of employment, to sign or agree to mandatory individual arbitration clauses or class or collective action waivers.

14. TERMINATION FOR DEFAULT OR CAUSE. Bidder certifies as follows (must check one):

: NO TERMINATION FOR DEFAULT OR CAUSE. Bidder has not, within the three (3) year period preceding the date of this Competitive Solicitation, had one (1) or more federal, state, or local governmental contracts terminated for cause or default.

OR

� TERMINATION FOR DEFAULT OR CAUSE. As detailed on the attached explanation (Bidder to provide), within the three (3) year period preceding the date of this Competitive Solicitation, Bidder has had one (1) or more federal, state, or local governmental contracts terminated for cause or default.

15. TAXES. Bidder certifies as follows (must check one):

: TAXES PAID. Except as validly contested, Bidder is not delinquent and has paid or has arranged for payment of all taxes due to the State of Washington and has filed all required returns and reports as applicable.

OR

� DELINQUENT TAXES. As detailed on the attached explanation (Bidder to provide), Bidder has not paid or arranged for payment of all taxes due to the State of Washington and/or has not timely filed all required returns and reports as applicable.

16. FINANCIALLY SOLVENT. Bidder certifies as follows (must check one):

: FINANCIALLY SOLVENT. Bidder is financially stable and solvent, has adequate cash reserves to meet all financial obligations, has not commenced bankruptcy proceedings voluntarily or otherwise, and is not subject to any judgments, liens, or encumbrances of any kind affecting title to any Goods or Services that are the subject of this Competitive Solicitation.

https://www.governor.wa.gov/sites/default/files/exe_order/18-03%20-%20Workers%20Rights%20%28tmp%29.pdf

EXHIBIT A-1 – BIDDER’S CERTIFICATION: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA)

(REV 2022-12-06) PAGE 6

OR

� NOT FINANCIALLY SOLVENT. As detailed on the attached explanation (Bidder to provide), Bidder is not financially stable and solvent – i.e., Bidder does not have adequate cash reserves to meet all financial obligations, has commenced bankruptcy proceedings voluntarily or otherwise, or is subject to a judgment, lien, or encumbrance that affects title to the Goods or Services that are the subject of this Competitive Solicitation.

17. LAWFUL REGISTRATION. Bidder, if conducting business other than as a sole proprietorship certifies as follows (must check one):

: CURRENT LAWFUL REGISTRATION. Bidder is in good standing in the State of Washington and the jurisdiction where Bidder is organized, including having timely filed all required annual reports.

OR

� DELINQUENT REGISTRATION. As detailed on the attached explanation (Bidder to provide), Bidder currently is not in good standing in the State of Washington and/or the jurisdiction where Bidder is organized.

NOTE: This certification applies only to bidders that are organized as separate legal entities (e.g., a corporation, partnership, limited liability company). If bidder is a sole proprietor, this certification should not be answered.

18. REGISTRATION WITH WASHINGTON SECRETARY OF STATE. Bidder certifies as follows (must check one):

: BIDDER IS REGISTERED WITH WASHINGTON SECRETARY OF STATE. Bidder is registered with the

Washington Secretary of State, is in good standing, and has the following Unified Business Identifier (UBI) number: 603 505 287.

OR

� BIDDER WILL REGISTER WITH WASHINGTON SECRETARY OF STATE. Bidder is not registered with the Washington Secretary of State but, if designated as an Apparent Successful Bidder, Bidder will register with the Washington Secretary of State to obtain a UBI number and provide proof of such registration satisfactory to Enterprise Services within twenty-four (24) hours of such designation or notification by Enterprise Services or be deemed a nonresponsive bid.

OR

� BIDDER IS NOT REGISTERED WITH WASHINGTON SECRETARY OF STATE. Bidder is not registered with the Washington Secretary of State and Bidder declines to register with the Washington Secretary of State. Note: Enterprise Services requires all awarded bidders (including Washington firms and out of state firms) to be registered with the Washington Secretary of State. Bidders who are not registered will not be awarded a Contract.

NOTE: This certification applies only to bidders that are organized as separate legal entities (e.g., a corporation, partnership, limited liability company). If bidder is a sole proprietor, this certification should not be answered.

19. REGISTRATION WITH WASHINGTON STATE DEPARTMENT OF REVENUE. Bidder certifies as follows (must check one):

: BIDDER IS REGISTERED WITH WASHINGTON STATE DEPARTMENT OF REVENUE. Bidder is

EXHIBIT A-1 – BIDDER’S CERTIFICATION: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA)

(REV 2022-12-06) PAGE 7

registered with the Washington State Department of Revenue, has a business license to do business in Washington, and has the following Unified Business Identifier (UBI) number: 603 505 287.

OR

� BIDDER WILL REGISTER WITH WASHINGTON STATE DEPARTMENT OF REVENUE. Bidder is not registered with the Washington State Department of Revenue but, if designated as an Apparent Successful Bidder, Bidder will register with the Washington State Department of Revenue for a business license and provide proof of such registration satisfactory to Enterprise Services within twenty-four (24) hours of such designation or notification by Enterprise Services or be deemed a nonresponsive bid.

OR

� BIDDER IS NOT REGISTERED WITH WASHINGTON STATE DEPARTMENT OF REVENUE. Bidder is not registered with the Washington State Department of Revenue and Bidder declines to register with the Washington State Department of Revenue. Note: Enterprise Services requires all awarded bidders (including Washington firms and out of state firms) to be registered with the Washington State Department of Revenue. Bidders who are not registered will not be awarded a Contract.

20. SUBCONTRACTORS. Bidder certifies as follows (must check one):

: NO SUBCONTRACTORS. If awarded a Contract, Bidder will not utilize subcontractors to provide the goods and/or services subject to this Competitive Solicitation.

OR

� SUBCONTRACTORS. As detailed on the attached explanation (Bidder to provide), if awarded a Contract, Bidder will utilize subcontractors to provide the goods and/or services subject to this Competitive Solicitation. In such event, Bidder further certifies that, as to the State of Washington, Bidder shall retain responsibility for its subcontractors, including, without limitation, liability for any subcontractor’s acts or omissions. Note: Bidder must provide the precise legal name (including state of organization), business address, and federal tax identification number (TIN) for each subcontractor. Note: If the TIN is a SSN, do not provide the SSN.

21. WASHINGTON SMALL BUSINESS. Bidder certifies as follows (must check one):

: WASHINGTON SMALL BUSINESS. Bidder is a Washington Small Business as defined in

RCW 39.26.010. To qualify as a Washington Small Business, Bidder must meet three (3) requirements:

: Location. Bidder’s principal office/place of business must be located in and identified as being in the State of Washington. A principal office or principal place of business is a firm’s headquarters where business decisions are made and the location for the firm’s books and records as well as the firm’s senior management personnel.

: Size. Bidder must be owned and operated independently from all other businesses and have either: (a) fifty (50) or fewer employees;

or (b) gross revenue of less than seven million dollars ($7,000,000) annually as reported on Bidder’s federal income tax return or its return filed with the Washington State Department of Revenue over the previous three consecutive years).

: WEBS Certification. Bidder must have certified its Washington Small

EXHIBIT A-1 – BIDDER’S CERTIFICATION: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA)

(REV 2022-12-06) PAGE 8

Business status in Washington’s Electronic Business Solution

(WEBS).

OR

� NOT WASHINGTON SMALL BUSINESS. Bidder does not qualify as a Washington Small

Business as set forth above.

22. CERTIFIED VETERAN-OWNED BUSINESS. Bidder certifies as follows (must check one):

� CERTIFIED VETERAN-OWNED BUSINESS. Bidder is a Certified Veteran-Owned Business under RCW 43.60A.190. To qualify as a Certified Veteran-Owned Business, Bidder must meet four (4) requirements:

� 51% Ownership. Bidder must be at least fifty-one percent (51%) owned and controlled by:

(a) A veteran as defined as every person who at the time he or she seeks certification has received a discharge with an honorable characterization or received a discharge for medical reasons with an honorable record, where applicable, and who has served in at least one of the capacities listed in

RCW 41.04.007;

(b) A person who is in receipt of disability compensation or pension from the department of veterans affairs; or

(c) An active or reserve member in any branch of the armed forces of the United States, including the national guard, coast guard, and armed forces reserves.

: Washington Incorporation/Location. Bidder must be either an entity that is incorporated in the state of Washington as a Washington domestic corporation or, if not incorporated, an entity whose principal place of business is located within the State of Washington.

: WEBS Certification. Bidder must have certified its Veteran-Owned business status in Washington’s Electronic Business Solution

(WEBS).

: WDVA Certification. Bidder must have provided certification documentation to the Washington Department of Veterans’ Affairs WDVA) and be certified by WDVA and listed as such on WDVA’s website (WDVA – Veteran-Owned Businesses).

OR

: NOT A CERTIFIED VETERAN-OWNED BUSINESS. Bidder does not qualify as a Certified

Veteran-Owned Business as set forth above.

23. REFERENCES. Bidder certifies that the references provided to Enterprise Services have worked with Bidder and that such individuals and firms have full permission, without any additional requirement or release, to provide such references and information to Enterprise Services. Bidder hereby authorizes Enterprise Services (or its agent) to contact Bidder’s references and others who may have pertinent information regarding Bidder’s prior experience and ability to perform the http://www.des.wa.gov/services/ContractingPurchasing/Business/Pages/WEBSRegistration.aspx http://www.des.wa.gov/services/ContractingPurchasing/Business/Pages/WEBSRegistration.aspx https://www.dva.wa.gov/veterans-their-families/veteran-owned-businesses/vob-search

EXHIBIT A-1 – BIDDER’S CERTIFICATION: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA)

(REV 2022-12-06) PAGE 9

Contract, if awarded. Bidder hereby authorizes such individuals and firms to provide such references and release to Enterprise Services information pertaining to the same.

24. QUALIFIED SPOKEN LANGUAGE INTERPRETERS. Bidder certifies as follows (must check one):

: QUALIFIED SPOKEN LANGUAGE INTERPRETERS. Bidder’s interpreters satisfy one or more of the following qualification requirements:

: Bidder’s interpreters are credentialed as certified spoken language interpreters by the Washington State Department of Social and Health Services (DSHS) Language Testing and Certification Program

(LTC);

: Bidders interpreters meet guidelines outlined by the American Translation Association (ATA) for Interpreters, the Certification Commission for Healthcare Interpreters, or the National Board for Certification of Medical Interpreters; and/or

: Bidders interpreters are trained through accredited higher education institution (university or college) programs, which are widely accepted by industry experts, the interpreter community, and by Washington state agencies who purchase Spoken Language Interpreter Services.

OR

� NOT QUALIFIED SPOKEN LANGUAGE INTERPRETERS. Bidder’s interpreters do not satisfy one or more of the qualification requirements set forth above.

25. CONSECUTIVE INTERPRETATION. Bidder certifies as follows (must check one):

: CAPABLE OF PROVIDING SPOKEN LANGUAGE INTERPRETER SERVICES VIA CONSECUTIVE

INTERPRETATION MODE. Bidder is capable of providing Spoken Language Interpreter Services via consecutive interpretation mode delivered through each and all of the following modalities and through all scheduling options:

: In-Person Interpreting (IPI) : Over the Phone Interpreting (OPI) & Video Remote Interpreting

(VRI).

OR

� RESERVED AWARD BIDDER FOR OPI & VRI LIMITED LANGUAGES. Bidder certifies and qualifies as a Washington Small Business and/or Certified Veteran-Owned Business and is capable of providing Spoken Language Interpreter Services via consecutive interpretation mode delivered through Over the Phone Interpreting (OPI) & Video Remote Interpreting (VRI) and through all scheduling options.

OR

� NOT CAPABLE OF PROVIDING SPOKEN LANGUAGE INTERPRETER SERVICES VIA CONSECUTIVE

INTERPRETATION MODE. Bidder is NOT capable of providing Spoken Language Interpreter Services via consecutive interpretation mode.

26. ACCURATE INTERPRETATION. Bidder certifies as follows (must check one):

: CAPABLE OF PROVIDING ACCURATE SPOKEN LANGUAGE INTERPRETER SERVICES. Bidder’s interpreters are experienced, capable, and proficient in providing spoken language interpreter services that accurately interpret for individuals from any background without changing the language, whether the speaker is using very formal legal

EXHIBIT A-1 – BIDDER’S CERTIFICATION: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA)

(REV 2022-12-06) PAGE 10

language or less formal colloquial language.

OR

� NOT CAPABLE OF PROVIDING ACCURATE SPOKEN LANGUAGE INTERPRETER SERVICES THROUGH ALL SCHEDULING OPTIONS. Bidder’s interpreters are not sufficiently experienced, capable, and proficient in providing spoken language interpreter services that accurately interpret for individuals from any background without changing the language, whether the speaker is using very formal legal language or less formal colloquial language.

27. TOP 20 LANGUAGES. Bidder certifies as follows (must check one):

: QUALIFIED INTERPRETERS FOR TOP 20 LANGUAGES. Bidder has qualified spoken language interpreters (see above) to provide spoken language interpreter services for each and all of the Top 20 Languages (see Competitive Solicitation) delivered through each and all of the following modalities and through all scheduling options (see below):

: In-Person Interpreting (IPI) : Over the Phone Interpreting (OPI) & Video Remote Interpreting

(VRI).

OR

� RESERVED AWARD BIDDER FOR OPI & VRI LIMITED LANGUAGES. Bidder certifies and qualifies as a Washington Small Business and/or Certified Veteran-Owned Business and is NOT seeking a Contract award to provide spoken language interpreter services for the Top 20 Languages; Rather, bidder is seeking an award for any languages delivered through the OPI & VRI (OPI & VRI Limited Languages) and through all scheduling options.

OR

� NOT QUALIFIED INTERPRETERS FOR TOP 20 LANGUAGES. Bidder does NOT have qualified spoken language interpreters (see above) to provide spoken language interpreter services for each and all of the Top 20 Languages delivered through each of the specified modalities (see above) and through all scheduling options.

28. SCHEDULING CAPABILITY. Bidder certifies as follows (must check one):

: CAPABLE OF PROVIDING SPOKEN LANGUAGE INTERPRETER SERVICES THROUGH ALL SCHEDULING

OPTIONS. Bidder is capable of providing spoken language interpreter services through all of the following scheduling options:

: On-Demand (only for OPI and VRI) [Note: Minimum business hours for on-demand OPI and VRI are 7:00 am – 6:00 pm (U.S. PST), Monday-Friday]

: Pre-Scheduled Standard [Note: Such appointments require at least 14 days advance notice by Purchaser]; and

: Pre-Scheduled Rush [Note: Appointments requested by Purchaser to be scheduled with less than 14 days advance notice].

OR

� NOT CAPABLE OF PROVIDING SPOKEN LANGUAGE INTERPRETER SERVICES THROUGH ALL

SCHEDULING OPTIONS. Bidder is NOT capable of providing spoken language interpreter services through all of the above-referenced scheduling options.

EXHIBIT A-1 – BIDDER’S CERTIFICATION: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA)

(REV 2022-12-06) PAGE 11

Bidder further certifies that it shall provide immediate written notice to Enterprise Services if, at any time prior to a Contract award, Bidder learns that any of its certifications set forth herein were erroneous when submitted or have become erroneous by reason of changed circumstances.

I hereby certify, under penalty of perjury under the laws of the State of Washington, that the certifications herein are true and correct and that I am duly authorized to make these certifications on behalf of the Bidder listed herein.

BIDDER NAME:

__JRIVERA ASSOCIATES, INC.____________________________________________

Print Name of Bidder – Print full legal entity name of the firm submitting the Bid If Bidder is a sole proprietor, print the full legal name of the individual who is the Bidder submitting the Bid

By: ______________________________ Signature of Bidder’s authorized person

____JOSE R. RIVERA____________________

Print Name of person making certifications for Bidder

Title: __President & CEO_______________ Title of person signing certificate

Place: __WENATCHEE, WA_____________ Print city and state where signed

Date: ____September 15, 2023____________

Return this Bidder’s Certification to Procurement Coordinator at:

DESLanguageAccess@des.wa.gov mailto:DESLanguageAccess@des.wa.gov

EXHIBIT A-2 – BIDDER’S PROFILE: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA) PAGE 1 (Rev 2021-06-30)

EXHIBIT A-2 – BIDDER’S PROFILE

Competitive Solicitation:

No. 18222 – Spoken Language Interpreter Services for IPI, OPI, & VRI (Non-CBA)

Bidder: __JRivera Associates, Inc._______________ Type/print full legal name of Bidder

BIDDER INFORMATION

Legal name of Bidder:

Address of Bidder:

Note: This information must match the information from Bidder’s Business License.

JRivera Associates, Inc._______ Business Name _285 Technology Center Way___ Address __Wenatchee, WA 98801______ City, State, Zip Code

Bidder’s Washington State Department of Revenue Registration Number/Unified Business Identifier (UBI) Number:

Note: A nine digit UBI number is assigned to each registered businesses in Washington.

__603-050-287______________

Taxpayer Identification No. (TIN):

Note: Your TIN will be either a number issued by the IRS (e.g., Employer Identification Number, Federal Tax Identification Number) or a number issued by the Social Security Administration (i.e., your Social Security Number). Do Not provide a Social Security Number.

___47-1488555_____________

Is your firm certified as a minority or woman owned business with the Washington State Office of Minority & Women’s Business Enterprises (OMWBE)?

Yes No

If yes, provide Bidder’s MWBE certification no.: ____________

EXHIBIT A-2 – BIDDER’S PROFILE: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA) PAGE 2

BIDDER INFORMATION

Is your firm a self-certified Washington State Small Business?

Note: See Exhibit A-1 – Bidder’s Certification for criteria to qualify as a Washington State Small Business.

Note: Regardless of size, a qualifying business must be owned and operated independently from all other businesses. In regard to size, the gross revenue thresholds, as reported on Bidder’s tax returns, are as follows:

▪ Microbusiness: Annual gross revenue of less than one million dollars.

▪ Minibusiness: Annual gross revenue of more than one million dollars, but less than three million dollars.

▪ Small Business: Annual gross revenue of less than seven million dollars over each of the three prior consecutive years.

Yes No

If yes, provide the location for Bidder’s principal place of business:

__285 Technology Center Way__ Street Address __Wenatchee, WA 98801______ City, State, Zip Code

If yes, what is your business size (based on annual gross revenue)?

Microbusiness

Minibusiness

Small Business

Is your firm certified as a Veteran-Owned Business with the Washington State Department of Veteran Affairs?

Note: See Exhibit A-1 – Bidder’s Certification for criteria to qualify as a Certified Veteran-Owned Business.

Yes No

If yes, provide Bidder’s WDVA certification no.: _____________

CONTRACT MANAGEMENT POINTS OF CONTACT FOR BIDDER

Authorized Representative for bid submittal

Name: José R. Rivera Email: mrr@jriva.com Phone: 209-405-0951

Contract Administrator

Name: José R. Rivera Email: mrr@jriva.com Phone: 209-405-0951

Sales Reporting Representative

Name: Elisia Enriquez Email: elisia@jriva.com Phone: 877-240-0216

Sales Reporting Alternate

Name: Mary Jane Estiller Email : mestiller@jriva.com Phone: 877-240-0216

Management Fee Representative

Name: José R. Rivera Email: mrr@jriva.com Phone: 209-405-0951

Management Fee Contact Alternate

Name: Elisia Enriquez Email: elisia@jriva.com Phone: 877-240-0216

EXHIBIT A-2 – BIDDER’S PROFILE: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA) PAGE 3

CONTRACT MANAGEMENT POINTS OF CONTACT FOR BIDDER

Address for Enterprise Services to send management fee invoices:

Company name: JRivera Associates, Inc.

Attn: Jose R. Rivera Address: 285 Technology Center Way City/State/Zip: Wenatchee, WA 98801

Address for Enterprise Services to send legal notices:

Company name: JRivera Associates, Inc.

Attn: Jose R. Rivera Address: 285, Technology Center Way

City/State/Zip: Wenatchee, WA 98801

Signature Authority (if awarded a contract)

Name:

Title:

REFERENCES

Provide a minimum of three (3) commercial or government references for which bidder has delivered goods and/or services similar in scope as described in the Competitive Solicitation.

REFERENCE 1

Company Name:

Contact:

Phone:

Email:

Health Plan of San Joaquin

Catherine Talongwa, MBA, DHA, Manager, Cultural & Linguistic

209-461-2374 ctalongwa@hpsj.com

REFERENCE 2

Company Name:

Contact:

Phone:

Email:

Thurston County Public Health & Social Services

Mary Ann O' Garro, Senior Epidemiologist

360-867-2525 ogarrom@co.thurston.wa.us

REFERENCE 3

Company Name:

Contact:

Phone:

Email:

Washington State Charter Schools Association

Darcelina Soloria, Regional Advocacy and Organizing Manager

206-424-2780 darcelina@wacharters.org

EXHIBIT A-2 – BIDDER’S PROFILE: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA) PAGE 4

PURCHASE CARDS (I.E., CREDIT CARDS)

Please indicate which types of purchasing (credit) cards are accepted (note: any card fees must be included in the unit price of the bid):

Visa Master Card American Express Discover Other: Paypal

Return this Bidder’s Profile to Procurement Coordinator at:

mailto:DESLanguageAccess@des.wa.gov

EXHIBIT B – PERFORMANCE REQUIREMENTS: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA) PAGE 1

EXHIBIT B – PERFORMANCE REQUIREMENTS

Competitive Solicitation:

No. 18222 – Spoken Language Interpreter Services for IPI, OPI, & VRI (Non-CBA)

Bidder: _JRivera Associates, Inc._______________ Type/print full legal name of bidder company

Instructions

1. Add bidder company’s name above and review the below Performance Requirements.

2. The Exhibit is separated into two sections: non-scored performance requirements and scored performance requirements.

3. In the first section “Non-Scored Performance Requirements mark YES or NO if bidder meets each requirement in Bidder’s Compliance column. Bidder may be asked to provide a written response in the Non- Scored Performance Requirements. Failure to provide a response will be evaluated as a “Fail”. A Fail will be seen as unresponsive.

4. In the second section ‘Scored Technical Requirements mark Yes or No if bidder meets each requirement in Bidder’s Compliance column. Each of these questions require a written response. Failure to provide a response will be evaluated as a “Fail”. A Fail will be seen as unresponsive.

a. In the Written Response column for every requirement that indicates a "Written Response Required," provide a written response that addresses how bidder will meet the requirement. Limited responses may receive lower scoring than those that demonstrate knowledge of the subject matter. Written responses must not reference or link to any material outside of this document.

5. Submit the exhibit as a Microsoft Word document and without modifying the font or formatting. If you need to print out this document for any reason, please note this document is size Legal 8.5” x 14”.

Please note: Not following any of the specified instructions might be grounds for the bid to be considered non-responsive.

EXHIBIT B – PERFORMANCE REQUIREMENTS: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA) PAGE 2

NON-SCORED PERFORMANCE REQUIREMENTS AND FACTORS FOR DES USE ONLY

Requirement

ID

Performance Requirement and Stated Business Need

Points Available

Bidder’s Compliance

Written Response Evaluator

Score Evaluator Comment

1. Must be able to provide confirmation of prescheduled interpreter services within 48 hours of receiving a purchaser request.

Pass/Fail ☒ Yes

☐ No

1. JRA will provide confirmation of interpretive services within or less than 48 hours of requirements our scheduling procedure is as follow:

Scheduling Appointments:

1. Respond within 4 hours of request as request received

2. Assign interpreter within same day to 48 hours of request

3. Request interpreter services in one of three ways

(1) Call JRA at 877-240-0216

(2) Send encrypted email to request@jriva.com

(3) Fill out request form on request@jriva encrypted email

(4) JRA will send an acknowledgement of request, and advised requestor of scheduling of interpreter with in same day but no later than 48 hours of request.

2. Between same day & no later than 48 hours of request JRA will:

a) Schedule on-site/OPI/VRI interpretation

b) Identify court certified/register interpreter c)Schedule interpreter/Coordinate with Agency representative/Attorney/ Court interpreter credentials assignment/confidentiality attestation/Link

d) Send confirmation from JRA encrypted/HIPAA/PHI compliant email request @jriva.com to requestor with encounter details (as cited above) including providing use of JRA RingCentral platform if one is needed.

e) After completion of assignment perform interpreter completes satisfaction survey from requestor.

f) JRA next business day contacts requestor as to service quality & satisfaction of service.

JRA will also provide our innovative JRA Connect web driving automated scheduling system. This is a portal exclusively for our client of interpreter & translation services. It will be available to use 24 hours a day, 7 days a week.

2. Must have the ability to submit to purchasers any required report(s) on an as needed basis within ten (10) business days after request. Elements of such reports may be by language and include the following:

• Dates of service

Pass/Fail ☒ Yes

☐ No

Our proprietary web based scheduling system JRA Connect is an innovative and proprietary scheduling system connecting requestors and interpreters.

Both can easily use our secured (encrypted/ HIPAA/PHI compliant) applications. Clients and interpreters will be able to use the JRA advanced, innovative approach for scheduling and managing encounters/ appointments. JRivera Associates agrees to provide this web-driven platform at no cost to requestors & interpreters.

EXHIBIT B – PERFORMANCE REQUIREMENTS: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA) PAGE 3

NON-SCORED PERFORMANCE REQUIREMENTS AND FACTORS FOR DES USE ONLY

ID

Performance Requirement and Stated Business Need

Points Available

Bidder’s Compliance

Written Response Evaluator

Score Evaluator Comment

• Project status: filled, unfilled, completed, cancelled and no shows

• Name of assigned interpreter

• Name of requestor

• Dollar amounts paid for a given time period, to include hours, miles and any other costs

• Hours per language

JRivera Associates also agrees to establish, maintain, and utilize an electronic data management system that maintains all the interpreter service data related to the work performed under the contract. Reports will be available for clients/requestors. The JRA Connect will provide downloadable client specific reports that include: dates of service; project status filled, unfilled, completed, cancelled and no show rates by interpreter, language, location, hours of service, name of interpreters and their characteristics e.g. language, gender, credentials, geography, etc;

Each requester can create an account with a web dashboard to utilize details about their own current requests, completed requests and canceled requests including the details about the interpreter. JRA Connect has features to filter and/or export data reports in a CSV or Excel format. Billing and invoicing capabilities are provided to each client to meet their specific report needed.

JRA provides traditional encounter demand reports and manual billing excel reports with data requirements of individual clients such as court, medical, scientific & specific needs of provider/patient confidential PHI data requirements: dates of service, location, interpreters, mileage, no show rates, unit cost report of services provided; utilization by type of service onsite, OPI, VRI, simultaneous, etc. JRA provides a quarterly report to clients.

JRA will meet the client needs of traditional reports or the use our innovative web-driving JRA Connect scheduling system.

3. Bidder must provide a list of interpreters that Bidder is currently contracted with, including all languages and modalities provided by each interpreter. For IPI, please provide the list of interpreters by geographic region (the 6 specified geographic regions set forth in the Competitive Solicitation).

(Example 1: John Smith - Spanish OPI and VRI) (Example 2: John Smith, Spanish, Olympic Region- IPI, OPI and VRI).

Pass/Fail ☒ Yes

☐ No

Please see separate document (Attachment- JRivera Associates, Inc.

Interpreters Listing).

EXHIBIT B – PERFORMANCE REQUIREMENTS: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA) PAGE 4

SCORED PERFORMANCE REQUIREMENTS AND FACTORS FOR DES USE ONLY

ID

Performance Requirement and Stated Business Need

Points Available

Bidder’s Compliance

Written Response Evaluator

Score Evaluator Comment

1. Bidder Experience and Qualifications: Describe how the Bidder is qualified and practical knowledge to take on this scope of services described in this Solicitation / Statewide Contract.

Include information about Bidder’s contract involvement in procurements of similar scope and size.

50 points

☒ Yes

☐ No

Since 2015 JRA is a DES statewide contractor for face to face interpretation, and a contractor for statewide translation services since 2019. With contract amendments we now provide on-site, telephonic, video interpretation for non-court/court certified statewide as follows:

JRA is currently a provider of interpreter and translation services to the State of Washington under 2 DES Master Contracts:

Contract #03514 (2015-Present with recent amendments extending contract) which provides for spoken (in person) interpreter services of Category One court certified; Category Two Part A&B non-court certified;

and Category Three for Department of Social and Health Services (DSHS);

and Health Care Authority (HCA) client appointments. We provide in person, OPI, VRI interpretation & translation service in over 45 languages to all WA counties.

Contract#04218:Statewide Translation Service Master Contract is constructed with six (6) categories: Category 1 Forms, Category 2 Publications, Category 3 Auto Generated Text, Category 4 General Information Documents, Category 5 Client Specific or Locally Generated Documents, and Category 6 Translations for Emergency and Urgent Situations. We provide translation services in over 45 languages to all WA State departments, agencies.

King County: Two contracts: On-site, OPI, VRI & Simultaneous interpretation in all languages. Translation contract in all languages.

Thurston County: Translation & Interpretation Services to DOPH in all Languages; WA State Charter Schools Association: Exclusive contract: On-site, OPI, VRI interpretation & translation services for all languages.

Wenatchee School District: Exclusive contract: On-site, OPI, VRI interpretation & translation services for all languages.

Other WA clients:

Grant County Public Utility District - on-site, telephonic, video interpretation, translation services and outreach services for utility provider in Northcentral WA.

Other clients:

WA Fruit Grower Commission – translation services WA State Attorney General Cashmere School District

EXHIBIT B – PERFORMANCE REQUIREMENTS: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA) PAGE 5

WA Student Achievement Council California/other States Clients:

• Health Plan of San Joaquin (HPSJ), CA – A Medicaid HMO with 400k patients with a network of 500 physicians.

JRivera Associates is the exclusive Spanish/other in demand languages interpretation services of on-site, OPI, VRI to the HPSJ members and doctors in San Joaquin, Stanislaus and Sacramento Counties. Languages include Spanish, Amharic, Punjabi, Farsi, Pashto, Urdu, Thai, Dari, Swahili, Korean, Russian, Cantonese/Mandarin, Tagalog/Ilocano, Hmong, Laotian, Vietnamese, Igbo, Burmese, Khmer, Tongan, Lao, Mien, Portuguese and Tamil. ASL & Simultaneous interpretation.

• The Commonwealth of Massachusetts – Statewide master contract for telephonic & video interpreter services and for translation services for all Massachusetts State departments, counties, local public government entities of health, social, education and all Commonwealth entities.

Exclusive translation services to the Department of Mental Health;

Telephonic and translation services to the Department of Environmental Protection.

• Massachusetts Higher Education Consortium-six New England States serving the interpretation/translation needs of 600 higher education systems. Services include telephonic, VRI, on-site & translation services in 40 languages.

CA Statewide Departments of: Food & Agriculture, Transportation Commission, Department of Public Health, Civil Rights, Animal Health- Onsite, OPI, VRI, Simultaneous, court certified, ASL.

Our client retention for the last five years is 100%. We had no loss of contract due to non-compliance or not meeting contractual obligations. The opposite is true: our outstanding service level of performance has led to increased workload and services to our clients.

Our average demand for services annually is an average of 8,000 encounters per year for all services as described above.

JRivera Associates (JRA) Wenatchee based medical call center, is a self-designated minority owned WA small business. JRA was established in 2014 to meet the language and cultural needs of the Limited English Proficiency (LEP) communities and the English -speaking provider. Our Mission statement is: “To provide call center services of on-site, telephonic and video remote interpretation and translation services and staff with language and culture specific competency of medical interpretation/translation, as well as appointment and advice services to patients and physicians.” We are qualified from a technologic, linguistic, EXHIBIT B – PERFORMANCE REQUIREMENTS: NO. 18222 – SPOKEN LANGUAGE INTERPRETER SERVICES FOR IPI, OPI, & VRI (NON-CBA) PAGE 6 and cultural competency standpoint to meet the LEP interpretation needs of the DES clients/patients and the HIPAA requirements. Our services include: on-site, telephonic and video remote interpretation, tele-medicine experience (over VRI) with primary care visits, translation services, appointment and scheduling services-using a unique “Fail to Keep Appointment System.” JRA has a second HIPAA compliant call center located in Lodi, CA that is fully equipped to manage interpretation demand in the event of an emergency. WA-based interpreters are hired to fulfill WA requests, and maintain the certification requested of DES, such as DSHS social & medical, WA Courts, or other such as ASL. For other diffused languages without certification such as Mixteco/Mam we have interpreters to meet the demand for over 42 languages without the use of overseas interpreters. On-site employee interpreters are also available in our call centers.

2. Purchaser – New User Registration, Training and Management: Describe Bidder’s complete step-by-step process for Purchaser account registration.