1. 27-Q01 Fairfax WELA Playground Canopy.pdf

Project #: 27-Q01

Request for Quote

Project Title:

Fairfax WELA Playground Canopy

Issued by

Osage Nation

September 18, 2026

Deadline for submissions:

Friday, October 9, 2026

2:00 P.M. CST

TABLE OF CONTENTS

SECTIONS

Section 1 Invitation and General Information

Section 2 Instructions

Section 3 Scope of Work

Section 4 Requirements

Section 5 Contract Information and General Requirements

ATTACHMENTS

NON-COLLUSION AFFIDAVIT

BUSINESS RELATIONSHIPS AFFIDAVIT

SORNA DISCLOSURE

PROOF OF OSAGE OWNERSHIP AFFIDAVIT

SECTION 1

INVITATION AND GENERAL INFORMATION

1.1 Invitation

The Osage Nation will receive quotes for the removal, furnishing, and installation of a replacement playground canopy in Fairfax, OK.

1.2 Legal

A. All applicable laws, ordinances and the rules and regulations of all authorities having jurisdiction over the project, including without limitation applicable environmental, public health, and safety standards, shall apply.

B. Under Osage Nation law, the selected respondent is required to consent to the laws of the Osage Nation and the venue of the Osage Nation Trial Court for any disputes arising under the contract. The application of Osage Nation law and venue are nonnegotiable except under limited circumstances. If quoter intends to negotiate the application of the Nation’s law and venue, quoter is required to state such intent and notify the Nation of the reasons thereof within the response. Whether a respondent intends to negotiate such requirements will be strictly considered in the

Nation’s review of the responses. Respondent is hereby notified that any waiver of the Nation’s sovereign immunity is subject to review by the Principal Chief and must be approved by the Osage Nation Congress, which will cause due delay in the contract process.

C. Davis-Bacon Wages apply and Contractors are also responsible for reporting on Monthly Employment Utilization Report (CC-257). The CC-257 report requires businesses with a federal construction contract, subcontract, and/or federally assisted construction contract or subcontract in excess of $10,000 to provide information on employee work hours and employee counts by race/ethnicity, gender, and trade.

1.3 Special Requirements

Osage Preference will be applied in awarding the contract.

Osage Preference for Construction Projects:

$2,000,000 ≥ 05%

$2,000,000 – $10,000,000 = 04%

$10,000,000 – $50,000,000 = 02%

$50,000,000 – $100,000,000 = 01%

$100,000,000 ≤ 0.25%

END OF SECTION

SECTION 2

INSTRUCTIONS

2.1 Quote

Quotes should be submitted in the format outlined in this RFQ and should be a complete response to this RFQ. All quotes and related material become the property of the Osage

Nation.

2.2 Quote Inquiry Contact:

A. All questions regarding this project shall be submitted in writing to:

Ashley Lockett ashley.lockett@osagenation-nsn.gov or

111 John Dahl Ave.

Pawhuska, OK 74056

B. Information obtained from an officer, agent or employee of the program, or any other person shall not affect the risk or obligations assumed by the Contractor or relieve them from fulfilling any of the conditions of the contract. The failure or omission of any quoter to do any of the foregoing shall in no way relieve any quoter from any obligation in respect to the submitted quote.

2.3 Submittal

Quotes must contain one (1) hard copy, OR one (1) electronic copy, and submitted no later than 2:00 P.M. CST on October 9, 2026 to:

Osage Nation Purchasing Office

Attention: Ashley Lockett

Fairfax WELA Playground Canopy

111 John Dahl Ave.

Pawhuska, OK 74056

“Quoters name and address”

Submit an electronic copy via email to ashley.lockett@osagenation-nsn.gov by 2:00 P.M.

on October 9, 2026.

mailto:ashley.lockett@osagenation-nsn.gov

SECTION 3

SCOPE OF WORK

3.1 Requirement

- The contractor is responsible for all labor, materials, equipment, removal and installation necessary of existing playground canopy at 401 South 8th St., Fairfax, OK 74637.

SECTION 4

Quote REQUIREMENTS

4.1 Submission Format

A prospective quoter’s response must include:

One (1) hard copy of completed set of quote documents OR

One (1) electronic copy of completed set of quote documents emailed to ashley.lockett@osagenation-nsn.gov

Completed Quote form included

Completed and notarized Non-Collusion Affidavit

Completed and notarized Business Relationships Affidavit

Completed SORNA Disclosure

Completed and notarized Proof of Osage Ownership Affidavit & Supporting

Documentation

* It is NOT a requirement to be Osage Owned to submit a quote.

* This checklist is provided to help ensure a complete, responsive, and responsible quote submission.

* All items are to be completed. If any item is not applicable, it must still be acknowledged and addressed with N/A.

Osage Nation reserves the right to seek additional/supplemental information on specific issues as needed.

mailto:ashley.lockett@osagenation-nsn.gov

SECTION 5

CONTRACT INFORMATION AND GENERAL REQUIREMENTS

5.1 Contract

A. This project will be awarded to one (1) bidder.

B. The successful bidder will be required to execute the contract within 30 days from the date when the Notice of Award is delivered to the bidder. In case of the failure of the bidder to execute the contract, the contracting officer will consider the bidder in default.

C. Any violation of Section 2-420 of the Osage Nation Competitive Bidding Act shall constitute a material breach of this contract and shall entitle the Osage Nation to revoke, rescind, and repudiate this contract. In the event of such material breach of this contract, the Osage Nation shall be relieved of all obligations contained herein and the contractor shall forfeit to the Nation any bond or deposit related to this contract.

D. No contractor shall begin work, provide services, deliver materials, or otherwise commence performance for the Osage Nation prior to the execution of a fully approved and signed contract by all required parties.

1. Any contractor who begins work or performs services prior to having a fully executed contract in place does so at its own risk. The Osage Nation may, at its discretion, refuse payment for any work or services performed without an executed contract, terminate or rescind the contract or award, and/or revoke the contractor’s award. Additionally, unauthorized commencement of work may result in the contractor being prohibited from bidding on or being awarded any

Osage Nation project or contract for a period of one (1) year.

2. Contractors are responsible for confirming that all required contractual approvals and signatures have been obtained before commencing work. No

Osage Nation employee or representative may authorize a contractor to begin work in violation of this requirement.

5.2 Insurance

Prior to the execution of the contract, the successful bidder shall, with the approval of the

Procurement Officer, obtain an Osage Nation Business License, submit public liability and workers’ compensation insurance.

NON-COLLUSION AFFIDAVIT

STATE OF OKLAHOMA )

)ss

COUNTY OF OSAGE )

______________________________________, of lawful age, being first duly sworn, on oath says, that (s)he is the agent authorized by the quoter to submit the attached quote.

Affiant further states that the Quoter has not been a party to any collusion among quoters in restraint of freedom of competition by agreement to quote at a fixed price or to refrain from proposing; or with any official or employee as to quantity, quality or price in the prospective contract, or any discussion between quoters and any official of the OSAGE

NATION OF OKLAHOMA, Pawhuska, Oklahoma, concerning exchange of money or other thing of value for special consideration in the letting of a contract.

Firm Name

Signature & Title

Subscribed and sworn to before me

This ____________ day of ____________, 2026.

Notary Public

My commission expires: ___________________________

BUSINESS RELATIONSHIPS AFFIDAVIT

______________________________________, of lawful age, being first duly sworn, on oath says, that (s)he is the agent authorized by the quoter to submit the attached quote.

Affiant further states that the nature of any partnership, joint venture or other business relationship presently in effect or which existed within one (1) year prior to the date of this statement with any officer of the Osage Nation or other party to the project is as follows:

Affiant further states that any such business relationship presently in effect or which existed within one (1) year prior to the date of this statement between any officer or director of the proposing company and any officer of the Osage Nation or other party to the project is as follows:

Affiant further states that the names of all persons having any such business relationships and the positions they hold with their respective companies or firms are as follows:

*If none of the business relationships herein above mentioned exist, affiant should so state with N/A.

OSAGE NATION

GENERAL CONTRACTOR DISCLOSURE CERTIFICATION

FOR THE

OSAGE NATION SEX OFFENDER REGISTRATION

AND NOTIFICATION ACT

The General Contractor certifies:

That all employees, subcontractors and their employees who are currently on a National

Sex Offender Registry; the national database maintained by the Federal Bureau of

Investigation (FBI) pursuant to 42 U.S.C. Section 16945 must notify the Osage Nation

Attorney General’s Office within three (3) business days after the execution date of the

“Osage Nation Professional Services Contract”.

This Certification is to further comply with the Section 24 – Applicable Law, Jurisdiction, Court and Judicial Venue, Paragraph B –SORNA in the “Osage Nation

Professional Services Contract”.

The General Contractor hereby certifies that any disclosure or information submitted is accurate, complete and current.

Signature Date

Typed or Printed Name

Title

Company Name

Company Address

PROOF OF OSAGE OWNERSHIP AFFIDAVIT

I, ______________________________________, of lawful age, being first duly sworn, on oath states, that he/she the agent authorized by the quoter to submit the attached quote and affirms that he/she is an Osage Tribal Member. Include copy of Osage Membership

Card.

Affiant further states that any such business relationship presently in effect, partnership, joint venture or other business relationship, is fifty-one percent (51%) Osage member owned. Included Osage Membership Card, financial information for the previous two (2) full calendar years, Articles of Incorporation or W-9.

Affiant further states that the names of all persons having any such business relationships and the positions they hold with their respective companies or firms are as follows:

*If none of the business relationships herein above mentioned exist, affiant should so state with N/A.