10.24.25 Request for proposals from consultants for geotargeting FINAL.pdf

REQUEST FOR

PROPOSALS FROM

CONSULTANTS FOR

A GEOTARGETING

CAMPAIGN

Allegany County, New York

ABSTRACT

Allegany County is seeking proposals from qualified firms or individuals to develop a geotargeting campaign designed to elevate Allegany County, New York’s visibility among site selectors and business decision-makers considering expansion or relocation. Utilizing predeveloped ad creative and deploying it across strategically defined geographic markets, the campaign will deliver consistent, compelling messaging that highlights the county’s advantages—available sites and buildings, skilled workforce, strategic location, and business-friendly climate. Key deliverables include targeted ad placement, campaign management, and detailed performance reporting, ensuring cost-effective use of resources and measurable results.

Ultimately, this campaign seeks to increase Allegany County’s competitiveness by positioning it directly in front of audiences where site selection activity is most concentrated, driving awareness, interest, and qualified inquiries.

Proposals Due By: 4:00 p.m. on Monday, December 1, 2025.

Request for Competitive Sealed Proposals for a Geotargeting Campaign.

Public Notification Provided week of October 27, 2025.

1. General Provisions:

The intent of this solicitation is to invite priced proposals for the development of a comprehensive data-driven digital ad campaign targeting site selectors and corporate decision makers. Targeted ads will be provided by Allegany County’s economic development team and executed by the selected contractor. The campaign will increase awareness of Allegany County’s business advantages and drive qualified traffic to an online experience that highlights available sites, buildings, and other key assets to business attraction. Term length for this project is not to exceed one year.

Project Manager: Ashley Smith, Director of Economic Development, 7 Court Street, Room 213, Belmont, New York 14813.

Telephone number: 585-268-7471 E-mail: development@alleganyco.gov

2. Qualifications:

The County will be free to make any inquiry deemed necessary to ascertain the qualification(s) of the contractor and/or the accuracy of statements made by the contractor as to its qualification(s).

3. Contact Information and Requirements:

Along with its response, the submitter of the RFP shall include the following information: name, address, telephone number, e-mail address, and business website, as applicable.

4. Proposal Cost; Budget Narrative and Justification:

The price shall be an in toto price per the proposed scope of services/deliverables. The budget is expected not to exceed an amount of $10,000.00.

By in toto it is meant, the aggregate of all costs billable to Allegany County including, but not limited to, staffing, site/facilities, travel, freight, labor, materials, and equipment.

5. Selection of a Contractor:

Selection shall only be made from proposals submitted by qualified, responsive, and responsible entities who sufficiently meet the terms, conditions, and specifications stated herein. Allegany County, however, under all circumstances and all statements to the contrary notwithstanding, reserves its right to determine the contractor in accordance with the best interest of the County. Determination of the contractor is not made at the opening of the proposals. All submitted proposals are subject to final review and acceptance by the appropriate personnel or committee(s) of the Allegany County Board of Legislators before a determination is made. Receipt of proposals by the County shall not be construed as authority to bind the County.

6. References:

Any response to this RFP shall contain as a minimum at least three (3) references with contact names and phone numbers where the contractor has completed similar services as further described in the Qualifications outlined in the General Terms and Conditions section of this RFP.

mailto:%20development@alleganyco.gov

7. Proposal Costs:

Those submitting proposals do so entirely at their expense. There is no obligation by Allegany County to reimburse any firm or individual for any costs incurred in preparing or submitting proposals, preparing, or submitting additional information requested by the County, or for participating in any selection interviews.

8. Contract Award:

Award of the contract will be made following a review of the proposal by the Director of Economic Development and any additional review team members as deemed appropriate. Approval will be made by a designated committee and contract awarded by the Allegany County Board of Legislators.

9. Method of Award:

The award may be made to the most responsible contractor whose proposal is determined to be in the best interest of Allegany County, and who is deemed the best fit to serve the County’s requirements based upon criteria stated under the scope of services of this RFP, the evaluation of references, corporate qualifications, and, if deemed necessary, an interview with the contractor and the designated committee. Price will not necessarily be the determining factor in the award of the contract. All proposals will be evaluated to determine if they meet the required format and in compliance with all requirements of the RFP. Incomplete or non-responsive proposals may be rejected at the discretion of Allegany County.

10. Contract Term:

Term length for the contract is not to exceed one year and will be from time of award to receipt of the proposed product.

11. Cancellation of Contract:

Allegany County reserves its right to cancel the contract(s) resulting from an award of this solicitation at any time during the contract period, without penalty to Allegany County and without stated reason, by delivering a written ten (10) day notice of intent to the contractor(s) or its representative(s). Said notification shall be mailed to the contractor or its representative via the U.S. Postal Service. First Class Mail shall be considered sufficient and delivered.

12. Assignability:

The contractor shall not assign, transfer, convey, sub-contract, sublet, or otherwise dispose of all or portions of the contract, and/or work to be performed as a result of the contract; or its right, title or interest therein, or its power to execute such contract, or its responsibility therein to any other person, company, or corporation, without the prior written consent of the Allegany County Attorney.

I. Insurance:

a) This document includes an information sheet entitled: ALLEGANY COUNTY STANDARD INSURANCE REQUIREMENTS. These requirements establish the minimum insurance(s) which the contractor(s) shall have in effect prior to entering into a contract to do business with Allegany County. Said insurance(s) are required to remain in effect throughout the term of the contract(s).

In the event that the contractor’s insurance lapses during the term of the contract, the County reserves its right to cancel the contractor’s contract(s) and to purchase the contracted product(s)/service(s) on the open market, with any increase in cost(s) to Allegany County being charged to the contractor. Credit shall not be issued to the contractor where open market cost(s) to the County are less than the cost(s) contracted with the contractor.

b) Allegany County shall be named as an additional insured in the contractor’s policy for all intents and purposes of contract(s) issued as a result of an award. The document number and title shall be referenced in the description/additional comments section of the certificate of insurance form. PLEASE NOTE: Additional insured and certificate holder must only read:

Allegany County, 7 Court Street, Belmont, New York 14813.

c) Contractor will be indemnifying and insuring for cloud-based breaches not caused by the fault of Allegany County.

d) Each contractor shall submit an original of its Certificate of Insurance (which indicates the contractor’s compliance with the above sections a) and b) to the Allegany County Office of Economic Development, Room 213, 7 Court Street, Belmont, New York 14813.

e) The Certificate of Insurance must be approved by the County Attorney prior to the contractor’s acting on and/or performing any of the obligations it incurred as a result of the award and/or contract.

f) Self-employed persons must carry Workers’ Compensation coverage as directed by the Allegany County Attorney. Contractor shall submit an original Certificate of NYS Workers’ Compensation Insurance Coverage form WC 88 31 21 C, which indicates the contractor’s compliance, to be approved by the County Attorney prior to the contractor’s acting on and/or performing any of the obligations it incurred as a result of the award and/or contract.

g) Workers’ Compensation Insurance Exemption: Contractors claiming to be exempt from the requirement to carry/provide Workers’ Compensation Insurance shall submit a fully executed CE-200 form; the form to be complete, notarized, and stamped as received by the New York State Workers’ Compensation Board.

II. Non-Collusive Bidding Clause and Certificate:

a) Clause – “By submission of this bid, each contractor and each person signing on behalf of any contractor certifies, and in the case of a joint bid, each party thereto certifies as to its own organization, under penalty of perjury, that to the best of knowledge and belief:

1) The prices in this bid have been arrived at independently without collusion, consultation, communication, or agreement, for the purpose of restricting competition, as to any matter relating to such prices with any other contractor or with any competitor;

2) Unless otherwise required by law, the prices which have been quoted in this bid have not been knowingly disclosed by the contractor and will not knowingly be disclosed by the contractor prior to opening, directly or indirectly, to any other bidder or to any competitor; and

3) No attempt has been made or will be made by the contractor to induce any other person, partnership, or corporation to submit or not to submit a bid for the purpose of restricting competition.”

b) The contractor shall submit a signed and dated Non-Collusive Bidding Certificate with its proposal. Said certificate is mandated by Chapter 956 of the Laws of New York State, pursuant to Section 103-D of the General Municipal Law. Reference to the “NON-COLLUSIVE BIDDING CERTIFICATE” form is included in this RFP document.

III. Hold Harmless Clause and Form:

a) Clause – “The contractor agrees that it shall at all times save harmless the County of Allegany from all claims, damages, or judgements or for the defense or payment thereof, based on any claim, action, or cause of action whatsoever, including any action for libel, slander, or personal injury, or any affiliated claims, by reason of any act or failure to properly act on the part of the contractor and in particular as may arise from the performance under this contract. In the event of an injury by the subcontractor or its employees, they shall cause notice to be served upon the County within twenty-four (24) hours of any such injury.”

b) The contractor shall submit a signed and dated Hold Harmless Clause form with its proposal.

Reference the “HOLD HARMLESS CLAUSE” form included in this RFP document.

IV. Iranian Energy Sector Divestment Certification:

Contractor hereby represents that said contractor follows New York State General Municipal Law Section 103-g entitled “Iranian Energy Sector Divestment”.

By submission of this proposal, each contractor and each person signing on behalf of any contractor certifies, and in the case of a joint proposal, each party thereto certifies as to its own organization, under penalty of perjury, that to the best of its knowledge and belief, each contractor is not on the list created pursuant to New York State Finance Law Section 165-a(3)(b).

The contractor shall submit a signed, notarized, and dated Iranian Energy Sector Divestment Certification with its proposal. Said certificate is mandated by Section 103-g of the General Municipal Law. Reference to the Iranian Energy Sector Divestment Certificate form is included in this document.

V. Addendum/Addenda:

a) All questions regarding this Request for Proposal shall be directed to development@alleganyco.gov and a formal response will be provided. In the event that it requires a substantive change to the content, an addendum may be issued.

b) If an addendum has been issued prior to the County’s receipt of proposals, then Allegany County shall attempt to notify potential contractors known to have received the proposal documents and whose contact information is on file with the County about the addendum.

Allegany County does not ensure the potential contractor receipt of an addendum. It shall be the responsibility of each contractor, prior to submitting its proposal, to contact the Office of Economic Development at 585-268-7471 to determine if an addendum has been issued.

c) An addendum shall be available for review and/or copy at the Office of Economic Development, 7 Court Street, Room 213, Belmont, New York 14813, and will also be available on the county web site at www.alleganyco.gov.

d) It is a requirement that the contractor sign, date, and include the addendum with its submission.

VI. Submission of Proposals:

a) The contractor shall submit three (3) sets of its RFP, including all required documents (e.g., signed clauses, statements, forms, bonds, insurance, manufacturer’s specifications, etc.).

1) One (1) set shall be stamped (or otherwise indicated) as being the “ORIGINAL.”

2) A second set shall be stamped (or otherwise indicated) as being the “DUPLICATE” or

“COPY.”

3) A third set shall be a pdf of the entire application emailed to development@alleganyco.gov.

mailto:development@alleganyco.gov

4) Information presented in the “ORIGINAL” set of the RFP submission shall prevail.

b) The RFP shall be submitted in a sealed envelope marked on the outside with the contractor’s name and address and the designation: “Sealed Proposal: Allegany County Geotargeting Campaign.”

c) The envelope shall be addressed to Ashley Smith, Director of Economic Development, Allegany County Office Building, 7 Court Street, Room 213, Belmont, New York 14813.

Proposals shall be received at the Office of Economic Development and will be acknowledged as received at such time.

d) Facsimile transmitted proposals are not acceptable and shall be rejected.

e) Security procedures are in effect at the Allegany County Office Building. Interested parties, especially contractors who intend to hand deliver proposals and/or conduct business with the Allegany County Office of Economic Development, should allow sufficient time for any delay which may arise as a result of security procedures. To be considered “delivered on time,” a submission must be received at the Office of Economic Development by the appointed hour.

VII. Late Proposals:

The contractor shall bear the sole responsibility for the delivery of its proposal in a timely manner. Reliance upon the U.S. Postal Service or other carriers is at the contractor’s risk. Late proposals shall not be considered and shall be returned unopened.

VIII. Right of County to Seek Clarification, Accept, or Reject Proposal(s), etc.:

a) Allegany County reserves its right to require clarification from contractors for the purpose of assuring a full understanding of the contractor’s responsiveness to the solicitation requirements.

b) Allegany County reserves its right to accept or reject any and all proposals (or separable portions thereof), to waive irregularities and technicalities, and to request resubmission of proposals.

IX. Civil Rights:

The County of Allegany, in accordance with the provisions of Title VI of the Civil Rights Act of 1964 and New York State Labor Law, Article 8 - Public Work, Section 220e hereby notifies all contractors that it will affirmatively ensure that any contract awarded as a result of this RFP will be awarded without discrimination on the grounds of race, creed, color, disability, sex, or national origin.

X. Information to be Included in the Proposal:

a) Title page: show the RFP subject, name of contractor’s firm, local address, telephone number, name of contact person, and the date.

b) Letter of transmittal: limit to one or two pages with the following:

- Briefly state the contractor’s understanding of the work to be done.

- Give the names of the persons who will be authorized to make representations for contractor, and their titles, addresses, and telephone numbers.

- Give the firm’s federal taxpayer’s identification number.

c) Contractor profile: State whether the firm is local, regional, or national.

- Give the location of the office from which the work is to be performed and the number of partners, managers, supervisors, seniors, and other professional staff employed at that office.

d) Summary of contractor’s qualifications: in addition to minimum qualifications, identify partners, managers, and supervisors who will work on the project.

e) The contractor shall submit an in-toto price proposal for the entire project which will include all components. The term “in-toto price proposal” shall be understood to mean – the aggregate of all costs billable to Allegany County, as a whole cost, lump sum.

XI. Modification or Withdrawal of Proposals:

a) A proposal may be modified or withdrawn by an appropriate document duly executed in the manner that a proposal must be executed and delivered to the place where proposals are to be submitted at any time prior to the scheduled time for opening of proposals.

b) No proposal may be modified, withdrawn, or canceled for a period of one hundred twenty

(120) days after the date of the proposal opening, and all proposals shall be subject to acceptance by the County during this period.

XII. Responsibilities for Work:

The contractor assumes full responsibility for the acts and omissions of all its employees and all sub-contractors, their agents and employees, and all other persons performing work under the contract.

XIII. Consideration of Proposal; Acceptance of Proposal (Award):

a) The award of the contract will be made by written notice of award signed by a duly authorized representative of the County, and no other act of the County shall constitute the acceptance of a proposal.

b) The acceptance of the proposal shall bind the successful contractor to execute a contract.

XIV. Execution of Contract/Certificate of Insurance:

The contractor to whom the award is made shall assist and cooperate with the County as necessary in preparing the standard County agreement for execution.

XV. Commencement of Work:

Notwithstanding any delay in the preparation and execution of the agreement, the successful contractor shall be prepared, upon receipt of the notice of award, to commence work within a time period mutually acceptable to contractor and the County.

XVI. Supportive Specifications:

The contractor shall be responsible for obtaining all permits required to fulfill this contract and shall comply with all laws, ordinances, rules, and regulations of the jurisdictions in which the work is performed.

XVII. Sales Tax Exemption:

The County is exempt from payment of sales and compensating use taxes of the State of New York and of cities and counties within the State of New York.

XVIII. Protection from Claim Against “Equal or Better” or “Or Equal”:

In the event of any claim by an unsuccessful contractor concerning or relating to the issue of “equal or better” or “or equal,” the successful contractor agrees to hold the County of Allegany free and harmless for any and all claims for loss or damage arising out of this transaction for any reason whatsoever. The County is to be free and harmless for any and all legal fees and court costs.

XIX. Evaluation Process:

a) After determining that a proposal satisfies the mandatory requirements stated in the RFP (see the section regarding eligibility criteria), the comparative assessment of the relative benefits and deficiencies of the proposal in relationship to the published evaluation criteria shall be made by using subjective judgment. The award of a contract resulting from this RFP shall be based on the best value of the proposals received, which optimizes quality, cost, and efficiency, among responsive and responsible offerors. Evaluation criteria shall reflect objective and quantifiable analysis and will include the following criteria:

1) References provided with the proposal response.

2) The proposer’s ability to provide qualified and trained staff, sufficient to perform and manage the project’s scope of work.

3) The proposer’s experience in work is similar to the scope of the project.

4) The quality and responsiveness of the proposer’s past deliverables.

5) Proposer’s explanation of work to be performed, including timelines and methodology.

6) Total cost as it relates to the proposal.

7) Any or all proposals or responses may be rejected when there are sound, documented business reasons that serve the best interest of the program sponsor or the department.

b) After an initial screening process, a technical question and answer conference or interview may be conducted, if deemed necessary by the County, to clarify or verify the contractor’s proposal and to develop a comprehensive assessment of the proposal.

c) Allegany County reserves the right to consider historic information and fact, whether gained from the contractor’s proposal, question and answer conference, references, or any other source in the evaluation process.

d) It is the contractor’s responsibility to submit information related to the evaluation categories, and Allegany County is under no obligation to solicit such information if it is not included with the contractor’s proposal.

XX. As a result of this RFP, Allegany County intends to enter into contract with the selected contractor to provide the services described in the scope of services section. However, this intent does not commit the County to award a contract to any responding contractor. Allegany County reserves the right, with agreement by the applicant, to accept or reject, in part or in its entirety, any proposal received as a result of this RFP if it is in the best interest of the County to do so. Allegany County reserves the right, in its sole discretion, to accept the proposal or proposals most advantageous to Allegany County without further discussion or negotiation, or to reject all or any of the proposals. Allegany County reserves the right to negotiate on the entire proposal, as submitted, or at the sole discretion of the Allegany County, to delete individual tasks deemed not in the County's best interest and negotiates on the remaining portions of the proposal.

XXI. Questions:

Written questions will be accepted until 4:00 p.m. on Friday, November 14, 2025 by email to development@alleganyco.gov or by mail to Ashley Smith, Director of Economic Development, 7 Court Street, Room 213, Belmont, New York 14813. No questions will be accepted after November 14, 2025. If received, questions and answers will be posted to the website www.alleganyco.gov on Monday, November 17, 2025 and sent to each inquiring firm via email.

http://www.alleganyco.gov/

PURPOSE

The Allegany County Office of Economic Development’s goal is to position Allegany County, NY as a competitive and visible option for business expansion and relocation by reaching site selectors and decision-makers where they are actively searching. Utilizing predeveloped ad creative and targeting key geographic markets, this initiative will efficiently promote the county’s assets – available sites, development-ready locations, and a supportive business climate – while ensuring consistent messaging, measurable outcomes, and cost-effective implementation.

BACKGROUND

Located in the Southern Tier of Western New York, Allegany County is a largely rural region known for its natural beauty, close-knit communities, and affordability. The County is made up of 29 Towns and ten Villages and spans approximately 1,030 square miles. It is home to around 45,000 residents. With rolling hills, dense forests, and a network of rivers and trails, Allegany County offers a scenic quality of life that appeals to outdoor enthusiasts, families, entrepreneurs, and remote workers alike.

The County is strategically positioned near the borders of Pennsylvania and several key transportation corridors, including Interstate 86 (the Southern Tier Expressway), which connects the region to major markets such as Buffalo, Rochester, Erie, and beyond. Despite its rural character, Allegany County offers strong access to regional infrastructure, workforce training, and educational resources.

The local economy is diverse and evolving, traditionally rooted in manufacturing, agriculture, and natural resources. In recent years, it has grown to include small business development, tourism, advanced manufacturing, and emerging sectors like renewable energy and craft food/beverage production. Educational institutions, such as Alfred University and Alfred State College, play a vital role in workforce development and innovation.

Allegany County is committed to supporting business growth and community revitalization through active economic development initiatives, incentives, and partnerships. The County's branding under the Western NY Wilds theme reflects its commitment to celebrating its rural character while positioning itself for sustainable economic growth and modern investment.

SCOPE OF WORK

1. Creative Assets & Messaging

• Deployment of predeveloped ad creatives (static, animated, and/or video formats)

• Message testing for different audience segments (e.g., site selectors, corporate decision-makers, industry-specific audiences)

2. Targeting & Placement

• Defined geographic targeting maps (metros/regions with high site selection activity)

• Audience segment definitions (by industry, company size, job role, etc.)

• Ad placement across platforms (Google Display, LinkedIn, trade publication networks, programmatic advertising) that will direct traffic to a dedicated landing page predeveloped by the Office of Economic Development.

3. Campaign Management

• Initial campaign setup and launch; including trackable UTM Codes

• Ongoing optimization (adjusting targeting, creative rotation, bids, and budgets for best performance)

• Regular monitoring for ad visibility, click-through rates, and engagement.

4. Reporting & Analytics

• Monthly performance reports with key metrics (impressions, clicks, CTR, conversions, geographic reach, retargeting efforts)

• Heat maps showing where ads performed best

• Insights and recommendations for refining outreach

• End-of-campaign summary report highlighting ROI and outcomes

REQUEST FOR PROPOSALS FOR

A Geotargeting Campaign

PROPOSAL DUE DATE: Monday, December 1, 2025, by 4:00pm Submission may be mailed or hand delivered, and a pdf document of the entire application must be submitted by the due date to development@alleganyco.gov.

Note that the submission MUST be received by the due date. If it is received after the due date, the proposal will not be considered.

SUBMIT TO:

Ashley Smith Director of Economic Development

7 Court Street, Room 213 Belmont, New York 14813

The undersigned, having an integral understanding of the objective, terms and conditions, specifications, and contractor’s responsibilities as stated in these documents, does hereby submit a quote for the provision of services as stated below and pursuant to the Request for Proposal.

PLEASE PRINT OR TYPE

Company Name: Federal Employer ID:

Company Address:

Name: Title:

Signature: Date:

Telephone Number:

E-mail Address:

Business Website:

Certification Pursuant to Section 103-g Of the New York State General Municipal Law

IRANIAN ENERGY SECTOR DIVESTMENT

1. Contractor/proposer hereby represents that said contractor/ proposer follows New York State General Municipal Law Section 103-g entitled “Iranian Energy Sector Divestment”, in that said contractor/proposer has not:

a) Provided goods or services of $20 million or more in the energy sector of Iran including but not limited to the provision of oil or liquefied natural gas tankers or products used to construct or maintain pipelines used to transport oil or liquefied natural gas for the energy sector of Iran; or

b) Acted as a financial institution and extended $20 million or more in credit to another person for forty-five (45) days or more if that person’s intent was to use the credit to provide goods or services in the energy sector in Iran.

2. Any contractor/proposer who has undertaken any of the above and is identified on a list created pursuant to Section 165-a (3) (b) of the New York State Finance Law as a person engaging in investment activities in Iran, shall not be deemed a responsible bidder pursuant to Section 103 of the New York State General Municipal Law.

3. Except as otherwise specifically provided herein, every contractor/ proposer submitting a bid/proposal in response to this request for bids/request for proposals must certify and affirm the following under penalties of perjury:

a) “By submission of this bid, each bidder and each person signing on behalf of any bidder certifies and in the case of a joint bid, each party thereto certifies as to its own organization, under penalty of perjury, that to the best of its knowledge and belief, that each bidder is not on the list created pursuant to NYS Finance Law Section 165-a (3) (b).”

Allegany County will accept this statement electronically in accordance with the provisions of Section 103 of the General Municipal Law.

4. Except as otherwise specifically provided herein, any bid/proposal that is submitted without having complied with subdivision (a) above, shall not be considered for award. In any case where the bidder/proposer cannot make the certification as set forth in subdivision (a) above, the bidder/proposer shall so state and shall furnish with the bid a signed statement setting forth in detail the reasons, therefore. The County reserves its rights, in accordance with General Municipal Law Section 103-g to award the bid/proposal to any bidder/proposer who cannot make the certification, on a case-by-case basis under the following circumstances:

a) The investment activities in Iran were made before April 12, 2012, the investment activities in Iran have not been expanded or renewed after April 12, 2012, and the bidder/proposer has adopted, publicized, and is implementing a formal plan to cease the investment activities in Iran and to refrain from engaging in any new investments in Iran; or

b) The County of Allegany has decided that the goods or services are necessary for the County to perform its functions and that, absent such an exemption, the County of Allegany would be unable to obtain the goods or services for which the bid/proposal is offered. Such determination shall be made by the County in writing and shall be a public document.

Certification Pursuant to Section 103-g Of the New York State General Municipal Law

IRANIAN ENERGY SECTOR DIVESTMENT

Signature Title

Company Name Date

STATE OF NEW YORK )

COUNTY OF ALLEGANY) ss:

On the day of in the year before me, the undersigned, personally appeared , personally known to me or proved to me on the basis of satisfactory evidence to be the individual(s) whose name(s) is (are) subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their capacity(ies) and that by his/her/their signature(s) on the instrument, the individual(s) or the person upon behalf of which the individual(s) acted, executed the instrument.

Notary Public

NON-COLLUSIVE CERTIFICATE

By submission of this proposal, each contractor and each person signing on behalf of any contractor certifies, and in the case of a joint proposal, each party thereto certifies as to its own organization, under penalty of perjury, that to the best of its knowledge and belief:

1. The prices in this proposal have been arrived at independently without collusion, consultation, communication, or agreement, for the purpose of restricting competition, as to any matter relating to such prices with any other contractor or with any competitor;

2. Unless otherwise required by law, the prices which have been proposed in this proposal have not been knowingly disclosed by the contractor and will not knowingly be disclosed by the contractor prior to opening, directly or indirectly, to any other contractor or to any competitor; and

3. No attempt has been made or will be made by the contractor to induce any other person, partnership, or corporation to submit or not to submit a proposal for the purpose or restricting competition.

NAME:

ADDRESS:

SIGNED BY: TITLE:

NAME PRINTED/TYPED:

TELEPHONE NUMBER: DATE:

PROPOSAL TITLE:

HOLD HARMLESS CLAUSE

As a successful contractor, I shall hold harmless the County of Allegany and its representatives thereof from all suits, actions, or claims of any kind brought on account of any injuries or damages sustained by any person or property in consequence of any neglect in safeguarding contract work or on account of any act or omission by the contractor or his employees, or from any claims or amounts arising or recovered under any law, ordinance, regulation or decree.

NAME OF COMPANY:

SIGNED:

NAME:

TITLE: DATE:

PROPOSAL TITLE:

Appendix A

ALLEGANY COUNTY’S STANDARD INSURANCE REQUIREMENTS

Insurance shall be procured, and certificates of Insurance delivered to the County Attorney’s Office, the County department responsible for the agreement, and the Clerk of the County Board of Legislators prior to commencement of work or delivery of merchandise or equipment. The Certificates of Insurance shall be made to the County of Allegany, County Office Building, Belmont, New York 14813, they must comply with all coverage specifications of the contract; and they must be executed by an insurance company and/or agency or broker licensed by the Insurance Department of the State of New York.

The “ACORD” form certificate may be used, provided the following two additions are added to the form verbatim:

A. ACKNOWLEDGMENT: The insurance companies providing these coverages acknowledge that the named insured is entering into a contract with Allegany County in which the named insured agrees to defend, hold harmless, and indemnify the County, its officials, employees, and agents against all claims resulting from work performed, material handled, and services rendered to the fullest extent allowed by law. The contractual liability coverage evidenced above covers the liability assumed under the County-Contractor agreement.

B. Prior to non-renewal or cancellation of these policies, at least thirty (30) days advance written notice shall be given to the Allegany County Attorney’s Office and the County Department requesting this certificate before such change shall be effective, except that five (5) days advance written notice shall be sufficient for Certificates from the State Worker’s Compensation Fund.

MINIMUM COVERAGE LIMITS ARE AS FOLLOWS:

Policy Construction and Maintenance

Professional Services

Property Leased to Others or Use of Facilities or Grounds

Concessionaires Services

Livery Services All Purposes Public Entity Contracts

Comp. Gen.

Liab*

$1,000,000 per occurrence, $2,000,000 aggregate CSL

$1,000,000

CSL

$1,000,000 CSL $1,000,000 CSL $1,000,000 CSL $1,000,000 CSL

Prem. & Ops. INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE Prods/Compl Ops

INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE

Independent Cont

INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE

Contractual INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE Broad Form P.D. INCLUDE

X.C.U INCLUDE

Personal Injury INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE Liquor Law INCLUDE Host Liquor INCLUDE

Auto Liability $1,000,000 CSL $1,000,000

CSL

$1,000,000 CSL $1,000,000 CSL $1,000,000 CSL $1,000,000 CSL

Owned INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE Hired INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE Non-owned INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE INCLUDE

Excess Umbrella Liability *

$1,000,000 $1,000,000 $1,000,000 $1,000,000 $1,000,000 $1,000,000

Worker’s Compensation & Employers Liability

STATUTORY STATUTORY STATUTORY STATUTORY STATUTORY

Disability Benefits

STATUTORY STATUTORY STATUTORY STATUTORY STATUTORY

Professional Liab.

$1,000,000

Allegany County shall be named as additional named insured on all policies for purposes of coverage but not the payment of premium. *The comprehensive general liability can be met by one or more policies or in combination with an excess umbrella liability policy. No umbrella policy is required if underlying coverage is at least $1,000,000. Bid specifications or particular contracts, leases, or agreements may require alternative coverage and limits, which must be evidenced on the certificate in lieu of the coverages specified above. The expiration date for any claims made policy must be at least ninety (90) days after the expiration of the contract for services or final delivery of any products.

APPENDIX B

INDEPENDENT CONTRACTOR / AGENTS / VENDORS ACKNOWLEDGEMENT FORM

Allegany County has developed a Corporate Compliance Plan (the “Plan”) that states that the County, its employees, contractors, and County Legislators will adhere to applicable federal, state, and local laws and regulations and internal policies and procedures.

The Plan is a combination of policy and procedure that assists the County to monitor, detect, and correct actions that are not in compliance with applicable laws or County policies and procedures.

As our Agent, we expect that you will act in compliance with the laws that are applicable to the County and in compliance with County policies and procedures that set forth the overarching principles for conducting County business with integrity based on sound ethical and legal standards.

As our Agent, we also expect you to report any suspected or potential violations of law or County policies and procedures of which you become aware by contacting the County Administrator at (585) 268-9217.

As our Agent, we expect you to understand your role in the Plan and we expect you to review any policies and procedures that are applicable to you and your organization. You may contact the County Administrator for any questions or clarifications of your responsibilities.

As an Agent of the County of Allegany, I hereby acknowledge the following:

• I acknowledge that on behalf of myself and my organization I have read, I have had an opportunity to ask questions about, and that I understand the policies and procedures of the Plan that are applicable to the services that are provided to the Department.

• I understand and agree that I and all those in my organization who provide services to Allegany County must comply with the Plan and all laws, regulations, policies, procedures, and other guidance applicable to the services.

• I agree on behalf of myself and my organization to fully cooperate with the implementation of the Plan, to participate in any auditing or monitoring processes and to report any instances of possible violations of law, regulations, or policies that are applicable to Allegany County of which I become aware.

• I acknowledge that Allegany County maintains a hotline for the purpose of receiving notifications of possible violations of law, regulations, and the Plan.

• I understand that my failure to report any concerns regarding possible violations of law, regulations, or the Plan may result in corrective action, up to and including termination of my agreement with Allegany County.

• I attest on behalf of myself, my organization, and my employees that I am not currently excluded from participation in federal or state health care programs, am not the subject of any pending exclusion proceeding, and have not been adjudicated or deemed to have committed any action that could subject me or my organization to exclusion from government programs such as Medicare or Medicaid.

• I will notify Allegany County within three (3) business days of receipt of notice of (a) exclusion or proposed exclusion from a state or federal health care program, or (b) adjudication or other determination that I, my organization, or the organization employees have committed any action which could lead to exclusion from a government program.

• I acknowledge that I will be responsible to make the County whole for any federal or state-imposed losses that were a result of federal or state exclusions of our agency or employees.

• I acknowledge that Allegany County may terminate my contract immediately upon notice that I or my organization has been excluded from participation in a state or federal health care program or that I or my organization have been adjudicated or determined to have committed an action which could subject it to mandatory exclusion.

Agency Signature

Print Name

Title

Date

STATE OF NEW YORK WORKERS’ COMPENSATION BOARD

CERTIFICATE OF NYS WORKERS’ COMPENSATION INSURANCE COVERAGE

1a. Legal Name & Address of Insured (Use street address only)

Work Location of Insured (Only required if coverage is specifically limited to certain locations in New York State, i.e., a Wrap-Up Policy)

1b. Business Telephone Number of Insured

1c. NYS Unemployment Insurance Employer Registration Number of Insured

1d. Federal Employer Identification Number of Insured or Social Security Number

2. Name and Address of the Entity Requesting Proof of Coverage (Entity Being Listed as the Certificate Holder)

3a. Name of Insurance Carrier

3b. Policy Number of entities listed in box

“1a” 3c. Policy effective period

3d. to 3e. The Proprietor, Partners or Executive Officers are included. (Only check box if all partners/officers included) all excluded or certain partners/officers excluded.

This certifies that the insurance carrier indicated above in box “3" insures the business referenced above in box “1a” for workers’ compensation under the New York State Workers’ Compensation Law. (To use this form, New York (NY) must be listed under Item 3A on the INFORMATION PAGE of the workers' compensation insurance policy). The Insurance Carrier or its licensed agent will send this Certificate of Insurance to the entity listed above as the certificate holder in box “2".

The Insurance Carrier will also notify the above certificate holder within 10 days IF a policy is canceled due to nonpayment of premiums or within 30 days IF there are reasons other than nonpayment of premiums that cancel the policy or eliminate the insured from the coverage indicated on this Certificate. (These notices may be sent by regular mail.) Otherwise, this Certificate is valid for one year after this form is approved by the insurance carrier or its licensed agent, or until the policy expiration date listed in box “3c", whichever is earlier.

Please Note: Upon the cancellation of the workers’ compensation policy indicated on this form, if the business continues to be named on a permit, license or contract issued by a certificate holder, the business must provide that certificate holder with a new Certificate of Workers’ Compensation Coverage or other authorized proof that the business is complying with the mandatory coverage requirements of the New York State Workers’ Compensation Law.

Under penalty of perjury, I certify that I am an authorized representative or licensed agent of the insurance carrier referenced above and that the named insured has the coverage as depicted on this form.

Approved by:

Title:

Date:

(Pri Name of authorized representative or licensed agent of insurance carrier.

Telephone Number of authorized representative or licensed agent of insurance carrier:

Please Note: Only insurance carriers and their licensed agents are authorized to issue Form C-105.2. Insurance brokers are NOT authorized to issue it.

C-105.2 (9-07) www.wcb.state.ny.us http://www.wcb.state.ny.us/

Individual, Corporation, Partnership, or LLC Acknowledgment

STATE OF }

}SS.:

COUNTY OF }

On the _ day of in the year 20__, before me personally appeared, known to me to be the person who executed the foregoing instrument, who, being duly sworn by me did depose and say that he/she/they reside(s) at , Town of , County of , State of

; and further that:

[Mark an X in the appropriate box and complete the accompanying statement.] (If an individual): he/she/they executed the foregoing instrument in his/her/their name and on his/her/their own behalf.

(If a corporation): he/she/they is(are) the of , the corporation described in said instrument; that, by authority of the Board of Directors of said corporation, he/she/they is(are) authorized to execute the foregoing instrument on behalf of the corporation for purposes set forth therein; and that, pursuant to that authority, he/she/they executed the foregoing instrument in the name of and on behalf of said corporation as the act and deed of said corporation.

(If a partnership): he/she/they is(are) a of , the partnership described in said instrument; that, by the terms of said partnership, he/she/they is authorized to execute the foregoing instrument on behalf of the partnership for purposes set forth therein; and that, pursuant to that authority, he/she/they executed the foregoing instrument in the name of and on behalf of said partnership as the act and deed of said partnership.

(If a limited liability company): he/she/they is(are) a duly authorized member of , LLC, the limited liability company described in said instrument; that he/she/they is(are) authorized to execute the foregoing instrument on behalf of the limited liability company for purposes set forth therein; and that, pursuant to that authority, he/she/they executed the foregoing instrument in the name of and on behalf of said limited liability company as the act and deed of said limited liability company.

Notary Public Registration No.