11_Attachment_G_Offeror_Info._Acknowledgement___Cert.docx
DOCX document 232 KB Posted
- Attached to
- SW1045 Emerging Technologies
- Solicitation number
- EV00000871
- Issued by
- Oklahoma County, Hobart City, Oklahoma
About this file
This is an Offeror Information, Acknowledgements, and Certifications form for a Request for Proposals issued by the State of Oklahoma in collaboration with NASPO ValuePoint (Solicitation Number EV00000871) for Emerging Technologies Consulting and Services. The solicitation seeks qualified suppliers to provide services across two categories: Consulting, which includes advisory, planning, analysis, and implementation support; and Services, which encompasses skilled professional resources for implementing, integrating, developing, and managing emerging technology solutions. Offerors must complete this attachment along with required forms CP004 and CP0076, and submit comprehensive responses to sections covering company information, business details, proposal contact information, and various acknowledgements and certifications. The document requires offerors to identify their legal name, primary business address, federal tax identification number, entity type, and whether artificial intelligence technology was used in proposal development.
The form establishes mandatory certifications and disclosures that offerors must acknowledge, including debarment status, non-collusion statements, data disclosure compliance with foreign governments and Section 889 of the National Defense Authorization Act, and conflict of interest disclosures. Offerors must acquire insurance at levels prescribed in the Sample Master Agreement and agree to pay administrative fees to NASPO ValuePoint in accordance with the master agreement, with all proposed costs inclusive of these fees. If awarded, offerors must meet with NASPO ValuePoint marketing personnel within 30 days of execution to review the marketing plan. The form requires authorized signatures and warrants that all representations and information provided are true and correct; submission of inaccurate or misleading information may result in disqualification, suspension, debarment, or termination of any awarded Master Agreement.
View the file
Other files
Show all 25
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Request for Proposals for
[PORTFOLIO NAME]
Issued by the State of [Lead State] Solicitation Number: [#######]
Request for Proposals for Emerging Technologies Consulting and Services Issued by the State of Oklahoma Solicitation Number EV00000871 Attachment G
OFFEROR INFORMATION, ACKNOWLEDGEMENTS, AND CERTIFICATIONS
Offeror shall complete the following forms and submit with their bid response:
1. Attachment A1 CP004 Form
2. Attachment A2 CP0076 Form Offeror must provide complete responses to each item below. Insert your responses into this worksheet directly below each question or prompt.
I. OFFEROR INFORMATION
A. Company’s Full Legal Name:
B. Primary Business Address:
C. Federal Tax Identification Number:
D. Entity Type:
| ☐ | Sole Proprietorship |
| ☐ | Partnership |
| ☐ | Limited Liability Company |
| ☐ | Corporation |
E. Artificial Intelligence Disclosure. Was artificial intelligence technology used in the development or completion of any portion of this proposal? (Check one of the below.)
| ☐ | Yes |
| ☐ | No |
II. BUSINESS DETAILS
A. Company Website. Provide a URL for your company’s website.
B. Company History. Provide a brief history of your company, including the year of its founding and any material acquisitions or mergers in which it has been involved.
C. Company Size. Identify the number of employees working for your company.
D. Ownership Structure. Describe your company’s ownership structure.
E. Litigation. List all claims of non-performance or breach from customers in excess of $5,000, including all pending litigation matters (including civil, criminal, or appellate) or criminal convictions in the past 5 years for the company and all principals. Attach an additional document if necessary.
III. PROPOSAL CONTACT
The Proposal Contact must be able to respond timely to communications from the Lead State. Offeror must, within 24 hours, notify the Lead State of any change to Offeror’s Proposal Contact.
A. Proposal Contact Name:
B. Proposal Contact Title:
C. Proposal Contact Email:
D. Proposal Contact Phone Number:
IV. ACKNOWLEDGEMENTS AND CERTIFICATIONS
By signing below and submitting a response to this RFP, Offeror acknowledges and certifies the following:
A. Debarment. (Check one of the below.)
| ☐ | Neither Offeror nor its principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in public procurement or contracting by any governmental department or agency. |
| ☐ | Offeror cannot certify the statement above, and Offeror will affix a written explanation to this attachment for review by the Lead State. If after reviewing Offeror’s written explanation the Lead State determines it is not in the best interest of the Lead State, Participating Entities, or Purchasing Entities to award Offeror a Master Agreement, the Lead State may reject Offeror’s proposal. |
B. Non-collusion.
1. This proposal has been developed independently by Offeror and has been submitted without collusion and without any agreement, understanding, or planned common course of action with any other Offeror or supplier of Deliverables in a manner designed to limit fair and open competition.
2. The contents of this proposal have not been communicated by Offeror or its employees or agents to any person not an employee or agent of Offeror and will not be communicated to any such persons prior to the RFP Close Date.
C. Data Disclosure to Foreign Governments and Prohibited Technology. (Check one of the below.)
| ☐ | Offeror is not an entity subject to laws, rules, or policies potentially requiring disclosure of, or provision of access to, customer data to foreign governments or entities controlled by foreign governments, and Offeror’s offerings do not contain, include, or utilize components or services supplied by any entity subject to the same. Offeror’s offerings also do not contain, include, or utilize covered technology prohibited under Section 889 of the National Defense Authorization Act, as amended. |
| ☐ | Offeror cannot certify all statements above, and Offeror will affix a written explanation to this attachment for review by the Lead State. If after reviewing Offeror’s written explanation the Lead State determines it is not in the best interest of the Lead State, Participating Entities, or Purchasing Entities to award Offeror a Master Agreement, the Lead State may reject Offeror’s proposal. |
D. Conflicts of Interest. (Check one of the below.)
☐ Offeror represents that none of its officers or employees are officers or employees of the Lead State and that none of its officers or employees have a conflict of interest as defined by the laws, rules, or policies of the Lead State.
☐Offeror cannot certify the statement above, and Offeror will affix a written explanation to this attachment for review by the Lead State. If after reviewing Offeror’s written explanation the Lead State determines it is not in the best interest of the Lead State, Participating Entities, or Purchasing Entities to award Offeror a Master Agreement, the Lead State may reject Offeror’s proposal.
1. Conflict of Interest Disclosures. Offeror shall disclose the following information, if applicable. Insert your responses into this worksheet directly below each question or prompt.
a. Any public contract terminated by a governmental entity or suits or claims against the bidder for failure to perform in connection with a public contract (including any company which a bidder has merged with or acquired that will be performing services or providing products if awarded the contract).
b. Any contractual relationship or any other relevant contact with any State of Oklahoma personnel or another bidder or supplier involved in the development of a bidder’s response to the solicitation.
c. The name of any officer, director or agent of the bidder who is also an employee of the State of Oklahoma or any of its agencies.
d. The name of any state employee who owns, directly or indirectly, an interest of 5% or more in the bidder firm or any of its branches.
e. Any activity or interest that conflicts or may conflict with the best interest of the State of Oklahoma, including but not limited to any person or entity currently under contract with or seeking to do business with the State of Oklahoma, its employees or any other third-party individual or entity awarded a contract with the State of Oklahoma. Any conflict of interest shall, in the sole discretion of the State of Oklahoma, be grounds for rejection of the bid or partial or whole termination of the contract.
E. Required Insurance. Offeror agrees to acquire insurance from an insurance carrier or carriers licensed to conduct business in each Participating Entity’s state at the levels prescribed in Attachment D , Sample Master Agreement. Offeror understands that this requirement is mandatory and will not be negotiated by the Lead State.
F. NASPO ValuePoint Administrative Fee. Offeror agrees to pay an administrative fee and submit summary and detailed sales reports to NASPO ValuePoint in accordance with Attachment D , Sample Master Agreement. All costs proposed by Offeror must be inclusive of the NASPO ValuePoint administrative fee. Offeror understands that the requirements in this section are mandatory and will not be negotiated by the Lead State.
G. Marketing Plan. If awarded a Master Agreement resulting from this RFP, within 30 days of execution of the Master Agreement, Offeror will meet with NASPO ValuePoint marketing personnel to review and track progress on the marketing plan described by Offeror in Attachment G , Offeror Response Worksheet.
H. Confidential, Proprietary, or Protected Information. As set forth in Attachment A, RFP Terms and Conditions, if Offeror is claiming any portion of its proposal as confidential, proprietary, or protected, Offeror must complete the required sections of Attachment K, Claim of Business Confidentiality, and submit with Offeror’s proposal a redacted copy of Offeror’s proposal, which must be clearly marked as such. Offeror may not mark pricing or Offeror’s entire proposal as confidential, proprietary, or protected. Submission of a Claim of Business Confidentiality does not guarantee that information claimed by Offeror as confidential, proprietary, or protected will not be subject to disclosure in accordance with applicable public information laws, rules, and policies. If Offeror fails to submit a redacted copy of Offeror’s proposal, or fails to claim information as confidential, proprietary, or protected in compliance with this RFP, Offeror releases the Lead State, NASPO, NASPO members, and entities represented on the Multistate Sourcing Team from any obligation to keep the information confidential and waives all claims of liability arising from disclosure of the information.
I. Cancellation and Transfer. Offeror understands and agrees that the Lead State may, as set forth in Attachment A, RFP Terms and Conditions, cancel this RFP or transfer this RFP to a new Lead State if the Lead State determines that such transfer is in the best interest of the Lead State and potential Participating Entities and Purchasing Entities.
J. Conditional Awards. Offeror understands that awards and execution of a Master Agreement are conditional as set forth in Attachment A, RFP Terms and Conditions, and Offeror agrees to hold the Lead State and NASPO harmless and release the Lead State and NASPO from any liability for damages arising from non-award or non-execution of a contract.
K. Understanding of the RFP. Offeror has read the RFP in its entirety and understands and agrees to comply with all requirements set forth therein. Any conflicts in the materials composing the RFP and any issues relating to the content of the RFP, including instructions, requirements, or specifications Offeror believes to be ambiguous, unduly restrictive, erroneous, anticompetitive, or unlawful, have been brought to the attention of the Lead State using the process described in the RFP for asking questions or, if applicable, by filing a protest. In accordance with Attachment A, RFP Terms and Conditions, Offeror acknowledges and understands that any protest, claim, dispute, or action based upon a conflict or issue described herein must be filed no later than the RFP Close Date, and Offeror waives the right to file any protest, claim, dispute, or action based upon a conflict or issue described herein if not filed by the RFP Close Date.
Signature The undersigned is one of the following:
1. The Offeror, if Offeror is an individual;
2. A partner in the company, if Offeror is a partnership; or
3. An officer or employee of the responding corporation having authority to sign on its behalf, if Offeror is a corporation.
By signing below, the undersigned warrants that the representations made and the information provided in Offeror’s proposal are true, correct, and reliable for purposes of evaluation for a potential contract award. The submission of inaccurate or misleading information may be grounds for disqualification from contract award and may subject the undersigned, Offeror, or both to suspension or debarment proceedings, as well as other remedies available to the Lead State by law, including termination of any Master Agreement awarded to Offeror.
OFFEROR:
| __________________________________________ | __________________________________________ | |
| Signature | Date |
| __________________________________________ | __________________________________________ | |
| Printed Name | Title |
| __________________________________________ | __________________________________________ | |
| Email Address | Phone Number |
Page 2 of 9 – Attachment [X], RFP TERMS AND CONDITIONS
Attachment G , OFFEROR INFORMATION, ACKNOWLEDGEMENTS, AND CERTIFICATIONS image1.png image2.png
File details come from the government source that posted it. Updated .