2020.046P_Proposal_Packet.pdf

PROPOSAL RESPONSE PACKET

# 2020.046P

CERTIFICATION AND CONTRACT OFFER

SUSTAINABILITY QUESTIONNAIRE

Portfolio Rehabilitation and Critical Repairs

PROPOSAL DUE DATE: 3:00 pm Thursday

May 21, 2020

WASHINGTON COUNTY PURCHASING DIVISION

CHARLES D. CAMERON PUBLIC SERVICES BUILDING, SUITE 270

155 NORTH FIRST AVENUE, MS 28

HILLSBORO, OREGON, 97124

THIS PROPOSAL FORM PACKET MUST BE COMPLETED AND RETURNED WITH

YOUR PROPOSAL

Rev. 9/15

PROPOSAL TITLE: Portfolio Rehabilitation and Critical Repairs (#2020.046P)

PROPOSAL DUE DATE: 3:00 m Thursday May 21, 2020

The undersigned after having carefully examined the Special Instructions, Project/Proposal Information, General Instructions and all other related material and information, agrees to comply with the terms set forth in those documents and to furnish the services described at the rates proposed.

The proposer further agrees that this offer will remain in effect at the rates proposed for a period of not less than 180 calendar days from the date that proposals are due and that this offer may not be withdrawn or modified during that time.

The proposer hereby certifies that this proposal is genuine and that it has not entered into collusion with any other vendor(s) or any other person(s).

The proposer hereby certifies that it has not discriminated and will not discriminate against any minority, women or emerging small business enterprise or against a business enterprise that is owned or controlled by or that employs a disabled veteran as defined in ORS 408.225 in obtaining any required subcontract per ORS 279A.110.

The responder hereby certifies that they have complied with the tax laws of Oregon and all political subdivision of the State of Oregon, including ORS 305.620 and ORS chapters 316, 317 and 318.

Washington County may terminate the contract if contractor fails to comply with any tax laws during the term of the contract.

CERTIFICATION REGARDING DEBARMENT, SUSPENSION AND OTHER

RESPONSIBILITY MATTERS – The proposer certifies to the best of its knowledge and belief that neither it nor any of its principals:

1. Are presently debarred, suspended, proposed for debarment, or declared ineligible from submitting bids or proposals by any federal, state or local entity, department or agency;

2. Have within a three-year period preceding this offer, been convicted or had a civil judgment rendered against them for: commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performance of a public (Federal, state or local) contract or subcontract;

violation of Federal or state antitrust statues relating to the submission of offers; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statement, tax evasion, or receiving stolen property;

3. Are presently indicted for, or otherwise criminally or civilly charged by a governmental entity with, commission of any of the offenses enumerated in paragraph 2 of this certification;

4. Have within a three-year period preceding this offer, had one or more contracts terminated for default by any Federal, state or local public agency.

Rev. 9/15

Continued

The proposer will provide immediate written notice to the County if at any time prior to contract award, the proposer learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances.

Where proposer is unable to certify to any of the statements in this certification, proposer shall attach an explanation to this offer. A certification that any of the items in the above paragraphs exists will not necessarily result in withholding of an award under this solicitation. However, the certification will be considered in connection with a determination of the proposer’s responsibility.

The proposer has carefully examined all of the solicitation documents and addenda (if any) numbered through inclusive.

The proposer will extend pricing and terms to other public agencies Yes or No

The proposer is a resident bidder as defined in ORS 279A.120* Yes or No

SIGNED BY:

DATE:

PRINTED NAME:

TITLE:

FIRM:

DUNS Number (if applicable):

MAILING ADDRESS:

PHYSICAL ADDRESS:

CITY, STATE and ZIP

E-MAIL ADDRESS:

PHONE: (AREA CODE)

FAX: (AREA CODE)

*ORS 279A.120(1)(b) – Resident bidder means a bidder that has paid unemployment taxes or income taxes in this state during the 12 calendar months immediately preceding submission of the bid, has a business address in this state and has stated in the bid whether the bidder is a resident bidder. Nonresident bidders shall comply with the provisions of ORS 279A.120(3).

SUSTAINABILITY QUESTIONNAIRE

Company Name:___________________________________ Date:_______________

The Sustainability Questionnaire must be completed and returned with your bid/proposal. This questionnaire is applicable to firms that provide services and/or goods to the County.

1. What policies are in place to monitor and manage your supply chain regarding environmental issues? Check the items that apply.

We apply environmental criteria when making purchasing decisions We purchase “green” (recyclable, reusable, non-toxic) supplies, products and materials We specify sustainable products and or locally manufactured products

Other – describe other ways your company monitors and manages your supply chain regarding environmental issues.

2. What type of sustainable packaging/shipping materials do you use? Check the items that apply.

Our packaging/shipping materials are recyclable Our packaging/shipping materials are reusable Our packaging/shipping materials are made from 100% post-consumer recycled materials

Other – describe other types of sustainable packaging/shipping materials you use

3. Does your company have a Green Transportation Plan for your operation? Check the items that apply.

We own electric, hybrid, or E-85 fueled vehicles We rent hybrid vehicles We purchase carbon offsets

Other – describe your company’s Green Transportation plan for your operation or provide a link.

4. What does your company do to minimize the environmental costs associated with shipping?

Check the items that apply.

We combine deliveries with customer visits We consolidate deliveries We utilize electronic communications and electronic transfer of documents

Other – describe what your company’s does to minimize the environmental costs associated with shipping.

5. Has your company ever been cited for non-compliance of any environmental or safety issues?

Check the item that applies.

No, my company HAS NOT been cited for non-compliance Yes, my company HAS been cited for non-compliance

State the reason, date and outcome of the citation.

6. Does your company have web-based material available documenting your “Green” initiatives?

Check the items that apply.

Our website, includes “Green” reference information (provide Link) Our website, includes an environmental policy statement (provide Link) Our website, includes our company’s Sustainability Report (provide Link)

Other – does your company have other web-based materials available documenting your “Green” initiatives (Provide Link)

7. If you are providing a product, to your knowledge, has the manufacturer of the product that you are bidding or proposing ever been cited for non-compliance of any environmental or safety issue?

Check the item that applies.

No, the manufacturer of the product HAS NOT been cited for non-compliance Yes, the manufacturer of the product HAS been cited for non-compliance

State the reason, date and outcome of the citation.

8. What programs do you have in place, or planned for promoting resource efficiency? (i.e. an environmental or waste audit) Check the items that apply.

We recycle consumables, reduce waste and practice energy reduction when possible We have a company-wide Recycling Program We have formed a Sustainability Committee to identify sustainable solutions for our company

Other – what other programs do you have in place, or planned for promoting resource efficiency.