35613 Attachment 4_Disclosure Exemption Certification_Final.doc
DOC document 60 KB Posted
- Attached to
- new expanded EVR program contract
- Solicitation number
- S-73000-00009423
- Issued by
- Marion County, Oregon
About this file
This document is a Disclosure Exemption Certification form for a Request for Applications (RFA S-73000-00009423) submitted to the State of Oregon, focusing on protecting confidential business information during a public procurement process. The form requires an authorized representative to certify their understanding of Oregon's Public Records Law and to identify specific information within their application that should be exempted from public disclosure.
The certification allows the applicant to designate certain proprietary information as trade secrets or confidential business information with economic value, provided the information meets specific criteria: it is not patented, known only to certain individuals within the organization, has potential commercial value, and provides a competitive business advantage. The form includes a signed exhibit where the applicant can list specific sections of their application that should be protected from public disclosure, with the understanding that final determination of exemption may depend on official or judicial review under the Public Records Law.
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Other files
| File | Type | Posted |
|---|---|---|
| S-73000-00009423 _Addendum 1.docx | DOCX document | |
| 35613 RFA_Attachment_3_Tax_Compliance_Affidavit_Final.DOCX | DOCX document | |
| S-73000-00009423 _QA 1_Final.docx | DOCX document | |
| Insurance Requirements.pdf | ||
| 35613 RFA_Attachment_A_Application Cover Sheet_Final.doc | DOC document | |
| 35613 Sample Contract_Final.docx | DOCX document | |
| 35613_ITA.docx | DOCX document | |
| 35613 EVR 2.0 SOW_Final.docx | DOCX document | |
| 35613 RFA_Final.docx | DOCX document | |
| 35613_EvaluationScoreMatrix_Final.xlsx | XLSX spreadsheet |
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Text version
RFA S-73000-00009423
ATTACHMENT 4 — disclosure exemption CERTIFICATION Any individual signing below hereby certifies that:
1. I am an authorized representative of the Applicant, I have knowledge of the Request for Applications referenced herein, and I have full authority from the Applicant to submit this Disclosure Exemption Certification and accept the responsibilities stated herein.
2. I am aware that the Applicant has submitted a Application, dated on or about [insert date] (the “Application”), to the State of Oregon (State) in response to Request for Applications [insert RFA #], for [insert description of RFA], and I am familiar with the contents of the RFA and Application.
3. I have read and am familiar with the provisions of Oregon’s Public Records Law, Oregon Revised Statutes (“ORS”) 192.311 through 192.478, and the Uniform Trade Secrets Act as adopted by the State of Oregon, which is set forth in ORS 646.461 through ORS 646.475. I understand that the Application is a public record held by a public body and is subject to disclosure under the Oregon Public Records Law unless specifically exempt from disclosure under that law.
4. I have reviewed the information contained in the Application. The Applicant believes the information listed in Exhibit A is exempt from public disclosure (collectively, the “Exempt Information”), which is incorporated herein by this reference. It is my opinion that the Exempt Information is exempt from disclosure under Oregon’s Public Records Law under the specifically designated sections as set forth in the attached Exhibit A or constitutes “Trade Secrets” under either the Oregon Public Records Law or the Uniform Trade Secrets Act as adopted in Oregon because that information is either:
A. A formula, plan, pattern, process, tool, mechanism, compound, procedure, production data, or compilation of information that:
i. is not patented,
ii. is known only to certain individuals within the Applicant’s organization and that is used in a business the Applicant conducts,
iii. has actual or potential commercial value, and
iv. gives its user an opportunity to obtain a business advantage over competitors who do not know or use it.
or
B. Information, including a drawing, cost data, customer list, formula, pattern, compilation, program, device, method, technique or process that:
i. Derives independent economic value, actual or potential, from not being generally known to the public or to other persons who can obtain economic value from its disclosure or use; and
ii. Is the subject of efforts by the Applicant that are reasonable under the circumstances to maintain its secrecy.
5. I understand that disclosure of the information referenced in the attached Exhibit A may depend on official or judicial determinations made in accordance with the Public Records Law.
Authorized Signature
Date
(Print Name and Title)
EXHIBIT A TO ATTACHMENT 4
Applicant identifies the following information as exempt from public disclosure under the following designated exemption(s):
RFP [###-####-##] – [RFP title] RFP Att-B (ODOT – May 20, 2020)
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