7_-_Certification_and_Contract_Offer.pdf
PDF 14 KB Posted
- Solicitation number
- 2026.070-REQ
- Issued by
- Washington County, Oregon
About this file
This is a Certification and Contract Offer form for a contract opportunity with Washington County, Oregon, related to a Juvenile Delinquency First-Time Offender Diversion program. The document establishes the contractual agreement whereby the proposer certifies compliance with all terms, special instructions, project information, and general instructions provided by the County and commits to furnishing the requested services at the proposed rates. The contract opportunity involves partnering with a community-based provider to serve youth referred for first-time delinquency offenses through a diversion program designed to help youth take responsibility for their actions, support victims through restorative practices, and engage participants in positive activities that build skills and promote long-term wellbeing. The program will operate collaboratively with school districts, law enforcement agencies, cities, community organizations, and internal County partners to develop, implement, and evaluate the diversion initiative.
The certification form requires the proposer to attest that neither the proposer nor its principals are currently debarred, suspended, or ineligible from submitting proposals; have not been convicted of fraud, criminal offenses, antitrust violations, or other specified crimes within the preceding three years; are not presently indicted or charged with such offenses; and have not had contracts terminated for default by any public agency within three years. Proposers unable to certify to any statements must attach written explanations to their offers. The County will consider any certification issues in determining the proposer's responsibility and award eligibility, though such certifications will not automatically result in rejection. The form requires the proposer's signature, printed name, title, firm name, email address, mailing address, physical address, city, state, zip code, and phone number.
View the file
Other files
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
CERTIFICATION AND CONTRACT OFFER
Rev. 5/04/20
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 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 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.
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, or solicitation document, 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.
SIGNED BY:
DATE:
PRINTED NAME:
TITLE:
FIRM:
E-MAIL ADDRESS:
MAILING ADDRESS:
PHYSICAL ADDRESS:
CITY, STATE and ZIP
PHONE: (AREA CODE)
File details come from the government source that posted it. Updated .