APPENDIX 1 - REQUIRED ATTACHMENTS TO PROPOSAL.pdf

Progressive Design Build Procurement City of Ashland

RFP 2026-06 Water Treatment Plant PLC & HMI Upgrade Appendix 1

APPENDIX 1. REQUIRED ATTACHMENTS TO PROPOSAL

RFP 2026-06 Proposal Form Page 1 of 2

Proposal Form

The Proposer warrants that the Proposer has carefully reviewed the RFP and that this Proposal represents Proposer’s full response to the requirements described in the RFP. The Proposer further warrants that if this Proposal is accepted, the Proposer will contract with the Owner, agrees to all terms and conditions found in the attached contract and will provide all necessary labor, materials, equipment, and other means required to complete the Work in accordance with the requirements of the RFP and contract documents.

The Proposer acknowledges that the Proposer must be licensed by the State of Oregon Construction Contractors Board before signing the construction agreement or otherwise making an offer to perform the Work. In addition, the Prime Architect providing architecture or engineering services shall be licensed as required and applicable under ORS 671.020, ORS 671.030, ORS 672.020, and ORS 672.060.

REQUIRED RESPONSE DOCUMENTS:

The following information must be returned with your response (Place a check in front of the item indicating inclusion in your response):

RESPONSE TO ALL EVALUATION CRITERIA listed in SECTION 5 Proposal Form Independent Contractor Certification

MWESB INFORMATION:

City encourages contracting with minority owned, woman owned, and emerging small business (MWESB). The State of Oregon offers a certification process. Indicate below if your business is a MWESB and if so, which categories have been state certified. MWESB certified? Yes No If yes, indicate which categories:

Minority Owned Woman Owned Emerging Small Business Veteran Owned

ACKNOWLEDGMENT OF RECEIPT OF ADDENDA TO PROPOSAL DOCUMENTS:

Proposer acknowledges receipt of Addenda and agrees to be bound by their contents.

• Check each RFP addendum received: 1 2 3 4 5 6 7 8 9 10

• Check if not applicable or no addenda were received:

OSEBEELS / OSBGE / ORBAE Nos.:

Provide names, titles, and certification numbers for Key Personnel listed in response to Section SECTION 5 of the RFP. Attach additional pages as needed.

Name Title Certification No.

RFP 2026-06 Proposal Form Page 2 of 2

PROPOSER INFROMATION:

Company Name: Oregon CCB #:

Business Address:

Telephone: Email:

Authorized Signature: Date:

Person Signing Proposal: Title:

RFP 2026-06 Independent Contractor Certification Page 1 of 1

Independent Contractor Certification

CERTIFICATIONS/REPRESENTATIONS: Contractor, by and through its authorized representative, under penalty of perjury, certifies that (a) the number shown on the attached W-9 form is its correct taxpayer ID (or is waiting for the number to be issued to it and (b) Contractor is not subject to backup withholding because: (i) it is exempt from backup withholding, or (ii) it has not been notified by the Internal Revenue Service (IRS) that it is subject to backup withholding as a result of a failure to report all interest or dividends, or (iii) the IRS has notified it that it is no longer subject to backup withholding. Contractor further represents and warrants to City that: (a) it has the power and authority to enter into this Agreement and perform the Work, (b) the Agreement, when executed and delivered, shall be a valid and binding obligation of Consultant enforceable in accordance with its terms, (c) the work under the Agreement shall be performed in accordance with the highest professional standards, and (d) Contractor is qualified, professionally competent, and duly licensed (if applicable) to perform the Work.

Contractor also certifies under penalty of perjury that its business is not in violation of any Oregon tax laws, it is an independent contractor as defined in the Agreement, it is authorized to do business in the State of Oregon, and Contractor has checked four or more of the following criteria that apply to its business.

(1) Contractor carries out the work or services at a location separate from a private residence or is in a specific portion of a private residence, set aside as the location of the business.

(2) Commercial advertising or business cards or a trade association membership are purchased for the business.

(3) Telephone listing is used for the business separate from the personal residence listing.

(4) Labor or services are performed only pursuant to written contracts.

(5) Labor or services are performed for two or more different persons within a period of one year.

(6) Contractor assumes financial responsibility for defective workmanship or for service not provided as evidenced by the ownership of performance bonds, warranties, errors and omission (professional liability) insurance or liability insurance relating to the Work or services to be provided.

Authorized Signature

Date