Att C-OFFEROR INFORMAITON AND CERTIFICATION SHEET.pdf

PDF 72 KB Posted Nov 14, 2025

Attached to: RFP-Oregon Native Seed Amplification
Solicitation number: S-60300-00015305
Issued by: Oregon

About this file

Written by GovTribe AI · Nov 18, 2025

This is an Offeror Information and Certification Sheet for an Intermediate Procurement RFP (S-60300-00015305) issued by the State of Oregon, Department of Administrative Services (DAS) Procurement Services for the Oregon Native Seed Amplification project. The document serves as the primary certification form that interested offerors must complete and submit as part of their bid response. The sheet requires offerors to provide standard business information including legal name, address, state of incorporation, entity type, contact information, and Oregon Business Registry Number. Offerors must certify their understanding of contract requirements, acknowledge receipt of all amendments, and confirm that their offer constitutes a firm offer valid for 180 days following the opening date. The document does not specify project quantities, response dates, due dates, site visits, bidder's conferences, award dates, or contract term information.

The certification sheet requires offerors to attest to compliance with multiple state and federal regulations, including Oregon tax laws, non-discrimination requirements in employment and subcontracting practices, wage equity laws, and broadband service provisions. Offerors must certify that they and their employees are not listed on federal exclusion lists maintained by the Office of Foreign Assets Control or the System for Award Management. Additionally, offerors must disclose any actual or potential conflicts of interest and certify the truthfulness and accuracy of all offer contents prepared independently and without collusion. The document does not contain pricing terms, set-aside provisions, incumbent information, or funding source details. Offerors acknowledge that false or fraudulent statements may constitute claims under the Oregon False Claims Act and result in associated liabilities or penalties.

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Att A-Sample Contract .pdf	PDF	Nov 14, 2025
Att. G Responsibility Inquiry.docx	DOCX document	Nov 14, 2025
Att E-Cost Sheet Project 2.docx	DOCX document	Nov 14, 2025
Att B-DISCLOSURE EXEMPTION AFFIDAVIT.docx	DOCX document	Nov 14, 2025
Att F-CERTIFIED DISADVANTAGED BUSINESS OUTREACH PLAN.pdf	PDF	Nov 14, 2025
Att E-Cost Sheet Project 1 .docx	DOCX document	Nov 14, 2025
Att D-REFERENCE CHECK FORM.pdf	PDF	Nov 14, 2025
S-60300-00015305 NATIVE SEED AMPLIFICATON RFP .pdf	PDF	Nov 14, 2025
Sample Contract - Newport Janitorial .pdf	PDF	Nov 14, 2025

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Intermediate Procurement RFP S-60300-00015305-Oregon Native Seed Amplification Att C

DAS Procurement Services, Version 1.0 – August 16, 2021 Page 1 of 2

ATTACHMENT	C	—	OFFEROR	INFORMATION	AND
CERTIFICATION	SHEET

Legal Name of Offeror:

Address: City, State, Zip:

State of Incorporation: Entity Type:

Contact Name: Telephone: Email:

Oregon Business Registry Number (if required):

Any individual signing below hereby certifies they are an authorized representative of Offeror and that:

1. Offeror

understands

and

accepts

the

requirements

this

INTERMEDIATE

PROCUREMENT.

submitting

Offer,

Offeror

agrees

bound

the

Contract

terms

and

conditions

Attachment

and

modified

any

Amendment,

except

for

those

terms

and

conditions

that

Agency

has

reserved

for

negotiation,

identified

the

INTERMEDIATE

PROCUREMENT.

2. Offeror acknowledges receipt of any and all Amendments to this INTERMEDIATE PROCUREMENT.

3. Offer is a Firm Offer for 180 days following the Opening.

4. If

awarded

Contract,

Offeror

agrees

perform

the

scope

work

and

meet

the

performance

standards

set

forth

the

final

negotiated

scope

work

the

Contract.

5. I

have

knowledge

regarding

Offeror’s

payment

taxes

and

signing

below.

hereby

certify

that,

the

best

knowledge,

Offeror

not

violation

any

tax

laws

the

state

political

subdivision

the

state,

including,

without

limitation,

ORS

305.620

and

ORS

chapters

316,

317

and

318.

6. Offeror

does

not

discriminate

its

employment

practices

with

regard

race,

creed,

age,

religious

affiliation,

gender,

disability,

sexual

orientation,

national

origin.

When

awarding

subcontracts,

Offeror

does

not

discriminate

against

any

business

certified

under

ORS

200.055

disadvantaged

business

enterprise,

minority-owned

business,

woman-owned

business,

business

that

service-disabled

veteran

owned

emerging

small

business.

applicable,

Offeror

has,

will

have

prior

contract

execution,

written

policy

and

practice,

that

meets

the

requirements

described

ORS

279A.112

(formerly

3060),

preventing

sexual

harassment,

sexual

assault

and

discrimination

against

employees

who

are

members

protected

class.

Agency

may

not

enter

into

contract

with

anticipated

contract

price

$150,000

with

Offeror

that

does

not

certify

has

such

policy

and

practice.

See

https://www.oregon.gov/DAS/Procurement/Pages/hb3060.aspx

for

additional

information

and

sample

policy

template.

7. Offeror

complies

with

ORS

652.220

and

does

not

unlawfully

discriminate

against

any

Offeror’s

employees

the

payment

wages

other

compensation

for

work

comparable

character

the

basis

employee’s

membership

protected

class.

“Protected

class”

means

group

persons

distinguished

race,

color,

religion,

sex,

sexual

orientation,

national

origin,

marital

status,

veteran

status,

disability

age.

Contractor’s

continuing

compliance

constitutes

material

element

this

Contract

and

failure

comply

constitutes

breach

that

entitles

Agency

terminate

this

Contract

for

cause.

Intermediate Procurement RFP S-60300-00015305-Oregon Native Seed Amplification Att C

DAS Procurement Services, Version 1.0 – August 16, 2021 Page 2 of 2

Contractor

may

not

prohibit

any

Contractor’s

employees

from

discussing

the

employee’s

rate

wage,

salary,

benefits,

other

compensation

with

another

employee

another

person.

Contractor

may

not

retaliate

against

employee

who

discusses

the

employee’s

rate

wage,

salary,

benefits,

other

compensation

with

another

employee

another

person.

8. Offeror

not

engaged

the

provision

broadband

Internet

access

service,

any

time

Offeror

engaged

may

engage

the

provision

broadband

Internet

access

service

Offeror

compliance

with

Oregon

Laws

2018,

Chapter

(HB

4155)

and

applicable

Public

Utility

Commission

rules,

and

will

remain

compliance

throughout

the

term

the

Contract.

9. Offeror and Offeror’s employees, agents, and subcontractors are not included on:

A. the

“Specially

Designated

Nationals

and

Blocked

Persons”

list

maintained

the

Office

Foreign

Assets

Control

the

United

States

Department

the

Treasury

found

at:

https://www.treasury.gov/ofac/downloads/sdnlist.pdf.,

B. the government wide exclusions lists in the System for Award Management found at:

https://www.sam.gov/portal/

10. Offeror

certifies

that,

the

best

its

knowledge,

there

exists

actual

potential

conflict

between

the

business

economic

interests

Offeror,

its

employees,

its

agents,

the

one

hand,

and

the

business

economic

interests

the

State,

the

other

hand,

arising

out

of,

relating

any

way

to,

the

subject

matter

the

INTERMEDIATE

PROCUREMENT.

any

changes

occur

with

respect

Offeror’s

status

regarding

conflict

interest,

Offeror

shall

promptly

notify

the

State

writing.

11. Offeror

certifies

that

all

contents

the

Offer

(including

any

other

forms

documentation,

required

under

this

INTERMEDIATE

PROCUREMENT)

and

this

Offer

Certification

Sheet

are

truthful

and

accurate

and

have

been

prepared

independently

from

all

other

Offerors,

and

without

collusion,

fraud,

other

dishonesty.

12. Offeror

understands

that

any

statement

representation

makes,

response

this

INTERMEDIATE

PROCUREMENT,

determined

false

fraudulent,

misrepresentation,

inaccurate

because

the

omission

material

information

could

result

"claim"

{as

defined

the

Oregon

False

Claims

Act,

ORS

180.750(1)},

made

under

Contract

being

"false

claim"

{ORS

180.750(2)}

subject

the

Oregon

False

Claims

Act,

ORS

180.750

180.785,

and

any

liabilities

penalties

associated

with

the

making

false

claim

under

that

Act.

13. Offeror

acknowledges

these

certifications

are

addition

any

certifications

required

the

Contract

and

Statement

Work

Attachment

the

time

Contract

execution.

14. 15. 16.

Authorized Signature Date

17. 18.

(Printed	Name	and	Title)
19.	20.

File details come from the government source that posted it. Updated Nov 18, 2025.