Att. C. Proposer Information & Certifiction Sheet .pdf
PDF 57 KB Posted
- Attached to
- Oregon Aquatic Weed Assessment
- Solicitation number
- S-60300-00011897
- Issued by
- Marion County, Oregon
About this file
This document is an Attachment C - Proposer Information and Certification Sheet for RFP S-60300-00011897 issued by the Oregon Department of Administrative Services (DAS) Procurement Services for the Oregon Aquatic Weeds Assessment project. The RFP requests proposals from qualified vendors to provide services related to the assessment of aquatic weeds in the state of Oregon. Proposers must submit completed certification forms, acknowledge receipt of any addenda, confirm the proposal is a firm offer for 180 days, agree to perform the scope of work, and certify compliance with various state laws and regulations. The contract resulting from this RFP is anticipated to have a duration of undisclosed length.
The document outlines pricing and other commercial terms related to this opportunity. It indicates the State will not enter into a contract over $150,000 with a proposer that does not have a written policy and practice for preventing sexual harassment, sexual assault, and discrimination. Proposers must also certify they are not engaged in providing broadband internet access service or, if they are, that they are compliant with applicable state laws and regulations. Additionally, proposers must certify they are not included on federal exclusion lists and do not have any conflicts of interest with the State.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| ATT E Cost Sheet ~4.docx | DOCX document | |
| Att. D Reference Check Form docx.pdf | ||
| RFP-S-60300-00011897 Oregon Aquatic Weeds Assessment.pdf | ||
| Att. A Sample Contract .pdf | ||
| Att. B. Disclosure Exemption Affidavit docx.docx | DOCX document | |
| Att. F Certified Disadvantaged Business Outreach Plan .pdf | ||
| Att. G Responsibility Inquiry .pdf | ||
| overview 10_29_24.pdf |
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Text version
RFP S-60300-00011897 – Oregon Aquatic Weeds Assessment Att C
DAS Procurement Services, Version 4.0 – December 21, 2018 Page 1 of 3
| ATTACHMENT | C | — | PROPOSER | INFORMATION | AND |
| CERTIFICATION | SHEET |
Legal Name of Proposer:
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 Proposer and that:
| 1. Proposer | understands | and | accepts | the | requirements | of | this | RFP. | By | submitting | a | Proposal, | Proposer | ||||
| agrees | to | be | bound | by | the | Contract | terms | and | conditions | in | Attachment | A | and | as | modified | by | any |
| Addenda, | except | for | those | terms | and | conditions | that | Agency | has | reserved | for | negotiation, | as | ||||
| identified | in | the | RFP. |
2. Proposer acknowledges receipt of any and all Addenda to this RFP.
3. Proposal is a Firm Offer for 180 days following the Closing.
| 4. If | awarded | a | Contract, | Proposer | agrees | to | perform | the | scope | of | work | and | meet | the | performance |
| standards | set | forth | in | the | final | negotiated | scope | of | work | of | the | Contract. |
| 5. I | have | knowledge | regarding | Proposer’s | payment | of | taxes | and | by | signing | below | I | hereby | certify | that, | to | |||
| the | best | of | my | knowledge, | Proposer | is | not | in | violation | of | any | tax | laws | of | the | state | or | a | political |
| subdivision | of | the | state, | including, | without | limitation, | ORS | 305.620 | and | ORS | chapters | 316, | 317 | and |
318.
| 6. Proposer | does | not | discriminate | in | its | employment | practices | with | regard | to | race, | creed, | age, | religious | ||||
| affiliation, | gender, | disability, | sexual | orientation, | national | origin. | When | awarding | subcontracts, | |||||||||
| Proposer | does | not | discriminate | against | any | business | certified | under | ORS | 200.055 | as | a | disadvantaged | |||||
| business | enterprise, | a | minority-owned | business, | a | woman-owned | business, | a | business | that | a | service- | ||||||
| disabled | veteran | owns | or | an | emerging | small | business. | If | applicable, | Proposer | has, | or | will | have | prior | to | ||
| contract | execution, | a | written | policy | and | practice, | that | meets | the | requirements | described | in | ORS | |||||
| 279A.112 | (formerly | HB | 3060), | of | preventing | sexual | harassment, | sexual | assault | and | discrimination | |||||||
| against | employees | who | are | members | of | a | protected | class. | Agency | may | not | enter | into | a | contract | with | ||
| an | anticipated | contract | price | of | $150,000 | or | more | with | a | Proposer | that | does | not | certify | it | has | such | a |
| policy | and | practice. | See | https://www.oregon.gov/DAS/Procurement/Pages/hb3060.aspx | for | |||||||||||||
| additional | information | and | sample | policy | template. |
| 7. Proposer | complies | with | ORS | 652.220 | and | does | not | unlawfully | discriminate | against | any | of | Proposer’s | ||
| employees | in | the | payment | of | wages | or | other | compensation | for | work | of | comparable | character | on | the |
| basis | of | an | employee’s | membership | in | a | protected | class. | “Protected | class” | means | a | group | of | persons |
| distinguished | by | race, | color, | religion, | sex, | sexual | orientation, | national | origin, | marital | status, | veteran | |||
| status, | disability | or | age. |
RFP S-60300-00011897 – Oregon Aquatic Weeds Assessment Att C
DAS Procurement Services, Version 4.0 – December 21, 2018 Page 2 of 3
| Contractor’s | continuing | compliance | constitutes | a | material | element | of | this | Contract | and | a | failure | to |
| comply | constitutes | a | breach | that | entitles | Agency | to | terminate | this | Contract | for | cause. |
| Contractor | may | not | prohibit | any | of | Contractor’s | employees | from | discussing | the | employee’s | rate | of | ||
| wage, | salary, | benefits, | or | other | compensation | with | another | employee | or | another | person. | Contractor | |||
| may | not | retaliate | against | an | employee | who | discusses | the | employee’s | rate | of | wage, | salary, | benefits, | or |
| other | compensation | with | another | employee | or | another | person. |
| 8. Proposer | is | not | engaged | in | the | provision | of | broadband | Internet | access | service, | or | if | at | any | time |
| Proposer | is | engaged | in | or | may | engage | in | the | provision | of | broadband | Internet | access | service | Proposer | |
| is | in | compliance | with | Oregon | Laws | 2018, | Chapter | 88 | (HB | 4155) | and | applicable | Public | Utility | ||
| Commission | rules, | and | will | remain | in | compliance | throughout | the | term | of | the | Contract. |
| 9. Proposer | and | Proposer’s | employees, | agents, | and | subcontractors | are | not | included | on: | ||
| A. the | “Specially | Designated | Nationals | and | Blocked | Persons” | list | maintained | by | the | Office | of |
| Foreign | Assets | Control | of | the | United | States | Department | of | the | Treasury | found | at: |
| https://www.treasury.gov/ofac/downloads/sdnlist.pdf., | or |
B. the government wide exclusions lists in the System for Award Management found at:
https://www.sam.gov/portal/
| 10. Proposer | certifies | that, | to | the | best | of | its | knowledge, | there | exists | no | actual | or | potential | conflict | ||||
| between | the | business | or | economic | interests | of | Proposer, | its | employees, | or | its | agents, | on | the | one | hand, | |||
| and | the | business | or | economic | interests | of | the | State, | on | the | other | hand, | arising | out | of, | or | relating | in | any |
| way | to, | the | subject | matter | of | the | RFP. | If | any | changes | occur | with | respect | to | Proposer’s | status | regarding | ||
| conflict | of | interest, | Proposer | shall | promptly | notify | the | State | in | writing. |
| 11. Proposer | certifies | that | all | contents | of | the | Proposal | (including | any | other | forms | or | documentation, | if |
| required | under | this | RFP) | and | this | Proposal | Certification | Sheet | are | truthful | and | accurate | and | have |
| been | prepared | independently | from | all | other | Proposers, | and | without | collusion, | fraud, | or | other |
dishonesty.
| 12. Proposer | understands | that | any | statement | or | representation | it | makes, | in | response | to | this | RFP, | if | |||
| determined | to | be | false | or | fraudulent, | a | misrepresentation, | or | inaccurate | because | of | the | omission | of | |||
| material | information | could | result | in | a | "claim" | {as | defined | by | the | Oregon | False | Claims | Act, | ORS | ||
| 180.750(1)}, | made | under | Contract | being | a | "false | claim" | {ORS | 180.750(2)} | subject | to | the | Oregon | False | |||
| Claims | Act, | ORS | 180.750 | to | 180.785, | and | to | any | liabilities | or | penalties | associated | with | the | making | of | a |
| false | claim | under | that | Act. |
| 13. Proposer | acknowledges | these | certifications | are | in | addition | to | any | certifications | required | in | the | |
| Contract/ | and | Statement | of | Work | in | Attachment | A | at | the | time | of | Contract | execution. |
14. 15.
Authorized Signature Date
16.
RFP S-60300-00011897 – Oregon Aquatic Weeds Assessment Att C
DAS Procurement Services, Version 4.0 – December 21, 2018 Page 3 of 3
| (Printed | Name | and | Title) |
| 17. | 18. |
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