Att. G Responsibility Inquiry .pdf
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- Attached to
- Oregon Aquatic Weed Assessment
- Solicitation number
- S-60300-00011897
- Issued by
- Marion County, Oregon
About this file
This document is an Attachment G - Responsibility Inquiry from the Oregon Department of Administrative Services (DAS) in relation to RFP S-60300-00011897 for the Oregon Aquatic Weeds Assessment project. It outlines the agency's process for determining the responsibility of a proposer prior to awarding and executing a contract. The inquiry covers the proposer's available financial, material, equipment, facility, and personnel resources, as well as their past contract performance, legal issues, financial standing, and licensing/registration requirements. The proposer must respond to specific questions and provide additional documentation as requested to demonstrate their capability to meet all contractual responsibilities.
The document does not provide details on the specific products or services being procured, item quantities, response dates, award dates, or contract term. It focuses solely on the responsibility determination process the agency will use to evaluate proposers and their ability to successfully perform the contract.
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Text version
RFP S-60300-00011897 – Oregon Aquatic Weeds Assessment Att G
DAS Procurement Services, Version 1.0 – December 9, 2016 Page 1 of 3
ATTACHMENT G - RESPONSIBILITY INQUIRY
| Agency | will | determine | responsibility | of | a | Proposer | prior | to | award | and | execution | of | a | Contract. | In |
| addition | to | this | form, | Agency | may | notify | Proposer | of | other | documentation | required, | which | may | ||
| include | but | is | not | limited | to | recent | profit-and-loss | history, | current | balance | statements | and | cash | flow | |
| information, | assets-to-liabilities | ratio, | including | number | and | amount | of | secured | versus | unsecured | |||||
| creditor | claims, | availability | of | short | and | long-term | financing, | bonding | capacity, | insurability, | credit | ||||
| information, | materials | and | equipment, | facility | capabilities, | personnel | information, | record | of | ||||||
| performance | under | previous | contracts, | etc. | Failure | to | promptly | provide | requested | information | or | ||||
| clearly | demonstrate | responsibility | may | result | in | an | Agency | finding | of | non-responsibility | and |
rejection.
| 1. Does | Proposer | have | available | the | appropriate | financial, | material, | equipment, | facility | and | personnel | ||||
| resources | and | expertise, | or | ability | to | obtain | the | resources | and | expertise, | necessary | to | demonstrate | ||
| the | capability | of | Proposer | to | meet | all | contractual | responsibilities? | YES | / | NO | . |
| 2. Within | the | last | five | years, | how | many | contracts | of | a | similar | nature | has | Proposer | completed | that, | to | the |
| extent | that | the | costs | associated | with | and | time | available | to | perform | the | contract | remained | within | |||
| Proposer′s | control, | Proposer | stayed | within | the | time | and | budget | allotted, | and | there | were | no | contract | |||
| claims | by | any | party? | Number: | ____ |
How many contracts did not meet those standards? Number: ____ If any, please explain.
Response:
| 3. Within | the | last | three | years | has | Proposer | (incl. | a | partner | or | shareholder | owning | 10% | or | more | of |
| Proposer’s | firm) | or | a | major | subcontractor | (receiving | 10% | or | more | of | a | total | contract | amount) | been | |
| criminally | or | civilly | charged, | indicted | or | convicted | in | connection | with: |
| • obtaining, | attempting | to | obtain, | or | performing | a | public | (Federal, | state, | or | local) | contract | |||
| or | subcontract, | ||||||||||||||
| • violation | of | federal | or | state | antitrust | statutes | relating | to | the | submission | of | bids | or | ||
| Proposals, | or | ||||||||||||||
| • embezzlement, | theft, | forgery, | bribery, | falsification | or | destruction | of | records, | making | false | |||||
| statements, | tax | evasion, | or | receiving | stolen | property? | YES | / | NO | . |
| If | "YES," | indicate | the | jurisdiction, | date | of | indictment, | charge | or | judgment, | and | names | and | summary | of |
| charges | in | the | response | field | below. |
Response:
RFP S-60300-00011897 – Oregon Aquatic Weeds Assessment Att G
DAS Procurement Services, Version 1.0 – December 9, 2016 Page 2 of 3
4. Within the last three years, has Proposer had:
| • any | contracts | terminated | for | default | by | any | government | agency, | or | |||||
| • any | lawsuits | filed | against | it | by | creditors | or | involving | contract | disputes? | YES | / | NO | . |
If "YES," please explain. (With regard to judgments, include jurisdiction and date of final judgment or dismissal.)
Response:
5. Does Proposer have any outstanding or pending judgments against it? YES / NO .
Is Proposer experiencing financial distress or having difficulty securing financing? YES / NO .
| Does | Proposer | have | sufficient | cash | flow | to | fund | day-to-day | operations | throughout | the | proposed |
| contract | period? | YES | / | NO |
| If | "YES” | on | the | first | question | or | second | question, | or | “NO” | on | the | third | question, | please | provide |
| additional | details. |
Response:
| 6. Within | the | last | three | years, | has | Proposer | filed | a | bankruptcy | action, | filed | for | reorganization, | made | a |
| general | assignment | of | assets | for | the | benefit | of | creditors, | or | had | an | action | for | insolvency | instituted |
| against | it? | YES | / | NO | . |
| If | "YES," | indicate | the | filing | dates, | jurisdictions, | type | of | action, | ultimate | resolution, | and | dates | of |
| judgment | or | dismissal, | if | applicable. |
Response:
| 7. Does | Proposer | have | all | required | licenses, | insurance | and/or | registrations, | if | any, | and | is | Proposer | |
| legally | authorized | to | do | business | in | the | State | of | Oregon? | YES | /NO | . |
If "NO," please explain.
Response:
RFP S-60300-00011897 – Oregon Aquatic Weeds Assessment Att G
DAS Procurement Services, Version 1.0 – December 9, 2016 Page 3 of 3
| 8. Pay | Equity | Certificate. | This | certificate | is | required | if | Proposer | employs | 50 | or | more | full-time | workers | ||||||||
| and | the | prospective | contract | price | is | estimated | to | exceed | $500,000. | [This | requirement | does | not | apply | ||||||||
| to | architectural, | engineering, | photogrammetric | mapping, | transportation | planning | or | land | surveying | |||||||||||||
| and | related | services | contracts.] | Does | a | current | authorized | representative | of | Proposer | possess | an | ||||||||||
| unexpired | Pay | Equity | Certificate | issued | by | the | Department | of | Administrative | Services? | YES | / | NO | |||||||||
| / | N/A | . | [If | the | certificate | was | provided | with | the | Bid | or | Proposal | submitted | for | a | solicitation |
| related | to | the | prospective | contract, | then | it | is | not | necessary | to | resubmit | it. | Just | indicate | “see | Bid” | or |
| “see | Proposal” | in | the | response | field. | Otherwise, | if | applicable, | submit | a | copy | of | the | certificate | with | ||
| this | form.] |
Response:
AUTHORIZED SIGNATURE
| By | signature | below, | the | undersigned | Authorized | Representative | on | behalf | of | Proposer | certifies | to | the | |||
| best | of | his | or | her | knowledge | and | belief | that | the | responses | provided | on | this | form | are | complete, |
| accurate, | and | not | misleading. |
Proposer Name: RFP:
Project Name:
Authorized Signature Date
Print Name Title
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