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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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

AgencywilldetermineresponsibilityofaProposerpriortoawardandexecutionofaContract.In
additiontothisform,AgencymaynotifyProposerofotherdocumentationrequired,whichmay
includebutisnotlimitedtorecentprofit-and-losshistory,currentbalancestatementsandcashflow
information,assets-to-liabilitiesratio,includingnumberandamountofsecuredversusunsecured
creditorclaims,availabilityofshortandlong-termfinancing,bondingcapacity,insurability,credit
information,materialsandequipment,facilitycapabilities,personnelinformation,recordof
performanceunderpreviouscontracts,etc.Failuretopromptlyproviderequestedinformationor
clearlydemonstrateresponsibilitymayresultinanAgencyfindingofnon-responsibilityand

rejection.

1. DoesProposerhaveavailabletheappropriatefinancial,material,equipment,facilityandpersonnel
resourcesandexpertise,orabilitytoobtaintheresourcesandexpertise,necessarytodemonstrate
thecapabilityofProposertomeetallcontractualresponsibilities?YES/NO.
2. Withinthelastfiveyears,howmanycontractsofasimilarnaturehasProposercompletedthat,tothe
extentthatthecostsassociatedwithandtimeavailabletoperformthecontractremainedwithin
Proposer′scontrol,Proposerstayedwithinthetimeandbudgetallotted,andtherewerenocontract
claimsbyanyparty?Number:____

How many contracts did not meet those standards? Number: ____ If any, please explain.

Response:

3. WithinthelastthreeyearshasProposer(incl.apartnerorshareholderowning10%ormoreof
Proposer’sfirm)oramajorsubcontractor(receiving10%ormoreofatotalcontractamount)been
criminallyorcivillycharged,indictedorconvictedinconnectionwith:
• obtaining,attemptingtoobtain,orperformingapublic(Federal,state,orlocal)contract
orsubcontract,
• violationoffederalorstateantitruststatutesrelatingtothesubmissionofbidsor
Proposals,or
• embezzlement,theft,forgery,bribery,falsificationordestructionofrecords,makingfalse
statements,taxevasion,orreceivingstolenproperty?YES/NO.
If"YES,"indicatethejurisdiction,dateofindictment,chargeorjudgment,andnamesandsummaryof
chargesintheresponsefieldbelow.

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:

• anycontractsterminatedfordefaultbyanygovernmentagency,or
• anylawsuitsfiledagainstitbycreditorsorinvolvingcontractdisputes?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 .

DoesProposerhavesufficientcashflowtofundday-to-dayoperationsthroughouttheproposed
contractperiod?YES/NO
If"YES”onthefirstquestionorsecondquestion,or“NO”onthethirdquestion,pleaseprovide
additionaldetails.

Response:

6. Withinthelastthreeyears,hasProposerfiledabankruptcyaction,filedforreorganization,madea
generalassignmentofassetsforthebenefitofcreditors,orhadanactionforinsolvencyinstituted
againstit?YES/NO.
If"YES,"indicatethefilingdates,jurisdictions,typeofaction,ultimateresolution,anddatesof
judgmentordismissal,ifapplicable.

Response:

7. DoesProposerhaveallrequiredlicenses,insuranceand/orregistrations,ifany,andisProposer
legallyauthorizedtodobusinessintheStateofOregon?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. PayEquityCertificate.ThiscertificateisrequiredifProposeremploys50ormorefull-timeworkers
andtheprospectivecontractpriceisestimatedtoexceed$500,000.[Thisrequirementdoesnotapply
toarchitectural,engineering,photogrammetricmapping,transportationplanningorlandsurveying
andrelatedservicescontracts.]DoesacurrentauthorizedrepresentativeofProposerpossessan
unexpiredPayEquityCertificateissuedbytheDepartmentofAdministrativeServices?YES/NO
/N/A.[IfthecertificatewasprovidedwiththeBidorProposalsubmittedforasolicitation
relatedtotheprospectivecontract,thenitisnotnecessarytoresubmitit.Justindicate“seeBid”or
“seeProposal”intheresponsefield.Otherwise,ifapplicable,submitacopyofthecertificatewith
thisform.]

Response:

AUTHORIZED SIGNATURE

Bysignaturebelow,theundersignedAuthorizedRepresentativeonbehalfofProposercertifiestothe
bestofhisorherknowledgeandbeliefthattheresponsesprovidedonthisformarecomplete,
accurate,andnotmisleading.

Proposer Name: RFP:

Project Name:

Authorized Signature Date

Print Name Title

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