Attachment_10_Preliminary_Security_Questionnaire_Final.pdf

This is a Preliminary Security Questionnaire form issued by the Oregon Lottery for vendor procurement purposes. The form is designed to collect essential business and organizational information from proposers seeking to contract with the Oregon Lottery. Vendors are required to provide comprehensive details including business name, address, contact information, federal tax identification, and a description of the products or services to be provided. The form requests a complete list of officers, owners, shareholders holding 15 percent or greater ownership, directors, members, and partners, along with their respective titles and roles. Additionally, proposers must disclose whether subcontractors will be utilized to a substantial degree and, if so, provide detailed information about each subcontractor including their name, the specific products or services they will provide, and their work location by state.

The questionnaire also requires vendors to identify the geographic location where the majority of work will be performed for the Oregon Lottery, categorized by type of work and specific address. The form must be completed by a designated representative of the proposing organization and submitted via email to the Oregon Lottery. This preliminary security questionnaire serves as a foundational compliance document to establish vendor eligibility and organizational transparency before formal procurement processes advance, ensuring that the Oregon Lottery has visibility into the ownership structure, operational locations, and subcontracting arrangements of potential service or product providers.