Attachment 3 - Vendor Confirmation and Attestation.doc
DOC document 40 KB Posted
- Attached to
- Addendum2 for CRFQ CPR15*1
- Solicitation number
- CRFQ 0203 CPR1500000001 3
- Issued by
- Kanawha County, West Virginia
About this file
This is a vendor attestation and confirmation document for a Request for Quotation issued by CPRB (Colorado Public Employees' Retirement Association) for Information Security and Network Vulnerability Assessment services. The document serves as a required submission component of the RFQ process and establishes baseline qualifications and compliance requirements for prospective vendors.
The attestation requires vendors to confirm compliance with multiple eligibility and integrity criteria, including certifications that neither the vendor nor its employees, agents, contractors, or subcontractors have felony convictions or guilty pleas; that no concluded or pending litigation exists related to contracted engagements; that assigned key staff are full-time employees; and that no remuneration or items of value have been provided to CPRB officials or Retirement Board members. Additional confirmations address the absence of legal proceedings related to service provision within the past five years, freedom from governmental regulatory investigations or charges, and no bankruptcy or insolvency filings by the vendor or its officers and owners with twenty percent or greater interest. Vendors must also verify no conflicts of interest including state employment, attest to the absence of active managed security service provider contracts with any West Virginia state agency, and disclose any pending Securities Exchange Commission investigations with supporting counsel opinion if applicable. The document requires company identification, printed name, signature, title, and date for submission completion.
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Text version
REQUEST FOR QUOTATION
Information Security and Network Vulnerability Assessment Attachment 3 – Attestation and Confirmations
Provide confirmation to the following statements, sign and submit this Attachment as part of the RFQ submission:
| Statement |
| Confirmed (Yes/No) |
Confirm that neither the vendor nor any of the vendor’s employees, agents, independent contractors, or subcontractors have been convicted of, pled guilty to, pled nolo contendere or were named as an unindicted co-conspirator to any felony.
Confirm that there is no concluded or pending litigation against the vendor or vendor employees related to a contracted engagement.
Identify key staffs which would be assigned to the project and affirm that those individuals are full-time employees of the vendor.
Verify that neither the vendor nor any officer or employee have given any remuneration or anything of value directly or indirectly to CPRB or any of its Retirement Board members, officers, employees, or contracted consultants.
Verify that neither the vendor, nor any officer, principal or employee have given any remuneration or anything of value as a finder’s fee, cash solicitation fee, or fee for consulting, lobbying or otherwise, in connection with this RFQ.
Verify that within the past five years neither the vendor, nor any officer or employee of the vendor have been a defending party in a legal proceeding before a court related to the provision of the services.
Verify that within the past five years neither the vendor, nor any officer or employee been the subject of a governmental regulatory agency inquiry, investigation, or charge.
Verify that neither the vendor, any officer of the vendor, nor any owner of a twenty percent (20%) interest or greater in the vendor has filed for bankruptcy, reorganization, a debt arrangement, moratorium, or any proceeding under any bankruptcy or insolvency law, or any dissolution or liquidation proceeding.
Verify that neither the vendor, nor any officer, principal or employee who shall perform work under the contract has a possible conflict of interest (e.g. employment with the State of West Virginia).
Verify that the vendor does not have any active managed security service provider contract(s) with any State of West Virginia agency.
Confirm there are no pending Securities Exchange Commission investigations involving the Vendor, and if such are pending or in progress, an explanation providing relevant details and an attached opinion of counsel as to whether the pending investigation(s) will impair the Vendor’s performance in a contract under this Solicitation.
Company:
Printed Name:
Signature:
Title:
Date:
File details come from the government source that posted it. Updated .