Attachment_6_-_Compliance_Statements.docx

ATTACHMENT 6

COMPLIANCE STATEMENTS

(Complete this section and submit as Part 2 in the second tabbed section of Proposal)

1. COVER LETTER/EXECUTIVE SUMMARY:

All Proposals must be accompanied by a cover letter of introduction and executive summary of the Proposal. The cover letter must be signed by person(s) with authority to bind the Respondent. If the Respondent is a corporation, two (2) signatures are required: one (1) signature by the Chairman of the Board, the President or any Vice President; and one (1) signature by the Secretary, any Assistant Secretary, the Chief Financial Officer or any Assistant Treasurer. The signature of one person alone is sufficient to bind a corporation, as long as he or she holds corporate offices in each of the two categories described above. For County purposes, proof of such dual office holding will be satisfied by having the individual sign the instrument twice, each time indicating his or her office that qualifies under the above described provision. In the alternative, a single corporate signature is acceptable when accompanied by a corporate resolution demonstrating the legal authority of the signatory to bind the corporation. An unsigned or improperly signed Proposal submission is grounds for rejection of the Proposal and disqualification from further participation in this RFP process. All Proposals shall include in this first tabbed section, the Cover Page of this RFP and any subsequent addenda issued to this RFP with appropriate signatures as required.

2. VALIDITY OF PROPOSAL:

The County requires that all Proposals be valid for at least one hundred and eighty (180) calendar days. Submissions not valid for at least one hundred and eighty (180) days will be considered nonresponsive. The Respondent shall state the length of time for which the submitted Proposal shall remain valid below:

3. CERTIFICATION OF UNDERSTANDING:

The County assumes no responsibility for any understanding or representation made by any of its officers, employees or agents during or prior to the execution of any Contract resulting from this solicitation unless:

A. Such understanding or representations are expressly stated in the Contract; and B. The Contract expressly provides that the County therefore assumes the responsibility.

Representations made but not expressly stated and for which liability is not expressly assumed by the County in the Contract shall be deemed only for the information of the Respondent.

By signing below, Respondent certifies that such understanding has been considered in this response.

(Signature required)

4. ESSENTIAL REQUIREMENTS FOR QUALIFICATIONS STATEMENT:

Respondent shall certify that it meets all minimum qualifications and requirements set forth in Section B of this RFP by signing below.

(Signature required)

5. CERTIFICATE OF INSURANCE:

The Respondent shall certify its willingness and ability to provide the required insurance coverage and certificates as set forth in Section D, Exhibit III, Model Contract by signing below (see Model Contract, Article O for insurance requirements).

(Signature required)

6. W-9 REQUIREMENTS:

The Respondent shall certify its willingness and ability to provide W-9 Requirements as indicated in Section A by signing below (will obtain at the time of award).

(Signature required)

7. CONFLICT OF INTEREST:

Respondent must certify either 1 or 2 by signing below:

1. Respondent certifies current/past financial, business or other relationship(s) with the County exist/existed as follows:

i. Disclose any financial, business or other relationship with the County, any other entity that the County Board of Supervisors governs, or any County Board member, officer or employee, which may have an impact, affect or influence on the outcome of the services you propose to provide. Provide a list of current clients, employees, principals or shareholders (including family members) who may have a financial interest in the outcome of services you propose to provide.

ii. Disclose any financial, business or other relationship within the last three (3) years with any firm or member of any firm who may have a financial interest in the outcome of the work.

(Signature required)

OR

2. Respondent certifies that no relationships exist/existed as outlined in item 1 above.

(Signature required)

8. STATEMENT OF COMPLIANCE:

Respondent must verify either 1 or 2 by signing below:

A statement of compliance with all parts of this RFP or a listing of exceptions and suggested changes must be submitted in response to this RFP.

1. This response is in strict compliance with said RFP, including, but not limited to, the terms and conditions set forth in the Contract and its Attachments, and no exceptions thereto are proposed.

(Signature required)

OR

2. This response is in strict compliance with said RFP, including the terms and conditions set forth in the Contract and its Attachments, except for those proposed exceptions listed in a separate attachment hereto, (Section D, Attachment 16 of RFP).

(Signature required) Attachment for each proposed exception must include:

A. The RFP page number and section of the provision Respondent is taking exception to;

B. The complete provision Respondent is taking exception to;

C. The Respondent’s suggested rewording;

D. Reason(s) for submitting the proposed exception; and E. Any impact the proposed exception may have on cost, scheduling, or other areas.

9. LITIGATION:

Respondent must certify either A or B by signing below:

0. Respondent certifies current/past litigation as follows:

· Respondent shall provide detailed information regarding litigation (court and case number), liens, or claims involving Respondent, or any company that holds a controlling interest in Respondent, against County of Orange in the past seven (7) years.

· Respondent shall provide detailed information regarding litigation (court and case number), liens, or claims involving any proposed subcontractors, or any company that holds a controlling interest in subcontractor firm(s), against County of Orange in the past seven (7) years.

(Signature required)

OR

0. Respondent certifies that Respondent or any proposed subcontractors do not have any past or current litigation.

(Signature required)

10. NAME/OWNERSHIP CHANGES:

Respondent must certify either A or B by signing below:

A. Respondent certifies past company name changes and/or ownership changes, for Respondent’s firm and any proposed subcontractor firm, as follows:

· Respondent shall provide detailed information regarding any company name changes (including legal business names) in the past seven (7) years.

· Respondent shall provide detailed information regarding any company ownership changes (including legal business names) in the past seven (7) years.

(Signature required)

OR

B. Respondent certifies that Respondent or any proposed subcontractors have not had any company name change or ownership changes in the past seven (7) years.

11. THE LEVINE ACT: COUNTY OF ORANGE CAMPAIGN CONTRIBUTION DISCLOSURE FORM

The Levine Act compliance is a minimum submittal requirement of this solicitation. A Respondent’s failure to provide a completed and signed copy of Attachment 10 will render its proposal as incomplete and nonresponsive.

The Respondent certifies Attachment 10 “Campaign Contribution Disclosure Form” is completed, signed and submitted in order for proposal to be deemed complete and responsive.