ATTACHMENT A - PROPOSER CERTIFICATION.pdf
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- Solicitation number
- S-X03101-00011077
- Issued by
- Oregon
About this file
This document is a Proposer Certification form for a state and local contract opportunity related to the provision of dairy products to be used in the production of meals for Oregon Child Development Coalition's Head Start Centers throughout the State of Oregon. The certification form outlines the terms and conditions that the proposer must agree to, including independent pricing, understanding of the solicitation terms, agreement to provide required insurance, availability of necessary personnel and equipment, willingness to execute the formal contract within 10 days of award notification, compliance with applicable laws and regulations, and acknowledgement of any addenda issued. The proposer must also indicate whether they will extend the contract terms to participating agencies and provide contact information.
The contract opportunity involves retaining a year-round distributor for the USDA Nutrition Services Dairy Products program. The contract is being issued by the State of Oregon. No specific details are provided regarding pricing, set-asides, incumbents, funding sources, or contract value.
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Text version
ATTACHMENT A
PROPOSER CERTIFICATION
Legal Name of Proposer (Firm):
Physical Address:
Mailing Address:
The Proposer cer�fies and agrees:
1. The prices in this Proposal have been arrived at independently, without, for the purpose of restric�ng compe��on, any consulta�on, communica�on, or agreement with any other Proposer rela�ng to: the intent ion to submit a Proposal, or the methods or factors used to calculate the prices Proposed.
2. The Proposer has read and understands all terms and condi�ons of this Solicita�on. If the proposal is accepted, the Proposer agrees to the terms and condi�ons found in the sample Price Agreement.
3. The Proposer agrees to provide insurance as required in t he sample Contract Terms and Condi�ons (see Atachments).
4. The Proposer has, or has available, the equipment, personnel, materials, equipment, facili�es, and equipment as well as t he technical and financial ability necessary to complete and execute all Work in a sound and suitable manner for the use specified and intended.
5. The Proposer agrees to execute the formal Contract within ten (10) days from date of No�ce of Intent to Award.
6. The Proposer acknowledges that the person that signs this Cer�fica�on is fully authorized to sign on behalf of the Proposer listed and to fully bind the Proposer to all condi�ons and provisions thereof.
7. The Proposer cer�fies that Proposer has complied or will comply with all requirements of local, stat e, and na�onal laws, and that no legal requirement has been or will be violated in making or accep�ng this Proposal.
8. The Proposer, pursuant to ORS 279 A.120 (1), (check one) is is not a resident Proposer. If not, indicate e State of residency _.
9. The Proposer cer�fies that it has not discriminated and will not discriminate, in viola�on of ORS 279A.110, against any disadvantaged business enterprise, a minority-owned business, a woman-owned business, a business t ha t a service-disabled veteran owns or an emerging small business that is cer�fied under ORS 200.055 in obtaining any required subcontract.
10. The Proposer agrees to comply wit h Oregon tax laws in accordance with ORS 305.385.
11. The Proposer acknowledges receipt of the following addenda: (list by number and date appearing on addenda.)
Addendum Number Date Addendum Number Date
12. The Proposer (check one) will/ will not extend the terms, conditions and prices to any Participating Agency that intends on establishing a Contract awarded to the Proposer resulting from this Solicitation.
Respec�ully submited this ____________ day of ________________________, 20______.
Signature: _______________________________ Printed Name: ___________________________ Phone: ___________________________
Title: ___________________________ Email Address: _______________________________________________________
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