ATTACHMENT A - PROPOSER CERTIFICATION~1.pdf
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- Attached to
- 401(k) Audit
- Solicitation number
- S-X03101-00013622
- Issued by
- Clackamas County, Oregon
About this file
This document is an Attachment A Proposer Certification form for a state and local contract opportunity, specifically designed for potential vendors to complete and submit with their proposal. The form requires proposers to certify multiple compliance statements, including independent price determination, understanding of solicitation terms, insurance provision capabilities, equipment and personnel readiness, commitment to execute a contract within ten days of award, and adherence to local, state, and national legal requirements.
The certification form includes specific legal compliance declarations, such as residency status under ORS 279A.120, non-discrimination commitments toward disadvantaged business enterprises, and agreement to comply with Oregon tax laws. Proposers must indicate whether they will extend contract terms to participating agencies and acknowledge receipt of any addenda. The form requires the proposer's authorized representative to complete details including signature, printed name, title, contact information, and provides checkboxes and spaces for various required certifications and declarations related to the proposed contract opportunity.
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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: _______________________________________________________
File details come from the government source that posted it. Updated .