Attachment B.1 Small Business Self Cert.docx

DOCX document 24 KB Posted

Attached to
Commercial Sexual Exploitation of Children (CSEC) Receiving Centers
Solicitation number
24-DCYF-CW-074
Issued by
Adams County, Asotin County, Benton County, Chelan County, Clallam County, Clark County, Columbia County, Cowlitz County, Douglas County, Ferry County, Franklin County, Garfield County, Grant County, Grays Harbor County, Island County, Jefferson County, King County, Kitsap County, Kittitas County, Klickitat County, Lewis County, Lincoln County, Mason County, Okanogan County, Pacific County, Pend Oreille County, Pierce County, San Juan County, Skagit County, Skamania County, Snohomish County, Spokane County, Stevens County, Thurston County, Wahkiakum County, Walla Walla County, Whatcom County, Whitman County, Yakima County, Asotin City, Clarkston City, Clarkston Heights-Vineland CDP, West Clarkston-Highland CDP, Benton City, Chelan City, Chelan Falls CDP, Clallam Bay CDP, Lewisville CDP, Rock Island City, Pacific Beach CDP, Whidbey Island Station CDP, Mercer Island City, Pacific City, Bainbridge Island City, Kingston CDP, Kitsap Lake CDP, Kittitas City, Klickitat CDP, Okanogan City, Anderson Island CDP, Fort Lewis CDP, Fox Island CDP, Herron Island CDP, Ketron Island CDP, North Fort Lewis CDP, Raft Island CDP, Stevenson City, Hat Island CDP, Lake Stevens City, Snohomish City, Spokane City, Spokane Valley City, Puget Island CDP, Garfield Town, Yakima City, Washington

About this file

This document is a Bidder Small Business Self-Certification Statement associated with a Competitive Solicitation issued by the Washington State Department of Children, Youth & Families (DCYF) to seek qualified contractor(s) to provide receiving center services to youth, ages twelve (12) through seventeen (17) who are survivors of commercial, sexual exploitation. The contract opportunity covers jurisdictions across the state of Washington, including Franklin, Grant, Grays Harbor, Chelan, Yakima, and other counties. The solicitation is seeking responses from interested parties, with a response due date provided but no specific award date mentioned. The contract term is not specified.

The self-certification statement allows bidders to certify under penalty of perjury that their business meets the definition of a "small business" in Washington state, with 50 or fewer employees and less than $7 million in annual gross revenue. No pricing details, set asides, incumbents, funding sources, or other financial information is provided in this document.

View the file

Other files

File Type Posted
1775-S3.SL (002).pdf PDF
Attachment B Cert and Assurances 7-15.docx DOCX document
BidderResponseAttachC2_CSEC 7-15.docx DOCX document
AttachC1-Admin Response 7-15.docx DOCX document
AttachC3-Cost Proposal 7-15.xlsx XLSX spreadsheet
BidderResponseAttachD.docx DOCX document
Attachment A-Sample Contract 7-15.docx DOCX document
RFP 24-DCYF-CW-074 CSEC 7-19.docx DOCX document

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Text version

ATTACHMENT B.1

BIDDER SMALL BUSINESS

SELF-CERTIFICATION STATEMENT

(21) "Small business" means an in-state business, including a sole proprietorship, corporation, partnership, or other legal entity, that:

(a) Certifies, under penalty of perjury, that it is owned and operated independently from all other businesses and has either:

(i) Fifty or fewer employees; or

(ii) A gross revenue of less than seven million dollars annually as reported on its federal income tax return or its return filed with the department of revenue over the previous three consecutive years;

I hereby certify, under penalty of perjury, that [legal name of entity] meets the above definition of “small business”.

Signature of person authorized to sign on behalf of legal entity

Written name

Date

DCYF-RFX XX-DCYF-XX-XXXXX Page 3 of 3

File details come from the government source that posted it. Updated .