Attachment B.1 Small Business Self Cert.docx
DOCX document 24 KB Posted
- Solicitation number
- 25-DCYF-EL-005
- 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
The document is an attachment to a Request for Qualifications (RFQ) issued by the Washington State Department of Children, Youth, and Families (DCYF) to provide coaching, technical assistance, and training to community or Tribal projects building prevention crisis respite capacity across multiple counties and cities in Washington state. The RFQ seeks a qualified Contractor to serve the jurisdictions of Franklin, Grant, Grays Harbor, Chelan, Yakima, and numerous other counties and municipalities. The contract term is not specified.
The RFQ does not provide details on pricing, set-asides, incumbents, funding sources, or amounts. It focuses on the qualifications and services required to support the development of crisis respite programs in the identified jurisdictions across Washington state.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 25-DCYF-EL-005 RFQQ Crisis Respite Coaches.pdf | ||
| Attachment A Sample Contract.pdf | ||
| BidderResponseAttachC2.docx | DOCX document | |
| Exhibit A - 25-DCYF-EL-004 Crisis Respite RFP.pdf | ||
| 25-DCYF-EL-005 Amendment 2.pdf | ||
| BidderResponseAttachC1.docx | DOCX document | |
| 25-DCYF-EL-005 Amendment 1.pdf | ||
| BidderResponseAttachC3.xlsx | XLSX spreadsheet | |
| Attachment B Bidder Cert and Assurances.pdf |
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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-RFQQ 25-DCYF-EL-005 Page 3 of 3
File details come from the government source that posted it. Updated .