Attachment B - Preliminary Security Application.docx

This is a Preliminary Security Application for a contract opportunity with the Oregon Lottery to purchase and install a Vertical Lift Module (VLM) at its headquarters warehouse located at 500 Airport Road SE, Salem, Oregon. The awarded vendor will be responsible for providing the VLM unit, installation services, training, and start-up support. The application serves as an initial screening document to assess the security qualifications and background compliance of employees proposed to provide services under this request for proposal.

The Preliminary Security Application requires the contracting company to disclose whether any employees planned to work on this project have been convicted of any crime, have pending Class A misdemeanor or felony charges, have been convicted of violating gambling laws, have engaged in unlawful gambling or gaming activities, or are delinquent in paying federal, state, county, or other jurisdictional taxes. All responses must be authorized by a company representative with their signature, name, and title. The document notes that the awarded contractor will be required to complete a more extensive employee background investigation as a subsequent requirement.