Attachment G-Disclosure Exemption Certification_ITB S-DASOBO-00004975.doc

ITB # S-DASOBO-00004975 – Heat-Transfer Cigarette Tax Stamp Manufacturing and Distribution

Attachment G

ATTACHMENT G -

disclosure exemption CERTIFICATION Step 2 or step 3 - if applicable Any individual signing below hereby certifies that:

1. I am an authorized representative of the Bidder, I have knowledge of the Invitation To Bid referenced herein, and I have full authority from the Bidder to submit this Disclosure Exemption Certification and accept the responsibilities stated herein.

2. I am aware that the Bidder has submitted a Bid (Required Documents and Submittals), dated on or about [insert date] (the “Bid”), to the State of Oregon (State) in response to Invitation To Bid S-DASOBO-00004975, for Heat-Transfer Cigarette Tax Stamp Manufacturing and Distribution, and I am familiar with the contents of the ITB and Bid.

3. I have read and am familiar with the provisions of Oregon’s Public Records Law, Oregon Revised Statutes (“ORS”) 192.311 through 192.478, and the Uniform Trade Secrets Act as adopted by the State of Oregon, which is set forth in ORS 646.461 through ORS 646.475. I understand that the Bid is a public record held by a public body and is subject to disclosure under the Oregon Public Records Law unless specifically exempt from disclosure under that law.

4. I have reviewed the information contained in the Bid. The Bidder believes the information listed in the attached Exhibit A to this Attachment G is exempt from public disclosure (collectively, the “Exempt Information”), which is incorporated herein by this reference. It is my opinion that the Exempt Information is exempt from disclosure under Oregon’s Public Records Law under the specifically designated sections as set forth in the attached Exhibit A to this Attachment G or constitutes “Trade Secrets” under either the Oregon Public Records Law or the Uniform Trade Secrets Act as adopted in Oregon because that information is either:

A. A formula, plan, pattern, process, tool, mechanism, compound, procedure, production data, or compilation of information that:

i. is not patented,

ii. is known only to certain individuals within the Bidder’s organization and that is used in a business the Bidder conducts,

iii. has actual or potential commercial value, and

iv. gives its user an opportunity to obtain a business advantage over competitors who do not know or use it.

or

B. Information, including a drawing, cost data, customer list, formula, pattern, compilation, program, device, method, technique, or process that:

i. Derives independent economic value, actual or potential, from not being generally known to the public or to other persons who can obtain economic value from its disclosure or use; and

ii. Is the subject of efforts by the Bidder that are reasonable under the circumstances to maintain its secrecy.

5. I understand that disclosure of the information referenced in the attached Exhibit A this Attachment G may depend on official or judicial determinations made in accordance with the Public Records Law.

BIDDER, Authorized Representative Signature: _______________________________________________________________________________________

Print Name and Title: ___________________________________________________________________________

Date: _____________________________________________________________________________________________

Email: _____________________________________________________________________________________________

Telephone Number: (______) ____________________________________________________________________

EXHIBIT A TO ATTACHMENT G

Bidder identifies the following information as exempt from public disclosure under the following designated exemption(s):

RFP [###-####-##] – [RFP title]