AttH Disclosure Exemption Affidavit.docx
DOCX document 37 KB Posted
- Solicitation number
- S-10000-00016969
- Issued by
- Oregon
About this file
This is a Disclosure Exemption Affidavit template for the State of Oregon, Department of Human Services, related to RFP S-10000-00016969 for Refugee Employment and Pre-Employment Training Services. The affidavit allows proposers to identify specific information within their proposals that they believe qualifies for exemption from public disclosure under Oregon's Public Records Law (ORS 192.311 through 192.478) or the Uniform Trade Secrets Act (ORS 646.461 through 646.475). Proposers must submit this sworn affidavit if they claim that certain proposal contents constitute trade secrets or confidential business information, such as formulas, plans, patterns, processes, production data, or compilations of information that are not patented, are known only to specific individuals within the organization, and provide competitive advantage. The RFP anticipates awarding one contract in each of two service areas: Area 1 covering Portland-Metro with virtual services statewide, and Area 2 covering Salem-Corvallis-Eugene with virtual services statewide.
The affidavit must be completed and signed by an authorized employee of the proposer and notarized, with supporting documentation identifying the exempt information listed in Exhibit A. Proposers must demonstrate that the information derives independent economic value from not being generally known and that reasonable efforts have been made to maintain its secrecy. The affidavit acknowledges that final determination of exemption status may depend on official or judicial review in accordance with Oregon Public Records Law. This template is a procedural requirement for proposers seeking confidentiality protection for sensitive business information included in their proposals to the state.
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Other files
| File | Type | Posted |
|---|---|---|
| AttI Sample Contract.pdf | ||
| AttG Certified Disadvantaged Business Outreach Plan.docx | DOCX document | |
| AttE Budget and Justification Template.xlsx | XLSX spreadsheet | |
| AttD References.docx | DOCX document | |
| S-10000-00016969 Request for Proposal~1.pdf | ||
| AttF Responsibility Inquiry.docx | DOCX document | |
| AttA Proposer Information and Certification Sheet.docx | DOCX document |
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ATTACHMENT H — disclosure exemption AFFIDAVIT ____________________ (Affiant), being first duly sworn under oath, and representing [insert Proposer Name] (hereafter “Proposer”), hereby deposes and swears or affirms under penalty of perjury that:
I am an employee of the Proposer, I have knowledge of the Request for Proposals referenced herein, and I have full authority from the Proposer to submit this affidavit and accept the responsibilities stated herein.
I am aware that the Proposer has submitted a Proposal, dated on or about [insert date] (the “Proposal”), to the State of Oregon (State) in response to Request for Proposals RFP # S-10000-00016969, for Refugee Employment and Pre-Employment Training Services, and I am familiar with the contents of the RFP and Proposal.
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 Proposal 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.
I have reviewed the information contained in the Proposal. The Proposer believes the information listed in Exhibit A 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 Exhibit A 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 formula, plan, pattern, process, tool, mechanism, compound, procedure, production data, or compilation of information that:
is not patented, is known only to certain individuals within the Proposer’s organization and that is used in a business the Proposer conducts, has actual or potential commercial value, and gives its user an opportunity to obtain a business advantage over competitors who do not know or use it.
or Information, including a drawing, cost data, customer list, formula, pattern, compilation, program, device, method, technique or process that:
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 Is the subject of efforts by the Proposer that are reasonable under the circumstances to maintain its secrecy.
I understand that disclosure of the information referenced in Exhibit A may depend on official or judicial determinations made in accordance with the Public Records Law.
Affiant’s Signature State of ___________) ) ss:
County of ________) Signed and sworn to before me on ___________ (date) by ______________________ (Affiant’s name).
Notary Public for the State of _________________ RFP S-10000-00016969 – Refugee Employment and Pre-Employment Training Services Att H
My Commission Expires: _________
| RFP [###-####-##] – [RFP title] | Page 1 of 3 |
| DAS Procurement Services, Version 4.0 – March 25, 2018 | Page 1 of 3 |
EXHIBIT A TO ATTACHMENT B
Proposer identifies the following information as exempt from public disclosure under the following designated exemption(s):
File details come from the government source that posted it. Updated .