BPM007126 RFGA Attachments.docx

EXHIBIT 1

CERTIFICATE OF LIABILITY INSURANCE

State of Arizona Department of Education 1535 W. Jefferson Street Phoenix, AZ 85007

Solicitation No.: BPM007126 Description: Character Education Program Instruction Grant

Title Page

TABLE OF CONTENTS 1

ATTACHMENT 1: GRANT APPLICATION 2

ATTACHMENT 2: APPLICANT INFORMATION 3

ATTACHMENT 3: APPLICANT’S KEY PERSONNEL 4

ATTACHMENT 4: APPLICANT’S EXPERIENCE 5

ATTACHMENT 5: QUESTIONNAIRE 7

ATTACHMENT 6: DEVIATIONS AND EXCEPTIONS 9

ATTACHMENT 7: CONFIDENTIAL/PROPRIETARY SUBMITTALS .10

ATTACHMENT 8: DESIGNATION OF CONFIDENTIAL, TRADE SECRET AND PROPRIETARY INFORMATION 11

ATTACHMENT 9: PARTICIPATION IN BOYCOTT OF ISRAEL 13

ATTACHMENT 10: FORCED LABOR OF ETHNIC UYGHURS BAN 14

EXHIBIT 1: CERTIFICATE OF LIABILITY INSURANCE 15

ATTACHMENT 9

PARTICIPATION IN BOYCOTT OF ISRAEL

State of Arizona Department of Education

Solicitation No.: BPM007126

RFGA ATTACHMENTS

TABLE OF CONTENTS

RFGA NO.: BPM007126

The Undersigned hereby applies and agrees to furnish the materials, service(s) or construction in compliance with all the terms, conditions, specifications, and amendments in the Request for Grant Application and any written exceptions in the Application.

Street Address Title of Authorized Person

City State Zip Code Signature of Authorized Person Date

Telephone Number: Facsimile Number:

E-Mail Address:

Acknowledgement of Amendment(s): Amendment No. Date Amendment No. Date (Applicant acknowledges receipt of amend-ment(s) to the Request for Grant Application and related documents numbered and dated

ACCEPTANCE OF APPLICATION AND GRANT AWARD

(For State of Arizona Use Only)

Your Application is hereby accepted as described in the Notice of Award. You are now bound to perform based upon the RFGA and your Application, as accepted by the State.

You are hereby cautioned not to commence any billable work or provide any material or service under this Grant until you receive an executed purchase order, Grant release document, or written notice to proceed, if applicable.

State of Arizona

Awarded this ________ day of ___________________________2025.

State Government Administrator

ATTACHMENT 1

GRANT APPLICATION

State of Arizona State of Arizona Department of Education

RFGA NO.: BPM007126

1.1. Notices, Correspondence, Reports from the ADED to the Grantee shall be sent to:

Organization: _________________________________________________________

Attention: ____________________________________________________________

Street Address:________________________________________________________

City, State and Zip Code: ________________________________________________

Telephone: ___________________________________________________________

E-Mail: _______________________________________________________________

1.2. Payments from ADED to the Grantee shall be sent to:

Organization: __________________________________________________________

Attention: _____________________________________________________________

Street Address:_________________________________________________________

City, State and Zip Code: _________________________________________________

Telephone: ___________________________________________________________

E-Mail: _______________________________________________________________

ATTACHMENT 2

APPLICANT INFORMATION

RFGA NO.: BPM007126

INSTRUCTIONS:

List all key personnel by name, position and/or title, responsibilities and percent of time assigned to this Grant. Key personnel is defined as staff involved in the planning, administration, operation, or monitoring of this Grant.

Applicant shall attach a resume for each of the key personnel proposed.

ATTACHMENT 3

APPLICANT’S KEY PERSONNEL

RFGA NO.: BPM007126

APPLICANT’S EXPERIENCE – Page 1 of 2

Applicant shall submit two (2) completed and signed forms as part of the Application.

Applicants are required to submit information about PAST experience to verify program performance using this form. Insert the information as requested. Responses shall include the details of at least two (2) individual contracts/Grants for services related to those described in this RFGA.

Reference Contract/Grant Title:

Contract/Grant Term & Dates of Work through Geographic Area Served

Target Population Served

Narrative (Shall include the results (outcomes achieved, objectives met) of past experiences of each contract/Grant and the NUMBER of past contracts/Grants the Applicant has had similar to those described in this RFGA):

Reference Company:

Contact/Grant Name and Title:

Telephone: Address: City/State/Zip:

APPLICANT’S EXPERIENCE – Page 2 of 2

Applicant shall submit two (2) completed and signed forms as part of its Application.

Applicants are required to submit information about PAST experience to verify program performance using this form. Insert the information as requested. Responses shall include the details of at least two (2) individual contracts/Grants for services related to those described in this RFGA.

Reference Contract/Grant Title:

Contract/Grant Term & Dates of Work through Geographic Area Served

Target Population Served

Narrative (Shall include the results (outcomes achieved, objectives met) of past experiences of each contract/Grant and the NUMBER of past contracts/Grants the Applicant has had similar to those described in this RFGA):

Reference Company:

Contact/Grant Name and Title:

Telephone: Address: City/State/Zip:

ATTACHMENT 4

APPLICANT’S EXPERIENCE

RFGA NO.: BPM007126

I. PROGRAM NARRATIVE

The Program Narrative should offer substantive information about the implementation process for the proposed program, and will be used as the basis to determine whether or not the project meets the minimum requirements for award of a Grant. The narrative shall provide a clear and concise description of the project including the target population(s), and/or geographic area(s) to be served.

1. Describe how you will design a service that will meet the requirements of the Character Education Program Instruction Grant. Include in your response how your proposal demonstrates a proven and effective research based curriculum and training. Include all documents that support or demonstrate your contention that you provide a proven and effective research based curriculum and training. Also include a detailed response addressing all of the specific elements of the Scope of Work, including how your service will assist LEAs in meeting the requirements of A.R.S. § 15-719, including:

1.1 Instruction in the definition and application of at least six of the following character traits: truthfulness, responsibility, compassion, diligence, sincerity, trustworthiness, respect, attentiveness, obedience, orderliness, forgiveness, virtue, fairness, caring, citizenship and integrity;

1.2 The use of activities, discussions, and visual media and literacy presentations to illustrate and reinforce the application of the character traits;

1.3 Presentations by teachers or mentors who demonstrate the character traits.

II. EXPERIENCE/EXPERTISE/RELIABILITY

2. Describe your experience in designing and delivering a proven and effective character education program.

2.1 Company history;

2.2 Location; and

2.3 Number of years in business;

3. Describe your experience in working effectively with Arizona students and school communities to provide proven, effective research based curricula and training.

4. Describe your experience in securing gifts, grants and donations from other sources to supplement and provide continual support to school communities and how the character education program can be sustainable by the school beyond the project end date.

5. The qualifications of Key Personnel. Describe their educational background, experience working with the proposed population, and previous experience with the types of activities to be conducted under the Grant. Complete Attachment 2, Key Personnel. Attach resumes for each of the key personnel proposed;

5.1 Resumes or curriculum vitae (CV) that includes personal information such as home address, phone numbers, social security numbers, etc., should be redacted as documentation will become public information after award of a contract.

6. Describe two (2) major accomplishments that demonstrate the Applicant’s effectiveness and capacity to provide services that meet the goals of the Grant.

7. Describe a proposed three (3) year implementation program to include a schedule of evaluations to measure effectiveness and plan for program sustainability.

ATTACHMENT 5

QUESTIONNAIRE

RFGA NO.: BPM007126

Offeror Name: __________________________________

Offeror shall indicate any and all exceptions taken to the provisions or specifications or scope of work in this solicitation document.

Exceptions (mark one):

__________ No exceptions

__________ Exceptions taken (describe –attach additional pages if needed)

***Exceptions taken that ADE considers a material change or a large number of exceptions will impact Offeror’s susceptibility for award.***

The Undersigned hereby acknowledges that there are no deviations/exceptions to this solicitation other than those noted.:

Firm

Authorized Signature

ATTACHMENT 6

DEVIATIONS AND EXCEPTIONS

State of Arizona Department of Education

Solicitation No.: BPM007126

Offeror Name: ___________________________________

Confidential/Proprietary Submittals (mark one):

__________ No confidential/proprietary materials have been included with this offer

__________ Confidential/Proprietary materials included. Offerors should identify below any portion of their offer deemed confidential or proprietary (see Uniform Terms and Conditions, paragraph 19). Identification in this section does not guarantee that disclosure will be prevented but that the item will be subject to review by the Offeror and the ADE Representative prior to any public disclosure.

***Requests to hold the entire offer or price as confidential will result in the Offer being deemed Not Susceptible for Award.***

Firm

Authorized Signature

ATTACHMENT 7

CONFIDENTIAL/PROPRIETARY SUBMITTALS

State of Arizona Department of Education

Solicitation No.: BPM007126

All materials submitted as part of a response to a solicitation are subject to Arizona public records law and will be disclosed if there is an appropriate public records request at the time of or after the award of the contract. Recognizing there may be materials included in a solicitation response that is proprietary or a trade secret, a process is set out in A.A.C. R2-7-103 (attached) that will allow qualifying materials to be designated as confidential and excluded from disclosure. For purposes of this process the definition of “trade secret” will be the same as that set out in A.A.C. R2-7-101(52).

This form must be completed and returned with the response to the solicitation and any supporting information to assist the State in making its determination as to whether any of the materials submitted as part of the solicitation response should be designated confidential because the material is proprietary or a trade secret and therefore not subject to disclosure.

All offerors must select one of the following:

My response does not contain proprietary or trade secret information. I understand that my entire response will become public record in accordance with A.A.C. R2-7-C317.

My response does contain trade secret information because it contains information that:

Please note that failure to attach an explanation may result in a determination that the information does not meet the statutory trade secret definition. All information that does not meet the definition of trade secret as defined by A.A.C. R2-7-101(52) will become public in accordance with A.A.C. R2-7-C317. The State reserves the right to make its own determination of Proposer’s trade secret materials through a written determination in accordance with A.A.C. R2-7-103.

If the State agrees with the proposer’s designation of trade secret or confidentiality and the determination is challenged, the undersigned hereby agrees to cooperate and support the defense of the determination with all interested parties, including legal counsel or other necessary assistance.

By submitting this response, proposer agrees that the entire offer, including confidential, trade secret and proprietary information may be shared with an evaluation committee and technical advisors during the evaluation process. Proposer agrees to indemnify and hold the State, its agents and employees, harmless from any claims or causes of action relating to the State’s withholding of information based upon reliance on the above representations, including the payment of all costs and attorney fees incurred by the State in defending such an action.

Company Name

Signature of Person Authorized to Sign

Address

Printed Name

Title

R2-7-103. Confidential Information

A. If a person wants to assert that a person's offer, specification, or protest contains a trade secret or other proprietary information, a person shall include with the submission a statement supporting this assertion. A person shall clearly designate any trade secret and other proprietary information, using the term "confidential." Contract terms and conditions, pricing, and information generally available to the public are not considered confidential information under this Section.

B. Until a final determination is made under subsection (C), an agency chief procurement officer shall not disclose information designated as confidential under subsection (A) except to those individuals deemed by an agency chief procurement officer to have a legitimate state interest.

D. If an agency chief procurement officer determines that information submitted is not confidential, a person who made the submission shall be notified in writing. The notice shall include a time period for requesting a review of the determination by the state procurement administrator.

ATTACHMENT 8

DESIGNATION OF CONFIDENTIAL, TRADE SECRET AND PROPRIETARY INFORMATION

State of Arizona Department of Education

Solicitation No.: BPM007126

SURA

All materials submitted as part of a response to a solicitation are subject to Arizona public records law and will be disclosed if there is an appropriate public records request at the time of or after the award of the contract. Recently legislation has been enacted to prohibit the state from contracting with companies currently engaged in a boycott of Israel. To ensure compliance with A.R.S. §35-393.01 This form must be completed and returned with the response to the solicitation and any supporting information to assist the State in making its determination of compliance.

As defined by A.R.S. §35-393.01:

1."Boycott" means engaging in a refusal to deal, terminating business activities or performing other actions that are intended to limit commercial relations with Israel or with persons or entities doing business in Israel or in territories controlled by Israel, if those actions are taken either:

(a) In compliance with or adherence to calls for a boycott of Israel other than those boycotts to which 50 United States Code section 4607(c) applies.

(b) In a manner that discriminates on the basis of nationality, national origin or religion and that is not based on a valid business reason.

2. "Company" means a sole proprietorship, organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, Limited Liability Company or other entity or business association, and includes a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate.

3. "Direct holdings" means all publicly traded securities of a company that are held directly by the state treasurer or a retirement system in an actively managed account or fund in which the retirement system owns all shares or interests.

4."Indirect holdings" means all securities of a company that are held in an account or fund, including a mutual fund, that is managed by one or more persons who are not employed by the state treasurer or a retirement system, if the state treasurer or retirement system owns shares or interests either:

(a) together with other investors that are not subject to this section.

(b) that are held in an index fund.

5.”Public entity" means this State, a political subdivision of this STATE or an agency, board, commission or department of this state or a political subdivision of this state.

6.”Public fund" means the state treasurer or a retirement system.

7. "Restricted companies" means companies that boycott Israel.

8. "Retirement system" means a retirement plan or system that is established by or pursuant to title 38.

All offerors must select one of the following:

My company does not participate in, and agrees not to participate in during the term of the contract a boycott of Israel in accordance with A.R.S. §35-393.01. I understand that my entire response will become public record in accordance with A.A.C. R2-7-C317.

My company does participate in a boycott of Israel as defined by A.R.S. §35-393.01. :

By submitting this response, proposer agrees to indemnify and hold the State, its agents and employees, harmless from any claims or causes of action relating to the State’s action based upon reliance on the above representations, including the payment of all costs and attorney fees incurred by the State in defending such an action.

Company Name

Signature of Person Authorized to Sign

Address

Printed Name

Title

Forced Labor of Ethnic Uyghurs Ban Please note that if any of the following apply to the Contractor, then the Contractor shall select the “Exempt Contractor” option below:

· Contractor is a sole proprietorship;

· Contractor has fewer than ten (10) employees; OR

· Contractor is a non-profit organization.

Pursuant to A.R.S. § 35-394, written certification is required to show that the company entering into a contract with a public entity does not use the forced labor, or use any contractors, subcontractors or suppliers that use the forced labor or any goods or services produced by the forced labor or any goods or services produced by the forced labor, of ethnic Uyghurs in the People's Republic of China.

Under A.R.S. § 35-394:

1. "Company" means an organization, association, corporation, partnership, joint venture, limited partnership, limited liability partnership, limited liability company or other entity or business association, including a wholly owned subsidiary, majority-owned subsidiary, parent company or affiliate, that engages in for-profit activity and that has ten or more full-time employees.

2. "Public entity" means this State, a political subdivision of this State or an agency, board, commission or department of this State or a political subdivision of this State.

In compliance with A.R.S. § 35-394, all Contractors must select one of the following:

☐ The Company does not use, and agrees not to use during the term of the contract, any of the following:

· Forced labor of ethnic Uyghurs in the People’s Republic of China;

· Any goods or services produced by the forced labor of ethnic Uyghurs in the People’s Republic of China; or

· Any Contractors, Subcontractors, or suppliers that use the forced labor or any goods or services produced by the forced labor of ethnic Uyghurs in the People’s Republic of China.

☐ The Company does participate in the use of Forced Uyghurs Labor as described in A.R.S. § 35-394.

☐ Exempt Contractor: Select all statements that apply to the Contractor:

Company name

Signature of person authorized to sign

Address

Printed name and Title

City, State, ZIP

Contact email address Contact phone number

ATTACHMENT 10

FORCED LABOR OF ETHNIC UYGHURS BAN

State of Arizona Department of Education

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