BPM007221-_required_forms.pdf

THE STATE OF ARIZONA

GAME AND FISH DEPARTMENT

5000 W. CAREFREE HIGHWAY

Phoenix, AZ 85086-5000

(602) 942-3000 azgfd.gov

BPM007221 Page 1 of 7

Required Forms updated 10-2022

REQUIRED FORMS FOR REQUEST FOR QUOTATION (RFQ)

WITH EVALUATION CRITERIA

BPM007221

REQUIRED FORMS

The documents contained herein must be completed and submitted with your offer in Arizona Procurement Portal.

Other documents located in the Attachments tab of Arizona Procurement Portal are incorporated herein by reference. Attachments can also be provided on a separate sheet of paper referencing the Attachment Number.

Table of Contents 1

Offeror’s Check List 2

Offer and Acceptance 3

Designation of Confidential, Trade Secret & Proprietary Information 4

R2-7-103. Confidential Information 5

Attachment I, Subcontractors 6

Attachment II, References 7

Attachment III, Pricing Proposal 8

Attachment IV, Experience/Expertise/Reliability 9

Attachment V, Narrative on the Approach to the Scope of Work 10

OFFEROR’S CHECK LIST

Arizona Game and Fish

Department

Purchasing Office

5000 West Carefree Highway

Phoenix, Arizona 85086

BPM007221 Page 2 of 7

Offeror’s Check List

DOCUMENT SUBMITTED

If you have been notified that an amendment has been issued, you must re-open your offer in

APP, make any required modifications, if any, and re-submit your offer. If you do not do this you have not submitted an offer in the Arizona Procurement Portal and your offer will be considered as non-responsive.

☐ YES, ☐ NO,

☐ NA

Offer and Acceptance (Complete the top half of page 3, sign and upload into your offer in

Arizona Procurement Portal.) ☐ YES, ☐ NO, “Designation of Confidential, Trade Secret & Proprietary Information” form (Page 4).

Information considered to be confidential, trade secret or proprietary should be attached as a separate document checked “confidential” in the Attachments tab of your offer Arizona

Procurement Portal. Confidential documents must include a statement as to why the information is confidential.

☐ YES, ☐ NO,

Pricing has been entered in Arizona Procurement Portal’s “items” tab. ☐ YES ☐ NO

Attachment I-Subcontractors ☐ YES ☐ NO

Attachment II- References ☐ YES ☐ NO

Attachment III- Pricing Proposal If requested ☐ YES ☐ NO

Attachment IV- Experience/Expertise/Reliability ☐ YES ☐ NO

Attachment V- Narrative on the approach to the Scope of Work ☐ YES ☐ NO

* Ensure Items above have been completed, scanned (preferably as one pdf file) and uploaded into the “Attachments” tab of your offer (quote) in Arizona Procurement Portal. ☐ YES ☐ NO

OFFER AND ACCEPTANCE

BPM007221

Arizona Game and Fish

Department

Purchasing Office

BPM007221 Page 3 of 7

OFFER AND ACCEPTANCE

SUBMISSION OF OFFER: The undersigned hereby offers and agrees to provide Products/Services in compliance with all terms, conditions, specifications, and amendments in the Solicitation and any written exceptions in the Offer indicated by the latest dated version

CERTIFICATION: By the signature above, Offeror certifies that it:

1. Will not discriminate against any employee or applicant for employment in violation of any Federal anti-discrimination laws, rules, regulations or executive orders,, [Arizona] State Executive Orders 2023-09, 2023-01, 2009-09 or A.R.S. §§ 41-1461 through 41-1465;

2. Has not given, offered to give, nor intends to give at any time hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount, trip, favor, or Service to a public servant in connection with the submitted offer. Failure to provide a valid signature affirming the stipulations required by this clause will result in rejection of the Offer. Signing the Offer with a false statement will void the Offer, any resulting contract, and may be subject to legal penalties under law;

3. Complies with A.R.S. § 18-132 when offering electronics or information technology products, Services, or maintenance;

4. Did not and will not involve collusion or other anti-competitive practices;

5. Is not debarred from, or otherwise prohibited from, participating in any contract awarded by federal, state, or local government; and

6. It is____/is NOT____a small business with less than 100 employees or has gross revenues of $4 million or less.

7. Does not participate in the use of forced labor of ethnic Uyghurs as described in A.R.S. § 35-394. (Unless exempt)

The Offer is hereby accepted.

The Contractor is now bound to sell the materials or services listed by the attached contract and based upon the solicitation, including all terms, conditions, specifications, amendments, etc., and the Contractor’s Offer as accepted by the State.

This Contract shall henceforth be referred to as Contract No. ____________________________________________________.

The effective date of the Contract is ____________________________________________________.

The Contractor is cautioned not to commence any billable work or to provide any material or service under this contract until

Contractor receives purchase order, contact release document or Procurement’s written notice to proceed.

ACCEPTANCE OF OFFER

STATE OF ARIZONA

AWARDED THIS ___________ DAY OF __________________________, 20_____.

Kristen Micurescu, CPPB, As Branch Chief and not personally

Offeror Company Name Signature of person authorized to sign Offer ………..Date

Address Printed name and Title

City, State, ZIP Email Address

☐ By checking this box, Offeror is certifying that it is exempt from the requirements regarding the forced labor of ethnic Uyghurs because of one of the following: Contractor is a Sole proprietorship, has fewer than ten (10) employees; or is a non-profit organization.

Telephone Number

Designation of Confidential, Trade

Secret & Proprietary Information

Arizona Game and Fish

Department

Purchasing Office

BPM007221 Page 4 of 7

Designation of Confidential, Trade Secret & Proprietary Information

All materials submitted as part of a response to a solicitation are subject to Arizona public records law a 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 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(50).

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:

1. Is a formula, pattern, compilation, program, device, method, technique or process, AND

2. Derives independent economic value, actual or potential, from not being generally known to, and not being readily ascertainable by proper means by, other persons who can obtain economic value from its disclosure or use; AND

3. Is the subject of efforts by myself or my organization that are reasonable under the circumstances to maintain its secrecy.

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(50) 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 Authorized Signature

Email Print Name and Title

Phone Date

Designation of Confidential, Trade

Secret & Proprietary Information

Arizona Game and Fish

Department

Purchasing Office

BPM007221 Page 5 of 7

R2-7-103. Confidential Information

1. 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.

2. 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.

3. Upon receipt of a submission, an agency chief procurement officer shall make one of the following written determinations:

3.1. The designated information is confidential and the agency chief procurement officer shall not disclose the information except to those individuals deemed by the agency chief procurement officer to have a legitimate state interest;

3.2. The designated information is not confidential; or

3.3. Additional information is required before a final confidentiality determination can be made.

4. 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.

5. An agency chief procurement officer may release information designated as confidential under subsection (A) if:

5.1. A request for review is not received by the state procurement administrator within the time period specified in the notice; or

5.2. The state procurement administrator, after review, makes a written determination that the designated information is not confidential.

ATTACHMENT I

Arizona Game and Fish

Department

Purchasing Office

5000 West Carefree

Highway

BPM007221 Page 6 of 7

Attachment I, Subcontractors

SUBCONTRACTORS

Bidder shall identify all proposed subcontractors/material suppliers that will be utilized to perform any portion of the Specifications. Additional Subcontractor(s) not listed below or on a supplemental page must receive written approval from AGFD before utilization.

Name of Subcontractor

City, State

Number of years in business

Type of business (LLC, Corporation, Sole Proprietor, etc.)

Service to be provided

Name of Subcontractor

City, State

Number of years in business

Type of business (LLC, Corporation, Sole Proprietor, etc.)

Service to be provided

ATTACHMENT II

Arizona Game and Fish Department

Purchasing Office

BPM007221 Page 7 of 7

REFERENCES

Three (3) professional references who have received services similar to the Specifications of this Solicitation shall be listed below. References from AZGFD are not to be included. References from the western United States are preferred. The contact person shall be someone who has responsibility for the operation of the material and/or service and shall be aware that they are being used as a reference.

Reference 1

1) Company: Contact Name:

Phone: Email:

Description of services provided:

Reference 2

2) Company: Contact Name:

Reference 3

3) Company: Contact Name: