Combined Forms Revised.pdf

ATTACHMENT #1

OFFER AND ACCEPTANCE

Solicitation No: BPM007068 Available online at https://app.az.gov

Rev 03/2025

OFFER

TO THE STATE OF ARIZONA:

The undersigned hereby offers and agrees to perform in compliance with all terms, conditions, specifications and amendments of this solicitation and any written exceptions in the offer. Signature also acknowledges receipt of all pages indicated in the Table of Contents.

Offeror (Company) Name Signature of Person Authorized to Sign Offer

Address Printed Name Date

City State Zip Title

Email Address Phone Number

Company Email Address Fax Number

By signature in the Offer section above, the Offeror certifies that the submission of the Offer did not involve collusion or other anticompetitive practices.

ACCEPTANCE OF OFFER (FOR DEPARTMENT USE ONLY)

The Contractor is now bound to perform based upon Contract Number _________________________________including all terms, conditions, specifications, amendments, etc., and the Contractor's offer as accepted by the state.

The Contractor is hereby cautioned not to commence any billable work or provide any material, service or construction under this contract until contractor receives a purchase order document.

State of Arizona

Effective this day of 20

Procurement Officer Awarded Date

Southwest Transportation Department Leader

NA

Jacobs Engineering Group Inc.

1501 W Fountainhead Parkway Shanthi Krishnan 10/17/2025

Tempe AZ 85282

Shanthi.Krishnan@jacobs.com +1 480-707-2984

Shanthi.Krishnan@jacobs.com https://app.az.gov/

PARTICIPATION IN BOYCOTT OF ISRAEL Attachment #2

Solicitation No: BPM007068 Available online at https://app.az.gov

Rev. 03/2025

Boycott of Israel Disclosure Please note that if any of the following apply to this Solicitation, Contract, or Contractor, then the Offeror shall select the “Exempt Solicitation, Contract, or Contractor” option below:

The Solicitation or Contract has an estimated value of less than $100,000;

Contractor is a sole proprietorship;

Contractor has fewer than ten (10) employees; OR Contractor is a non-profit organization.

Pursuant to A.R.S. §35-393.01, public entities are prohibited from entering into contracts “unless the contract includes a written certification that the company is not currently engaged in, and agrees for the duration of the contract to not engage in, a boycott of goods or services from Israel.”

Under A.R.S. §35-393:

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

(a) Based in part on the fact that the entity does business in Israel or in territories controlled by Israel.

(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 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.

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.

The certification below does not include boycotts prohibited by 50 United States Code Section 4842 or a regulation issued pursuant to that section. See A.R.S. §35-393.03.

In compliance with A.R.S. §§35-393 et seq., all offerors must select one of the following:

The Company submitting this Offer 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 et seq. I understand that my entire response will become public record in accordance with A.A.C. R2-7-C317.

☐ The Company submitting this Offer does participate in a boycott of Israel as described in A.R.S. §§35-393 et seq.

Exempt Solicitation, Contract, or Contractor.

Indicate which of the following statements applies to this Contract:

☐ Solicitation or Contract has an estimated value of less than $100,000;

☐ Contractor is a sole proprietorship;

☐ Contractor has fewer than ten (10) employees; and/or ☐ Contractor is a non-profit organization.

Company Name Signature of Person Authorized to Sign

Address Printed Name

City State Zip Title

Jacobs Engineering Group Inc.

1501 West Fountainhead Parkway Suite 401

Tempe AZ 85282

Shanthi Krishnan

Southwest Transportation Department Leader

ATTACHMENT #3

FORCED LABOR OF ETHNIC UYGHURS BAN

Solicitation No: BPM007068 Available online at https://app.az.gov

Rev. 03/2025

Forced Labor of Ethnic Uyghurs Ban Please note that if any of the following apply to the Contractor, then the Offeror 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, the State of Arizona prohibits a public entity from entering into or renewing a contract with a company unless the contract includes written certification that the company does not use 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 et seq., all offerors must select one of the following:

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

Exempt Contractor.

Indicate which of the following statements applies to this Contractor (may be more than one):

☐ Contractor is a sole proprietorship;

☐ Contractor has fewer than ten (10) employees; and/or ☐ Contractor is a non-profit organization.

Company Name Signature of Person Authorized to Sign

Address Printed Name

City State Zip Title

Jacobs Engineering Group Inc.

1501 West Fountainhead Parkway Suite 401

Tempe AZ 85282

Shanthi Krishnan

Southwest Transportation Department Leader

ATTACHMENT #5

ADOT CONFIDENTIALITY AND TRADE SECRETS

Solicitation No: BPM007068 Available online at https://app.az.gov

Rev 03/2025

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:

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(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

City State Zip Title

Shanthi Krishnan

Tempe AZ 85282

1501 West Fountainhead Parkway Suite 401

Southwest Transportation Department Leader

Jacobs Engineering Group Inc.

ATTACHMENT #5

ADOT CONFIDENTIALITY AND TRADE SECRETS

Solicitation No: BPM007068 Available online at https://app.az.gov

Rev 03/2025

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.

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

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;

2. The designated information is not confidential; or

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

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.

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

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

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

ATTACHMENT NO. 8

FEDERAL TAX LIABILITY AND RECENT FELONY

CONVICTIONS

Solicitation No: BPM007068 Available online at https://app.az.gov

Instructions for Certification: By signing and submitting this bid or proposal, the prospective lower tier participant is providing the signed certification set out below.

a. Does not have any unpaid Federal tax liability that has been assessed, for which all judicial and administrative remedies have been exhausted or have lapsed, and that is not being paid in a timely manner pursuant to an agreement with the authority responsible for collecting the tax liability; and

b. Was not convicted of the felony criminal violation under any Federal law within the preceding 24 months.

If the contractor cannot so certify, the Recipient will refer the matter to FTA and not enter into any Third Party Agreement with the Third Party Participant without FTA’s written approval.

Certification

Contractor:

Signature of Authorized Official: Date:

Contractor:

Signature of Authorized Official: Date:

Jacobs Engineering Group Inc.

10/17/2025 https://app.state.az.gov/

ATTACHMENT #9

FTA CERTIFICATIONS AND ASSURANCES

SOLICITATION NO: BPM007068 Available online at https://appstate.az.gov/

Rev. 09/2022

Federal Transit Administration (FTA) Certifications and Assurances Fiscal Year 2025

Pursuant to 49 U.S.C. 5323(n), the Federal Transit Administration (FTA) consolidated certifications and assurances required by Federal law or regulations for its programs. On an annual basis, any agency with an active FTA capital or formula project must agree to comply with all categories applicable to its funding. It is the Department’s responsibility, as the applicant of FTA funds, to certify on behalf of its subrecipients, consultants, contractors, or other third parties, and to assure compliance with those certifications.

The Department herein notifies, and requires assurance from the awarded Contractor/Consultant and each SubContractor/SubConsultant that it shall individually assure and take all measures to ensure that performance under this Agreement/Contract shall not, in any way, hinder or invalidate the Department’s certifications and assurances made to FTA.

Such notification and agreement shall occur each time FTA issues new certifications and assurances, subsequent to each occurrence of the Department’s assurance to FTA. Assurance and compliance with this is mandatory and a prerequisite for performing any work under this Agreement/Contract. Failure to make such agreement and assurance shall result in cancellation of the Agreement/Contract. The relevant certifications and assurances made by the Department are indicated on the attached Affirmation page.

BY SIGNING BELOW, on behalf of the awarded Contractor/Consultant/SubContractor/SubConsultant, and under the criminal provisions of 18 U.S.C. 1001 and Program Fraud Civil Remedies Act of 1986, 31 U.S.C. 3801 et seq., I declare that it has duly authorized me to make this Certification and Assurance and bind its compliance.

Thus, it agrees to assure and take all measures to ensure that performance under this Agreement/Contract shall not in any way hinder or invalidate the Arizona Department of Transportation’s Certifications and Assurances made to the Federal Transit Administration. By Signing Below, the Contractor/Consultant/SubContractor/SubConsultant 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

City State Zip Title

1501 West Fountainhead Parkway Suite 401

Tempe 85248AZ

Shanthi Krishnan

Southwest Transportation Department Leader

Jacobs Engineering Group Inc.

https://appstate.az.gov/

ATTACHMENT NO. 10

GOVERNMENT-WIDE DEBARMENT AND

SUSPENSION (NONPROCUREMENT)

Solicitation No: BPM007068 Available online at https://app.az.gov

Instructions for Certification: By signing and submitting this bid or proposal, the prospective lower tier participant is providing the signed certification set out below.

1. It will comply and facilitate compliance with U.S. DOT regulations, “Nonprocurement Suspension and Debarment,” 2 CFR part 1200, which adopts and supplements the U.S. Office of Management and Budget (U.S. OMB) “Guidelines to Agencies on Government-wide Debarment and Suspension (Nonprocurement),” 2 CFR part 180,

2. To the best of its knowledge and belief, that its Principals and Subrecipients at the first tier:

a. Are eligible to participate in covered transactions of any Federal department or agency and are not presently:

1. Debarred

2. Suspended

3. Proposed for debarment

4. Declared ineligible

5. Voluntarily excluded

6. Disqualified

b. Its management has not within a three year period preceding its latest application or proposal been convicted of or had a civil judgment rendered against any of them for:

1. Commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State, or local) transaction, or contract under a public transaction,

2. Violation of any Federal or State antitrust statute, or

3. Proposed for debarment commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making any false statement, or receiving stolen property

c. It is not presently indicted for, or otherwise criminally or civilly charged by a governmental entity (Federal, State, or local) with commission of any of the offenses listed in the preceding subsection 2.b of this Certification,

d. It has not had one or more public transactions (Federal, State, or local) terminated for cause or default within a three year period preceding this Certification,

e. If, at a later time, it receives any information that contradicts the statements of subsections 2.a

– 2.d above, it will promptly provide that information to FTA,

f. It will treat each lower tier contract or lower tier subcontract under its Project as a covered lower tier contract for purposes of 2 CFR part 1200 and 2 CFR part 180 if it:

1. Equals or exceeds $25,000, ATTACHMENT NO. 10

GOVERNMENT-WIDE DEBARMENT AND

SUSPENSION (NONPROCUREMENT)

Solicitation No: BPM007068 Available online at https://app.az.gov

2. Is for audit services, or

3. Requires the consent of a Federal official, and

g. It will require that each covered lower tier contractor and subcontractor:

1. Comply and facilitate compliance with the Federal requirements of 2 CFR parts 180 and 1200, and

2. Assure that each lower tier participant in its Project is not presently declared by any Federal department or agency to be:

a. Debarred from participation in its federally funded Project,

b. Suspended from participation in its federally funded Project,

c. Proposed for debarment from participation in its federally funded Project,

d. Declared ineligible to participate in its federally funded Project,

e. Voluntarily excluded from participation in its federally funded Project, or

f. Disqualified from participation in its federally funded Project, and

3. It will provide a written explanation as indicated on a page attached in FTA’s TrAMSWeb or the Signature Page if it or any of its principals, including any of its first tier Sub-recipients or its Third Party Participants at a lower tier, is unable to certify compliance with the preceding statements in this Certification Group.

Certification

Contractor:

Signature of Authorized Official: Date:

Contractor:

Signature of Authorized Official: Date:

Jacobs Engineering Group Inc.

10/17/2025

Ambadipudi, Ravi

From: ADOT Business Engagement and Compliance Office <AZUTRACS-Support@azdot.gov> Sent: Tuesday, September 9, 2025 1:48 PM To: Crooks, Nick Cc: contractorcompliance@azdot.gov Subject: [EXTERNAL] Bidders List for Jacobs Engineering Group Inc.

This Message Is From an External Sender This message came from outside your organization.

Jacobs Engineering Group Inc., AZUTRACS Number: 10561 has submitted a Bidder/Proposer list for BPM007068 on 09/09/2025 at 1:47 PM MST (UTC - 07:00).

Jacobs Engineering Group Inc. submitted a blank bidders/proposers list. This means that they did not list any firms that they reached out to or were contacted by during the preparation of this bid/proposal.

NOTE: Subbing out work is encouraged, where applicable. Under some circumstances, no subbing opportunities are available.