ESBD_383956_1733948288900_Forms A - J.pdf

FORM A

RESPONDENT’S EXECUTION OF PROPOSAL AND ASSURANCES (WITH

CERTIFICATION)

Social Security Numbers are CONFIDENTIAL and excepted from disclosure under the Texas Public Information Act

Form A – Respondent’s Execution of Proposal and Assurances (with Certification) Page 1 of 5 Revised March 2022 OPM_V1.0

Respondent represents and warrants that all statements and information prepared and submitted in this document are current, complete, true, and accurate. If any assurance is shown to be false, any contract awarded to Respondent may be terminated, payment withheld, and the Respondent shall be liable to the Office of the Attorney General (OAG) for attorney’s fees and the costs necessary to complete the contract, including the cost of advertising and awarding a subsequent contract.

By submitting this Offer, Respondent represents and warrants that the individual submitting this document and the documents made part of this Response is authorized to sign such documents on behalf of the Respondent and to bind the Respondent under any contract that may result from the submission of this Offer.

1. Antitrust: Pursuant to 15 U.S.C. §1, et seq., and Texas Business & Commercial Code §15.01, et seq., neither the Respondent nor the firm, corporation, partnership, or institution represented by the Respondent, or anyone acting for such a firm, corporation, partnership, or institution, has violated Texas antitrust laws or federal antitrust laws or communicated its Response directly or indirectly to a competitor of the Respondent or any other company, firm, corporation, partnership, or individual or related entities of the same, or the Respondent, engaged in the same line of business as the Respondent.

2. Child Support: Under §231.006, Family Code, the Respondent certifies that the individual or business entity named in this Response is not ineligible to receive the specified grant, loan, or payment and acknowledges that the contract may be terminated and payment withheld if this certification is inaccurate. If the certificate is shown to be false, the Respondent shall be liable to the OAG for attorney’s fees and the costs necessary to complete the contract, including the cost of advertising and awarding a subsequent contract.

3. Executive Head of a State Agency: Pursuant to §669.003, Government Code, the OAG may not enter into a contract with a person who employs a current or former executive head of the OAG until four years has passed since that person was the executive head of the OAG. Respondent assures the OAG that it may enter a contract with the OAG in compliance with this law. If the Respondent employs a former executive head of the OAG, the Respondent must complete the following information in order for its Response to be evaluated:

Name of Former Executive:

Name of State Agency:

Date of Separation:

Position with Respondent:

Date of Employment with Respondent:

4. Financial Participation Prohibited: Section 2155.004, Government Code, prohibits the OAG from accepting a Response that includes proposed financial participation by a person who received compensation from the OAG to participate in preparing this solicitation or the specifications contained in this solicitation. Respondent certifies:

“Under §2155.004, Government Code, the Respondent certifies that the individual or business entity named in this Response is not ineligible to receive the specified contract and acknowledges that the contract may be terminated and payment withheld if this certification is inaccurate.”

Social Security Numbers are CONFIDENTIAL and excepted from disclosure under the Texas Public Information Act

Form A – Respondent’s Execution of Proposal and Assurances (with Certification) Page 2 of 5

5. Prior Disaster Relief Contract Violation: Sections 2155.006 and 2261.053, Government Code, prohibits the OAG from accepting a bid or awarding a contract to any person who, in the past five years, has been convicted of violating a federal law or assessed a penalty in connection with a contract involving relief for Hurricane Rita, Hurricane Katrina, or any other disaster, as defined by §418.004, Government Code, occurring after September 24, 2005. Respondent certifies:

“Under §§2155.006 and 2261.053, Government Code, the Respondent certifies that the individual or business entity named in this Response is not ineligible to receive the specified contract and acknowledges that the contract may be terminated and payment withheld if this certification is inaccurate.”

6. Lobbying Prohibition: The Respondent represents and warrants that payment to the Respondent and the Respondent’s receipt of appropriated or other funds under any contract resulting from this solicitation are not prohibited by §556.005 or §556.008, Government Code, relating to the prohibition of using state funds for lobbying activities.

7. Debts and Delinquencies: As required by §2252.903, Government Code, the Respondent agrees that any payments due under the contract resulting from this solicitation shall be applied towards any debt or delinquency including, but not limited to, delinquent taxes, delinquent student loan payments, and delinquent child support.

8. Dealings with Public Servants: The Respondent 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 Response.

9. Audit Exceptions: The Respondent has no unresolved audit exceptions with the OAG. An unresolved audit exception is an exception for which the Respondent has exhausted all administrative and/or judicial remedies and refuses to comply with any resulting demand for payment.

10. Suspension and Debarment: The Respondent certifies that the responding entity and its principals are eligible to participate in this transaction and have not been subjected to suspension, debarment, or similar ineligibility determined by any federal, state, or local governmental entity and that Respondent is in compliance with the State of Texas statutes and rules relating to procurement. Entities ineligible for federal procurement are listed at System for Award Management (SAM) at https://sam.gov/content/home.

11. No Conflicts of Interest: The Respondent represents and warrants that it has no actual or potential conflicts of interest in providing the requested items to the OAG under the solicitation and any resulting contract, if any, and that Respondent’s provision of the requested items under the solicitation and any resulting contract, if any, would not reasonably create an appearance of impropriety.

12. Contracting Information Responsibilities: To the extent applicable, Respondent represents and warrants that, if a contract is awarded under this Offer, it will comply with the requirements of §552.372(a) of the Texas Government Code. Except as provided by §552.374(c) of the Texas Government Code, the requirements of Subchapter J, Chapter 552 of the Government Code, may apply to the contract, and Respondent agrees that the contract can be terminated if the Respondent knowingly or intentionally fails to comply with a requirement of that Subchapter.

13. Entities That Boycott Israel: Pursuant to §§ 2271.001 and 2271.002, Government Code, the Respondent certifies that they (1) do not boycott Israel and (2) will not boycott Israel during the term of the contract.

14. Foreign Terrorist Organizations: In accordance with Texas Government Code, Chapter 2252, Subchapter F, the Respondent hereby represents and warrants that it is not a company identified on the lists prepared and maintained under Texas Government Code §§ 2270.0052 (companies with business operations in Sudan), 2270.0102 (companies with business operations in Iran), or

2270.0152 (companies known to have contracts with or provide supplies or services to a foreign terrorist organization). Notwithstanding the foregoing, a company that the United States https://sam.gov/content/home

Social Security Numbers are CONFIDENTIAL and excepted from disclosure under the Texas Public Information Act

Form A – Respondent’s Execution of Proposal and Assurances (with Certification) Page 3 of 5 government affirmatively declares to be excluded from its federal sanctions regime relating to Sudan, Iran, or a foreign terrorist organization is not subject to contract prohibition under this clause. A company claiming such exemption must submit the official copy of the declaration.

15. Excluded Parties: Respondent certifies that it is not listed in the prohibited vendors list authorized by Executive Order No. 13224, “Blocking Property and Prohibiting Transactions with Persons who Commit, Threaten to Commit, or Support Terrorism” published by the United States Department of the Treasury, Office of Foreign Assets Control.

16. Critical Infrastructure: To the extent applicable, pursuant to §2274.0102, Government Code, the Respondent certifies that neither it nor its parent company nor any affiliate of Respondent or its parent company, is: (1) majority owned or controlled by citizens or governmental entities of China, Iran, North Korea, Russia, or any other country designated by the Governor under Texas Government Code §2274.0103, or (2) headquartered in any of those countries.

17. Energy Company Boycotts: To the extent the Respondent is required pursuant to §2276.002, Government Code, the Respondent certifies that it does not and shall not for the duration of any resulting contract hereunder boycott energy companies as the term is defined under §809.001(1), Government Code or that the verification required by §2276.002, Government Code does not apply to the contract.

18. Firearm Entities and Trade Associations Discrimination: To the extent the Respondent is required pursuant to §2274.002, Government Code, the Respondent certifies that it (1) does not have a practice, policy, guidance, or directive that discriminates against a firearm entity or firearm trade association, and (2) will not for the duration of any resulting contract hereunder, discriminate against a firearm entity or firearm trade association, as the term is defined under §2274.001(3), Government Code or that the verification required by §2274.002, Government Code does not apply to the contract.

19. Cybersecurity Training: To the extent applicable, the Respondent hereby certifies that all employees, agents, subcontractors, officers, and/or any other users authorized by the Respondent that have access to a state computer system or database shall complete a cybersecurity training program certified under §2054.519, Government Code at the frequency prescribed by §2054.5192(c). The Respondent further certifies and agrees to maintain evidence of any such completed cybersecurity training and shall upon OAG request, furnish evidence of the completed cybersecurity training to OAG in the frequency, manner, and form prescribed by OAG.

20. Data Management and Security Controls: To the extent applicable, in accordance with §2054.138 of the Texas Government Code, Respondent certifies that it will comply with the security controls required under any contract resulting from this Offer and will maintain records and make them available to Agency as evidence of Respondent’s compliance with the required controls.

21. Cloud Computing: To the extent applicable, pursuant to §2054.0593(d)-(f), Government Code, relating to cloud computing state risk and authorization management program, the Respondent represents and warrants that it complies with the requirements of the state risk and authorization management program and Respondent agrees that throughout the term of the contract it shall maintain its certifications and comply with the program requirements in the performance of the contract.

22. COVID-19 Vaccine Passport Prohibition: The Respondent certifies that it does not require its customers to provide any documentation certifying the customer’s COVID-19 vaccination or post-transmission recovery on entry to, to gain access to, or to receive service from the Respondent’s business. The Respondent acknowledges that such a vaccine or recovery requirement would make the Respondent ineligible for a state-funded contract.

23. Human Trafficking Prohibition: Under §2155.0061 of the Texas Government Code, the Respondent certifies that the individual or business entity named in this Offer or contract is not ineligible to receive the specified contract and acknowledges that this contract may be terminated and payment withheld if this certification is inaccurate.

Social Security Numbers are CONFIDENTIAL and excepted from disclosure under the Texas Public Information Act

Form A – Respondent’s Execution of Proposal and Assurances (with Certification) Page 4 of 5

24. E-Verify: Respondent certifies that it utilizes and will continue to utilize the U.S. Department of Homeland Security’s E-Verify system to determine the eligibility of: (1) all persons employed to perform duties within Texas during the term of the contract; and (2) all persons, including subcontractors, assigned by Respondent to perform work pursuant to the contract within the United States of America.

25. Texas Bidder: Respondent certifies that if a Texas address is shown as the address of the Respondent on this Offer, Respondent qualifies as a Texas Bidder as defined in §2155.444(c) of the Texas Government Code.

26. Disclosure of Prior State Employment: If the Contract is related to “consulting services,” as the term is defined in Subsection 2254.021(1) of the Texas Government Code, Respondent hereby certifies that it does not employ an individual who has been employed by OAG or another agency at any time during the two years preceding the submission of the response or, in the alternative, Respondent has disclosed in its response the following: (i) the nature of the previous employment with OAG or the other agency; (ii) the date the employment was terminated; and (iii) the annual rate of compensation for the employment at the time of its termination.

27. Former Agency Employees: In accordance with Section 2252.901 of the Texas Government Code, Respondent represents and warrants that none of its employees including, but not limited to, those authorized to provide services under the Contract, were former employees of the OAG during the twelve (12) month period immediately prior to the date of execution of the Contract.

28. Terms and Conditions Attached: Any terms and conditions attached to an Offer will not be considered unless specifically referred to in the Offer.

Corporations submitting Responses to the OAG shall provide the following information:

Federal Employer ID#: Corporate Charter #:

Entity Name: Telephone Number:

Street Address: FAX Number:

City/State/Zip: E-mail Address:

Responses must include names and Social Security Numbers of each person with at least 25% ownership of the business entity submitting the Response. Respondents must complete the following:

Name Social Security Number

Failure of an organization to provide the above information shall result in the disqualification of the response.

Social Security Numbers are CONFIDENTIAL and excepted from disclosure under the Texas Public Information Act

Form A – Respondent’s Execution of Proposal and Assurances (with Certification) Page 5 of 5

RESPONDENT ACKNOWLEDGMENT AND CERTIFICATION

Respondent hereby certifies that it has received, reviewed, and accepted the solicitation and the included statement of work, terms, requirements, and conditions. The Respondent hereby acknowledges that it can meet all of the requirements as stated in the solicitation excluding any requirements it took exception to, as explicitly set forth in its Response.

The Respondent also certifies that the information included in its Response and on this form is, to the best of its knowledge, complete and accurate and that it shall update all such information at any time that such information changes. The Respondent certifies that the person signing this form is authorized to sign on its behalf and, as proof, submits the Corporate Board of Director’s Resolution, or similar document authorizing the representative to enter into contracts on the Respondent’s behalf.

Signature of Authorized Representative

Printed Name of Authorized Representative

Title of Authorized Representative

Full Name of Respondent Entity

Date

Solicitation Number

Response Opening Date

FORM B – PRICING: Online Printing and Mailing Services

RESPONDENT NAME: ___________________________________________

Form B – Pricing Page 1 of 3

OPM V1.0

The pricing submitted on this Form B – Pricing is for all costs associated with providing Online Printing and Mailing Services for the Office of Attorney General (OAG) Child Support Division (CSD) as described in RFP No. 302-25-C-02171. The OAG is liable only for costs included in Form B – Pricing.

INSTRUCTIONS:

1. The Respondent will complete Form B – Pricing. Alternative pricing models do not replace this form.

2. The Respondent will provide any assumptions and/or conditions related to the pricing in Table 4:

Pricing Assumptions.

3. The Respondent will not modify a pricing line item or any other portion of Form B, Pricing. The only exception is that the Respondent may add additional rows as needed to Table 4: Pricing Assumptions.

1) Online Printing and Mailing Services Enter costs for Online Printing and Mailing Services in the following tables:

Table 1: Through August 31, 2026

Item Description Billable Unit

1 to 6 Pages

7 to 20 Pages

21 to 40 Pages

41 to 60 Pages

61 to 75 Pages

Include postage, envelope, and printing costs.

1.1 First Class Each

1.2 First Class – Certified Each

1.3 Certified Mail with

Return Receipt – Electronic

Each

1.4 Certified Mail with

Return Receipt – Physical Post Card

Each

Form B – Pricing Page 2 of 3

OPM V1.0

Table 2: September 1, 2026 – August 31, 2027

Item Description Billable Unit

1 to 6 Pages

7 to 20 Pages

21 to 40 Pages

41 to 60 Pages

61 to 75 Pages

Include postage, envelope, and printing costs.

1.1 First Class Each

1.2 First Class – Certified Each

1.3 Certified Mail with

Return Receipt – Electronic

Each

1.4 Certified Mail with

Return Receipt –

Table 3: September 1, 2027 – August 31, 2028

Item Description Billable Unit

1 to 6 Pages

7 to 20 Pages

21 to 40 Pages

41 to 60 Pages

61 to 75 Pages

Include postage, envelope, and printing costs.

1.1 First Class Each

1.2 First Class – Certified Each

1.3 Certified Mail with

Return Receipt – Electronic

Each

1.4 Certified Mail with

Return Receipt –

Form B – Pricing Page 3 of 3

OPM V1.0

2) PRICING ASSUMPTIONS

Provide any Online Printing and Mailing Service pricing assumptions (amounts and/or conditions) by outlining them in Table 4: Pricing Assumptions. Respondent may add rows as needed.

Table 4: Pricing Assumptions

# Pricing Line Item Assumption

FORM C

PAST PERFORMANCE REFERENCES

Form C – Past Performance References OPM V1.0 Page 1 of 1 Revised March 27, 2014

COMPANY NAME

COMPANY ADDRESS

*CONTACT NAME / PHONE

*E-MAIL

CONTRACT AWARD DATE:

OPERATIONS START DATE:

OPERATIONS END DATE:

DESCRIPTION OF SERVICE:

*CONTACT NAME / PHONE

*CONTACT NAME / PHONE

* Do NOT complete these fields if the OAG is the Past Performance Reference.

RESPONDENT NAME:

FORM D

CANCELED CONTRACT REFERENCES

Form D – Canceled Contract References OPM V1.0 Page 1 of 1 Revised March 27, 2014

*CONTACT NAME / PHONE

*CONTACT NAME / PHONE

*CONTACT NAME / PHONE

* Do NOT complete these fields if the OAG is the Past Performance Reference.

RESPONDENT NAME:

FORM E

RESPONDENT RELEASE OF LIABILITY

(TO REFERENCE)

Form E – Respondent Release of Liability OPM V1.0 Page 1 of 1 Revised May 7, 2015

THIS FORM MUST BE COMPLETED/SIGNED BY RESPONDENT FOR EACH IDENTIFIED

REFERENCE AND SUBMITTED WITH THE RESPONDENT’S REQUIREMENTS SUBMISSION

Company providing the reference:

Please provide a business reference for:

to the:

Office of the Attorney General of Texas Solicitation Evaluation Team

Please disclose any and all information that you deem relevant relating to the above-named parties’ business relationship. By signing this document the entity and, if applicable, individual key staff person signing below releases the above-named company providing a reference, its agents, employees, and all persons, natural or corporate, in privity with above-named company providing a reference from any and all liability, claims, or causes of action arising from their disclosure of information pursuant to this request for a business reference.

Signed the day of 20

(Respondent Signature)

(Respondent Printed Name)

(Respondent Title)

Signed the day of 20

(Key Staff Signature or “N/A” if Respondent-level release)

(Key Staff Printed Name)

FORM F

CERTIFICATION REGARDING LOBBYING

Certification for Contracts, Grants, Loans, and Cooperative Agreements

The undersigned certifies, to the best of his or her knowledge and belief, that:

1. No Federal appropriated funds have been paid, or will be paid by or on behalf of, the undersigned to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.

2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form LLL, “Disclosure of Lobbying Activities” in accordance with its instructions.

3. The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, sub grants, and contracts under grants, loans, and cooperative agreements) and that all sub recipients shall certify and disclose accordingly.

This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Respondent Signature:

Respondent Printed Name:

Respondent Title:

Date:

Organization:

Form F – Certification Regarding Lobbying

OPM V1.0 Revised November 10, 2014

DISCLOSURE OF LOBBYING ACTIVITIES Approved by OMB

Complete this form to disclose lobbying activities pursuant to 31 U.S.C. 1352 (See reverse for public burden disclosure.)

0348-0046

1. Type of Federal Action:

a. contract

b. grant

c. cooperative agreement

d. loan

e. loan guarantee

f. loan insurance

2. Status of Federal Action:

a. bid/offer/application

b. initial award

c. post-award

3. Report Type:

a. initial filing

b. material change

For Material Change Only:

year quarter date of last report

4. Name and Address of Reporting Entity:

Prime Subawardee

Tier, if known:

Congressional District, if known :

5. If Reporting Entity in No. 4 is a Subawardee, Enter Name and Address of Prime:

Congressional District, if known :

6. Federal Department/Agency: 7. Federal Program Name/Description:

CFDA Number, if applicable :

8. Federal Action Number, if known : 9. Award Amount, if known:

10. a. Name and Address of Lobbying Registrant b. Individuals Performing Services (including address if (if individual, last name, first name, middle initial ): different from No. 10a ) (last name, first name, middle initial ):

11. Information requested through this form is authorized by title 31 U.S.C. section 1352. This disclosure of lobbying activities is a material representation of fact upon which reliance was placed by the tier above when this transaction was made or entered into. This disclosure is required pursuant to 31 U.S.C. 1352. This information will be available for public inspection. Any person who fails to file the required disclosure shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure.

Signature:

Print Name:

Title:

Phone Number: Date:

Federal Use Only: Authorized for Local Reproduction Standard Form LLL (Rev. 7-97)

According to the Paperwork Reduction Act, as amended, no persons are required to respond to a collection of information unless it displays a valid OMB Control Number. The valid OMB control number for this information collection is OMB No. 0348-0046. Public reporting burden for this collection of information is estimated to average 10 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348-0046), Washington, DC 20503.

INSTRUCTIONS FOR COMPLETION OF SF-LLL, DISCLOSURE OF LOBBYING ACTIVITIES

This disclosure form shall be completed by the reporting entity, whether subawardee or prime Federal recipient, at the initiation or receipt of a covered Federal action, or a material change to a previous filing, pursuant to title 31 U.S.C. section 1352. The filing of a form is required for each payment or agreement to make payment to any lobbying entity for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with a covered Federal action. Complete all items that apply for both the initial filing and material change report. Refer to the implementing guidance published by the Office of Management and Budget for additional information.

1. Identify the type of covered Federal action for which lobbying activity is and/or has been secured to influence the outcome of a covered Federal action.

2. Identify the status of the covered Federal action.

3. Identify the appropriate classification of this report. If this is a follow up report caused by a material change to the information previously reported, enter the year and quarter in which the change occurred. Enter the date of the last previously submitted report by this reporting entity for this covered Federal action.

4. Enter the full name, address, city, State, and zip code of the reporting entity. Include Congressional District, if known. Check the appropriate classification of the reporting entity that designates if it is, or expects to be, a prime or subaward recipient. Identify the tier of the subawardee, e.g., the first subawardee of the prime is the 1st tier. Subawards include but are not limited to subcontracts, subgrants, and contract awards under grants.

5. If the organization filing the report in item number 4 checks "Subawardee," then enter the full name, address, city, State and zip code of the prime

Federal recipient. Include Congressional District, if known.

6. Enter the name of the Federal agency making the award or loan commitment. Include at least one organizational level below agency name, if known. For example, Department of Transportation, United States Coast Guard.

7. Enter the Federal program name or description for the covered Federal action (item number 1). If known, enter the full Catalog of Federal Domestic

Assistance (CFDA) number for grants, cooperative agreements, loans, and loan commitments.

8. Enter the most appropriate Federal identifying number available for the Federal action identified in item number 1 (e.g., Request for Proposal (RFP) number; Invitation for Bid (IFB) number; grant announcement number; the contract, grant, or loan award number; the application/proposal control number assigned by the Federal agency). Include prefixes, e.g., "RFP-DE-90-001."

9. For a covered Federal action where there has been an award or loan commitment by the Federal agency, enter the Federal amount of the award/loan commitment for the prime entity identified in item 4 or 5.

10. (a) Enter the full name, address, city, State and zip code of the lobbying registrant under the Lobbying Disclosure Act of 1995 engaged by the reporting entity identified in item number 4 to influence the covered Federal action.

(b) Enter the full names of the individual(s) performing services, and include full address if different from number 10 (a). Enter Last Name, First Name, and Middle Initial.

11. The certifying official shall sign and date the form, print his/her name, title, and telephone number.

FORM H

RESPONDENT INFORMATION FORM

Form H – Respondent Information Form Page 1 of 1 Revised March 27, 2014 OPM V1.0

Complete this section with the requested information about your organization.

Respondent Name Texas or Federal Employer Identification Number

Mailing Address, including City/State/Zip

Physical Address, including City/State/Zip

Complete this section with contact information for an Executive representative of your organization.

Name Title

Phone E-Mail

Complete this section with contact information for a Program/Project Manager of your organization.

Phone E-Mail

Complete this section with contact information for a person who can answer questions regarding this response and represent your organization in negotiations.

Phone E-mail

Mailing Address, including City/State/Zip (if different than above)

FORM I

PREFERENCE TO TEXAS AND UNITED STATES PRODUCTS

AND TEXAS SERVICES

Form I – Preference to Texas and United States Products and Texas Services Page 1 of 1 Revised March 2014 OPM V1.0

Respondent Name:

Check below if preference claimed (check all that apply):

Goods produced or offered by a Texas Respondent owned by a Texas resident service-disabled veteran

Goods produced in Texas or offered by a Texas Respondent not owned by a Texas resident service-disabled veteran

☐ Agricultural products grown in Texas

☐ Agricultural products offered by a Texas Respondent

Services offered by a Texas Respondent owned by a Texas resident service-disabled veteran

Services offered by a Texas Respondent not owned by a Texas resident service disabled veteran

☐ Texas vegetation native to the region

☐ USA produced supplies, materials, or equipment

☐ Products produced by persons with mental or physical disabilities

Products made of recycled, re-manufactured, or environmentally sensitive materials including recycled steel

☐ Energy efficient products

☐ Rubberized asphalt paving material

☐ Recycled motor oil and lubricants

☐ Products produced at facilities located on formerly contaminated property

☐ Products and services from economically depressed or blighted areas

☐ Offerors that meet or exceed air quality standards

☐ Recycled or reused computer equipment of other manufacturers

☐ Foods of higher nutritional value

By signing the Respondent’s Execution of Proposal and Assurances (with Certification) included with the RFP, Respondent certifies that if a Texas address is shown as the Respondent’s address, Respondent qualifies as a Texas Resident Bidder as defined in the Texas Government Code, Section 2252.001(4).

http://www.statutes.legis.state.tx.us/Docs/GV/htm/GV.2252.htm http://www.statutes.legis.state.tx.us/Docs/GV/htm/GV.2252.htm

FORM J

BUSINESS CONTINUITY/DISASTER RECOVERY QUESTIONNAIRE

Form J – Business Continuity/Disaster Recovery Questionnaire Page 1of 2 Revised March 2020 OPM V1.0

Respondent Name:

The following are standard questions for collecting Business Continuity/Disaster Recovery (BC/DR) information; they allow the OAG to evaluate a vendor’s internal recovery strategies, plans, and overall BC/DR program.

No. Question Answer Required Information 1 Is your organization’s BC/DR program regulated and/or audited by any regulatory agency (e.g., FFIEC, SEC, FINRA, OTS, OCC, State Regulators, etc.)?

☐ Yes

Provide regulatory agency name.

☐ No

Proceed to No. 3.

2 In your organization’s most recent exam, have the findings of any regulatory agency resulted in an overall “Unsatisfactory” or “Needs Improvement” rating?

☐ Yes

Provide regulatory agency name and findings, and remedial action.

Proceed to No. 3.

2a If so, have the findings been appropriately mitigated?

3 Within the past year, has your organization’s BC/DR program been evaluated by an internal audit and/or an independent external third party?

☐ Yes

Proceed to No. 4.

3a If so, did any findings require corrective action?

☐ Yes

Proceed to No. 4.

3b If so, have the corrective actions been implemented?

4 Does your organization have a written policy for BC/DR?

5 Does your organization’s BC/DR plan have senior management approval and sponsorship?

☐ Yes

Explain.

6 Does your organization have a formal governance body for

BC/DR?

FORM J

BUSINESS CONTINUITY/DISASTER RECOVERY QUESTIONNAIRE

Form J – Business Continuity/Disaster Recovery Questionnaire Page 2of 2 Revised March 2020 OPM V1.0

No. Question Answer Required Information 7 Does your organization have a designated individual or group responsible for oversight and administration of the BC/DR program?

8 Is your organization’s BC/DR plan reviewed and updated at least annually?

9 Does your organization conduct a periodic review of the BC/DR program with senior management to consider changes in organization, technology, processes, and environmental and regulatory factors?

10 Does your organization conduct a periodic review of the BC/DR program with senior management to consider the adequacy of support resources (people, technology, facilities, and funding)?

11 Are there provisions in your organization's BC/DR plan to ensure that critical third parties/suppliers performing under the contract are capable of supporting BC/DR plans and testing objectives?

12 Identify any business disruptions that your organization anticipates would cause an exception to your current planned recovery strategies (e.g., large scale regional flooding, large scale regional telecommunications failure affecting the internet)