ESBD_542139_1784844957047_27-0015 Attachment A Execution of Proposal.pdf

OFFICE OF COURT ADMINISTRATION (OCA) ATTACHMENT A - EXECUTION OF PROPOSAL

RFP # 212-27-0015 1 | PAGE

EXECUTION OF PROPOSAL

RFP # 212-27-0015 – Psychometric Analyses, Technical Guidance, and Documentation for

Development of Examinations Administered by the Judicial Branch Certification Commission

Note: This exhibit must be completed, signed and returned with the proposal. Responses that do not include this exhibit will be disqualified. Responses shall be void if false statements are contained within this exhibit.

By signature hereon, Respondent certifies that:

All statements and information prepared and submitted in the response to this RFP are current, complete, and accurate.

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.

Respondent has disclosed any known financial interest of, or foreseeable financial benefit to, any Office of Court Administration (OCA) governing official, administrative director, general counsel, chief procurement officer, and their family members, as defined by Section 2261.252, Government Code. Respondent has disclosed any proposed personnel who are related to any current employees of OCA.

In accordance with Government Code § 2252.901, Respondent certifies that no principal of Respondent was an employee of the OCA within the past year, and that no employee of Respondent who was an employee of the OCA within the past year will perform services if Respondent is awarded this contract.

Under Government Code § 2155.004, no person who prepared the specifications or this RFP has any financial interest in Respondent’s Proposal. If Respondent is not eligible, then any contract resulting from this RFP shall be immediately terminated. Furthermore, “under Section 2155.004, Government Code, the vendor [Respondent] certifies that the individual or business entity named in this bid 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.”

Neither Respondent nor the firm, corporation, partnership, or institution represented by Respondent or anyone acting for such firm, corporation, or institution has (1) violated the antitrust laws of the State of Texas under Texas Business & Commerce Code, Chapter 15, or the federal antitrust laws; or (2) communicated the contents of this Proposal either directly or indirectly to any competitor or any other person engaged in the same line of business during the procurement process for this RFP.

Under Family Code § 231.006, relating to child support obligations, Respondent and any other individual or business entity named in this solicitation are eligible to receive the specified payment and acknowledge that this contract may be terminated and payment withheld if this certification is inaccurate.

The names and social security numbers of any person or entity holding at least a twenty-five percent (25%) ownership interest in the business entity submitting the Proposal are as follows:

Name: Social Security Number:

RFP # 212-27-0015 2 | PAGE

Under Section 2155.006(b) of the Texas Government Code, a state agency may not accept a bid or award a contract, including a contract for which purchasing authority is delegated to a state agency, that includes proposed financial participation by a person who, during the five year period preceding the date of the bid or award, has been: (1) convicted of violating a federal law in connection with a contract awarded by the federal government for relief, recovery, or reconstruction efforts as a result of Hurricane Rita, as defined by Section 39.459, Utilities Code, Hurricane Katrina, or any other disaster occurring after September 24, 2005;

or (2) assessed a penalty in a federal civil or administrative enforcement action in connection with a contract awarded by the federal government for relief, recovery, or reconstruction efforts as a result of Hurricane Rita, as defined by Section 39.459, Utilities Code, Hurricane Katrina, or any other disaster occurring after September 24, 2005. Under Section 2155.006 of the Texas Government Code, the bidder certifies that the individual or business entity named in this bid is not ineligible to receive the specified contract and acknowledges that any contract resulting from this IFB may be terminated and payment withheld if this certification is inaccurate.

Respondent, nor any of its officers, as been adjudicated by a court of law to have violated the Texas Deceptive Trade Practices Act.

When a Texas business address is shown hereon, that address is, in fact, the legal business address of Respondent and Respondent qualifies as a Texas Resident Bidder under 1 TAC §111.2.

Respondent acknowledges that OCA may post to the Legislative Budget Board’s public website information about this solicitation, response documents and any awarded contract. Respondent acknowledges its response may be subject to disclosure pursuant to Rule 12 of the Texas Rules of Judicial Administration and it is the Respondent’s obligation to specifically identify information it contends to be confidential or proprietary with its Response.

Respondent agrees that any payments due under this contract will be applied towards any debt, including but not limited to delinquent taxes and child support that is owed to the State of Texas.

Respondent acknowledges that OCA is required to conduct a search within the federal System of Award Management (SAM) to verify that neither the Respondent, nor the firm, corporation, partnership, or institution, represented by the Respondent, or anyone acting for such a firm, corporation or institution is financing terrorist groups or affiliates or is doing business with organizations that threaten to commit or support terrorism.

If any of these certifications change between submittal of the Response and award of a contract or cancellation of the Solicitation, Respondent will promptly notify OCA.

Respondent represents and warrants that the individual signing this Execution of Proposal is authorized to sign this document on behalf of Respondent and to bind Respondent under any contract resulting from this Proposal.

RESPONDENT (COMPANY): ____________________________________________________

SIGNATURE (INK): ____________________________________________________________

NAME (TYPED/PRINTED) ______________________________________________________

TITLE: _________________________________________DATE: _______________________

STREET: ____________________________________________________________________

CITY/STATE/ZIP: _____________________________________________________________

TELEPHONE AND FACSIMILE NUMBERS: ________________________________________

https://www.sam.gov/SAM/pages/public/searchRecords/search.jsf https://www.sam.gov/SAM/pages/public/searchRecords/search.jsf

RFP # 212-27-0015 3 | PAGE

TEXAS IDENTIFICATION NUMBER (TIN): _________________________________________

PREFERENCES

Identify the preferences for which Respondent qualifies. Not all preferences apply to all procurements.

Texas bidder preferences may not apply to contracts with out of state or foreign entities. For more information about preferences, see the State of Texas Procurement and Contract Management Guide.

Tie bid preferences (Tex. Gov. Code 2155.444):

� Goods or services produced or offered by a Texas bidder that is owned by a Texas resident service-disabled veteran

� Texas vegetation native to the region, for landscaping � Agricultural products grown in Texas � Agricultural products offered by a Texas bidder � Non-agricultural goods produced in Texas or offered by a Texas bidder that is not owned by a

Texas resident service-disabled veteran � Services offered by a Texas bidder that is not owned by a Texas resident service-disabled veteran � USA-produced supplies, materials or equipment

Specification preferences:

� Products made of recycled, remanufactured, or environmentally sensitive materials (Tex.

Gov. Code 2155.445)

� Energy-efficient products (Tex. Gov. Code 2155.442) � Rubberized asphalt paving material (Tex. Gov. Code 2155.443) � Recycled motor oil and lubricants (Tex. Gov. Code 2155.447) � Recycled paper products (Tex. Gov. Code 2155.448(a)) � Foods of higher nutritional value, for public cafeterias (Tex. Gov. Code 2155.452) � Manufacturers that recycle or reuse computer equipment made by other manufacturers

(Tex. Health and Safety Code 361.965(d))

Source preferences:

� Products produced at facilities located on formerly contaminated property (Tex. Gov. Code 2155.450)

� Products and services from economically depressed or blighted areas (Tex. Gov. Code 2155.449, 2306.004)

� Vendors that meet or exceed air quality standards (Tex. Gov. Code 2155.451) � Products made by persons with disabilities (Tex. Gov. Code 2155.441) � Products made by Texas Correctional Industries (Tex. Gov. Code Ch. 497)