Exhibit B - Proposer Information and Certification Form~1.pdf
PDF 826 KB Posted
- Attached to
- UTV and Accessories - Request for Quotes
- Solicitation number
- S-69000-00013823
- Issued by
- Jackson County, Oregon
About this file
This document is an Exhibit B - Proposer Information and Certification Form for RFQ S-69000-00012422, which appears to be a solicitation for utility terrain vehicles and accessories. The form requires proposers to certify various legal and operational compliance requirements for participating in the procurement process.
The certification form includes multiple key compliance statements, such as understanding RFQ requirements, acknowledging amendments, maintaining a firm offer for 90 calendar days, certifying tax law compliance, and affirming non-discriminatory employment practices. Notably, the document requires proposers to confirm they are not in violation of specific Oregon Revised Statutes (ORS), do not discriminate in employment practices, comply with wage and compensation disclosure rules, and are not engaged in prohibited activities. The form also requires proposers to disclose potential conflicts of interest and certify the accuracy of all submitted information, with potential legal consequences for false claims or misrepresentations.
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Other files
| File | Type | Posted |
|---|---|---|
| Exhibit A - Bid Sheet~1.pdf | ||
| Tier 1 High Endurance Fixed UAS Specifications.pdf | ||
| S-69000-00013823 - UTV RFQ.pdf |
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Text version
RFQ S-69000-00012422 – 6 10
EXHIBIT B – PROPOSER AND CERTIFICATION
Legal Name of Proposer:
Address:
City, State ZIP:
Contact Name:
Telephone: Email:
1. Proposer understands and accepts the requirements of this RFQ.
bound by the Price Agreement and Purchase Order if any, that Agency
2. Proposer acknowledges receipt of all Amendments to this RFQ.
3. 9
4.
, ORS 305.620, and ORS Chapters 316, 317, and 318.
ed under ORS 200.055 as a disadvantaged business enterprise, a minority-owned business, a woman-owned business, a business that a service-disabled Veteran owns, or an emerging small that meets the requirements described in ORS 279A.112 may not for
6. Proposer complies with ORS 652.220 membership in a protected class. “Protected class” means a group of Perso
7. Purchase order and a failure to comply to terminate this Purchase Order for cause.
8.
employee or another Person.
9.
in or may engage in the provision of broadband Internet access service Proposer is in compliance with Oregon throughout the term of the Purchase Order.
10.
RFQ S-69000-00012422 – 7 10
a.
Control of the United States Department of the Treasury found at:
, or b.
11.
business or economic interests of Proposer, its employees, or its agents, on the one hand, and the business or economic interests of the State, 12.
Proposers, and without collusion, fraud, or other dishonesty.
13.
y the Oregon False Claims Act, ORS 180.750(1)}, made under Purchase Order being a “false claim” {ORS 180.750(2)} subject to the Oregon False Claims Act, ORS 180.750 to 180.785
14.
and the Purchase Order Purchase Order
Date:
Printed Name and Title:
File details come from the government source that posted it. Updated .