Four G dba Another Source Winning Bid 03024.pdf

EXHIBIT A-1 – BIDDER’S CERTIFICATION PAGE 1

(Rev 2024-08-08)

EXHIBIT A-1 – BIDDER’S CERTIFICATION

Competitive Solicitation: No. 03024 – Executive Recruitment Consulting Services

Bidder:

Four G Corporation dba Another Source Type/print full legal name of Bidder

Bidder’s Address:

400 NW Gilman Blvd #2323, Issaquah Wa 98027

Type/print Bidder’s Address

Bidder Organization/Entity

Type:

Check appropriate box

Corporation: ☒Domestic (S) ☐Foreign

Limited Liability Company (LLC): ☐Domestic ☐Foreign

Partnership: ☐Domestic ☐Foreign

Sole Proprietorship*: ☐

*A sole proprietorship is an unincorporated business owned and run by one individual or married couple alone with no distinction between the business and the owner. It is not a separate legal entity. It simply refers to a person who owns the business and is personally responsible for its debts and who pays personal income taxes on profits earned from the business. If you are a Bidder who operates a business on your own, you automatically are a sole proprietor unless you have formed a separate business structure (e.g., corporation, LLC, partnership) and lawfully registered the same.

State of Formation for Bidder Entity Type:

Washington Type/print the state where the Bidder entity (e.g., corporation, LLC) is formed – e.g., ‘Washington’ if domestic or the name of the applicable state if ‘Foreign’ (i.e., not

Washington).

Doing Business Under Another Name:

Check appropriate box

State whether Bidder has been doing business under another name during the past five years:

☒ Bidder has NOT done business under another name

☐ Bidder HAS done business under another name

If Bidder HAS done business under another name, provide the business name(s) and addresses:

Business Name: ___________________________________

Address: ___________________________________

Bidder, through the duly authorized undersigned, makes this certification as a required element of submitting a responsive bid. Bidder certifies, to the best of its knowledge and belief that the following are true, complete, correct, and made in good faith:

EXHIBIT A-1 – BIDDER’S CERTIFICATION PAGE 2

1. UNDERSTANDING. Bidder certifies that Bidder has read, thoroughly examined, and fully understands all of the provisions in the above-referenced Competitive Solicitation (including all exhibits) and the terms and conditions of the Contract and any amendments or clarifications to the above-referenced Competitive Solicitation, and agrees to abide by the same.

2. ACCURACY. Bidder certifies that Bidder has carefully prepared and reviewed its bid and fully supports the accuracy of the same. Bidder further understands and acknowledges that Enterprise

Services shall not be responsible for any errors or omission on the part of Bidder in preparing its bid. Bidder further certifies that the facts declared here are true and accurate. Bidder further understands and acknowledges that the continuing compliance with these statements and all requirements of the above-referenced Competitive Solicitation are conditions precedent to the award or continuation of the resulting Contract.

3. NO COLLUSION, ANTI-COMPETITIVE PRACTICES, OR SHARING BID INFORMATION. Bidder certifies that Bidder has not, either directly or indirectly, entered into any agreement, participated in any collusion, or otherwise taken any action in restraint of free competitive bidding in connection with the above-referenced Competitive Solicitation. Bidder further certifies that Bidder’s bid prices have been arrived at independently, without engaging in collusion, bid rigging, or any other illegal activity, and without for the purpose of restricting competition any consultation, communication, or agreement with any other bidder or competitor relating to (a) those prices,

(b) the intention to submit a bid, or (c) the methods or factors used to calculate the prices offered.

Bidder further certifies that Bidder has not been and shall not knowingly disclose its bid prices, directly or indirectly, to any other bidder or competitor before award of a Contract, unless otherwise required by law. Bidder further certifies that Bidder has made no attempt and shall not make any attempt to induce any other person or firm to submit or not to submit a bid for the purpose of restricting competition. Bidder, however, freely may join with other persons or organizations for the purpose of presenting a joint bid. Whether done directly or indirectly, communicating bid information with other bidders, collusion, or anti-competitive actions among bidders are prohibited. If there is evidence of such communication, collusion, or anti-competitive activities among bidders, Enterprise Services reserves the right to disqualify such bidders.

4. FIRM OFFER. Bidder certifies that its bid pertaining to the above-referenced Competitive Solicitation is a firm offer which cannot be withdrawn for a time period of ninety (90) days from and after the bid due date specified in the above-referenced Competitive Solicitation. Enterprise

Services may accept such bid, with or without further negotiation, at any time within such period.

In the event of a protest, Bidder’s bid shall remain valid for such time period or until the protest and any related court action is resolved, whichever is later.

5. CONFLICT OF INTEREST. Bidder certifies that, in preparing its bid, Bidder has not been assisted by any current or former employee of the State of Washington whose duties relate (or did relate) to the above-referenced Competitive Solicitation or prospective Contract and who was assisting in other than the employee’s official, public capacity. Bidder further certifies that no such current or former public employee nor any member of such person’s immediate family have any financial interest in the outcome of Bidder’s bid.

6. NO REIMBURSEMENT. Bidder certifies that Bidder understands that the State of Washington will not reimburse Bidder for any costs incurred in the preparation of Bidder’s bid. All bids become the property of the State of Washington, and Bidder claims no proprietary right to the ideas, writings, items, or samples unless so stated in the bid.

EXHIBIT A-1 – BIDDER’S CERTIFICATION PAGE 3

7. PERFORMANCE. Bidder certifies that Bidder understands that its submittal of a bid and execution of this Bidder’s Certification certifies Bidder’s willingness to comply with the Contract, if awarded such. By submitting this bid, Bidder hereby offers to furnish the goods and/or services solicited pursuant to the above-referenced Competitive Solicitation in compliance with all terms, conditions, and performance requirements contained in the above-referenced Competitive Solicitation and the resulting Contract or, if applicable, as detailed on a Contract Issues List, if permitted, in the above-referenced Competitive Solicitation.

8. INSURANCE. Bidder certifies as follows (must check one):

☐ BIDDER HAS THE REQUIRED INSURANCE. Bidder has attached a current, valid Certificate of

Insurance for each and all of the required insurance coverages as specified in the Contract (Note: Bidder must attach the Insurance Certificate).

OR

☒ BIDDER WILL OBTAIN THE REQUIRED INSURANCE. Bidder does not have a current, valid Certificate of Insurance for each and all of the required insurance coverages as specified in the Contract but, if designated as an Apparent Successful Bidder, Bidder shall provide such a Certificate of Insurance, without exception of any kind, to Enterprise Services within five (5) business days of such designation or notification by Enterprise Services or be deemed a nonresponsive bid and disqualified from Contract award.

OR

☐ BIDDER DOES NOT HAVE THE REQUIRED INSURANCE. As detailed in the attached explanation

(Bidder to provide), Bidder does not have a current, valid Certificate of Insurance for each and all of the required insurance coverages as specified in the Contract and, if designated as an Apparent Successful Bidder would not be able to provide such a Certificate of Insurance to Enterprise Services within five (5) business days of such designation.

Note: The Contract requires proof that the awarded Contractor, unless exempt, has Workers’ Compensation Insurance and Employer’s Liability Insurance. Pursuant to Washington law, certain entities are not required to have Workers’ Compensation Insurance (e.g., entities with no employees). If, under Washington law, Bidder is not required to have Workers’ Compensation

Insurance, Bidder must check the following and provide the lawful basis as to why Bidder is not required to have Workers’ Compensation Insurance:

☐ BIDDER IS NOT REQUIRED TO HAVE WORKERS’ COMPENSATION INSURANCE. Pursuant to Washington law, Bidder is not required to have Workers’ Compensation

Insurance because:

Bidder must state lawful basis as to why Bidder is NOT required to have Workers ’ Compensation Insurance.

9. DEBARMENT. Bidder certifies as follows (must check one):

☒ NO DEBARMENT. Neither Bidder nor its principals presently are nor ever have been debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from contracting with any federal, state, or local governmental entity within the United States.

OR

EXHIBIT A-1 – BIDDER’S CERTIFICATION PAGE 4

☐ DEBARRED. As detailed in the attached explanation (Bidder to provide), Bidder and/or its principals presently are debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from contracting with a federal, state, or local governmental entity within the United States.

10. CRIMINAL OFFENSE. Bidder (including Bidder’s officers) certifies as follows (must check one):

☒ NO CRIMINAL OFFENSE. Bidder has not, within the three (3) year period preceding the date of the above-referenced Competitive Solicitation, been convicted or had a civil judgment rendered against Bidder for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a governmental contract; violation of any federal or state antitrust statute; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property. Bidder further certifies that Bidder is not presently indicted or otherwise criminally or civilly charged by a governmental entity with commission of any of the offenses enumerated in this paragraph.

OR

☐ CRIMINAL OFFENSE. As detailed in the attached explanation (Bidder to provide), within the three (3) year period preceding the date of the above-referenced Competitive

Solicitation, Bidder has been convicted or had a civil judgment rendered against Bidder for commission of fraud or a criminal offense in connection with obtaining, attempting to obtain, or performing a governmental contract; violation of any federal or state antitrust statute; or commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, or receiving stolen property.

11. CIVIL RIGHTS. Bidder certifies as follows (must check one):

☒ COMPLIANCE WITH CIVIL RIGHTS REQUIREMENTS. Bidder complies with all applicable legal requirements regarding civil rights. Such requirements prohibit discrimination against individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, sexual orientation, gender identity, or national origin.

OR

☐ NON-COMPLIANCE WITH CIVIL RIGHTS REQUIREMENTS. As detailed in the attached explanation (Bidder to provide), Bidder does not comply with all applicable legal requirements regarding civil rights.

12. WASHINGTON STATE WAGE THEFT PREVENTION. Bidder certifies as follows (must check one):

☒ NO WAGE VIOLATIONS. Bidder has NOT been determined by a final and binding citation and notice of assessment issued by the Washington Department of Labor and

Industries or through a civil judgment entered by a court of limited or general jurisdiction to have willfully violated, as defined in RCW 49.48.082, any provision of RCW 49.46, 49.48, or 49.52 within the three (3) year period preceding the date of the above-referenced Competitive Solicitation.

OR

☐ VIOLATIONS OF WAGE LAWS. As detailed in the attached explanation (Bidder to provide), Bidder has been determined by a final and binding citation and notice of assessment https://app.leg.wa.gov/RCW/default.aspx?cite=49.48.082 https://app.leg.wa.gov/RCW/default.aspx?cite=49.46 https://app.leg.wa.gov/RCW/default.aspx?cite=49.48 https://app.leg.wa.gov/RCW/default.aspx?cite=49.52

EXHIBIT A-1 – BIDDER’S CERTIFICATION PAGE 5

issued by the Washington Department of Labor and Industries or through a civil judgment entered by a court of limited or general jurisdiction to have willfully violated, as defined in RCW 49.48.082, a provision of RCW 49.46, 49.48, or 49.52 within the three (3) year period preceding the date of the above-referenced

Competitive Solicitation.

13. WASHINGTON STATE STATUTORY NONDISCRIMINATION CLAUSES FOR STATE CONTRACTS. Bidder certifies as follows (must check one):

☒ COMPLIANCE WITH STATUTORY NONDISCRIMINATION CLAUSES FOR STATE CONTRACTS. If, pursuant to the above-referenced Competitive Solicitation, Bidder is awarded a Contract, Bidder, including any subcontractor, during the term of such Contract, shall not discriminate on the bases enumerated in RCW 49.60.530(3). Bidder, including any subcontractor, also shall give written notice of this nondiscrimination requirement to any labor organizations with which Bidder, or subcontractor, has a collective bargaining or other agreement. In addition, Bidder, including any subcontractor, shall cooperate with any Washington state agency investigation regarding any allegation that Bidder, including any subcontractor, engaged in prohibited discrimination set forth in RCW 49.60.530(3).

OR

☐ NON-COMPLIANCE WITH STATUTORY NONDISCRIMINATION CLAUSES FOR STATE CONTRACTS. As detailed in the attached explanation (Bidder to provide), Bidder does not comply with

RCW 49.60.530.

14. WASHINGTON STATE WORKERS’ RIGHTS (EXECUTIVE ORDER 18-03). Bidder certifies as follows (must check one):

☒ NO MANDATORY INDIVIDUAL ARBITRATION CLAUSES AND CLASS OR COLLECTIVE ACTION WAIVERS

FOR EMPLOYEES. Bidder does NOT require its employees, as a condition of employment, to sign or agree to mandatory individual arbitration clauses or class or collective action waivers.

OR

☐ MANDATORY INDIVIDUAL ARBITRATION CLAUSES AND CLASS OR COLLECTIVE ACTION WAVERS FOR

EMPLOYEES. As detailed in the attached explanation (Bidder to provide), Bidder requires its employees, as a condition of employment, to sign or agree to mandatory individual arbitration clauses or class or collective action waivers.

15. WASHINGTON STATE PAY EQUALITY FOR ‘SIMILARLY EMPLOYED’ INDIVIDUALS. Bidder certifies as follows (must check one):

☒ PAY EQUALITY FOR ‘SIMILARLY EMPLOYED’ INDIVIDUALS. Bidder’s ‘similarly employed’ individuals are compensated as equals. For purposes of this provision, employees are ‘similarly employed’ if the individuals work for the same employer, the performance of the job requires comparable skill, effort, and responsibility, and the jobs are performed under similar working conditions. Job titles alone are not determinative of whether employees are similarly employed. Bidder may allow differentials in compensation for its workers based in good faith on any of the following: a seniority system; a merit system; a system that measures earnings by quantity or quality of production; a bona fide job-related factor or factors; or a bona https://app.leg.wa.gov/RCW/default.aspx?cite=49.48.082 https://app.leg.wa.gov/RCW/default.aspx?cite=49.46 https://app.leg.wa.gov/RCW/default.aspx?cite=49.48 https://app.leg.wa.gov/RCW/default.aspx?cite=49.52 https://app.leg.wa.gov/RCW/default.aspx?cite=49.60.530 https://app.leg.wa.gov/RCW/default.aspx?cite=49.60.530 https://app.leg.wa.gov/RCW/default.aspx?cite=49.60.530 https://www.governor.wa.gov/sites/default/files/exe_order/18-03%20-%20Workers%20Rights%20%28tmp%29.pdf

EXHIBIT A-1 – BIDDER’S CERTIFICATION PAGE 6

fide regional difference in compensation levels. A bona fide job-related factor or factors may include, but is not limited to, education, training, or experience that is consistent with business necessity; not based on or derived from a gender-based differential; and accounts for the entire differential. A bona fide regional difference in compensation level must be consistent with business necessity; not based on or derived from a gender-based differential; and account for the entire differential.

OR

☐ NO PAY EQUALITY FOR ‘SIMILARLY EMPLOYED’ INDIVIDUALS. Bidder’s ‘similarly employed’ individuals are NOT compensated as equals.

16. CONTRACT TERMINATION FOR DEFAULT OR CAUSE. Bidder certifies as follows (must check one):

☒ NO GOVERNMENTAL CONTRACT TERMINATION FOR DEFAULT OR CAUSE. Bidder has not, within the three (3) year period preceding the date of the above-referenced Competitive Solicitation, had one (1) or more federal, state, or local governmental contracts terminated for cause or default.

OR

☐ GOVERNMENTAL CONTRACT TERMINATION FOR DEFAULT OR CAUSE. As detailed in the attached explanation (Bidder to provide), within the three (3) year period preceding the date of the above-referenced Competitive Solicitation, Bidder has had one (1) or more federal, state, or local governmental contracts terminated for cause or default.

17. TAXES. Bidder certifies as follows (must check one):

☒ TAXES PAID. Except as validly contested, Bidder is not delinquent and has paid or has arranged for payment of all taxes due to the State of Washington and has filed all required returns and reports as applicable.

OR

☐ DELINQUENT TAXES. As detailed in the attached explanation (Bidder to provide), Bidder has not paid or arranged for payment of all taxes due to the State of Washington and/or has not timely filed all required returns and reports as applicable.

18. FINANCIALLY SOLVENT. Bidder certifies as follows (must check one):

☒ FINANCIALLY SOLVENT. Bidder is financially stable and solvent, has adequate cash reserves to meet all financial obligations, has not commenced bankruptcy proceedings voluntarily or otherwise, and is not subject to any judgments, liens, or encumbrances of any kind affecting title to any Goods and/or Services that are the subject of the above-referenced Competitive Solicitation.

OR

☐ NOT FINANCIALLY SOLVENT. As detailed in the attached explanation (Bidder to provide), Bidder is not financially stable and solvent – i.e., Bidder does not have adequate cash reserves to meet all financial obligations, has commenced bankruptcy proceedings voluntarily or otherwise, or is subject to a judgment, lien, or encumbrance that affects title to the Goods and/or Services that are the subject of the above-referenced Competitive Solicitation.

19. LAWFUL REGISTRATION. Bidder, if conducting business other than as a sole proprietorship, certifies as follows (must check one):

EXHIBIT A-1 – BIDDER’S CERTIFICATION PAGE 7

☒ CURRENT LAWFUL REGISTRATION. Bidder is registered and in good standing in the jurisdiction (state) where Bidder is organized, including having timely filed all required annual reports.

OR

☐ DELINQUENT REGISTRATION OR NOT IN GOOD STANDING. As detailed in the attached explanation (Bidder to provide), Bidder’s organizational registration currently is delinquent or Bidder currently is not in good standing in the jurisdiction (state) where

Bidder is organized.

Note: This certification applies only to Bidders who are organized as separate legal entities (e.g., a corporation, limited liability company). If Bidder is a sole proprietor, this certification should not be answered and Bidder should check the following:

☐ SOLE PROPRIETOR. Bidder is a sole proprietor.

20. REGISTRATION WITH THE WASHINGTON SECRETARY OF STATE. Bidder, if conducting business other than as a sole proprietorship, certifies as follows (must check one):

☒ BIDDER IS REGISTERED WITH THE WASHINGTON SECRETARY OF STATE. Bidder is registered with the Washington Secretary of State, is in good standing, and has the following

Unified Business Identifier (UBI) number: 602 650 752.

OR

☐ BIDDER WILL REGISTER WITH THE WASHINGTON SECRETARY OF STATE. Bidder is not registered with the Washington Secretary of State but, if designated as an Apparent Successful

Bidder, Bidder shall register with the Washington Secretary of State to obtain a UBI number and provide proof of such registration satisfactory to Enterprise Services within five (5) business days of such designation or notification by Enterprise Services or be deemed a nonresponsive bid and disqualified from Contract award.

OR

☐ BIDDER IS NOT REGISTERED WITH THE WASHINGTON SECRETARY OF STATE. Bidder is not registered with the Washington Secretary of State and, if designated as an Apparent Successful Bidder, Bidder declines to register with the Washington Secretary of State within five (5) business days of such designation. Note: Enterprise Services requires all awarded bidders (including Washington firms and out of state firms) to be registered with the Washington Secretary of State. Bidders who are not registered with the Washington Secretary of State will not be awarded a Contract.

Note: This certification applies only to Bidders who are organized as separate legal entities (e.g., a corporation, limited liability company). If Bidder is a sole proprietor, this certification should not be answered and Bidder should check the following:

☐ SOLE PROPRIETOR. Bidder is a sole proprietor.

21. REGISTRATION WITH THE WASHINGTON STATE DEPARTMENT OF REVENUE. Bidder certifies as follows (must check one):

☒ BIDDER IS REGISTERED WITH THE WASHINGTON STATE DEPARTMENT OF REVENUE. Bidder is registered with the Washington State Department of Revenue, has a business license to do business in Washington, and has the following Unified Business Identifier (UBI) number: 602 650 752.

EXHIBIT A-1 – BIDDER’S CERTIFICATION PAGE 8

OR

☐ BIDDER WILL REGISTER WITH THE WASHINGTON STATE DEPARTMENT OF REVENUE. Bidder is not registered with the Washington State Department of Revenue but, if designated as an Apparent Successful Bidder, Bidder shall register with the Washington State Department of Revenue for a business license and provide proof of such registration satisfactory to Enterprise Services within five (5) business days of such designation or notification by Enterprise Services or be deemed a nonresponsive bid and disqualified from Contract award.

OR

☐ BIDDER IS NOT REGISTERED WITH THE WASHINGTON STATE DEPARTMENT OF REVENUE. Bidder is not registered with the Washington State Department of Revenue and, if designated as an Apparent Successful Bidder, Bidder declines to register with the Washington State Department of Revenue within five (5) business days of such designation. Note: Enterprise Services requires all awarded bidders (including Washington firms and out of state firms) to be registered with the Washington State Department of Revenue. Bidders who are not registered with the Washington State

Department of Revenue will not be awarded a Contract.

22. SUBCONTRACTORS. Bidder certifies as follows (must check one):

☒ NO SUBCONTRACTORS. If, pursuant to the above-referenced Competitive Solicitation, Bidder is awarded a Contract, Bidder shall not utilize subcontractors to perform the

Contract.

OR

☐ SUBCONTRACTORS. As detailed in the attached explanation (Bidder to provide), if, pursuant to the above-referenced Competitive Solicitation, Bidder is awarded a Contract, Bidder will utilize subcontractors to perform the Contract. In such event, Bidder further certifies that, as to the State of Washington and eligible Purchasers who utilize the Contract, Bidder shall retain responsibility for its subcontractors, including, without limitation, liability for any subcontractor’s acts or omissions.

Note: Bidder must provide the precise legal name (including state of organization), business address, and federal tax identification number (TIN) for each subcontractor.

Note: If a subcontractor’s TIN is a SSN, do not provide the SSN; rather, state that the

TIN is a SSN.

23. WASHINGTON SMALL BUSINESS. Bidder certifies as follows (must check all applicable boxes):

☒ WASHINGTON SMALL BUSINESS. Bidder is a Washington Small Business as defined in

RCW 39.26.010(13) and (22)(a). To qualify as a Washington Small Business, Bidder must meet three (3) requirements:

☒ Location. Bidder’s principal office/place of business must be located in and identified as being in the State of Washington. A principal office or principal place of business is a firm’s headquarters where business decisions are made and the location for the firm’s books and records as well as the firm’s senior management personnel.

☒ Size. Bidder must be owned and operated independently from all other businesses and qualify as one of the following:

☒ Bidder Qualifies as a Small Business – i.e., https://app.leg.wa.gov/RCW/default.aspx?cite=39.26.010

EXHIBIT A-1 – BIDDER’S CERTIFICATION PAGE 9

☒ Bidder has fifty (50) or fewer employees; or

☐ Bidder has an annual gross revenue of less than $7,000,000 as reported on Bidder’s federal income tax return or its return filed with the Washington State Department of Revenue over the previous three (3) consecutive years.

☐ Bidder Qualifies as a Minibusiness – i.e., Bidder has an annual gross revenue of less than $3,000,000, but $1,000,000 or more, as reported on Bidder’s federal income tax return or its return filed with the

Washington State Department of Revenue.

☐ Bidder Qualifies as a Microbusiness – i.e., Bidder has an annual gross revenue of less than $1,000,000 as reported on Bidder’s federal income tax return or its return filed with the Washington State

Department of Revenue.

☒ WEBS Certification. Bidder must have certified its Washington Small Business status in Washington’s Electronic Business Solution (WEBS).

OR

☐ NOT A WASHINGTON SMALL BUSINESS. Bidder does not qualify as a Washington Small Business as set forth above.

24. CERTIFIED VETERAN-OWNED BUSINESS. Bidder certifies as follows (must check one):

☐ CERTIFIED VETERAN-OWNED BUSINESS. Bidder is a Certified Veteran-Owned Business under RCW 43.60A.190. To qualify as a Certified Veteran-Owned Business, Bidder must meet four (4) requirements:

▪ 51% Ownership. Bidder must be at least fifty-one percent (51%) owned and controlled by:

(a) A veteran as defined as every person who at the time he or she seeks certification has received a discharge with an honorable characterization or received a discharge for medical reasons with an honorable record, where applicable, and who has served in at least one of the capacities listed in

RCW 41.04.007;

(b) A person who is in receipt of disability compensation or pension from the department of veterans affairs; or

(c) An active or reserve member in any branch of the armed forces of the United States, including the national guard, coast guard, and armed forces reserves.

▪ Washington Incorporation/Location. Bidder must be either an entity that is incorporated in the State of Washington as a Washington https://des.wa.gov/sell/how-work-state/register-bid-opportunities https://app.leg.wa.gov/RCW/default.aspx?cite=43.60A.190 https://app.leg.wa.gov/RCW/default.aspx?cite=41.04.007

EXHIBIT A-1 – BIDDER’S CERTIFICATION PAGE 10

domestic corporation or, if not incorporated, an entity whose principal place of business is located within the State of Washington.

▪ WEBS Certification. Bidder must have certified its Veteran-Owned Business status in Washington’s Electronic Business Solution

(WEBS).

▪ WDVA Certification. Bidder must have provided certification documentation to the Washington Department of Veterans’ Affairs WDVA) and be certified by WDVA and listed as such on WDVA’s website (WDVA – Veteran-Owned Businesses).

OR

☒ NOT A CERTIFIED VETERAN-OWNED BUSINESS. Bidder does not qualify as a Certified

Veteran-Owned Business as set forth above.

25. REFERENCES. Bidder certifies that the references provided to Enterprise Services have worked with Bidder and that such individuals and firms have full permission, without any additional requirement or release, to provide such references and information to Enterprise Services. Bidder hereby authorizes Enterprise Services (or its agent) to contact Bidder’s references and others who may have pertinent information regarding Bidder’s prior experience and ability to perform the Contract, if awarded. Bidder hereby authorizes such individuals and firms to provide such references and release to Enterprise Services information pertaining to the same.

Bidder further certifies that Bidder shall provide immediate written notice to Enterprise Services if, at any time prior to a Contract award pursuant to the above-referenced Competitive Solicitation or anytime during the Contract term, if awarded, Bidder learns that any Bidder certifications set forth herein were erroneous when submitted or have become erroneous by reason of changed circumstances.

https://des.wa.gov/sell/how-work-state/register-bid-opportunities

EXHIBIT A-1 – BIDDER’S CERTIFICATION PAGE 11

I hereby certify, under penalty of perjury under the laws of the State of Washington, that the Bidder certifications herein are true and correct and that I am duly authorized to make these certifications on behalf of the Bidder stated herein.

BIDDER NAME: FOUR G CORPORATION DBA ANOTHER SOURCE

Print Name of Bidder Note:

▪ If Bidder is a corporation, LLC, etc., print full legal entity name of the firm submitting the Bid.

▪ If Bidder is a sole proprietor, print the full legal name of the individual who is the Bidder submitting the Bid.

BY: ____________________________ Taylor Rieckens Signature of Bidder’s authorized person Print Name of person making certifications for

Bidder

TITLE:

Vice President of Business Operations

PLACE: Chelan, WA

Title of person signing Bidder’s Certification Print city and state where signed

DATE: October 17, 2024 Return this Bidder’s Certification to Procurement Coordinator at:

DESContractsTeamApple@des.wa.gov

EXHIBIT A-2 – BIDDER’S PROFILE: 03024 – EXECUTIVE RECRUITMENT CONSULTING SERVICES PAGE 1 (Rev 2024-07-22)

EXHIBIT A-2 – BIDDER’S PROFILE

Competitive Solicitation:

No. 03024 - Executive Recruitment Consulting Services

Bidder: _Four G Corporation dba Another Source Type/print full legal name of Bidder

BIDDER INFORMATION

BIDDER’S LEGAL NAME & ADDRESS

Provide Bidder’s legal name and address in the space provided:

Note: This information must match the information from Bidder’s Business License.

Four G Corporation dba Another Source Business Name 400 NW Gilman Blvd #2323 Address Issaquah Wa 98027 City, State, Zip Code

BIDDER’S UNIFIED BUSINESS IDENTIFIER (“UBI”) NUMBER

Does Bidder have a Registration Number/Unified Business Identifier (“UBI”) Number issued by the

Washington State Department of Revenue (check applicable box)?

Note: A nine digit UBI number is assigned to each registered business in Washington.

Yes x No

If yes, provide Bidder’s UBI Number:

602 650 752

If no, state whether Bidder promptly will obtain a UBI Number issued by the Washington State Department of Revenue if designated as an Apparent Successful Bidder:

Yes No

Note: To be eligible for a Contract award, bidders must have a UBI Number issued by the Washington State Department of Revenue.

BIDDER’S TAXPAYER IDENTIFICATION NUMBER (“TIN”)

Provide Bidder’s TIN in the space provided:

Note: Bidder’s TIN will be either a number issued by the IRS (e.g., Employer Identification Number, Federal Tax Identification Number) or a number issued by the Social Security Administration (i.e., Bidder’s Social Security Number(“SSN”)). If Bidder’s

TIN is a SSN, do NOT provide the SSN; simply state ‘TIN is Bidder’s SSN’ in the space provided.

EIN: 20-5978115

EXHIBIT A-2 – BIDDER’S PROFILE: 03024 – EXECUTIVE RECRUITMENT CONSULTING SERVICES PAGE 2

BIDDER INFORMATION

OMWBE CERTIFIED BUSINESS

Is Bidder certified as a minority or woman owned business with the Washington State Office of

Minority & Women’s Business Enterprises (“OMWBE”) (check applicable box)?

Yes x No

If yes, provide Bidder’s OMWBE certification no.: W2F9219959

SELF-CERTIFIED WASHINGTON SMALL BUSINESS

Is Bidder a self-certified Washington Small Business (check applicable box)?

Note: See Exhibit A-1 – Bidder’s Certification for criteria to qualify as a Washington Small Business.

Note: Regardless of size, a qualifying business must be owned and operated independently from all other businesses. In regard to size, the gross revenue thresholds, as reported on Bidder’s tax returns, are as follows:

▪ Microbusiness: Annual gross revenue of less than one million dollars.

▪ Minibusiness: Annual gross revenue of more than one million dollars, but less than three million dollars.

▪ Small Business: Annual gross revenue of less than seven million dollars over each of the three prior consecutive years.

Yes x No

If yes, provide the location for Bidder’s principal place of business:

400 NW Gilman Blvd #2323 Address Issaquah Wa 98027 City, State, Zip Code

If yes, what is Bidder’s size (based on annual gross revenue) (check applicable box)?

Microbusiness

Minibusiness

Small Business x

Or

Bidder does NOT qualify as a Small Business based on annual gross revenue, but DOES qualify as a Small Business based on the number of Bidder’s employees (50 or fewer):

Small Business (50 or fewer employees)

CERTIFIED VETERAN-OWNED BUSINESS

Is Bidder certified as a Veteran-Owned Business with the Washington State Department of Veteran Affairs (“WDVA”) (check applicable box) ?

Note: See Exhibit A-1 – Bidder’s Certification for criteria to qualify as a Certified Veteran-Owned Business.

Yes No x

If yes, provide Bidder’s WDVA certification no.:

CONTRACT MANAGEMENT POINTS OF CONTACT FOR BIDDER

Authorized Representative

Name: Taylor Rieckens

Email: taylor@anothersource.com Phone: 619-215-9084

Contract Administrator

Name: Audra Nicholson

Email: audra@anothersource.com Phone: 360-216-0988

EXHIBIT A-2 – BIDDER’S PROFILE: 03024 – EXECUTIVE RECRUITMENT CONSULTING SERVICES PAGE 3

CONTRACT MANAGEMENT POINTS OF CONTACT FOR BIDDER

Sales Reporting Representative

Name: Taylor Rieckens Email: taylor@anothersource.com

Phone: 619-215-9084

Sales Reporting Alternate

Name: Audra Nicholson Email: audra@anothersource.com

Phone: 360-216-0988

Management Fee Representative

Name: Taylor Rieckens Email: taylor@anothersource.com

Phone: 619-215-9084

Management Fee Contact Alternate

Name: Audra Nicholson Email: audra@anothersource.com

Phone: 360-216-0988

Address for Enterprise Services to send management fee invoices:

Company name: Four G Corporation dba Another Source

Attn: Taylor Rieckens Address: 400 NW Gilman Blvd #2323

City/State/Zip: Issaquah Wa 98027

Email: accounting@anothersource.com

Address for Enterprise Services to send legal notices:

Company name: Four G Corporation dba Another Source

Attn: Taylor Rieckens Address: 400 NW Gilman Blvd #2323

City/State/Zip: Issaquah Wa 98027

Email: taylor@anothersource.com

Signature Authority (if awarded a contract)

Name: Taylor Rieckens

Title: Vice President of Business Development

EXHIBIT A-2 – BIDDER’S PROFILE: 03024 – EXECUTIVE RECRUITMENT CONSULTING SERVICES PAGE 4

REFERENCES

Provide at least one (1) reference for each of three (3) different contracts for which bidder has provided/performed goods and/or services similar in scope to the goods/services described in the above-referenced Competitive Solicitation. Note: It is Bidder’s obligation to ensure that the contact information for Bidder’s references is accurate and current. Bidders should alert their references to respond promptly to reference checks.

REFERENCE 1

Company Name:

Contact:

Phone:

Email:

University of California, Los Angeles

Monroe Gorden

310-825-1514 mgorden@saonet.ucla.edu

REFERENCE 2

Company Name:

Contact:

Phone:

Email:

CSU - Channel Islands

Bradley Olin

831-359-2120 bradley.olin@csuci.edu

REFERENCE 3

Company Name:

Contact:

Phone:

Email:

University of Massachusetts, Boston

John Drew

617-287-6047 john.drew@umb.edu

PURCHASE CARDS (I.E., CREDIT CARDS)

Please indicate which types of purchasing (credit) cards are accepted (note: any card fees must be included in the unit price of the bid):

Visa Master Card American Express Discover Other:

Return this Bidder’s Profile to Procurement Coordinator at:

DESContractsTeamApple@des.wa.gov mailto:mgorden@saonet.ucla.edu mailto:bradley.olin@csuci.edu mailto:john.drew@umb.edu

EXHIBIT B-2 – PERFORMANCE REQUIREMENTS PAGE 1

EXHIBIT B-2 – PERFORMANCE REQUIREMENTS

Competitive Solicitation: 03024 Executive Recruitment Consulting Services

Bidder: Four G Corporation dba Another Source Type/print full legal name of bidder company

Instructions:

Note: Bidders must follow the instructions outlined in this Exhibit. Unless Enterprise Services, at its discretion, determines that a bidder’s variance from these instructions is immaterial or timely corrected, Bids that do NOT follow these instructions will be deemed to be nonresponsive and rejected.

(a) Add bidder’s business name above and follow the instructions below.

(b) Provide a written response that addresses how the bidder meets or exceeds each requirement in the Written Response column.

a. Supporting Information. Please make sure to include references in Exhibit A-2 – Bidder Profile that align with the information provided in this exhibit. Enterprise Services may request additional information or references to help verify the information provided by the bidder in this exhibit. A bidder’s failure to provide requested information to Enterprise Services within five (5) business days may result in disqualification.

b. Bidder’s Commitments. Please note that, if bidder is awarded a contract, the bidder’s responses to some of the performance requirements below (e.g., customer service) will be incorporated to the resulting contract. Accordingly, bidder is cautioned to state only commitments that bidder can meet throughout the term of the contract. An awarded bidder (i.e., contractor) who is not able to meet such commitments throughout the contract term will be subject to contract termination for breach of contract and damages. Please see Exhibit D – Contract.

(c) Bidders written response to the Performance Requirements will be assessed as follows:

EXHIBIT B-2 – PERFORMANCE REQUIREMENTS PAGE 2

Score Rating Definition

100% Excellent added value

Bidder’s response provides outstanding added value for the state across all aspects of the performance requirement. The response demonstrates clear and extraordinary technical or business efficiencies and advantages compared to the stated business need.

70% Significant added value

Bidder’s response provides major added value across all aspects of the performance requirement or provides outstanding added value in some aspects of the stated business need. The response demonstrates clear and substantial technical or business efficiencies and advantages as compared to the stated business need.

30% Sufficient added value

Bidder’s response provides minor added value across all aspects of the performance requirement or significant added value in some aspects of the stated business need. The response demonstrates vague or limited technical or business efficiencies and advantages as compared to the stated business need.

0% Meets minimum acceptable standard

Bidder’s response meets the specified minimum acceptable standard for each performance requirement. Note: Bidder must meet the minimum acceptable standard to provide a responsive bid.

(d) Submit the exhibit as a Microsoft Word without modifying the formatting. If you need to print out this document for any reason, please note that it is Legal 8.5” x 14”.

REQ

ID

Performance Requirement and Stated Business Need

Available Points

Written Response

1. Bidder’s Key Personnel Experience. The State is seeking to award contracts to bidders with extensive industry knowledge and experience in executive recruitment services.

To meet the minimum acceptable standard [0%]: Each of the Bidder’s key personnel who will be performing service on the contract, if awarded, must possess:

(a) Five (5) Years of Industry Experience

Bidders who do not meet this minimum acceptable standard will be disqualified from further consideration.

Added value: In the written response, demonstrate added value to the state by listing years of experience, education, professional certifications, or other relevant industry recognition for each key personnel that exceeds the minimum acceptable standard above.

50 Points Written Response Required. Provide as much information as needed to address the Performance Requirement and Stated Business Need. Add/delete personnel as applicable.

ABOUT OUR FIRM

Another Source is a dynamic recruiting firm dedicated to bridging the gap between higher education institutions, state agencies, non-profits and exceptional talent. With over 30 years of industry experience, we bring deep insights and a tailored approach to meet the unique recruitment challenges and opportunities within these sectors.

Our extensive track record highlights our deep insights into higher education, state agencies and non-profit landscape, and the crucial role of cultural add in enriching these environments with diverse talents and perspectives. This experience extends to placing senior-level executives, where we focus on not only the competencies but also the leadership qualities essential for high-impact roles.

EXHIBIT B-2 – PERFORMANCE REQUIREMENTS PAGE 3

Performance Requirement and Stated Business Need

Available Points

Written Response

We are committed to the effectiveness of tailored recruitment solutions, understanding that attracting and retaining top talent—including executive leadership—significantly enhances the performance and innovation for our clients. Our approach is highly personalized; we work closely with hiring teams to understand their specific needs, designing strategies that not only attract but also engage top-quality candidates aligned with the client’s goals and culture.

Our commitment to excellence is reflected in our unique operational model, featuring 40-day engagement periods that ensure swift, quality-focused search processes. Supported by a collaborative team approach, our talent strategists leverage collective expertise to enhance the efficiency and effectiveness of each search. This method has consistently resulted in significant time savings for our clients, more diverse candidate pools, and ultimately, the placement of individuals who are not only qualified but also genuinely motivated to contribute to the success of their new roles.

Another Source is ready to apply our proven strategies, deep market insights, and innovative approach to meet and exceed your hiring expectations. Our commitment to delivering customized support, coupled with our track record of client satisfaction—evidenced by a 100% satisfaction rating over the past three years—positions us as a valuable partner in achieving your recruitment objectives. We are eager to bring our expertise to your team, ensuring a recruitment process that is not only efficient but also enriches your institution with talent truly fitted to your unique culture and needs.

Below is an overview of the key personnel who will bring their extensive experience and knowledge to this engagement, ensuring the highest quality executive recruitment services.

Key Personnel 1 Role/Title: Taylor Rieckens, Vice President of Business Development:

Taylor brings over 15 years of expertise, significantly exceeding the required minimum of 5 years. Her leadership in both recruitment strategy and diversity hiring practices ensures tailored and inclusive recruitment processes. Her certifications in diversity management and recruitment strategy further add value by enhancing the ability to attract a diverse and high-quality candidate pool.

(a) Years of industry experience: Exceeds the 5 year requirement with more than 15 years in the industry.

(b) Education or professional training: Bachelor’s Degree in Journalism, Minor in Marketing, University of Nevada, Reno (Graduated with High Distinction)

EXHIBIT B-2 – PERFORMANCE REQUIREMENTS PAGE 4

Performance Requirement and Stated Business Need

Available Points

Written Response

(c) Professional certifications: Holds certifications in key areas such as diversity hiring, enhancing our ability to deliver inclusive and compliant services.

(d) Relevant industry recognition: Taylor Rieckens brings over 15 years of experience in recruitment and business development, specializing in delivering tailored recruitment strategies across corporate, higher education, and non-profit sectors. She has a proven track record in overseeing large-scale executive recruitment efforts with measurable success. Since joining Another Source in 2012, Taylor has played a key role in shaping recruitment solutions that align with the specific needs and cultures of diverse organizations. As Vice President of Business

Development, Taylor oversees the creation of customized candidate pools, ensuring a seamless recruitment process that meets the organizational goals of her clients. Her strategic focus has been critical in expanding Another Source’s influence and reputation for delivering high-quality, targeted recruitment solutions.

Before her current position, Taylor served as Director of Business Development at Another Source for over 10 years, leveraging her expertise to build strategic recruitment models that streamline hiring processes. Her earlier experience as Partner Resource Manager at Microsoft involved managing complex staffing operations for major projects, coordinating between internal teams and global delivery groups to ensure the right talent was matched with project needs.

Taylor has a proven track record of delivering impactful recruitment outcomes with a focus on diversity, equity, and inclusion. Her certifications in diversity management and her role in designing inclusive hiring practices have earned her industry recognition. Taylor’s commitment to creating client-centered recruitment strategies, combined with her ability to foster diverse candidate pipelines, ensures that she exceeds the state’s requirements for executive recruitment services. With over 15 years of industry experience, Taylor offers a depth of expertise in both recruitment strategy and diversity hiring practices. Her leadership in developing inclusive recruitment models, along with advanced certifications in diversity and inclusion, brings added value to the state. Her ability to lead tailored recruitment projects and consistently deliver diverse, high-quality talent surpasses the state’s expectations for executive search services.

Key Personnel 2 Role/Title: Marcie Glenn, CEO and Chief Talent Strategist

With over 24 years of experience, Marcie brings nearly five times the required experience, surpassing the state’s minimum standard significantly. Marcie's strategic oversight and leadership have led to 100% client satisfaction and consistent recruitment of underrepresented candidates in executive roles, exceeding typical industry performance.

This directly addresses the state’s preference for consultants who prioritize diverse candidate recruitment.

(a) Years of industry experience: 24+

EXHIBIT B-2 – PERFORMANCE REQUIREMENTS PAGE 5

Performance Requirement and Stated Business Need

Available Points

Written Response

(b) Education or professional training: Bachelor’s Degree in Accounting, Seattle University; Competitive Singles Tennis Player, NAIA Division III

(c) Professional certifications: As a Certified Diversity Recruiter (CDR) and Certified Diversity Sourcing Professional (CDSP), Marcie is an industry leader in promoting inclusive hiring practices, ensuring that candidate pools reflect diversity and equity. This expertise ensures that the state will benefit from highly qualified and diverse candidates. She is also certified in ); Brain Gain Recruiting as well as aSenior Professional in Human Resources (SPHR).

(d) Relevant industry recognition: Marcie Glenn has over two decades of executive recruitment experience as CEO and Chief Talent Strategist of Another Source. Since 2000, she has led the company to become a recognized leader in higher education recruitment, known for its time-based, fixed-fee recruitment model that guarantees results. Under her leadership, Another Source has been honored as a "Best Company to Work For" and is celebrated for its trailblazing efforts in equitable recruitment strategies. Another Source was awarded most progressive and inclusive recruitment process on the West Coast in 2023.

Marcie's role includes driving strategic growth and delivering innovative, inclusive recruitment solutions to educational institutions across the country. She has earned multiple accolades for her leadership in advancing diversity and inclusion, including speaking at industry events like the SHRM and National Diversity Council conferences. She also brings her extensive thought leadership to Vistage Worldwide, where she has been a Small Business Member since

2018. In addition to her professional experience, Marcie has served as a Board Trustee and Vice President at Youth Eastside Services (YES), where she worked closely with diverse communities, addressing issues such as mental health, gender identity, and cultural challenges. Her board leadership role at Easterseals further exemplifies her commitment to improving community services and her cultural competency in working with diverse populations. Marcie Glenn offers significantly more than five years of industry experience. With 24+ years in executive recruitment, leadership in diversity sourcing, and deep engagement in community services that address culturally sensitive issues, she brings exceptional added value to the state. Marcie’s combination of industry expertise, advanced certifications, and recognized leadership in diversity recruitment ensures that she exceeds the state’s expectations for executive search services.

Key Personnel 3 Role/Title: Lindsay Brown, Senior Talent Strategist

Lindsay’s strategic use of Predictive Indexing and her leadership in mentoring recruitment teams have led to more accurate candidate placements and reduced time-to-hire metrics.