Indian Preference Form.docx

DOCX document 16 KB Posted

Attached to
RFP Forest Carbon Credit Project Phase II
Solicitation number
S-X06001-00017342
Issued by
Columbia County, Condon City, Oregon

About this file

This is an Indian Preference Certification Form associated with an RFP for the Forest Carbon Credit Project Phase II in Oregon. The form is a standardized document designed to identify vendors claiming Indian-owned business status for procurement preference consideration. Respondents must certify whether their business qualifies as Indian-owned and provide detailed information including the affiliated tribe(s), owner name(s), and percentage of Indian ownership. The form requires submission as part of the RFP process, with completed documentation to be emailed to Ana Abarca at aabarca@ctclusi.org and procurement@ctclusi.org.

Vendors claiming Indian preference must provide supporting documentation of tribal certification or certification from another recognized certifying authority. The form includes a certification statement wherein authorized representatives must attest under penalty of disqualification or contract termination that all provided information is accurate and complete. This certification mechanism establishes accountability and ensures the integrity of the Indian preference procurement process for the Forest Carbon Credit Project Phase II.

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CTCLUSI RFP Carbon Markets 6.30.2026.docx DOCX document

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Text version

Indian Preference Certification Form Request for Proposal (RFP): __________________________ Vendor Name: ______________________________________ Business Address: _________________________________ Contact Person: ___________________________________ Phone: __________________ Email: __________________ Indian Preference Certification Please check the appropriate box:

☐ Our business qualifies as an Indian-owned business.

☐ Our business does not qualify as an Indian-owned business.

If claiming Indian preference, provide the following:

· Tribe(s): __________________________________________

· Owner(s): _________________________________________

· Percentage of Indian ownership: ______________________

· Is the business certified by a tribe or other certifying authority?

· ☐ Yes

· ☐ No If yes, attach supporting documentation.

Certification I certify that the information provided is true and correct. I understand that false statements may result in disqualification from this procurement or termination of any resulting contract.

Authorized Representative: _________________________ Title: ___________________________________________ Signature: _______________________________________ Date: ___________________________________________

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