ITB AttB - Bid Cover Sheet~1.pdf
PDF 155 KB Posted
- Attached to
- 54 North Botanical Surveys
- Solicitation number
- S-62900-00015888
- Issued by
- Union County, Oregon
About this file
This is a Bid Cover Sheet for an Invitation to Bid (ITB S-62900-00015888) issued by the State of Oregon for botanical field surveys and reports within the 54 North Fuels Reduction and Huckleberry Restoration Project on the North Fork John Day Ranger District in the Umatilla National Forest. The document establishes the bidding requirements and certifications necessary for contractors to submit proposals for this project. Bidders must complete and return all required documentation by the specified bid closing date and time. The contract terms and conditions are outlined in Attachment A and may be modified by any addenda issued prior to bid submission.
The Bid Cover Sheet requires bidders to provide company information, including bidder name, address, state of incorporation, entity type, and Oregon Secretary of State Business Registry Number. Bidders must certify compliance with multiple statutory and regulatory requirements, including absence of delinquent debt to the State, tax law compliance, non-discrimination in employment and subcontracting practices, exclusion from federal sanctions lists, absence of conflicts of interest, and truthfulness and accuracy of all bid contents. For contracts with an anticipated price of $150,000 or more, bidders must certify they have written policies and practices preventing sexual harassment, sexual assault, and discrimination in accordance with ORS 279A.112. The document references the Oregon False Claims Act and warns that false or fraudulent statements may result in civil liability and penalties.
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Text version
ITB S-62900-00015888 – 54 North GNA Botanical Surveys Att B
DAS Procurement Services, Version 1.0 – February 20, 2019 Page 1 of 2
ATTACHMENT B — BID COVER SHEET
Bidder Name (printed):
Address: City, State, Zip:
Bid Clarification Contact Person: Telephone:
Email:
State of Incorporation: Entity Type:
Oregon Secretary of State Business Registry Number (if required):
Any individual signing below hereby certifies he/she is an authorized representative of Bidder and that:
1. Bidder understands and accepts the requirements of this ITB. By submitting a Bid, Bidder agrees to be bound by the Contract terms and conditions in Attachment A , as modified by Addenda, if any.
2. Bidder acknowledges receipt of any and all Addenda to this ITB.
3. If awarded a Contract, Bidder agrees to comply with all provisions of the ITB and meet the performance standards set forth in the Contract.
4. Bidder has no undisclosed liquidated and delinquent debt owed to the State or any department or agency of the State.
5. I have knowledge regarding Bidder’s payment of taxes and by signing below I hereby certify, to the best of my knowledge, Bidder is not in violation of any tax laws of the state or a political subdivision of the state, including, without limitation, ORS 305.620.
6. Bidder does not discriminate in its employment practices with regard to race, creed, age, religious affiliation, gender, disability, sexual orientation, national origin. When awarding subcontracts, Bidder does not discriminate against any business certified under ORS 200.055 as a disadvantaged business enterprise, a minority-owned business, a woman-owned business, a service-disabled veteran owned business, or an emerging small business. If applicable, Proposer has, or will have prior to contract execution, a written policy and practice, that meets the requirements described in ORS 279A.112, of preventing sexual harassment, sexual assault and discrimination against employees who are members of a protected class. Agency may not enter into a contract with an anticipated contract price of $150,000 or more with a Proposer that does not certify it has such a policy and practice. See https://www.oregon.gov/DAS/Procurement/Pages/hb3060.aspx for additional information and sample policy template.
7. Bidder and Bidder’s employees, agents, and subcontractors are not included on:
A. the “Specially Designated Nationals and Blocked Persons” list maintained by the Office of
Foreign Assets Control of the United States Department of the Treasury found at:
https://www.treasury.gov/ofac/downloads/sdnlist.pdf, or
B. the government wide exclusions lists in the System for Award Management found at:
https://www.oregon.gov/DAS/Procurement/Pages/hb3060.aspx https://www.treasury.gov/ofac/downloads/sdnlist.pdf
ITB S-62900-00015888 – 54 North GNA Botanical Surveys Att B
DAS Procurement Services, Version 1.0 – February 20, 2019 Page 2 of 2 https://www.sam.gov/portal/SAM/#1
8. Bidder certifies to the best of its knowledge, there exists no actual or potential conflict between the business or economic interests of Bidder, its employees, or its agents, on the one hand, and the business or economic interests of the State, on the other hand, arising out of, or relating in any way to, the subject matter of the ITB. If any changes occur with respect to Bidder’s status regarding conflict of interest, Bidder shall promptly notify the State in writing.
9. Bidder certifies all contents of the Bid (including any other forms or documentation, if required under this ITB), and this Bid Cover Sheet are truthful and accurate and have been prepared independently from all other Bidders, and without collusion, fraud, or other dishonesty.
10. Bidder understands any statement or representation made in response to this ITB, if determined to be false or fraudulent, a misrepresentation, or inaccurate because of the omission of material information could result in a "claim" {as defined by the Oregon False Claims Act, ORS 180.750(1)}, made under Contract being a "false claim" {ORS 180.750(2)} subject to the Oregon False Claims Act, ORS 180.750 to 180.785, and to any liabilities or penalties associated with the making of a false claim under that Act.
11. Bidder acknowledges these certifications are in addition to any certifications required in the Contract at the time of execution.
Authorized Signature Date
(Printed Name and Title)
Email Address https://www.sam.gov/portal/SAM/%231
| Any individual signing below hereby certifies he/she is an authorized representative of Bidder and that: |
| 1. Bidder understands and accepts the requirements of this ITB. By submitting a Bid, Bidder agrees to be bound by the Contract terms and conditions in Attachment A , as modified by Addenda, if any. |
| 2. Bidder acknowledges receipt of any and all Addenda to this ITB. |
| 3. If awarded a Contract, Bidder agrees to comply with all provisions of the ITB and meet the performance standards set forth in the Contract. |
| 4. Bidder has no undisclosed liquidated and delinquent debt owed to the State or any department or agency of the State. |
| 5. I have knowledge regarding Bidder’s payment of taxes and by signing below I hereby certify, to the best of my knowledge, Bidder is not in violation of any tax laws of the state or a political subdivision of the state, including, without limitation,... |
| 6. Bidder does not discriminate in its employment practices with regard to race, creed, age, religious affiliation, gender, disability, sexual orientation, national origin. When awarding subcontracts, Bidder does not discriminate against any business ... |
| 7. Bidder and Bidder’s employees, agents, and subcontractors are not included on: |
| A. the “Specially Designated Nationals and Blocked Persons” list maintained by the Office of Foreign Assets Control of the United States Department of the Treasury found at: https://www.treasury.gov/ofac/downloads/sdnlist.pdf, or |
| B. the government wide exclusions lists in the System for Award Management found at: https://www.sam.gov/portal/SAM/#1 |
| 8. Bidder certifies to the best of its knowledge, there exists no actual or potential conflict between the business or economic interests of Bidder, its employees, or its agents, on the one hand, and the business or economic interests of the State, on... |
| 9. Bidder certifies all contents of the Bid (including any other forms or documentation, if required under this ITB), and this Bid Cover Sheet are truthful and accurate and have been prepared independently from all other Bidders, and without collusion... |
| 10. Bidder understands any statement or representation made in response to this ITB, if determined to be false or fraudulent, a misrepresentation, or inaccurate because of the omission of material information could result in a "claim" {as defined by t... |
| 11. Bidder acknowledges these certifications are in addition to any certifications required in the Contract at the time of execution. |
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