PPCC DQ 16-811 Library Databases FY17.pdf

DOCUMENTED QUOTE

Date: June 17, 2016

Quote Number: PPCC DQ 16-811

Return all Quotes to:

Pikes Peak Community College

Purchasing Office 5675 S. Academy Blvd., Box C2

Colorado Springs, Colorado 80906 Fax Number: 719-502-2009

Procurement@ppcc.edu

Purchasing Agent:

Rockie Hurrell 719-502-2007

Quote Due Date: June 24, 2016

Quote Due Time: 10:00am

LATE BIDS WILL NOT BE ACCEPTED

Quotes properly marked with Quote No., Date and Hour of Opening will be accepted in the Purchasing

Department, Room B229, via fax or email prior to the opening date and hour.

PIKES PEAK COMMUNITY COLLEGE (PPCC) IS SOLICITING QUOTES

FOR ON-LINE ELECTRONIC LIBRARY RESOURCES

FOR THE LIBRARY LOCATED AT THE

CENTENNIAL CAMPUS, 5675 S. ACADEMY BLVD., COLORADO SPRINGS, COLORADO 80906 AND

11195 HIGHWAY 83, COLORADO SPRINGS, COLORADO 80921

The resulting award will be for the benefit of the Pikes Peak Community College Library. Successful bidder(s) shall make available to the 13 system-wide colleges (“Participating Entity”) any and all items specified herein at the contract prices(s) established herein. If a Participating Entity exercises this option, it shall be understood and agreed that such an arrangement does not bind either the Participating Entity or the successful bidder(s) to the terms, conditions or prevailing awards generated through this bid; nor does it preclude any Participating Entity from pursuing a purchase or purchases through their own contracting methods with another vendor.

It shall be further understood and agreed that PPCC is not a legally binding party to any contractual agreement made between a Participating Entity and the successful bidder(s) as a result of this bid. Each Participating Entity which determines to enter into a contractual arrangement with the successful bidder(s) shall establish its own contract, place its own orders, issue its on purchase orders, be invoiced there from and make its own payments, and issue its own exemption certificates as required by the successful bidder(s).

I. General Information

1. All questions regarding this bid must be directed to the PPCC Purchasing Agent identified above.

2. Price quote must include all shipping, handling and delivery charges to our Centennial Campus, 5675 S. Academy

Blvd., Colorado Springs, CO 80906 and 11195 Highway 83, Colorado Springs, Colorado 80921 and be FOB Destination. No additional charges for packing, drayage, or any other purpose will be allowed

3. Awarded vendor will contact the department prior to delivery to make arrangements for installation.

4. Pricing to remain firm for the term of July 2016 through June 30, 2017.

5. A Purchase Order will be issued to the awarded Contractor as needed. Costs that exceed $100,000 will be procured using a State of Colorado contract.

6. Payment will be made in full after the service has been received and accepted by Pikes Peak Community College personnel. NET: 45 days

7. This solicitation is published using the Colorado Operations Resource Engine (CORE). ColoradoVSS is the vendor facing side and will be where most competitive bid opportunities will be posted. Vendors must be registered on CORE to be considered responsive at the time of award of the response. CORE and its registration information may be linked through the State Purchasing Office link at www.colorado.gov/vss To become a registered supplier on ColoradoVSS: https://codpa-vss.hostams.com/webapp/PRDVSS1X1/AltSelfService

8. Quotes must be in accordance with specifications set forth and subject to conditions herein and/or attached. All respondents are responsible for checking ColoradoVSS system for award; no other notification will be provided.

9. PPCC is required to have a W-9 on file for every company it does business with. Complete the W-9 located at Attachment A.

10. Reciprocity is mandated by statute. CRS 8-18-101 states, “When a contract for commodities or services is to be awarded to a bidder, a resident bidder…shall be allowed a preference against a nonresident bidder equal to the preference given or required by the state in which the nonresident bidder is a resident.”

11. All bids must be submitted on the quote form provided; no substitute forms will be accepted. Quote form must be signed by an individual with express authority to bind company.

12. Multiple bids will not be accepted. Each vendor is to submit one best offer bid.

13. PPCC reserves the right to award each item/project to separate vendors, or award all of the items/projects to a single vendor.

14. In accordance with Procurement Code, CRS 24-103-207.5 titled Purchasing Preference for Environmentally

Preferable Products; bidders responding to this solicitation may seek to qualify for the preference and governmental bodies conducting this solicitation shall award a contract to a bidder who offers environmentally preferable products subject to the conditions in the Code and Procurement Rules.

15. A Contractor that operates as a sole proprietor hereby swears or affirms under penalty of perjury that the Contractor (i) is a citizen of the United States or otherwise lawfully present in the United States pursuant to federal law, (ii) shall comply with the provisions of CRS 24-76.5-101 et seq, and (iii) shall produce one of the forms of identification required by CRS 24-76.5-103 prior to the effective date of this Contract. Except where exempted by federal law and except as provided in CRS 24-76.5-103(3), a Contractor that receives federal or state funds under this contract must confirm that any individual natural person eighteen years of age or older is lawfully present in the United States pursuant to CRS 24-76.5-103(4) if such individual applies for public benefits provided under this contract. Attachment B

16. Contract performance outside of the United States or Colorado, 24-102-206. Prior to contracting or as a requirement for the solicitation of any contract from the State for services, as appropriate, any prospective vendor shall disclose in a statement of work where services will be performed under the contract, including subcontracts, and whether any services under the contract or subcontracts are anticipated to be performed outside of the United States or the State. If the prospective vendor anticipates services under the contract or any subcontracts will be performed outside the United States or the State, the vendor shall provide in its statement of work a provision setting forth why it is necessary or advantageous to go outside the United States or the State to perform the contract or any subcontracts.

17. ILLEGAL ALIENS–PUBLIC CONTRACTS FOR SERVICES. CRS 8-17.5-101 and 24-76.5-101. The Contractor certifies that the Contractor shall comply with the provisions of CRS 8-17.5-101 et seq. The Contractor shall not knowingly employ or contract with an illegal alien to perform work under this contract or enter into a contract with a subcontractor that fails to certify to the Contractor that the subcontractor shall not knowingly employ or contract with an illegal alien to perform work under this contract. The Contractor represents, warrants, and agrees that it (i) has verified that it does not employ any illegal aliens, through participation in the Basic Pilot Employment Verification Program administered by the Social Security Administration and Department of Homeland Security, and (ii) otherwise will comply with the requirements of CRS 8-17.5-102(2)(b). The http://www.colorado.gov/vss

Contractor shall comply with all reasonable requests made in the course of an investigation under CRS 8-17.5- 102 by the Colorado Department of Labor and Employment. If the Contractor fails to comply with any requirement of this provision or CRS 8-17.5-101 et seq., the State may terminate this contract for breach and the Contractor shall be liable for actual and consequential damages to the State. Attachment C

18. PERA. PPCC is a Colorado PERA affiliated employer. Pursuant to Colorado SB06-235 and C.R.S. 24-51-1101(2), PPCC is requiring the vendor to complete the PERA form located at Attachment D.

19. The specifications and part numbers listed are based on the latest information available to the agency. Vendors finding fault in the specifications contained in this quote should notify the purchasing agent prior to quote’s due date and time.

20. If bidding an equivalent product, specifications must be attached or bid will be considered non-responsive.

21. FOB: Pikes Peak Community College, 5675 South Academy Blvd, 5675 South Academy Blvd, Colorado Springs, CO

80906.

II. Service-Disabled Veteran Owned Small Business (SDVOSB). An SDVOSB preference will be given, if applicable.

SDVOBs must be incorporated or organized in Colorado or they must maintain a place of business or have an office in Colorado. In order to be given preference, the bidder must submit documentation of SDVOSB certification issued through the U.S. Department of Veterans Affairs with their response to the solicitation. Preference shall be applied in the form of a 5% deduction of the total bid, once the deduction has been applied if the SDVOSB is the low bidder they will receive the award. College will pay the total bid without the deduction.

III. Product Specifications

Term: From Award from July 1, 2016 through June 30, 2017

If you are bidding an equivalent product, please attach your specifications for review. If specifications are not attached to response, bid will be considered non-responsive.

1. One (1) EBSCO Academic Search Complete Database, or equivalent

Designed for higher education institutions

Contains:

o Multidisciplinary academic journals o Peer-reviewed journals o Full-text periodicals o Reports o Books

Minimum 13,800 indexed and abstracted journals

Minimum 9,000 full-text journals

Minimum 7,800 peer-reviewed journals

Searchable cited references for a minimum of 1,400 journals

Content capable of RSS feeds

EBSCOhost Application Program Interface (API) or equivalent o Links to databases o Ability to insert a search box on library website

Can enable product integration into information systems and architecture via an OpenURL

Annual flat fee that includes, but is not limited to, licensing and platform fees

Unlimited users

Conforms to Web Content Accessibility Guidelines 2.0 (WCAG) or vendor shows that, in good faith, they are working towards compliance

2. One (1) EBSCO Associates Program Source Database, or equivalent

Provides a broad range of academic and career & technical/vocational program subject areas typically studied as part of an Associate’s Degree program

Minimum 25 full-text books

Minimum 900 full-text journals

Content capable of RSS feeds

EBSCOhost API or equivalent o Links to databases o Ability to insert a search box on library website

Can enable product integration into information systems and architecture via an OpenURL

Annual flat fee that includes, but is not limited to, licensing and platform fees

Unlimited users

Conforms to Web Content Accessibility Guidelines 2.0 (WCAG) or vendor shows that, in good faith, they are

3. One (1) EBSCO Child Development & Adolescent Studies™ Database, or equivalent

Delivers references to current and historical literature related to growth and development of children through the age of 21

Minimum 400,000 records, including but not limited to:

o Books o Book chapters o Book reviews o Dissertations o Journals o Technical reports

Content capable of RSS feeds

EBSCOhost API or equivalent o Links to databases o Ability to insert a search box on library website

Can enable product integration into information systems and architecture via an OpenURL

Annual flat fee that includes, but is not limited to, licensing and platform fees

Unlimited users

Conforms to Web Content Accessibility Guidelines 2.0 (WCAG) or vendor shows that, in good faith, they are

4. One (1) EBSCO Communication & Mass Media Complete Database, or equivalent

Offers indexing, abstracts, and full-text articles related to communication and mass media

Incorporates content from CommSearch and Mass Media Articles Index

Minimum 500 full-text journals

Minimum 5,500 author profiles

Includes a communication thesaurus

Content capable of RSS feeds

EBSCOhost API or equivalent o Links to databases o Ability to insert a search box on library website

Can enable product integration into information systems and architecture via an OpenURL

Annual flat fee that includes, but is not limited to, licensing and platform fees

Unlimited users

Conforms to Web Content Accessibility Guidelines 2.0 (WCAG) or vendor shows that, in good faith, they are

5. One (1) EBSCO CINAHL (Cumulative Index to Nursing and Allied Health Literature) Database, or equivalent

Provides full text for nursing and allied health journals. Additional materials include full-text evidence-based care sheets, quick lessons and continuing education modules.

Minimum 730 full-text journals

Minimum 5,000 journals indexed

Minimum 4.8 million records

Searchable cited references for a minimum of 1,400 journals

Includes access to health care books, nursing dissertations, selected conference proceedings, standards of practice, audiovisuals and book chapters

Content capable of RSS feeds

EBSCOhost API or equivalent o Links to databases o Ability to insert a search box on library website

Can enable product integration into information systems and architecture via an OpenURL

Annual flat fee that includes, but is not limited to, licensing and platform fees

Unlimited users

Conforms to Web Content Accessibility Guidelines 2.0 (WCAG) or vendor shows that, in good faith, they are

6. One (1) EBSCO Computers & Applied Sciences Complete Database, or equivalent

Provides indexing, abstracts, and full-text content from academic journals and periodicals for:

o Computing and applied sciences disciplines o Business and social implications of new technology o Computer theory o Computer systems o Engineering disciplines

Minimum 2,250 academic journals

Minimum 1,000 full-text periodicals

Content capable of RSS feeds

EBSCOhost API or equivalent o Links to databases o Ability to insert a search box on library website

Can enable product integration into information systems and architecture via an OpenURL

Annual flat fee that includes, but is not limited to, licensing and platform fees

Unlimited users

Conforms to Web Content Accessibility Guidelines 2.0 (WCAG) or vendor shows that, in good faith, they are

7. One (1) EBSCO eBook Academic Collection, or equivalent eBook collection of over 135,000 multidisciplinary academic titles

Titles from university presses and publishers, including but not limited to:

o Oxford University Press o MIT Press o University of California Press o Harvard University Press o Elsevier Ltd., o Taylor & Francis Ltd.

o Sage Publications o John Wiley & Sons, Inc.

EBSCOhost API or equivalent o Links to databases o Ability to insert a search box on library website

Can enable product integration into information systems and architecture via an OpenURL

Annual flat fee that includes, but is not limited to, licensing and platform fees

Unlimited users

Conforms to Web Content Accessibility Guidelines 2.0 (WCAG) or vendor shows that, in good faith, they are

8. One (1) EBSCO eBook Community College Collection, or equivalent eBook collection of academic and trade information needs of community colleges

Minimum 49,000 multidisciplinary academic titles and workforce development titles

Content covers topics across programs and fields of study in the subject areas of:

o Humanities and Social Sciences o Business o Science & Technology o Literary Criticism

EBSCOhost API or equivalent o Links to databases o Ability to insert a search box on library website

Can enable product integration into information systems and architecture via an OpenURL

Annual flat fee that includes, but is not limited to, licensing and platform fees

Unlimited users

Conforms to Web Content Accessibility Guidelines 2.0 (WCAG) or vendor shows that, in good faith, they are

9. One (1) EBSCO Discovery Service, or equivalent

Online search tool with the capability to concurrently search:

o Library’s integrated library system (library catalog), Auto-Graphics o Subscription EBSCO and non-EBSCO databases o Websites o ebook collections

Full-text Finder tool or equivalent, including but not limited to:

o Searches content within a full-text title o Discipline specific subject browsing capability

Narrows search results using multiple limiters, including but not limited to:

o Library print collections o Peer review o Publication dates o Subjects o Type of publication o Language o Geography o Publisher o Full-text o Content provider

Results include:

o Books o Multimedia o E-books o Journal articles o Websites o Government documents

Relevance ranking based, but not limited to, the following:

o Subject heading matches o Appearance in title o Author-supplied keywords o Keywords within abstracts o Full-text o Currency of publication o User selected limiters

Customization and branding options for library, including authentication

EBSCOhost Discovery Service API or equivalent o Accesses the Library’s ILS and electronic collections via one entry point (search box) o Ability to insert a search box on library website

Annual flat fee that includes, but is not limited to, licensing and platform fees

Unlimited users

Conforms to Web Content Accessibility Guidelines 2.0 (WCAG) or vendor shows that, in good faith, they are

10. One (1) EBSCO Educational Resource Information Center Database, or equivalent

Provides access to educational literature and resources

Minimum 1,000,000 records

Minimum 264,000 full-text documents

Content capable of RSS feeds

EBSCOhost API or equivalent o Links to databases o Ability to insert a search box on library website

Can enable product integration into information systems and architecture via an OpenURL

Annual flat fee that includes, but is not limited to, licensing and platform fees

Unlimited users

Conforms to Web Content Accessibility Guidelines 2.0 (WCAG) or vendor shows that, in good faith, they are

11. One (1) EBSCO Food Science Source Database, or equivalent

Makes available:

o Food industry and market reports o Coverage of food science and nutrition articles o Benchmarks and best practices from trade and industry publications

Minimum 22 food industry and market reports

Minimum 850 full-text titles including:

o Journals o Monographs o Magazines o Trade publications

Content capable of RSS feeds

EBSCOhost API or equivalent o Links to databases o Ability to insert a search box on library website

Can enable product integration into information systems and architecture via an OpenURL

Annual flat fee that includes, but is not limited to, licensing and platform fees

Unlimited users

Conforms to Web Content Accessibility Guidelines 2.0 (WCAG) or vendor shows that, in good faith, they are

12. One (1) EBSCO Library Literature & Information Science Full Text Database, or equivalent

Delivers content related to:

o Librarianship o Library science o Library trends

Content includes, but is not limited to:

o Periodicals o State journals o Conference proceedings o Books

Minimum 400 indexed and abstracted journals

Minimum 170 full-text journals

Content capable of RSS feeds

EBSCOhost API or equivalent o Links to databases o Ability to insert a search box on library website

Can enable product integration into information systems and architecture via an OpenURL

Annual flat fee that includes. but is not limited to, licensing and platform fees

Unlimited users

Conforms to Web Content Accessibility Guidelines 2.0 (WCAG) or vendor shows that, in good faith, they are

13. One (1) EBSCO Science & Technology Collection Database, or equivalent

Covers scientific and technological subject areas, including but not limited to:

o Archaeology o Geology o Biology o Chemistry

Provides indexing and abstracts for a minimum 1,800 publications

Provides hundreds of full-text journals and peer-reviewed journals

Content capable of RSS feeds

EBSCOhost API or equivalent o Links to databases o Ability to insert a search box on library website

Can enable product integration into information systems and architecture via an OpenURL

Annual flat fee that includes, but is not limited to, licensing and platform fees

Unlimited users

Conforms to Web Content Accessibility Guidelines 2.0 (WCAG) or vendor shows that, in good faith, they are

14. One (1) Multiple EBSCO eBooks, or equivalent

Provides ebooks acquired on a title-by-title basis

Full-text

Multidisciplinary

Higher educational use – previous year spend was approximately $5,000 – no guaranteed spend

Z39.50 protocol that gives the ability to integrate product into the library Integrated Library System (ILS)

EBSCOhost API or equivalent o Links to databases o Ability to insert a search box on library website

Can enable product integration into information systems and architecture via an OpenURL

Annual flat fee that includes, but is not limited to, licensing and platform fees

One (1) user

Conforms to Web Content Accessibility Guidelines 2.0 (WCAG) or vendor shows that, in good faith, they are

15. One (1) Lynx Database Package that includes 21 EBSCO databases, or equivalent

Multi-disciplinary and subject-specific databases include:

o Academic Search Premier o Auto Repair Reference Center o Business Source Premier o Consumer Health Complete o Funk & Wagnalls New World Encyclopedia o GreenFile o History Reference Center o Legal Information Reference Center o Library, Information Science & Technology Abstracts with Full Text o MAS Ultra o MasterFile Premier o Middle Search Plus o Newspaper Source o NoveList o Points of View Reference Center o Primary Search o Psychology and Behavioral Sciences Collection o Regional Business News o Science Reference Center o Small Engine Repair Reference Center o TopicSearch

ALL Databases within the package should meet the following criteria:

o Content capable of RSS feeds o EBSCOhost API or equivalent o Links to databases o Ability to insert a search box on library website o Can enable product integration into information systems and architecture via an OpenURL o Annual flat fee that includes, but is not limited to, licensing and platform fees o Unlimited users o Conforms to Web Content Accessibility Guidelines 2.0 (WCAG) or vendor shows that, in good faith, they are working towards compliance

PIKES PEAK COMMUNITY COLLEGE

QUOTE RESPONSE SHEET

PPCC DQ 16-811, June 24, 2016, 10:00am MT

If costs are based on FTE – please provide the cost for each FTE Range available on an additional sheet of paper.

List in the same order.

Total

1. One (1) EBSCO Academic Search Complete Database, or equivalent $__________________

2. One (1) EBSCO Associates Program Source Database, or equivalent $__________________

3. One (1) EBSCO Child Development & Adolescent Studies™ Database, or equivalent $__________________

4. One (1) EBSCO Communication & Mass Media Complete Database, or equivalent $__________________

5. One (1) EBSCO CINAHL (Cumulative Index to Nursing and Allied Health Literature) Database, or equivalent

6. One (1) EBSCO Computers & Applied Sciences Complete Database, or equivalent $__________________

7. One (1) EBSCO eBook Community College Collection, or equivalent $__________________

8. One (1) EBSCO eBook Community College Collection, or equivalent $__________________

9. One (1) EBSCO Discovery Service, or equivalent $__________________

10. One (1) EBSCO Educational Resource Information Center Database, or equivalent $__________________

11. One (1) EBSCO Food Science Source Database, or equivalent $__________________

12. One (1) EBSCO Library Literature & Information Science Full Text Database, or equivalent

13. One (1) EBSCO Science & Technology Collection Database, or equivalent $__________________

14. One (1) EBSCO Multiple EBSCO eBooks, or equivalent $__________________

15. One (1) Lynx Database Package that includes 21 EBSCO databases, or equivalent $__________________

GRAND TOTAL

THE FOLLOWING MUST BE COMPLETED:

Vendor

Assured Delivery Date

Terms

Address

Phone

Fax

E-mail Address

Signature/Date

Printed Name Of Signature

Using the Federal Government definition, does your firm qualify as:

a small business YES _____ NO_____ a minority business YES _____ NO_____ If YES, state ethnicity:

a woman owned business YES _____ NO_____

A service disabled veteran owned business

YES _____ NO_____ (provide appropriate documentation as spelled out in the bid)

A member of the State of ColoradoVss system

YES _____ NO_____

Federal Identification #

Attachment A

Form W-9

Substitute Form

State of Colorado 8-2007

Request for Taxpayer Identification Number and Certification

Give form to the requester. Do not send to the IRS.

P ri n t o r

T y p e

S ee

S p ec if ic I n st ru ct io n s o n p ag e

Name

Business name, if different from above

Check appropriate box:

Individual/ Sole Proprietor Corporation Partnership Other

Exempt from backup withholding

Address (number, street, and apt. or suite no.) Requester:

City, state, and ZIP code.

List Account number(s) here (optional)

Phone Number:

Part I Taxpayer Identification Number (TIN)

Enter your TIN in the appropriate box. For individuals, this is your social security number (SSN) However, for a resident alien, sole proprietor, or disregarded entity, see the Part I instructions on page 3. For other entities, it is your employer identification number (EIN). If you do not have a number, see How to get a TIN on page 3.

Social Security number

Note: If the account is in more than one name, see the chart on page 3 for guidelines on whose number to enter.

Employer identification number

Part II Certification

Minority and Women-owned Businesses (M/WBEs) Self Certification (Please check all boxes that apply)

In an effort to track levels of participation by women and minorities doing business with the State of Colorado, the following information is requested. Please indicate the appropriate category of ownership for your company. “Owned” in this context means a business t hat is at least 51 percent owned by an individual(s) who also control(s) and operate(s) it. “Control” in this context means exercising the power to make policy decisions. “Operate” means actively involved in the day-to-day management. If you business is jointly owned by both men and women or is a large publicly held corporation, please check the box labeled “Not Applicable.”

Gender Information:

□ Female-Owned □ Male-Owned □ Not Applicable

Owner Ethnicity Information

□ African American □ Asian/Pacific American □ White (non-Hispanic) □ Not Applicable

□ Hispanic American □ Native American □ Other: _____________________________

Small Business Information

Small Business (a business that is organized for profit, is independently owned and operated, and has 25 or fewer full time e quivalent employees.)

□ Yes □ No

Sign Here

Signature of U.S. person ► Date ►

Attachment B

HOUSE BILL 1023 IDENTIFICATION REQUIREMENT

As required by C.R.S. 24-76.5-103

FOR SOLE PROPRIETOR’S ONLY (see paragraph II, 7)

Signature of Document Holder Date

Printed Name of Document Holder Social Security Number

Place Notary Stamp or Seal above

Signature of Authorized Notary Date

Printed Name of Authorized Notary (Faxed copies must be notarized in order to be considered acceptable)

PLEASE PLACE AN ENLARGED COPY OF ONE OF THE FOLLOWING IN THIS SPACE:

A valid state issued Driver’s License that is considered to be an official form of identification by the issuing state; or

A United States military card or a military dependents identification card; or

A United States Coast Guard Merchant Mariner Card; or

A Native American Tribal Document

Attachment C

STATE OF COLORADO

CERTIFICATION AND AFFIDAVIT

REGARDING UNAUTHORIZED IMMIGRANTS

(Ref paragraph II, 9)

The Vendor, whose name and signature appear below, certifies and agrees as follows:

1. The Vendor shall comply with the provisions of Public Contracts for Services Law CRS 8-17.5-101 et seq.

The Vendor shall not knowingly employ or contract with an unauthorized immigrant to perform work for the State or enter into a contract with a subcontractor that knowingly employs or contracts with an unauthorized immigrant.

2. The Vendor certifies that it does not employ or contract with an unauthorized immigrant who will perform work under this contract, and that they will participate in either (i) the “E-verify Program” jointly administered by the United States Department of Homeland Security and the Social Security Administration, or (ii) the “Department Program” administered by the Colorado Department of Labor and Employment, in order to confirm the employment eligibility of all employees who are newly hired to perform work under this contract.

3. The Vendor shall comply with all reasonable requests made in the course of an investigation under CRS 8- 17.5-102 by the Colorado Department of Labor and Employment. If the Vendor fails to comply with any requirement of this provision or CRS 8-17.5-101 et seq., the State may terminate work for breach and the Vendor shall be liable for actual for damages to the State.

4. If the Vendor is a sole proprietor, the undersigned hereby swears or affirms under penalty of perjury under the laws of the State of Colorado that (check one):

___ I am a United States citizen, or

___ I am a Permanent Resident of the United States, or

___ I am lawfully present in the United States pursuant to Federal law.

I understand that this sworn statement is required by law because I am a sole proprietor entering into a contract to perform work for the State of Colorado. I understand that state law requires me to provide proof that I am lawfully present in the United States prior to starting work for the State. I further acknowledge that I will comply with the requirements of CRS 24-76.5-101 et seq. and will produce the required form of identification prior to starting work. I acknowledge that making a false, fictitious, or fraudulent statement or representation in this sworn affidavit is punishable under the criminal laws of Colorado as perjury in the second degree under CRS 18-8- 503 and it shall constitute a separate criminal offense each time a public benefit is fraudulently received.

CERTIFIED and AGREED to this ______ day of _________________, 20___.

VENDOR:

(Vendor Full Legal Name) FEIN or Social Security Number

BY: _______________________________________ __________________________

Signature of Authorized Representative Title

Attachment D

PERA RETIREE QUESTIONNAIRE FOR PERSONAL SERVICES CONTRACT

Pikes Peak Community College (PPCC) is required to pay an employer contribution to the Colorado Public Employees’ Retirement Association (PERA) based on the amount paid to any PERA retiree. Therefore, please assist PPCC in identifying any PERA retirees associated with this contract by completing the following:

Is this business entity owned or operated by a PERA retiree or an affiliated party of the

PERA retiree? _____YES _____NO

Are any individuals working with this contract PERA retirees?

_____YES _____NO

If you answered yes to either question above, please list the name, address, telephone number, and social security number of the PERA retiree and explain in what capacity the PERA retiree is involved with this contract.

Name: ________________________________________________________________

Address: ______________________________________________________________

Telephone # ___________________________________________________________

In what capacity is the PERA retiree involved with this contract?

Print Vendor Name: ___________________________________________________________________

Vendor Signature: _____________________________________________ Date: _____________