PROPOSAL SUBMISSSION CHECKLIST~2.pdf
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- Solicitation number
- S-X03101-00011073
- Issued by
- Hood River County, Oregon
About this file
This document is a Proposal Submission Checklist for a State and Local Contract Opportunity issued by the Oregon Child Development Coalition for the provision of fresh produce products to be used in the production of meals in their Head Start Centers throughout the State of Oregon. The Checklist outlines the required affidavits, certifications, and forms that must be completed and submitted as part of the proposal, including the Proposer Certification, Independent Contractor Certification, Non-Collusion Affidavit, Non-Conflict of Interest Certification, Proposer Responsibility Form, Proposer Reference Forms, Price Schedule, and various federal compliance certifications. The contract term and renewal options are not specified in this document.
The Checklist also references several Exhibits that are not to be returned with the proposal, including an Estimated USDA Foods Products and Supplies List, Delivery Location Information, a Sample Contract/Price Agreement, and a USDA Memo. Pricing terms, set asides, incumbent information, funding requirements, and other salient details are not provided in this document.
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ATTACHMENT
PROPOSAL SUBMISSION CHECKLIST
ALL CERTIFICATIONS, FORMS, AFFIDAVITS AND DETAILED PROPOSAL CONTENT REQUIREMENTS AS
SPECIFIED IN SECTION 3 PROCUREMENT REQUIREMENTS MUST BE INCLUDED IN PROPOSALS.
_______ REQUIRED AFFIDAVIT, CERTIFICAITON AND FORMS
The following certifications and forms must be completed and signed by the person authorized to represent the Proposer regarding all matters related to the Proposal and authorized to bind the Proposer to the agreement.
Failure to submit any of the required, completed and signed certifications/forms shall result in disqualification of the proposing firm.
_______ PROPOSER CERTIFICATION (ATTACHMENT A ) This serves as the cover sheet for your Proposal.
_______ INDEPENDENT CONTRACTOR CERTIFICATION (ATTACHMENT B)
_______ AFFIDAVIT OF NON-COLLUSION/COMPLIANCE WITH TAX LAWS (ATTACHMENT C)
_______ NON-CONFLICT OF INTEREST CERTIFICATION (ATTACHMENT D)
_______ PROPOSER RESPONSIBILITY FORM – all Pages. (ATTACHMENT E)
_______ PROPOSER REFERENCE FORMS – (ATTACHMENT F)
_______ PRICE SCHEDULE – Separate Excel Document (ATTACHMENT G)
_______ RECALL CONTACT INFORMATION (ATTACHMENT H)
_______ CERTIFICATION REGARDING FEDERAL MATTERS (ATTACHMENT I)
_______ SUSPENSION AND DEBARMENT CERTIFICATION (ATTACHMENT J)
_______ LOBBYING CERTIFICATION (ATTACHMENT K)
_______ CLEAN AIR AND WATER CERTIFICATION (ATTACHMENT L)
_______ CONTRACTOR INFORMATION FORM (ATTACHMENT M)
_______ OREGON CERTIFICATION OF BUSINESS INCLUSION AND DIVERSITY PLAN (ATTACHMENT N)
The following attachment(s) are NOT to be returned with the Proposal. The content of these attachment(s) must be reviewed by the Proposer. Ther terms and conditions are incorporated in this Solicitation and will apply to the Contract to be executed for the work.
EXHIBIT 1 ESTIMATED USDA FOODS PRODUCTS AND SUPPLIES FOR 2024-2025
EXHIBIT 2 DELIVERY LOCATION INFORMATION
EXHIBIT 3 SAMPLE CONTRACT/PRICE AGREEMENT
EXHIBIT 4 USDA MEMO CACFP 07-2024
File details come from the government source that posted it. Updated .