PROPOSAL SUBMISSSION CHECKLIST~3.pdf
PDF 218 KB Posted
- Attached to
- Policy Development Services
- Solicitation number
- S-X03101-00011566
- Issued by
- Clackamas County, Oregon
About this file
This document is a Proposal Submission Checklist for a state and local government contract opportunity. The checklist outlines the required certifications, forms, and affidavits that must be completed and included in proposals. These include the Proposer Certification, Independent Contractor Certification, Non-Conflict of Interest Certification, Proposer Responsibility Form, Proposer Reference Forms, Certification Regarding Federal Matters, and several other forms and certifications. Failure to submit any of the required documents will result in disqualification of the proposing firm. The document also references a sample contract/price agreement, which is incorporated into the solicitation and will apply to the awarded contract.
The document does not provide information about the specific products or services being procured, project details, response due dates, award dates, or contract term. It also does not include details on pricing, set-asides, incumbent providers, funding sources, or other salient commercial terms. The document is focused solely on the administrative and compliance requirements for submitting a responsive proposal.
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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)
_______ NOT APPLICABLE - NO DOCUMENT INCLUDED (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. The terms and conditions are incorporated in this Solicitation and will apply to the Contract to be executed for the work.
EXHIBIT 1 SAMPLE CONTRACT/PRICE AGREEMENT
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