Public Relations Proposal Form~2.pdf

2 MB Posted

Attached to
Public Relations
Solicitation number
S-84700-00017349
Issued by
Multnomah County, Oregon

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This is a Public Relations Proposal Form for the State of Oregon Medical Board, located at 1500 SW First Avenue, Suite 620, Portland, OR 97201. The Oregon Medical Board seeks a contractor to provide public relations services specializing in governmental affairs, policy discussion, and decision-making activities. The form requests that proposers demonstrate at least five years of related experience and prior experience working with government agencies. Proposers must submit three professional references with complete contact information, including name, company, phone, and email for each reference. All pricing submitted with proposals will remain valid for sixty days after the procurement closes.

The proposal form requires submission of standard business information including the proposer's name, Federal Employer Identification Number (FEIN) or Social Number (SSN), Oregon Business ID, tax filing address, mailing address, phone, fax, and email. The authorized representative executing the proposal must certify that they have reviewed all proposal instructions, specifications, terms and conditions, and that personnel performing the services meet all specified qualifications and requirements. All work products generated under the contract become the exclusive property of the Oregon Medical Board and cannot be distributed to any other party without prior written authorization from the Board.

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Other files

File Type Posted
Exhibit A- Statement of Work~2.pdf PDF
Contract for Services- Sample~1.pdf PDF
Cover Page- Proposal Request~1.pdf PDF

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PUBLIC RELATIONS PROPOSAL FORM

STATE OF OREGON MEDICAL BOARD – 1500 SW FIRST AVENUE – SUITE 620 - PORTLAND, OR 97201 – (971) 673-2700

All pricing will be good for sixty (60) days after procurement closes.

Proposer: ____________________________________________

FEIN ID# or SSN: _______________________________________

OR Business ID: _______________________________________

Tax Filing Address: _____________________________________

Mailing Address: _______________________________________ (If different)

Phone: _______________________________________________

Fax: _________________________________________________

Email: _______________________________________________

Do you have at least 5 years’ related experience? ☐ No ☐ Yes Do you have experience working with Government Agencies? ☐ No ☐ Yes

Professional references (please provide exactly 3):

1- Name: ____________________________ Company: _________________________ Phone: ____________________________ Email: _____________________________

2- Name: ____________________________ Company: _________________________ Phone: ____________________________ Email: _____________________________

3- Name: ____________________________ Company: _________________________ Phone: ____________________________ Email: _____________________________

AGREEMENT/CERTIFICATION. The undersigned agrees and certifies that they have read and understand all proposal instructions, specifications, enclosed terms and conditions, and is the authorized representative of the bidder. The undersigned attests that the persons who will perform the services, if this proposal is accepted, is qualified for the Work described in the Statement of Work and meets all specified requirements and can provide proof of any certification or degree listed. The undersigned agrees that all work products are the exclusive property of the Oregon Medical Board and shall not be distributed to any other party without prior written authority.

Authorized Signature: ______________________________ Date: __________________

Please Print Name: ________________________________

Proposer/Company:
FEIN/SSN:
Oregon Business ID:
Email:
Fax:
Tax Filing Address:
Mailing Address:
Phone:
1-No: Off
1- Yes: Off
2- No: Off
2- Yes: Off
1- Name:
1- Company:
1- Phone:
1- Email:
2- Name:
2- Company:
2- Phone:
2- Email:
3- Name:
3- Company:
3- Phone:
3- Email:
Date:
Printed Name:

File details come from the government source that posted it. Updated .