RFP 6098 AttC Proposer Information and Certification Sheet.docx

RFP 6098: COFA Language and Culture Subject Matter Experts (OregonBuys Bid # S-44300-00013107) Att C ATTACHMENT C — PROPOSER INFORMATION AND CERTIFICATION SHEET (including Attachments C-1 and C-2) Legal Name of Proposer:

Address:

City, State, Zip:

State of Incorporation:

Entity Type:

Contact Name:

Telephone:

Email:

Oregon Business Registry Number (if applicable):

Any individual signing below hereby certifies they are an authorized representative of Proposer and that:

Proposer understands and accepts the requirements of this RFP. By submitting a Proposal, Proposer agrees to be bound by the Contract terms and conditions in Attachment A and as modified by any Addenda, except for those terms and conditions that Agency has reserved for negotiation, as identified in the RFP.

Proposer acknowledges receipt of any and all Addenda to this RFP.

Proposal is a Firm Offer for 180 days following the Opening Date listed on the Cover Page (Page 1) of this RFP.

If awarded a Contract, Proposer agrees to perform the scope of work and meet the performance standards set forth in the final negotiated scope of work of the Contract.

I have knowledge regarding Proposer’s payment of taxes and by signing below I hereby certify that, to the best of my knowledge, Proposer is not in violation of any tax laws of the state or a political subdivision of the state, including, without limitation, ORS 305.620 and ORS chapters 316, 317 and 318.

Proposer does not discriminate in its employment practices with regard to race, creed, age, religious affiliation, gender, disability, sexual orientation, national origin. When awarding subcontracts, Proposer 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 business that a service-disabled veteran owns 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 (formerly HB 3060), 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.

Proposer complies with ORS 652.220 and does not unlawfully discriminate against any of Proposer’s employees in the payment of wages or other compensation for work of comparable character on the basis of an employee’s membership in a protected class. “Protected class” means a group of persons distinguished by race, color, religion, sex, sexual orientation, national origin, marital status, veteran status, disability or age.

Contractor’s continuing compliance constitutes a material element of this Contract and a failure to comply constitutes a breach that entitles Agency to terminate this Contract for cause.

Contractor may not prohibit any of Contractor’s employees from discussing the employee’s rate of wage, salary, benefits, or other compensation with another employee or another person. Contractor may not retaliate against an employee who discusses the employee’s rate of wage, salary, benefits, or other compensation with another employee or another person.

Proposer is not engaged in the provision of broadband Internet access service, or if at any time Proposer is engaged in or may engage in the provision of broadband Internet access service Proposer is in compliance with Oregon Laws 2018, Chapter 88 (HB 4155) and applicable Public Utility Commission rules, and will remain in compliance throughout the term of the Contract.

Proposer and Proposer’s employees, agents, and subcontractors are not included on:

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 the government wide exclusions lists in the System for Award Management found at: https://www.sam.gov/portal/ Proposer certifies that, to the best of its knowledge, there exists no actual or potential conflict between the business or economic interests of Proposer, 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 RFP. If any changes occur with respect to Proposer’s status regarding conflict of interest, Proposer shall promptly notify the State in writing.

Proposer certifies that all contents of the Proposal (including any other forms or documentation, if required under this RFP) and this Proposal Certification Sheet are truthful and accurate and have been prepared independently from all other Proposers, and without collusion, fraud, or other dishonesty.

Proposer understands that any statement or representation it makes, in response to this RFP, 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.

This document incorporates the attached documents, completed by Proposer, as if fully set forth herein:

· ATTACHMENT C-1 STATEMENT OF MINIMUM QUALIFICATIONS; and

· ATTACHMENT C-2 PROPOSER’S RESPONSES TO SECTION 3.3.2: KEY PERSONS QUALIFICATIONS, EXPERIENCE, AND RESUMES.

Proposer acknowledges these certifications are in addition to any certifications required in the Contract and Statement of Work in Attachment A at the time of Contract execution.

Authorized Signature

Date

(Printed Name and Title)

ATTACHMENT C-1: STATEMENT OF MINIMUM QUALIFICATIONS

Instructions to Proposers: complete the following Statement of Minimum Qualification in the space provided for your Response below and submit with your Proposal.

3.1 MINIMUM QUALIFICATIONS

To be considered for evaluation, the Proposer’s Proposal must demonstrate and certify in Proposer’s Statement of Minimum Qualifications in Attachment C-1 to Attachment C - Proposer Information and Certification Sheet submitted by Proposer, and supported by in Proposer’s Key Person resumes, that at least one of the Key Persons proposed by Proposer meets the requirement of this section:

3.1.1 At least one of Proposer’s Key Persons must have

· lived experience as a citizen of a COFA Nation; OR

· at least 5 years of experience working with members of Oregon’s COFA migrant population who have limited English proficiency and who represent a diversity of cultures, languages and geographic regions; AND ***

Proposer’s Response to Section 3.1.1:

3.1.2 At least one of Proposer’s Key Person must have language proficiency in at least one of the Major COFA Languages (Chuukese, Pohnpeian, Yapese, Kosraean, Marshallese, or Palauan). This Section 3.1.2 language proficiency requirement can be met by either:

· 5 or more years of previous work experience in translation/transcreation/interpretation in at least one of these languages -OR-

· “Registered” with the OHA Equity and Inclusion Division as a Qualified Health Care Interpreter (HCI) of a Major COFA Language on this webpage: https://hciregistry.dhsoha.state.or.us/.

Note: if a Proposer submits multiple Key Persons and only some of those Key Persons meet the above minimum qualifications, OHA reserves the right to reject the non-qualified Key Persons, if OHA awards a Contract to that Proposer.

Proposer’s Response to Section 3.1.2:

ATTACHMENT C-2: - PROPOSER’S RESPONSES TO SECTION 3.3.2:

KEY PERSONS QUALIFICATIONS, EXPERIENCE, AND RESUMES

Instructions to Proposers: complete your responses to the following Proposal Content Requirements the spaces provided below, and attach Key Person Resumes to this document as required by Section 3.3.2. b. Proposers may add additional space for Proposer’s Response in the table below.

3.3.2 Key Persons Qualifications, Experience, and Resumes

Proposer shall:

a. Specify Key Persons to be assigned to this project, and each Key Person’s responsibilities and roles.

Proposer’s Response to above Section 3.3.2 a.:

3.3.2 Key Persons Qualifications, Experience, and Resumes

Proposer shall: ***

b. Provide a current resume (not to exceed two pages each) for each Key Person to be assigned to the Contract.

Proposer’s Response to above Section 3.3.2 b.:

3.3.2 Key Persons Qualifications, Experience, and Resumes

c. Describe each Key Person’s qualifications and experience[footnoteRef:1] to perform the work described in the Scope of Work, including, but not limited to the following: [1: Note: The description of the Key Persons’ experience shall include statement of the scope and duration (in years) of the Key Person’s experience, as documented in the Key Person’s resume.]

i. COFA Lived Experience, and Experience working with Oregon COFA Community: The Key Person’s lived experience as a citizen of a COFA nation; and if applicable, experience working with members of Oregon’s COFA migrant population who have limited English proficiency and who represent a diversity of cultures, languages and geographic regions; ***

Proposer’s Response to above Section 3.3.2 c.i.:

c. Describe each Key Person’s qualifications and experience[footnoteRef:2] to perform the work described in the Scope of Work, including, but not limited to the following: *** [2: Note: The description of the Key Persons’ experience shall include statement of the scope and duration (in years) of the Key Person’s experience, as documented in the Key Person’s resume.]

ii. Major COFA Language Proficiency: The Key Person’s language proficiency in one or more of the major languages used by people from COFA nations (Chuukese, Pohnpeian, Yapese, Kosraean, Marshallese, or Palauan) including the Key Person’s

(a) status as a native speaker of a Major COFA Language;

(b) years of previous work experience in translation/transcreation/interpretation in a Major COFA Language; and/or

(c) status of “Registered” with the OHA Equity and Inclusion Division as a qualified Health Care Interpreter (HCI) of a Major COFA Language on this webpage https://hciregistry.dhsoha.state.or.us/.

Proposer’s Response to above Section 3.3.2 c. ii.:

c. Describe each Key Person’s qualifications and experience[footnoteRef:3] to perform the work described in the Scope of Work, including, but not limited to the following: *** [3: Note: The description of the Key Persons’ experience shall include statement of the scope and duration (in years) of the Key Person’s experience, as documented in the Key Person’s resume.]

iii. Experience working with Governmental health and human services programs. Describe each Key Person’s experience and state their years of experience working with public-facing government programs, including but not limited to:

(a) experience with health and human services programs in a role such as benefit administration, grants, communications, health worker recruitment, and/or data analysis, etc.;

(b) lived experience as a recipient of health and human services programs; and

(c) experience as an advocate or mentor regarding health and human services programs or other government service programs or functions such as education and school systems.

Proposer’s Response to above Section 3.3.2 c.ii.:

(c) Describe each Key Person’s qualifications and experience[footnoteRef:4] to perform the work described in the Scope of Work, including, but not limited to the following: *** [4: Note: The description of the Key Persons’ experience shall include statement of the scope and duration (in years) of the Key Person’s experience, as documented in the Key Person’s resume.]

iv. Experience in conducting outreach, engagement and advocacy in the Oregon COFA community Describe each Key Person’s experience and state their years of experience conducting outreach, engagement and advocacy in the Oregon COFA community, including but not limited to:

(a) Informing COFA citizens about the availability of OHA and ODHS benefits and services (e.g., OHP, SNAP, TANF);

(b) Connecting COFA community members with info and referrals for additional support programs (ex. SSI benefits, Employment services, Legal representation and Immigration services);

(c) Helping COFA communities and individuals advocate for their needs in local, state, national and international settings;

(d) Raising visibility and awareness of issues that affect COFA communities; and

(e) Improving community representation and civic engagement in planning and decision-making areas (ex. writing and proposing legislation, elections and voting, serving on boards and committees).

Proposer’s Response to above Section 3.3.2 c.iii.: