RFP 6300 AttH - TOBACCO ALCOHOL AND CANNABIS CERTIFICATION SHEET Revised per Addendum 1 final.docx
DOCX document 32 KB Posted
- Attached to
- RFP 6300 - Commercial Tobacco Prevention and Cessation Communications Strategy and Services
- Solicitation number
- S-44300-00015366
- Issued by
- Oregon
About this file
This document is a Tobacco, Alcohol and Cannabis Certification Sheet (Attachment H) issued by the Oregon Health Authority for RFP 6300: Commercial Tobacco Prevention and Cessation Communications Strategy and Services. The certification sheet establishes mandatory compliance requirements for proposers responding to this request for strategic communications services supporting Oregon's tobacco prevention and cessation programs, including the Smokefree Oregon social-marketing brand and culturally specific campaigns managed by the Public Health Division's Tobacco Prevention and Education Program.
Proposers must certify compliance with six key requirements: (1) acknowledgment that false or fraudulent statements constitute claims under the Oregon False Claims Act with associated penalties; (2) implementation of a 100% Tobacco-free Workplace Policy or a plan to develop one within six weeks of contract execution; (3) good faith efforts to offer comprehensive tobacco cessation benefits to employees; (4) confirmation of no direct or indirect organizational or business relationships with entities involved in tobacco, alcohol, or cannabis production, distribution, promotion, or sale, and certification of no revenues from such sources within the preceding two years; (5) commitment to refrain from accepting revenues from tobacco, alcohol, or cannabis manufacturers or promoters during the agreement period; and (6) acknowledgment that these certifications supplement additional certifications required at contract execution. All certifications require authorized signature and dating by the proposer.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| RFP 6300 AttE - PRICE PROPOSAL FORM Revised per Addendum 1 final .docx | DOCX document | |
| RFP 6300 FINAL.pdf | ||
| RFP 6300 AttA - SAMPLE CONTRACT.pdf | ||
| RFP 6300 AttF - CERTIFIED DISADVANTAGED BUSINESS OUTREACH PLAN.docx | DOCX document | |
| RFP 6300 AttC - PROPOSER INFORMATION AND CERTIFICATION SHEET Revised per Addendum 1 final.docx | DOCX document | |
| Addendum 1 to RFP 6300 final.pdf | ||
| Questions and Answers Set 1 for RFP 6300 final.pdf | ||
| RFP 6300 AttB - DISCLOSURE EXEMPTION AFFIDAVIT.docx | DOCX document | |
| RFP 6300 AttG - RESPONSIBILITY INQUIRY.docx | DOCX document | |
| RFP 6300 AttD - REFERENCE CHECK FORM.docx | DOCX document |
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Text version
RFP 6300: Commercial Tobacco Prevention and Cessation Communications AttH Strategy and Services (OregonBuys Bid # S-44300-00015366)
ATTACHMENT H – TOBACCO, ALCOHOL AND CANNABIS CERTIFICATION SHEET
(See RFP Section 3.3.2)
Proposer Name:
1. 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 Price Agreement 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.
2. Proposer and its subcontractors have a 100% Tobacco-free Workplace Policy or, during the course of the Price Agreement period, will develop a Tobacco-free Workplace Policy Plan acceptable to Agency to work toward the adoption of a 100% Tobacco-free Workplace Policy. Proposer agrees to share a copy of their 100% Tobacco-free Workplace Policy or their Tobacco-free Workplace Policy Plan for developing a policy to the Agency Contract Administrator for review within 6 weeks after an agreement has been signed and executed. Agency’s Tobacco Prevention and Education Program (TPEP) is available for consultation on 100% Tobacco- free Workplace Policies. TPEP contact information can be found at: https://public.health.oregon.gov/PHD/Directory/Pages/program.aspx?pid=56
3. Proposer certifies that it makes a good faith effort to offer and promote comprehensive tobacco cessation benefits (e.g., FDA-approved medications, counseling options) to employees. Guidelines for comprehensive tobacco cessation benefits are available here: https://public.health.oregon.gov/PreventionWellness/TobaccoPrevention/Documents/tob_cessation_covera ge_standards.pdf.
4. Through evidence of signature below, Proposer agrees that Proposer does not have any direct or indirect organizational or business relationships between the Proposer (including its owners, parent company or subsidiaries) and companies involved in any way in the production, processing, distribution, promotion, advocacy, sale or use of tobacco and tobacco-related products, alcohol, cannabis or on behalf of such entities. Proposer certifies that Proposer (including its owners, principals, partners, parent company, subsidiaries, and affiliates) has not accepted revenues from the manufacture of tobacco, alcohol or cannabis products or the promotion of tobacco, alcohol, or cannabis products or companies for at least the last two years.
5. Proposer (including its owners, principals, partners, parent company, subsidiaries, and affiliates) agrees to not accept revenues from the manufacture of tobacco, alcohol, or cannabis products or the promotion of tobacco, alcohol, or cannabis products or companies during the Agreement period.
6. 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) Version 1.1 - June 8, 2016 Page 1 of 1
File details come from the government source that posted it. Updated .