RFP Attch B-I.pdf

OregonBuys RFP #S-63500-00006142 2023 Lower Columbia Estuary White Sturgeon Research Test Fishing

DAS Procurement Services, Version 1.0 – August 16, 2021 Page 1 of 3

ATTACHMENT B — DISCLOSURE EXEMPTION AFFIDAVIT

____________________ (Affiant), being first duly sworn under oath, and representing [insert Offeror Name] (hereafter “Offeror”), hereby deposes and swears or affirms under penalty of perjury that:

1. I am an employee of the Offeror, I have knowledge of the Intermediate Procurement referenced herein, and I have full authority from the Offeror to submit this affidavit and accept the responsibilities stated herein.

2. I am aware that the Offeror has submitted an Offer, dated on or about [insert date] (the “Offer”), to the State of Oregon (State) in response to Intermediate Procurement OregonBuys RFP #S- 63500-00002914 , for Lower Columbia Estuary White Sturgeon Research Test, and I am familiar with the contents of the Intermediate Procurement and Offer.

3. I have read and am familiar with the provisions of Oregon’s Public Records Law, Oregon Revised Statutes (“ORS”) 192.311 through 192.478, and the Uniform Trade Secrets Act as adopted by the State of Oregon, which is set forth in ORS 646.461 through ORS 646.475. I understand that the Offer is a public record held by a public body and is subject to disclosure under the Oregon Public Records Law unless specifically exempt from disclosure under that law.

4. I have reviewed the information contained in the Offer. The Offeror believes the information listed in Exhibit A is exempt from public disclosure (collectively, the “Exempt Information”), which is incorporated herein by this reference. It is my opinion that the Exempt Information is exempt from disclosure under Oregon’s Public Records Law under the specifically designated sections as set forth in Exhibit A or constitutes “Trade Secrets” under either the Oregon Public Records Law or the Uniform Trade Secrets Act as adopted in Oregon because that information is either:

A. A formula, plan, pattern, process, tool, mechanism, compound, procedure, production data, or compilation of information that:

i. is not patented,

ii. is known only to certain individuals within the Offeror’s organization and that is used in a business the Offeror conducts,

iii. has actual or potential commercial value, and

iv. gives its user an opportunity to obtain a business advantage over competitors who do not know or use it.

or

B. Information, including a drawing, cost data, customer list, formula, pattern, compilation, program, device, method, technique or process that:

OregonBuys RFP #S-63500-00006142 2023 Lower Columbia Estuary White Sturgeon Research Test Fishing

DAS Procurement Services, Version 1.0 – August 16, 2021 Page 2 of 3

i. Derives independent economic value, actual or potential, from not being generally known to the public or to other persons who can obtain economic value from its disclosure or use; and

ii. Is the subject of efforts by the Offeror that are reasonable under the circumstances to maintain its secrecy.

5. I understand that disclosure of the information referenced in Exhibit A may depend on official or judicial determinations made in accordance with the Public Records Law.

Affiant’s Signature

State of ___________)

) ss:

County of ________)

Signed and sworn to before me on ___________ (date) by ______________________ (Affiant’s name).

Notary Public for the State of _________________

My Commission Expires: _________

OregonBuys RFP #S-63500-00006142 2023 Lower Columbia Estuary White Sturgeon Research Test Fishing

DAS Procurement Services, Version 1.0 – August 16, 2021 Page 3 of 3

EXHIBIT A TO ATTACHMENT B

Offeror identifies the following information as exempt from public disclosure under the following designated exemption(s):

OregonBuys #S-63500-0006142– 2023 Lower Columbia Estuary White Sturgeon Research Test Fishing

DAS Procurement Services, Version 1.0 – August 16, 2021

ATTACHMENT D - REFERENCE CHECK FORM

Grand Total Points Possible (25)

Offeror shall submit completed Reference Check Forms from three (3) References.

Offeror must provide at least two (2) current professional references and one (1) professional reference for work (from different firms and clients) supportive of Offeror’s ability to comply with the requirements of this RFP. Offeror shall submit reference names and contact information.

Offeror must submit one (1) attachment D for each Reference.

Offeror Name: __________________________________________

Reference Entity: __________________________________________

Reference Contact Name: __________________________________________

Contact Telephone Number: __________________________________________

Contact Email Address: __________________________________________

Agency will make three (3) attempts to contact each of the references provided by the Offeror. If these attempts are unsuccessful, the Offeror will receive a score of zero for that reference.

When Agency contacts each Reference, the following questions will be rated on a scale of 0-5:

0 = Not satisfied 2 = Moderately satisfied 5 = Extremely satisfied.

1. How would you rate the Offeror’s overall quality of services provided and your overall relationship with the Offeror?

2. How would you rate the Offeror’s delivery of service?

3. How would you rate the Proposer’s overall Safety?

4. How would you rate the Offeror’s responsiveness to customer service issues and special requests (e.g., reported problems, changes billing, etc.)?

Offeror could receive a grand total of 5 points for each reference.

OregonBuys #S-63500-00006142 – 2023 Lower Columbia Estuary White Sturgeon Research Test Fishing

ATTACHMENT E –

COST SHEET

Offeror shall submit a Price Proposal stating the proposed price per day, and, a total proposed price.

The offered price per day should include all costs required by the Offeror to perform the work, and the total offered price should include all costs required by Offeror to perform the work for a total of 15 days. The Offeror shall furnish all required material, equipment, labor, and perform all work, outlined in the Request for Proposal, for the Oregon Department of Fish and Wildlife Project designated for Nearshore Studies. Total Points Possible (25)

ITEM DESCRIPTION (put N/A if not used) EST.

UNIT UNIT PRICE TOTAL PRICE

1. Cost per day of test fishing (all costs must be included) at minimum 15 days

_15_

_Day_

2. Cost per day of test fishing (all costs must be included) for additional days (over 15 day minimum)

_5_

_Day_

3. Any costs not included above (must be itemized below) $

NOTES:

Offer price is total including all costs and contractor’s profit and overhead. Items not explicitly listed in the Cost Proposal Form are considered incidental.

The undersigned understands that the State reserves the right to increase or decrease or to remove the amount of days as necessary to meet budgetary constraints. If the State increases or decreases the number of days of work, the State will increase or decrease the total price by the per day price amount.

Cost Sheet submitted by: ___________________________________________________________________________

(Type or print legibly, name and company)

DAS Procurement Services, Version 1.0 – August 16, 2021 Page 1 of 2

ATTACHMENT F –CERTIFIED DISADVANTAGED BUSINESS

OUTREACH PLAN

Offeror Name: Date:

Contact Name: Telephone: Email:

“Certified Firm” means a small business certified under ORS 200.055 by the Oregon Certification Office for Business Inclusion and Diversity (COBID) as minority-owned businesses, woman-owned businesses, businesses that service-disabled veterans owned, and emerging small businesses.

Certified Firms must have an equal opportunity to participate in the performance of contracts financed with state funds. By submitting its offer, Offeror certifies that it has taken, and if there are further opportunities, will take reasonable steps to ensure that Certified Firms are provided an equal opportunity to compete for and participate in the performance of any subcontracts resulting from this procurement.

The information submitted in response to this clause will not be considered in any scored evaluation.

1. Is Offeror an Oregon certified firm? Yes No

If yes, indicate all certification type(s): DBE MBE WBE SDV ESB and supply

Oregon State Certification Number: __________________________

2. Include a list of Certified Firms that Offeror has had a contractual relationship with within the last two years.

3. Include a list of firms that Offeror has had a contractual relationship with within the last two years that are not Certified Firms but may be minority-owned, woman-owned, service-disabled veteran-owned or emerging small businesses.

4. Does Offeror foresee any subcontracting opportunities for this procurement? Yes No

If no, do not complete the rest of this form and submit this first page with your Offer.

If yes, please complete the following pages and submit all pages with your Offer.

DAS Procurement Services, Version 1.0 – August 16, 2021 Page 2 of 2

CERTIFIED DISADVANTAGED BUSINESS OUTREACH PLAN

5. Describe the steps Offeror will take to solicit Certified Firms for subcontracting opportunities if awarded a contract from this procurement.

6. Describe the subcontracting opportunities and the approximate dollar value of each that may be available, if awarded a Contract.

7. Would Offeror be willing to report the identity of each subcontractor and the value of each subcontract to COBID if awarded a Contract from this procurement?

OregonBuys #S-63500-00006142– 2023 Lower Columbia Estuary White Sturgeon Research Test Fishing

DAS Procurement Services, Version 1.0 – December 9, 2016 Page 1 of 3

ATTACHMENT G - RESPONSIBILITY INQUIRY

Agency will determine responsibility of an Offeror prior to award and execution of a Contract. In addition to this form, Agency may notify Offeror of other documentation required, which may include but is not limited to recent profit-and-loss history, current balance statements and cash flow information, assets-to-liabilities ratio, including number and amount of secured versus unsecured creditor claims, availability of short and long-term financing, bonding capacity, insurability, credit information, materials and equipment, facility capabilities, personnel information, record of performance under previous contracts, etc. Failure to promptly provide requested information or clearly demonstrate responsibility may result in an Agency finding of non-responsibility and rejection.

1. Does Offeror have available the appropriate financial, material, equipment, facility and personnel resources and expertise, or ability to obtain the resources and expertise, necessary to demonstrate the capability of Offeror to meet all contractual responsibilities? YES / NO .

2. Within the last five years, how many contracts of a similar nature has Offeror completed that, to the extent that the costs associated with and time available to perform the contract remained within Offeror′s control, Offeror stayed within the time and budget allotted, and there were no contract claims by any party? Number: ____

How many contracts did not meet those standards? Number: ____ If any, please explain.

Response:

3. Within the last three years has Offeror (incl. a partner or shareholder owning 10% or more of Offeror’s firm) or a major subcontractor (receiving 10% or more of a total contract amount) been criminally or civilly charged, indicted or convicted in connection with:

• obtaining, attempting to obtain, or performing a public (Federal, state, or local) contract or subcontract,

• violation of federal or state antitrust statutes relating to the submission of bids or Offerors, or

• embezzlement, theft, forgery, bribery, falsification or destruction of records, making false statements, tax evasion, or receiving stolen property? YES / NO .

If "YES," indicate the jurisdiction, date of indictment, charge or judgment, and names and summary of charges in the response field below.

Response:

4. Within the last three years, has Offeror had:

• any contracts terminated for default by any government agency, or

• any lawsuits filed against it by creditors or involving contract disputes? YES / NO .

If "YES," please explain. (With regard to judgments, include jurisdiction and date of final judgment or dismissal.)

Response:

DAS Procurement Services, Version 1.0 – December 9, 2016 Page 2 of 3

5. Does Offeror have any outstanding or pending judgments against it? YES / NO .

Is Offeror experiencing financial distress or having difficulty securing financing? YES / NO .

Does Offeror have sufficient cash flow to fund day-to-day operations throughout the proposed contract period? YES / NO

If "YES” on the first question or second question, or “NO” on the third question, please provide additional details.

Response:

6. Within the last three years, has Offeror filed a bankruptcy action, filed for reorganization, made a general assignment of assets for the benefit of creditors, or had an action for insolvency instituted against it? YES / NO .

If "YES," indicate the filing dates, jurisdictions, type of action, ultimate resolution, and dates of judgment or dismissal, if applicable.

Response:

7. Does Offeror have all required licenses, insurance and/or registrations, if any, and is Offeror legally authorized to do business in the State of Oregon? YES /NO .

If "NO," please explain.

Response:

8. Pay Equity Certificate. This certificate is required if Offeror employs 50 or more full-time workers and the prospective contract price is estimated to exceed $500,000. [This requirement does not apply to architectural, engineering, photogrammetric mapping, transportation planning or land surveying and related services contracts.] Does a current authorized representative of Offeror possess an unexpired Pay Equity Certificate issued by the Department of Administrative Services? YES / NO / N/A

. [If the certificate was provided with the Bid or Proposal submitted for a solicitation related to the prospective contract, then it is not necessary to resubmit it. Just indicate “see Bid” or “see Proposal” in the response field. Otherwise, if applicable, submit a copy of the certificate with this form.]

Response:

AUTHORIZED SIGNATURE

By signature below, the undersigned Authorized Representative on behalf of Offeror certifies to the best of his or her knowledge and belief that the responses provided on this form are complete, accurate, and not misleading.

Offeror Name: RFP:

DAS Procurement Services, Version 1.0 – December 9, 2016 Page 3 of 3

Project Name:

Authorized Signature Date

Print Name Title

ATTACHMENT H.

VESSEL AND VESSEL OPERATOR/FISHER

MINIMUM QUALIFICAITONS FORM

Grand Total Points Possible (40)

(2.4 & 3.1.1) - Vessel to be provided:

List Vessel Information:

Vessels must possess the most up to date mechanical inspection certificates, US Coast Guard inspection forms. (List of all current certifications):

Expiration date of current Mechanical inspection certification:

Expiration date of current Coast Guard inspection:

Date of current stability test:

Expiration date of current hull inspection:

List any other applicable inspections and certifications with expiration dates:

(2.4 & 3.1.2) - Vessel Operator/Fisher Qualifications:

Offeror and/or Vessel Operator must have a minimum of 3 years of commercial fishing experience in lower Columbia River commercial fisheries substantiated by landings.

Offeror’s name and number of years of experience the bidder has operated vessels:

Name: Years of experience:

Name of Vessel Master and number of years of operating vessels:

Name: Years of experience:

Vessel Operator must possess a current Masters Operator’s License, and current First Aid Certification.

(List of all current certifications):

Expiration date of current Masters Operator’s license: __________________________________

Expiration date of current first aid certification: _________________________________________

List any other applicable certifications with expiration dates:

Signed by Offeror’s Duly Authorized Representative.

Signature Date

Printed Name Title

ATTACHMENT I.

SCORED PROPOSAL COMPONENTS FORM

(Attach additional sheets if necessary)

(2.4, 3.5.2.2 & 3.5.2.3)

VESSEL AND GEAR SPECIFICATIONMS. ERGONOMICS: 25 points possible

Proposer must demonstrate experience of the Project Team (Vessel Master, Crew, and Deckhands). Please include names of all team members. Demonstrate Proposer’s team qualifications and experience relating to the Work.

Vessel Name: Document/OR No.

Vessel Length: Approximate Deck Size ft by ft

Owners Name: Phone No.

Vessel Operator(s) Name: Phone No.

Additional Crew (#): Hull Age:

UNDERSTANDING OF REQUESTED SERVICES/PROJECT 10 points possible

Signed by Offeror’s Duly Authorized Representative.

Signature Date

Printed Name Title