S-44300-00016445 Attachment C. Proposer Information and Certification.pdf
PDF 194 KB Posted
- Solicitation number
- S-44300-00016445
- Issued by
- Oregon
About this file
This is a Proposer Information and Certification attachment document for the System of Care Fiscal Assessment Request for Proposal issued by the State of Oregon. The document establishes the framework for proposal submissions and certifications required from bidders responding to this fiscal assessment initiative, which seeks to inventory and assess Federal, state, and local funding streams benefiting youth ages 0-25 with complex behavioral health needs served through Oregon's System of Care. The proposal process requires bidders to provide detailed organizational information, demonstrate relevant qualifications and experience, and execute required certifications affirming compliance with applicable regulations and contractual obligations. Specific submission requirements, response timelines, and evaluation criteria are outlined within this certification document to ensure consistent and transparent proposal review.
The attachment document establishes proposer eligibility requirements, mandatory certifications, and compliance declarations necessary for consideration in the competitive bidding process. Proposers must certify their organizational standing, confirm the accuracy of submitted information, and acknowledge adherence to state and federal requirements. The document may include provisions regarding insurance requirements, conflict of interest disclosures, non-discrimination certifications, and other standard contractual assurances required by the State of Oregon. By executing these certifications, proposers confirm their ability to meet the scope of work requirements for conducting the comprehensive fiscal assessment and identifying opportunities to align funding models with the System of Care Advisory Committee's strategic vision for Oregon's children and youth services.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
RFP #6251/OB #S-44300-00016445 For System of Care Fiscal Assessment Attachment C
RFP #6251/OB #S-44300-00016445/hst DAS Procurement Services, Version 4.0 – December 21, 2018 Page 1 of 3
ATTACHMENT C — PROPOSER INFORMATION AND
CERTIFICATION SHEET
Legal Name of Proposer:
Address: City, State, Zip:
State of Incorporation: Entity Type:
Contact Name: Telephone:
Contact Email Address:
Oregon Business Registry Number:(if required):
Any individual signing below hereby certifies they are an authorized representative of Proposer and that:
1. 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.
2. Proposer acknowledges receipt of any and all Addenda to this RFP.
3. Proposal is a Firm Offer for 180 days following the Closing.
4. 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.
5. 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.
6. Proposer does not unlawfully 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.
https://www.oregon.gov/DAS/Procurement/Pages/hb3060.aspx
DAS Procurement Services, Version 4.0 – December 21, 2018 Page 2 of 3
7. 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.
8. 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.
9. Proposer and Proposer’s employees, agents, and subcontractors are not included on:
a. 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
b. the government wide exclusions lists in the System for Award Management found at: https://www.sam.gov/
10. 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.
11. 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.
12. 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.
https://www.treasury.gov/ofac/downloads/sdnlist.pdf https://gcc02.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.sam.gov%2F&data=05%7C02%7CKimberley.WISDOM%40das.oregon.gov%7C66cb231ae7934e01711708dd930da837%7Caa3f6932fa7c47b4a0cea598cad161cf%7C0%7C0%7C638828409047344090%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=IdZyl8xEvEqeWNuMxSBw%2BbWIbdZZNl0P73s2LPo7CVo%3D&reserved=0
DAS Procurement Services, Version 4.0 – December 21, 2018 Page 3 of 3
13. 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)
File details come from the government source that posted it. Updated .