S-58100-00004933 SSF Modernization RFI - Attachment A.docx
DOCX document 33 KB Posted
- Attached to
- Pharmacy Benefit Management Services
- Solicitation number
- S-X24129-00004932
- Issued by
- Marion County, Oregon
About this file
This is a Disclosure Exemption Affidavit attachment related to Request for Proposals Bid S-58100-00004933 for State School Fund Modernization submitted to the State of Oregon. The affidavit serves as a template for proposers to declare information within their proposals that they believe qualifies for exemption from public disclosure under Oregon's Public Records Law (ORS 192.311 through 192.478) and the Uniform Trade Secrets Act (ORS 646.461 through 646.475). The document requires an authorized representative of the proposing organization to swear or affirm under penalty of perjury that specified information meets the criteria for trade secret protection or statutory exemption. The affiant must certify familiarity with both the RFP requirements and the contents of the proposal submitted, and identify the exempt information by reference to Exhibit A, which outlines the specific statutory exemptions claimed.
The affidavit establishes the legal framework for protecting proprietary information by requiring proposers to demonstrate that claimed exempt information either constitutes a formula, plan, pattern, process, tool, mechanism, compound, procedure, production data, or compilation of information that is not patented, known only to specific individuals within the organization, used in the proposer's business, possesses actual or potential commercial value, and provides competitive advantage; or alternatively, that the information derives independent economic value from not being generally known and is subject to reasonable efforts to maintain secrecy. The document must be notarized and signed by the affiant, establishing official certification of the exemption claims. This procedural requirement acknowledges that final determinations regarding disclosure exemptions may depend on official or judicial review in accordance with Oregon's Public Records Law.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CIS PBM RFP QA Addendum.pdf | ||
| CIS PBM RFP 11.11.2022 Final for Release.pdf |
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
ATTACHMENT A — disclosure exemption AFFIDAVIT ____________________ (Affiant), being first duly sworn under oath, and representing [insert Proposer Name] (hereafter “Proposer”), hereby deposes and swears or affirms under penalty of perjury that:
I am an employee of the Proposer, I have knowledge of the Request for Proposals referenced herein, and I have full authority from the Proposer to submit this affidavit and accept the responsibilities stated herein.
I am aware that the Proposer has submitted a Proposal, dated on or about [insert date] (the “Proposal”), to the State of Oregon (State) in response to Request for Proposals Bid S-58100-00004933, for State School Fund Modernization, and I am familiar with the contents of the RFI and Proposal.
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 Proposal 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.
I have reviewed the information contained in the Proposal. The Proposer 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 formula, plan, pattern, process, tool, mechanism, compound, procedure, production data, or compilation of information that:
is not patented, is known only to certain individuals within the Proposer’s organization and that is used in a business the Proposer conducts, has actual or potential commercial value, and gives its user an opportunity to obtain a business advantage over competitors who do not know or use it.
or Information, including a drawing, cost data, customer list, formula, pattern, compilation, program, device, method, technique or process that:
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 Is the subject of efforts by the Proposer that are reasonable under the circumstances to maintain its secrecy.
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 _________________ RFI Bid S-58100-00004933 – State School Fund Modernization Att A
My Commission Expires: _________
| RFP [###-####-##] – [RFP title] | Page 1 of 3 |
| DAS Procurement Services, Version 4.0 – March 25, 2018 | Page 1 of 3 |
EXHIBIT A TO ATTACHMENT B
Proposer identifies the following information as exempt from public disclosure under the following designated exemption(s):
File details come from the government source that posted it. Updated .