Boycott Certification. Vendor hereby certifies that during the term of any Agreement, it does not boycott Israel and will not boycott Israel. “Boycott” means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes. [Signatures follow on Signature Form] PROPOSAL FORM 20: GENERAL TERMS AND CONDITIONS ACCEPTANCE FORM Signature on the Vendor Contract Signature form certifies complete acceptance of the General Terms and Conditions in this solicitation, except as noted below (additional pages may be attached, if necessary). Check one of the following responses to the General Terms and Conditions: X We take no exceptions/deviations to the general terms and conditions (Note: If none are listed below, it is understood that no exceptions/deviations are taken.) ⬜ We take the following exceptions/deviations to the general terms and conditions. All exceptions/deviations must be clearly explained. Reference the corresponding general terms and conditions that you are taking exceptions/deviations to. Clearly state if you are adding additions terms and conditions to the general terms and conditions. Provide details on your exceptions/deviations below: (Note: Unacceptable exceptions shall remove your proposal from consideration for award. Region 10 ESC shall be the sole judge on the acceptance of exceptions/deviations and the decision shall be final.) $6D :7+8 9$<#A:9+';7(<; 7=)9>,&<J? )#<$0 > (@#*=# (A'?" $?)*B"0+A<) C+ : ;~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fU]VWWX_RYTZ)WK[#V \$+^+Z$f )]c) TZ"^2$VS ^$+!W _#/$G)%]0 gc*Z(V+V* h[ "c ]'fiZ`V j^k `l akAmVb^bcYd e^eW e9ZTZ]nZfo`jklkp 7Rz"$h c+YNb{*H0f Wh|DWV^fcT^8h]nZf} } } } } } } } } 5q* ! 0%1 $ )$# * #1$ 1#) 'v+ +"w, *)Q + "$L". *2J $ K,# * ! +#! # +$*),+ )+$") $"S !* *3 !1*'+K12#%/*) )1 r#u+"t0*'/* +!*# "*#&"$ *,#*, )%!" *) (! ++ ")$ )&!/')5 , ++"% *$"/) + 2vr sw tQ+'X X *4"#"xy 2 * +$ + ! 2 ) *" ! # ) *(" 1+1 $ ) ) +4 +)""* 1 1 2 Proposal Form Checklist 3 PROPOSAL FORM 1: ATTACHMENT B – PRICING 4 PROPOSAL FORM 2: QUESTIONNAIRE & EVALUATION CRITERIA 5 PROPOSAL FORM 3: CERTIFICATIONS AND LICENSES 12 PROPOSAL FORM 4: CLEAN AIR WATER ACT 13 PROPOSAL FORM 5: DEBARMENT NOTICE 14 PROPOSAL FORM 6: LOBBYING CERTIFICATION 15 PROPOSAL FORM 7: CONTRACTOR CERTIFICATION REQUIREMENTS 16 PROPOSAL FORM 8: ANTITRUST CERTIFICATION STATEMENTS 17 PROPOSAL FORM 9: IMPLEMENTATION OF HOUSE BILL 1295 18 PROPOSAL FORM 10: BOYCOTT CERTIFICATION AND TERRORIST STATE CERTIFICATION 19 PROPOSAL FORM 11: RESIDENT CERTIFICATION 20 PROPOSAL FORM 12: FEDERAL FUNDS CERIFICATION FORM 21 PROPOSAL FORM 13: ADDITIONAL ARIZONA CONTRACTOR REQUIREMENTS 30 PROPOSAL FORM 14: OWNERSHIP DISCLOSURE FORM (N.J.S. 52:25-24.2) 32 PROPOSAL FORM 15: NON-COLLUSION AFFIDAVIT 33 PROPOSAL FORM 16: AFFIRMATIVE ACTION AFFIDAVIT (P.L. 1975, C.127) 34 PROPOSAL FORM 17: C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM 37 PROPOSAL FORM 18: STOCKHOLDER DISCLOSURE CERTIFICATION 42 PROPOSAL FORM 19: GENERAL TERMS AND CONDITIONS ACCEPTANCE FORM 43 PROPOSAL FORM 20: EQUALIS GROUP ADMINISTRATION AGREEMENT 44 PROPOSAL FORM 21: OPEN RECORDS POLICY ACKNOWLEDGEMENT AND ACCEPTANCE 45 PROPOSAL FORM 22: VENDOR CONTRACT AND SIGNATURE FORM 46 Proposal Form Checklist The following documents must be submitted with the Proposal The below documents can be found in Section 2; Proposal Submission and Required Bid Forms and must be submitted with the proposal. Please note Proposal Form 1 is a separate attachment (attachment B). PROPOSAL PRICING: Attachment B is provided separately in a Microsoft Excel file and is required to complete your price proposal. PROPOSAL FORM 1: ATTACHMENT B - PRICING QUESTIONNAIRE & EVALUATION CRITERIA: PROPOSAL FORM 2: QUESTIONNAIRE & EVALUATION CRITERIA OTHER REQUIRED PROPOSAL FORMS: PROPOSAL FORM 3: CERTIFICATIONS AND LICENSES PROPOSAL FORM 4: CLEAN AIR AND WATER ACT PROPOSAL FORM 5: DEBARMENT NOTICE PROPOSAL FORM 6: LOBBYING CERTIFICATION PROPOSAL FORM 7: CONTRACTOR CERTIFICATION REQUIREMENTS PROPOSAL FORM 8: ANTITRUST CERTIFICATION STATEMENTS PROPOSAL FROM 9: IMPLEMENTATION OF HOUSE BILL 1295 PROPOSAL FROM 10: BOYCOTT CERTIFICATION AND TERRORIST STATE CERTIFICATION PROPOSAL FORM 11: RESIDENT CERTIFICATION PROPOSAL FORM 12: FEDERAL FUNDS CERIFICATION FORM PROPOSAL FORM 13: ADDITIONAL ARIZONA CONTRACTOR REQUIREMENTS PROPOSAL FORM 14: OWNERSHIP DISCLOSURE FORM (N.J.S. 52:25-24.2) PROPOSAL FORM 15: NON-COLLUSION AFFIDAVIT PROPOSAL FORM 16: AFFIRMATIVE ACTION AFFIDAVIT (P.L. 1975, C.127) PROPOSAL FORM 17: C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM PROPOSAL FORM 18: STOCKHOLDER DISCLOSURE CERTIFICATION PROPOSAL FORM 19: GENERAL TERMS AND CONDITIONS ACCEPTANCE FORM PROPOSAL FORM 20: EQUALIS GROUP ADMINISTRATION AGREEMENT PROPOSAL FORM 21: OPEN RECORDS POLICY ACKNOWLEDGEMENT AND ACCEPTANCE PROPOSAL FORM 22: VENDOR CONTRACT AND SIGNATURE FORM (The rest of this page is intentially left blank) PROPOSAL FORM 1: ATTACHMENT B – PRICING Pricing should be entered in the attachment B Excel form provided in this RFP packet. Please reference Section 1, Part B, Instructions to Proposers, for more information on how to complete pricing. (The rest of this page is intentionally left blank) PROPOSAL FORM 2: QUESTIONNAIRE & EVALUATION CRITERIA Instructions: Respondents should incorporate their questionnaire responses directly into the green cells below. Failure to provide responses in this format may result in the proposal being deemed as non-responsive at the sole discretion of Region 10. Respondents may incorporate additional documents as part of their response which may be utilized by Region 10 as part of the evaluation. Additional documents must be consolidated as part of this Section 2 at the end of your response. Vendor responses are strictly limited to 30 additional pages. Vendors who submit more than 30 additional pages may result in the proposal being deemed non-responsive at the sole discretion of Region 10. Region 10 has associated the evaluation criteria with the question that most closely aligns with that respective evaluation criteria. Region 10 reserves the right at its sole discretion to base its evaluation and specific evaluation criteria on any part of the respondent’s proposal. Evaluation Criteria Question Answer

Appears in 1 contract

Samples: equalisgroup.org

Boycott Certification. Vendor hereby certifies that during the term of any Agreement, it does not boycott Israel and will not boycott Israel. “Boycott” means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes. [Signatures follow on Signature Form] DocuSign Envelope ID: 5BEB0B11-62F2-44E6-9EB9-D3E667E58FE2 PROPOSAL FORM 20: GENERAL TERMS AND CONDITIONS ACCEPTANCE FORM Signature on the Vendor Contract Signature form certifies complete acceptance of the General Terms and Conditions in this solicitation, except as noted below (additional pages may be attached, if necessary). Check one of the following responses to the General Terms and Conditions: X ⬜ We take no exceptions/deviations to the general terms and conditions (Note: If none are listed below, it is understood that no exceptions/deviations are taken.) ⬜ ⬜x We take the following exceptions/deviations to the general terms and conditions. All exceptions/deviations must be clearly explained. Reference the corresponding general terms and conditions that you are taking exceptions/deviations to. Clearly state if you are adding additions terms and conditions to the general terms and conditions. Provide details on your exceptions/deviations below: (Note: Unacceptable exceptions shall remove your proposal from consideration for award. Region 10 ESC shall be the sole judge on the acceptance of exceptions/deviations and the decision shall be final.) ~~$6D :7+8 9$<#A:9+';7(<; 7=)9>,&<J? )#<$0 > (@#*=# (A'?" $?)*B"0+A<) C+ : ;~)=,D$ /: $* =1 )E ( F 7 ?$7 9~~ % G) ,8+9 $<#A(H"8)7(9)#I*14A?B?B7A;;7<E:8<7?:@7 + * 5 * !. # ( + & ) $" ) 0!!+ #+&"3 # #$+ % (* / )//! $!0),$+ 0/ ,( * *0"+" +$ ) ' +& '#" $ */(/*0/ " )+)" ! +(!$+ /,) $)& # ' #+ !1#+) $ * )+2 *$ ,)+ !* + #* $!#%* - " +() & ) $ % # $ ! ") # # " *+"# % # $ $ % $ % " )% # &" # " # # # , % $ ' # " # ( ) + % #)% ) #* ",+ $ % ) ., % % KD *+ %$!" '+ F$E#%I $ $% J 'H G # " . q r x s t t u tsx v w |}x vty ysz ~sy { |s} ~ x v 0% #% &1& 2 ) )3 #$ 4 +* # 5% " " 6 $ 7 % ! 8 &# 6&$ D9%#* # &6 * #8 % ": ) $ 7 #! " ";+!%$ #9 # & , 9 "! $<# *$ +; *%$6$ +="$.% 4+%#$ 5! " 7 ' )#> #%4 "-7$ % ?$" @ * $1 %# 9 %&1 #&3 )%$ ) A # ! 2 #"3 & %#%6 " ;#B # 2 ) #$1 #+*3 & " C$) # ; 9 !+< " $ 9 # #< "% 1# ; , $5 $ +%5%$! 1 "$6$% (? #4#! & 2# # %6!% 1 % #9 4 / : )1"##> %* 4#$* %2 %6# $ ;%3 %) $ 1$ 5% 1 3% $!% |yt |ts L#E % ## , LM % % ) # * $"$%$ * ! } syrx} w} | xz sttsv} y t rst vy 1Lk X V% lHm n$ B* O Q X o > QT U O V SU 2XP_NOp p p p p p p p p p *b9/$ N $O + P #% #Q #Rg$$%Sh +Q K % T,F U,#DO#V E cSf% U e% !% $#)%$# M %-W &V$$TE)+% X ) ,V # O Y% Z%$% [#) \% ] \! $ ^ / & ,# # $ g"#h U Q K #F#D %.#i&3 % N S N# P c d_ eN$!O+ ` $Z# [ j\,#]$ % \% $a + $$ # *" % # % %$#% ( & , $& # $$ +#)() #*!+~~"!* ,$ ( /1 ")"*) #, (,"$(#+$*/~~ ! &) " ")' (%"( *!)") $ ) /,+#' ! + # $# !#3 0*2+( /("$)!" )+10) -0( )'$)# ( "#)* "#* " 1)#' /"$"( .)* $)* / % !)! #$1+1 $) +* # +#$ #)#+*1 ")* $#~~/2 ,+#~~+ '#$ /+)*( )$"! $0+*+ "'( #(!")'+1)$ *) ( + )2 / # %"*%$")1+*2$+% $ +*% !+4 K!!" ## RQJ 0"1$ + *'(+$- 1 L*!)+O!* * +! P* "0-N M#) $#(4 G?ZTfU]VWWX_RYTZ)WK[#V \$+^+Z$f )]c) TZ"^2$VS ^$+!W _#/$G)%]0 gc*Z(V+V* h[ "c ]'fiZ`V j^k `l akAmVb^bcYd e^eW e9ZTZ]nZfo`jklkp 7Rz"$h c+YNb{*H0f Wh|DWV^fcT^8h]nZf} } } } } } } } } 5q* ! 0%1 $ )$# * #1$ 1#) 'v+ +"w, *)Q + "$L". *2J $ K,# * ! +#! # +$*),+ )+$") $"S !* *3 !1*'+K12#%/*) )1 r#u+"t0*'/* +!*# "*#&"$ *,#*, )%!" *) (! ++ ")$ )&!/')5 , ++"% *$"/) + 2vr sw tQ+'X X *4"#"xy 2 * +$ + ! 2 ) *" ! # ) *(" 1+1 $ ) ) +4 +)""* 1 1 2 Proposal Form Checklist 3 PROPOSAL FORM 1: ATTACHMENT B – PRICING 4 PROPOSAL FORM 2: QUESTIONNAIRE & EVALUATION CRITERIA 5 PROPOSAL FORM 3: CERTIFICATIONS AND LICENSES 12 PROPOSAL FORM 4: CLEAN AIR WATER ACT 13 PROPOSAL FORM 5: DEBARMENT NOTICE 14 PROPOSAL FORM 6: LOBBYING CERTIFICATION 15 PROPOSAL FORM 7: CONTRACTOR CERTIFICATION REQUIREMENTS 16 PROPOSAL FORM 8: ANTITRUST CERTIFICATION STATEMENTS 17 PROPOSAL FORM 9: IMPLEMENTATION OF HOUSE BILL 1295 18 PROPOSAL FORM 10: BOYCOTT CERTIFICATION AND TERRORIST STATE CERTIFICATION 19 PROPOSAL FORM 11: RESIDENT CERTIFICATION 20 PROPOSAL FORM 12: FEDERAL FUNDS CERIFICATION FORM 21 PROPOSAL FORM 13: ADDITIONAL ARIZONA CONTRACTOR REQUIREMENTS Evaluation Criteria Question Answer Basic Information Required information for notification of RFP results What is your company’s official registered name? Uber Technologies, Inc. What is the mailing address of your company’s headquarters? 0000 0xx Xxxxxx, Xxx Xxxxxxxxx, XX 00000 Who is the main contact for Xxxxxxxxx Xxxxxx, Xx. Government Account Executive, any questions and notifications concerning this 000-000-0000, xxxxxxxxx.xxxxxx@xxxx.xxx RFP response, including notification of award? Provide name, title, email address, and phone number. Products/Pricing (30 ~~PROPOSAL FORM 14: OWNERSHIP DISCLOSURE FORM (N.J.S. 52:25-24.2~~Points) 32 PROPOSAL FORM 15: NON-COLLUSION AFFIDAVIT 33 PROPOSAL FORM 16: AFFIRMATIVE ACTION AFFIDAVIT (P.L. 1975, C.127) 34 PROPOSAL FORM 17: C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM 37 PROPOSAL FORM 18: STOCKHOLDER DISCLOSURE CERTIFICATION 42 PROPOSAL FORM 19: GENERAL TERMS AND CONDITIONS ACCEPTANCE FORM 43 PROPOSAL FORM 20: EQUALIS GROUP ADMINISTRATION AGREEMENT 44 PROPOSAL FORM 21: OPEN RECORDS POLICY ACKNOWLEDGEMENT AND ACCEPTANCE 45 PROPOSAL FORM 22: VENDOR CONTRACT AND SIGNATURE FORM 46 Proposal Form Checklist The following documents must be submitted with Coverage of products and services No answer is required. Region 10 will utilize your overall response and the ~~Proposal The below documents can be found~~ products/services provided in ~~Section 2; Proposal Submission and Required Bid Forms and must be submitted with the proposal. Please note Proposal Form 1 is a separate attachment (attachment B). PROPOSAL PRICING:~~ Attachment B to make this determination Ability of offered products and services to meet the needs requested in the scope No answer is required. Region 10 will utilize your overall response and the products/services provided ~~separately~~ in Attachment B to make this determination Pricing for all Does the respondent agree to offer all future product and Yes. available services at prices that are products proportionate to contract and services, pricing offered herein? including warrantie Does pricing submitted include the required administrative Yes, in Attachment B Uber’s included an administrative fee. s if fee? applicable Education Service Center Region 10 | R10-1162 -Catering Services| 1 Do you offer any other promotions or incentives for customers? If yes, please describe. As a ~~Microsoft Excel file~~ global organization with more than 170K customers, Uber for Business offers a wide range of incentive structures for customers. The incentives proposed for Region 10 are of similar structure to other federal and ~~is required~~ state agencies our team has partnered with. Ability of Customers to complete your price proposal. PROPOSAL FORM 1: ATTACHMENT B - PRICING QUESTIONNAIRE & EVALUATION CRITERIA: PROPOSAL FORM 2: QUESTIONNAIRE & EVALUATION CRITERIA OTHER REQUIRED PROPOSAL FORMS: PROPOSAL FORM 3: CERTIFICATIONS AND LICENSES PROPOSAL FORM 4: CLEAN AIR AND WATER ACT PROPOSAL FORM 5: DEBARMENT NOTICE PROPOSAL FORM 6: LOBBYING CERTIFICATION PROPOSAL FORM 7: CONTRACTOR CERTIFICATION REQUIREMENTS PROPOSAL FORM 8: ANTITRUST CERTIFICATION STATEMENTS PROPOSAL FROM 9: IMPLEMENTATION OF HOUSE BILL 1295 PROPOSAL FROM 10: BOYCOTT CERTIFICATION AND TERRORIST STATE CERTIFICATION PROPOSAL FORM 11: RESIDENT CERTIFICATION PROPOSAL FORM 12: FEDERAL FUNDS CERIFICATION FORM PROPOSAL FORM 13: ADDITIONAL ARIZONA CONTRACTOR REQUIREMENTS PROPOSAL FORM 14: OWNERSHIP DISCLOSURE FORM (N.J.S. 52:25-24.2) PROPOSAL FORM 15: NON-COLLUSION AFFIDAVIT PROPOSAL FORM 16: AFFIRMATIVE ACTION AFFIDAVIT (P.L. 1975, C.127) PROPOSAL FORM 17: C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM PROPOSAL FORM 18: STOCKHOLDER DISCLOSURE CERTIFICATION PROPOSAL FORM 19: GENERAL TERMS AND CONDITIONS ACCEPTANCE FORM PROPOSAL FORM 20: EQUALIS GROUP ADMINISTRATION AGREEMENT PROPOSAL FORM 21: OPEN RECORDS POLICY ACKNOWLEDGEMENT AND ACCEPTANCE PROPOSAL FORM 22: VENDOR CONTRACT AND SIGNATURE FORM (The rest of verify that they received contract pricing Were all products/lines/services and pricing being made available under this ~~page is intentially left blank) PROPOSAL FORM 1: ATTACHMENT B – PRICING Pricing should be entered~~ contract provided in the attachment B ~~Excel form provided in this RFP packet. Please reference Section 1, Part~~ and/or Appendix B, Instructions to Proposers, for more information on how to complete pricing. (The rest of this page is intentionally left blank) PROPOSAL FORM 2: QUESTIONNAIRE & EVALUATION CRITERIA Instructions: Respondents should incorporate their questionnaire responses directly into the green cells below. Failure to provide responses in this format may result in the proposal being deemed as non-responsive at the sole discretion of Region 10. Respondents may incorporate additional documents as part of their response which may be utilized by Region 10 as part of the evaluation. Additional documents must be consolidated as part of this Section 2 at the end of your response. Vendor responses are strictly limited to 30 additional pages. Vendors who submit more than 30 additional pages may result in the proposal being deemed non-responsive at the sole discretion of Region 10. Region 10 has associated the evaluation criteria with the question that most closely aligns with that respective evaluation criteria. Region 10 reserves the right at its sole discretion to base its evaluation and specific evaluation criteria on any part of the respondent’s proposal. Evaluation Criteria Question Answerpricing sections? Yes.

Appears in 1 contract

Samples: Vendor Contract And

Boycott Certification. ~~Vendor~~ Respondents hereby ~~certifies~~ certify that during the term of any Agreement, it does not boycott Israel and will not boycott Israel. “Boycott” means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes. [Signatures follow on Signature Form] PROPOSAL FORM 2019: GENERAL TERMS AND CONDITIONS ACCEPTANCE FORM Signature on the Vendor Contract Signature form certifies complete acceptance of the General Terms and Conditions in this solicitation, except as noted below (additional pages may be attached, if necessary). Check one of the following responses to the General Terms and Conditions: X ⬜ We take no exceptions/deviations to the general terms and conditions (Note: If none are listed below, it is understood that no exceptions/deviations are taken.) ⬜ We take the following exceptions/deviations to the general terms and conditions. All exceptions/deviations must be clearly explained. Reference the corresponding general terms and conditions that you are taking exceptions/deviations to. Clearly state if you are adding additions terms and conditions to the general terms and conditions. Provide details on your exceptions/deviations below: (Note: Unacceptable exceptions shall remove your proposal from consideration for award. Region 10 ESC shall be the sole judge on the acceptance of exceptions/deviations and the decision shall be final.) ~~$6D :7+8 9$<#A:9+';7(<; 7=)9>,&<J? )#<$0 > (@#*=# (A'?~~$ $ $ ) ( ( " ~~$?)*B"0+A<~~, ) ~~C+ : ;~)=,D$ /: $* =1 )E ( F 7 ?$7 9 % G) ,8+9 $<#A(H"8)7(9)#I*14A?B?B7A;;7<E:8<7?:@7 + * 5 * !.~~ $ ! ! # ( $ % %"( #%# $) " " ! ( # " ! *$# " "! %(+ ~~& ) $~~" ~~) 0!!+ #+&~~"3 # ~~#$+ % (* / )//~~# *! $~~!0),$+ 0/ ,( * *0"+" +$ ) ' +& '~~)#" $ !# $ "*~~/(/*0/~~ $" ~~)+)~~"# # ! #& ("$ " $#$ ! , # $ ! #! ) # ( $" " $% "% % ! ($# ( " " ! +(""! % $" $ "! " " + ( "# $"*) # % ! # #( & " " * * ! !# " " " ! $' " ( + ~~/,) $)&~~ # ~~' #+ !1#+) $ * )+2 *$ ,)+ !* + #~~# * $# * !#%# $ ' $" % "( " $ $ ( "$ " ) . ! + * - ( #!" ~~+(#~~ " *+$" $) ( "# ) $ -+ $ " # $ $ $( # #$$ $ $ # $ K" $ " +JK) $ #% $ ( ~~$ +~~*"# H) # I!# #)G " "/%0%1 () 2 #*+3*"4!5 6 7 5C8""%5C)7$ $!9 # &6E !D$: 8# " $ 8! # ;"~~!* ,$ ( /1 ")"*) #, (,"$(#+$*/~~ &) F : 5 # ! *<-3n 4 6o p =q3 r6 s>tu ?v0 w8 0 n 2 @tx1 x 2t x5y:Az1{0|2}Bpq:t8~;x8; 0 :4 405>31508390=315:20402 * ! " `8# M N *O $ "~~)' (%~~P "( Q#$R *~~!)")~~ PD $S + T$+N" U " aRd T cL $ ~~) /,+#' ! +~~ # $# !, 6 %#~~3 0*2+( /("$)!" )+10) -0( )'$)#~~ #U*$* V( "W X $Y Z#$Y"([$ # . T P% " " #)e!f @ J\ "EN]C ^-["Zg%X $Y Z Y" _ a b c# * #" +" $# *## "~~#* " 1)#' /"$"( .)* $)* / % !~~)! ~~#$1+1 $) +* # +#~~$ #)#+*1 ")* " $ $#~~/2 ,+~~"$ ' % + #+ '#$ /+)*( )$"! $0+*+ "'( #(!")'+1)$ *) ( + )2 / # %"*%$")1+*2$+% $ +*% ~~!+4 K!!~~" ## ~~RQJ 0"1~~* * %#"* # ).K # $" G #e# )f X X "C D $ $ "( " L $ #(D$ + $ $ + *'(+" "$- ~~1 L*!)+O!* * +! P* "0~~h#$ 0ijU^]kANPj\=PSTNURT1jOlMN m m m m m m m m m m REQUEST FOR PROPOSAL #R10-N M#) $#(4 G?ZTfU]VWWX_RYTZ)WK[#V \$+^+Z$f )]c) TZ"^2$VS ^$+!W _#/$G)%]0 gc*Z(V+V* h[ "c ]'fiZ`V j^k `l akAmVb^bcYd e^eW e9ZTZ]nZfo`jklkp 7Rz"$h c+YNb{*H0f Wh|DWV^fcT^8h]nZf} } } } } } } } } 5q* ! 0%1 $ )$# * #1$ 1#) 'v+ +"w1152 FOR: IN-PERSON TUTORING, ~~*)Q + "$L". *2J $ K,# * ! +#! # +$*),+ )+$") $"S !* *3 !1*'+K12#%/*) )1 r#u+"t0*'/* +!*# "*#&"$ *,#*~~COUNSELING, ~~)%!" *) (! ++ ")$ )&!/')5~~ AND PROFESSIONAL DEVELOPMENT SERVICES February 10, ~~++"% *$"/) + 2vr sw tQ+'X X *4"#"xy 2 * +$ + ! 2 ) *" ! # ) *(" 1+1 $ ) ) +4 +)""* 1 1 2~~ 2023 Section Two: Proposal Submission, Questionnaire and Required Forms Proposal Form Checklist 3 PROPOSAL FORM 1: ATTACHMENT B – PRICING 4 PROPOSAL FORM 2: QUESTIONNAIRE & EVALUATION CRITERIA 5 PROPOSAL FORM 3: CERTIFICATIONS AND LICENSES 12 PROPOSAL FORM 4: CLEAN AIR WATER ACT 13 PROPOSAL FORM 5: DEBARMENT NOTICE 14 PROPOSAL FORM 6: LOBBYING CERTIFICATION 15 PROPOSAL FORM 7: CONTRACTOR CERTIFICATION REQUIREMENTS 16 PROPOSAL FORM 8: ANTITRUST CERTIFICATION STATEMENTS 17 PROPOSAL FORM 9: IMPLEMENTATION OF HOUSE BILL 1295 18 PROPOSAL FORM 10: BOYCOTT CERTIFICATION AND TERRORIST STATE CERTIFICATION 19 PROPOSAL FORM 11: RESIDENT CERTIFICATION 20 PROPOSAL FORM 12: FEDERAL FUNDS CERIFICATION FORM 21 PROPOSAL FORM 13: ADDITIONAL ARIZONA CONTRACTOR REQUIREMENTS 30 27 PROPOSAL FORM 14: OWNERSHIP DISCLOSURE FORM (N.J.S. 52:25-24.2) 32 29 PROPOSAL FORM 15: NON-COLLUSION AFFIDAVIT 33 30 PROPOSAL FORM 16: AFFIRMATIVE ACTION AFFIDAVIT (P.L. 1975, C.127) 34 31 PROPOSAL FORM 17: C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM 37 34 PROPOSAL FORM 18: STOCKHOLDER DISCLOSURE CERTIFICATION 42 39 PROPOSAL FORM 19: GENERAL TERMS AND CONDITIONS ACCEPTANCE FORM 43 40 PROPOSAL FORM 20: EQUALIS GROUP ADMINISTRATION AGREEMENT 44 41 PROPOSAL FORM 21: OPEN RECORDS POLICY ACKNOWLEDGEMENT AND ACCEPTANCE 45 42 PROPOSAL FORM 22: VENDOR CONTRACT AND SIGNATURE FORM 46 43 Proposal Form Checklist The following documents must be submitted with the Proposal The below documents can be found in Section 2; Proposal Submission and Required Bid Forms and must be submitted with the proposal. Please note Proposal Form 1 is a separate attachment (attachment B). PROPOSAL PRICING: Attachment B is provided separately in a Microsoft Excel file and is required to complete your price proposal. PROPOSAL FORM 1: ATTACHMENT B - PRICING QUESTIONNAIRE & EVALUATION CRITERIA: PROPOSAL FORM 2: QUESTIONNAIRE & EVALUATION CRITERIA OTHER REQUIRED PROPOSAL FORMS: PROPOSAL FORM 3: CERTIFICATIONS AND LICENSES PROPOSAL FORM 4: CLEAN AIR AND WATER ACT PROPOSAL FORM 5: DEBARMENT NOTICE PROPOSAL FORM 6: LOBBYING CERTIFICATION PROPOSAL FORM 7: CONTRACTOR CERTIFICATION REQUIREMENTS PROPOSAL FORM 8: ANTITRUST CERTIFICATION STATEMENTS PROPOSAL FROM 9: IMPLEMENTATION OF HOUSE BILL 1295 PROPOSAL FROM 10: BOYCOTT CERTIFICATION AND TERRORIST STATE CERTIFICATION PROPOSAL FORM 11: RESIDENT CERTIFICATION PROPOSAL FORM 12: FEDERAL FUNDS CERIFICATION FORM PROPOSAL FORM 13: ADDITIONAL ARIZONA CONTRACTOR REQUIREMENTS PROPOSAL FORM 14: OWNERSHIP DISCLOSURE FORM (N.J.S. 52:25-24.2) PROPOSAL FORM 15: NON-COLLUSION AFFIDAVIT PROPOSAL FORM 16: AFFIRMATIVE ACTION AFFIDAVIT (P.L. 1975, C.127) PROPOSAL FORM 17: C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM PROPOSAL FORM 18: STOCKHOLDER DISCLOSURE CERTIFICATION PROPOSAL FORM 19: GENERAL TERMS AND CONDITIONS ACCEPTANCE FORM PROPOSAL FORM 20: EQUALIS GROUP ADMINISTRATION AGREEMENT PROPOSAL FORM 21: OPEN RECORDS POLICY ACKNOWLEDGEMENT AND ACCEPTANCE PROPOSAL FORM 22: VENDOR CONTRACT AND SIGNATURE FORM (The rest of this page is intentially left blank) PROPOSAL FORM 1: ATTACHMENT B – PRICING Pricing should be entered in the attachment B Excel form provided in this RFP packet. Please reference Section 1, Part B, Instructions to Proposers, for more information on how to complete pricing. (The rest of this page is intentionally left blank) PROPOSAL FORM 2: QUESTIONNAIRE & EVALUATION CRITERIA Instructions: Respondents should incorporate their questionnaire responses directly into the green cells below. Failure to provide responses in this format may result in the proposal being deemed as non-responsive at the sole discretion of Region 10. Respondents may incorporate additional documents as part of their response which may be utilized by Region 10 as part of the evaluation. Additional documents must be consolidated as part of this Section 2 at the end of your response. Vendor responses are strictly limited to 30 additional pages. Vendors who submit more than 30 additional pages may result in the proposal being deemed non-responsive at the sole discretion of Region 10. Region 10 has associated the evaluation criteria with the question that most closely aligns with that respective evaluation criteria. Region 10 reserves the right at its sole discretion to base its evaluation and specific evaluation criteria on any part of the respondent’s proposal. Evaluation Criteria Question Answer.

Appears in 1 contract

Samples: Vendor Contract And

Boycott Certification. ~~Vendor~~ Respondents hereby ~~certifies~~ certify that during the term of any Agreement, it does not boycott Israel and will not boycott Israel. “Boycott” means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes. [Signatures follow on Signature Form] PROPOSAL FORM 2019: GENERAL TERMS AND CONDITIONS ACCEPTANCE FORM Signature on the Vendor Contract Signature form certifies complete acceptance of the General Terms and Conditions in this solicitation, except as noted below (additional pages may be attached, if necessary). Check one of the following responses to the General Terms and Conditions: X ⬜ We take no exceptions/deviations to the general terms and conditions (Note: If none are listed below, it is understood that no exceptions/deviations are taken.) ⬜ We take the following exceptions/deviations to the general terms and conditions. All exceptions/deviations must be clearly explained. Reference the corresponding general terms and conditions that you are taking exceptions/deviations to. Clearly state if you are adding additions terms and conditions to the general terms and conditions. Provide details on your exceptions/deviations below: (Note: Unacceptable exceptions shall remove your proposal from consideration for award. Region 10 ESC shall be the sole judge on the acceptance of exceptions/deviations and the decision shall be final.) !"#$~~6D :7+8 9$<#A:9+';7(<; 7=)9>,&<J? )~~"0% "0 $ & #~~<$0 > (@#*=# (A'?" $?)*B"0+A<) C+ : ;~)=,D$ /: $* =~~2 1 )E ' % % ( ~~F 7 ?$7 9 % G) ,8+9 $<#A(H"8)7(9)#I*14A?B?B7A;;7<E:8<7?:@7 + * 5 * !. # ( + & ) $~~3' " ) ~~0!!+ #+&"3 # #$+ % (* / )//! $!0),$+ 0/ ,( * *0"+" +$ ) ' +& '#" $ */(/*0/ " )+)" ! +(!$+ /,) $)& # ' #+ !1#+) $ * )+2 *$ ,)+ !* + #* $~~!#rs*[ft ug\#vg]f+w^_,uh `%xaij byk z`lm_{-nc| }o d~di"pe'm. q /'%(%( '!! "+ " % & * ~~- " +(# " *+~~"~~# ) #$#% ( $ +#)() #*+"!* ,$ ( /1 ")"*) #, (,"$(#+$*/ &) " ")' (%"( *!)") $ ) /,+#~~' ! ~~+ # $# !~~8 1 789 5 6 4 W J B X4YL . ; = J C * = @ A ;B ? A J < D:;Z Z Z Z Z Z Z Z Z Z : ; < = >S ? T = 7 @ 2 A 0; B 1O ?R A Q 9 " : 1 C A : < D : ; E F G H G I S T A = 7 2 0 U - J K J LOA P IQ E F G H G VM fm REQUEST FOR PROPOSAL #R10 -1158 FOR: TEST PREPARATION CURRICULUM AND SERVICES Section Two : P ro p o sa l Su b m is s io n , Xx e s t io n n a ire a n d Re q u ire d Fo rm s P rop osa l Form Xx x x x lis t 3 0*2+( /("$)!" )+10) -0( )'$)# ( "#)* "#* " 1)#' /"$"( .)* $)* / % !)! #$1+1 $) +* # +#$ #)#+*1 ")* $#/2 ,+#+ '#$ /+)*( )$"! $0+*+ "'( #(!")'+1)$ *) ( + )2 / # %"*%$")1+*2$+% $ +*% !+4 K!!" ## RQJ 0"1$ + *'(+$- 1 L*!)+O!* * +! P* "0-N M#) $#(4 G?ZTfU]VWWX_RYTZ)WK[#V \$+^+Z$f )]c) TZ"^2$VS ^$+!W _#/$G)%]0 gc*Z(V+V* h[ "c ]'fiZ`V j^k `l akAmVb^bcYd e^eW e9ZTZ]nZfo`jklkp 7Rz"$h c+YNb{*H0f Wh|DWV^fcT^8h]nZf} } } } } } } } } 5q* ! 0%1 $ )$# * #1$ 1#) 'v+ +"w, *)Q + "$L". *2J $ K,# * ! +#! # +$*),+ )+$") $"S !* *3 !1*'+K12#%/*) )1 r#u+"t0*'/* +!*# "*#&"$ *,#*, )%!" *) (! ++ ")$ )&!/')5 , ++"% *$"/) + 2vr sw tQ+'X X *4"#"xy 2 * +$ + ! 2 ) *" ! # ) *(" 1+1 $ ) ) +4 +)""* 1 1 2 Proposal Form Checklist 3 PROPOSAL P ROP OSAL FORM 1: ATTACHMENT B – ~~PRICING~~ P RICING 4 ~~PROPOSAL~~ P ROP OSAL FORM 2: QUESTIONNAIRE & EVALUATION CRITERIA 5 ~~PROPOSAL~~ P ROP OSAL FORM 3: CERTIFICATIONS AND LICENSES 12 ~~PROPOSAL~~ P ROP OSAL FORM 44 : CLEAN AIR ~~WATER~~ W ATER ACT 13 ~~PROPOSAL~~ P ROP OSAL FORM 5: DEBARMENT NOTICE 14 ~~PROPOSAL~~ P ROP OSAL FORM 6: ~~LOBBYING~~ XXXX XXXX CERTIFICATION 15 ~~PROPOSAL~~ P ROP OSAL FORM 7: CONTRACTOR CERTIFICATION REQUIREMENTS 16 ~~PROPOSAL~~ P ROP OSAL FORM 8: ANTITRUST CERTIFICATION STATEMENTS 17 ~~PROPOSAL~~ P ROP OSAL FORM 9: ~~IMPLEMENTATION~~ IMP LEMENTATION OF HOUSE BILL ~~1295~~ 129 5 18 ~~PROPOSAL~~ P ROP OSAL FORM 1010 : BOYCOTT CERTIFICATION AND TERRORIST STATE CERTIFICATION 19 ~~PROPOSAL~~ P ROP OSAL FORM 11: RESIDENT ~~CERTIFICATION~~ CERTIFICATIO N 20 ~~PROPOSAL~~ P ROP OSAL FORM 12: FEDERAL FUNDS ~~CERIFICATION~~ CERIFICATIO N FORM 21 ~~PROPOSAL~~ P ROP OSAL FORM 13: ADDITIONAL ARIZONA CONTRACTOR REQUIREMENTS ~~30 PROPOSAL~~ 27 P ROP OSAL FORM 1414 : ~~OWNERSHIP~~ OW NERSHIP DISCLOSURE FORM (N.J.S. 52:25-~~24.2~~24 .2) ~~32 PROPOSAL~~ 29 P ROP OSAL FORM 15: NON-~~COLLUSION AFFIDAVIT 33 PROPOSAL~~ COLLUSIO N AFFID AVIT 30 P ROP OSAL FORM 1616 : AFFIRMATIVE ACTION AFFIDAVIT (~~P.L. 1975~~P .L. 19 75, ~~C.127~~C.127 ) ~~34 PROPOSAL~~ 31 P ROP OSAL FORM 17: C. 271 ~~POLITICAL~~ P O LITICAL CONTRIBUTION DISCLOSURE FORM ~~37 PROPOSAL~~ 34 P ROP OSAL FORM 1818 : ~~STOCKHOLDER DISCLOSURE~~ STOCKHO LDER D ISCLOSURE CERTIFICATION ~~42 PROPOSAL~~ 39 P ROP OSAL FORM 1919 : GENERAL TERMS AND CONDITIONS ~~ACCEPTANCE~~ ACCEP TANCE FORM ~~43 PROPOSAL~~ 40 P ROP OSAL FORM 2020 : EQUALIS GROUP ~~ADMINISTRATION~~ ADMINISTRATIO N AGREEMENT ~~44 PROPOSAL~~ 41 P ROP OSAL FORM 21: ~~OPEN~~ OP EN RECORDS ~~POLICY ACKNOWLEDGEMENT~~ P OLICY ACKNOW LEDGEMENT AND ~~ACCEPTANCE 45 PROPOSAL~~ ACCEP TANCE 42 P ROP OSAL FORM 22: VENDOR CONTRACT AND SIGNATURE FORM 46 43 Proposal Form ~~Checklist~~ Checklist‌ The following documents must be submitted with the Proposal The below documents can be found in Section 2; Proposal Submission and Required Bid Forms and must be submitted with the proposal. Please note Proposal Form 1 is a separate attachment (attachment B)) . PROPOSAL PRICING: ~~Attachment~~ At t a c h m e n t B is ~~provided separately~~ p rovid e d se p a ra t e ly in a ~~Microsoft Excel~~ Mic rosoft Exc e l file ~~and~~ a n d is ~~required to complete your price proposal.~~ re q u ire d t o c om p let e you r p ric e p rop osa l. PROPOSAL FORM 1: ATTACHMENT B - PRICING QUESTIONNAIRE & EVALUATION ~~CRITERIA~~CRITERIA : PROPOSAL FORM 2: ~~QUESTIONNAIRE~~ QUESTIONNAIR E & EVALUATION CRITERIA OTHER REQUIRED PROPOSAL FORMS: PROPOSAL FORM 3: CERTIFICATIONS AND LICENSES PROPOSAL FORM 44 : CLEAN AIR AND WATER ACT PROPOSAL FORM 5: DEBARMENT NOTICE PROPOSAL FORM 6: LOBBYING CERTIFICATION PROPOSAL FORM 7: CONTRACTOR CERTIFICATION REQUIREMENTS PROPOSAL FORM 88 : ANTITRUST CERTIFICATION STATEMENTS PROPOSAL FROM 9: IMPLEMENTATION OF HOUSE BILL 1295 PROPOSAL FROM 10: BOYCOTT CERTIFICATION AND TERRORIST STATE CERTIFICATION PROPOSAL FORM 11: RESIDENT CERTIFICATION PROPOSAL FORM 121 2: FEDERAL FUNDS CERIFICATION FORM PROPOSAL FORM 131 3: ADDITIONAL ARIZONA CONTRACTOR REQUIREMENTS PROPOSAL FORM 141 4 : OWNERSHIP DISCLOSURE FORM (N.J.S. ~~52:25-24.2~~52:25 -24.2) PROPOSAL FORM 151 5: ~~NON-COLLUSION~~ NON -COLLUSION AFFIDAVIT PROPOSAL FORM 161 6: AFFIRMATIVE ACTION AFFIDAVIT (P.L. 1975, C.127) PROPOSAL FORM 17: C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM PROPOSAL FORM 18: STOCKHOLDER DISCLOSURE CERTIFICATION PROPOSAL FORM 19: GENERAL TERMS AND CONDITIONS ACCEPTANCE FORM PROPOSAL FORM 2020 : EQUALIS GROUP ADMINISTRATION AGREEMENT PROPOSAL FORM 21: OPEN RECORDS POLICY ACKNOWLEDGEMENT AND ACCEPTANCE PROPOSAL FORM 22: VENDOR CONTRACT AND SIGNATURE FORM (~~The rest of this page~~ Th e re s t o f th is ~~intentially left blank~~p a g e is in t e n t ia lly le ft b la n k) PROPOSAL FORM 1: ATTACHMENT B – ~~PRICING Pricing should~~ PRICING‌ P ric ing shou ld be ~~entered~~ e nt e re d in the ~~attachment~~ a t t a chm e nt B ~~Excel~~ Exce l form ~~provided~~ p rovide d in ~~this~~ t h is RFP ~~packet~~p acket. ~~Please reference Section~~ P lease re fe ren ce Se c t ion 1, ~~Part~~ P a rt B, ~~Instructions to Proposers~~In st ru c t ion s t o P rop osers, for ~~more information~~ m ore in form a t ion on how ~~to complete pricing~~t o com p le x x x xxx ing. (~~The~~ Th e rest of ~~this page~~ t h is ~~intentionally left blank~~p ag e is in t e n t ion a lly le ft b lan k) PROPOSAL FORM 2: QUESTIONNAIRE & EVALUATION ~~CRITERIA~~ CRITERIA‌ Instructions: Respondents should incorporate their questionnaire responses directly into the green cells below. Failure to provide responses in this format may result in the proposal being deemed as non-responsive at the sole discretion of Region 10. Respondents may incorporate additional documents as part of their response which may be utilized by Region 10 as part of the evaluation. Additional documents must be consolidated as part of this Section 2 at the end of your response. Vendor responses are strictly limited to 30 additional pages. Vendors who submit more than 30 additional pages may result in the proposal being deemed non-responsive at the sole discretion of Region 10. Region 10 has associated the evaluation criteria with the question that most closely aligns with that respective evaluation criteria. Region 10 reserves the right at its sole discretion to base its evaluation and specific evaluation criteria on any part of the respondent’s proposal. Evaluation Criteria Question Answer.

Appears in 1 contract

Samples: Vendor Contract And

Boycott Certification. ~~Vendor~~ Respondents hereby ~~certifies~~ certify that during the term of any Agreement, it does not boycott Israel and will not boycott Israel. “Boycott” means refusing to deal with, terminating business activities with, or otherwise taking any action that is intended to penalize, inflict economic harm on, or limit commercial relations specifically with Israel, or with a person or entity doing business in Israel or in an Israeli-controlled territory, but does not include an action made for ordinary business purposes. [Signatures follow on Signature Form] PROPOSAL FORM 2019: GENERAL TERMS AND CONDITIONS ACCEPTANCE FORM Signature on the Vendor Contract Signature form certifies complete acceptance of the General Terms and Conditions in this solicitation, except as noted below (additional pages may be attached, if necessary). Check one of the following responses to the General Terms and Conditions: X ⬜ We take no exceptions/deviations to the general terms and conditions (Note: If none are listed below, it is understood that no exceptions/deviations are taken.) ⬜ We take the following exceptions/deviations to the general terms and conditions. All exceptions/deviations must be clearly explained. Reference the corresponding general terms and conditions that you are taking exceptions/deviations to. Clearly state if you are adding additions terms and conditions to the general terms and conditions. Provide details on your exceptions/deviations below: (Note: Unacceptable exceptions shall remove your proposal from consideration for award. Region 10 ESC shall be the sole judge on the acceptance of exceptions/deviations and the decision shall be final.) ~~$6D :7+8 9$<#A:9+';7(<; 7=)9>,&<J? )#<$0 > (@#*=# (A'?~~$ $ ) ( " ~~$?)*B"0+A<~~, ) ~~C+ : ;~)=,D$ /: $* =1 )E ( F 7 ?$7 9 % G) ,8+9 $<#A(H"8)7(9)#I*14A?B?B7A;;7<E:8<7?:@7 + * 5 * !.~~ $ ! ! # ( $ % %"( #%# $) " " ! ( # " ! *$# " "! %(+ ~~& )~~ " "# # *! )$~~" ) 0!!+ #+&"3 # #$+ % (* / )//! $!0),$+ 0/ ,( * *0"+" +$ ) ' +& '~~#" $ !# $ "*~~/(/*0/~~ $" ~~)+)~~" # # ! &# ("$ " $#$ ! , # $ ! #! ) # ( $" " $% "% % ! ($# ( " " ! +("!"! % $" $ "! " " + /,( "# $"* ) ~~$)&~~ # % ! # #( &" " * * ! !# " " " ! $ ' #" ( + ~~!1#+) $ * )+2 *$ ,)+ !* + #~~# # * $# * ! ## $ ' $" % "( " $ $ ( "$ " ) . ! + * ( #!~~#%* -~~ " ~~+(#~~ $" *+$) ( "# ) $-+ $" # $ $( # #$ $ $ # $ /"%0%1 (2 #3*"4!5 6 7 5C8""%5C)7$ $!9 # &6M !G$: 8# " $ 8! # ;"&) N: 5 # ! *<-34HFD+6I I" J = 3D E-6O K G > #% N?# 0 P$8 "Q"0 R 2 HFIL@ "1- 2 5($:A ,1E 0(2-B:8;8;0:4405>31508390=315:20402 F" $ " +FD ) *$ #!$ ( ~~$ +~~* "# "W) # O!# #)(S " - Y LI#"P Z 'R T(U#.$*J"# H TX"H%V [V+H" ' ) #$ $"\ - ( " ) 8r# ^ _ *+` $ "~~!* ,~~a "b#$c *aG $d + e$+_" f " scU e t] $ ~~( /1 ")"*) #, (,"$(#+$*/ &) " ")' (%"( *!)") $ ) /,+#' ! +~~ # $# !, 5 %#~~3 0~~^##*$g* e( ^" ` $ h ^#$"(_$i j #k .l k% m" " #J!R ea D "MC -"u%@ $ n o "n pse H mt#i *~~2+( /("$)!~~j* k #l" ~~)+10) -0( )'~~k q+" $)# ( *## "~~#)* "#* " 1)#' /"$"( .)* $)* / % !~~)! ~~#$1+1 $) +* # +#~~$ #)#+*1 ")* " $ $#~~/2 ,+~~"$ ' % + #+ '#$ /+)*( )$"! $0+*+ "'( #(!")'+1)$ *) ( + )2 / # %"*%$")1+*2$+% $ +*% ~~!+4 K!!~~" ## ~~RQJ 0"1~~* * %#"* # ).F # $z" S{ |#J#})R ~ X X "C G$ ~ $ ~ "( " ] $ #G($ + *'(+$ $} + " "$- ~~1 L*!)+O!* * +! P* "0~~L#$ 0vnfwxpA_ang=ade_fce1n`h^_ y fm REQUEST FOR PROPOSAL #R10-N M#) $#(4 G?ZTfU]VWWX_RYTZ)WK[#V \$+^+Z$f )]c) TZ"^2$VS ^$+!W _#/$G)%]0 gc*Z(V+V* h[ "c ]'fiZ`V j^k `l akAmVb^bcYd e^eW e9ZTZ]nZfo`jklkp 7Rz"$h c+YNb{*H0f Wh|DWV^fcT^8h]nZf} } } } } } } } } 5q* ! 0%1 $ )$# * #1$ 1#) 'v+ +"w1154 FOR: LANDSCAPE AND IRRIGATION SUPPLIES, ~~*)Q + "$L". *2J $ K,# * ! +#! # +$*),+ )+$") $"S !* *3 !1*'+K12#%/*) )1 r#u+"t0*'/* +!*# "*#&"$ *,#*~~TOOLS, ~~)%!" *) (! ++ ")$ )&!/')5~~ AND EQUIPMENT May 22, ~~++"% *$"/) + 2vr sw tQ+'X X *4"#"xy 2 * +$ + ! 2 ) *" ! # ) *(" 1+1 $ ) ) +4 +)""* 1 1 2~~ 2023 Section Two: Proposal Submission, Questionnaire and Required Forms Proposal Form Checklist 3 PROPOSAL FORM 1: ATTACHMENT B – PRICING 4 PROPOSAL FORM 2: QUESTIONNAIRE & EVALUATION CRITERIA 5 PROPOSAL FORM 3: CERTIFICATIONS AND LICENSES 12 13 PROPOSAL FORM 4: CLEAN AIR WATER ACT 13 14 PROPOSAL FORM 5: DEBARMENT NOTICE 14 15 PROPOSAL FORM 6: LOBBYING CERTIFICATION 15 16 PROPOSAL FORM 7: CONTRACTOR CERTIFICATION REQUIREMENTS 16 17 PROPOSAL FORM 8: ANTITRUST CERTIFICATION STATEMENTS 17 18 PROPOSAL FORM 9: IMPLEMENTATION OF HOUSE BILL 1295 18 19 PROPOSAL FORM 10: BOYCOTT CERTIFICATION AND TERRORIST STATE CERTIFICATION 19 20 PROPOSAL FORM 11: RESIDENT CERTIFICATION 20 21 PROPOSAL FORM 12: FEDERAL FUNDS CERIFICATION FORM 21 22 PROPOSAL FORM 13: ADDITIONAL ARIZONA CONTRACTOR REQUIREMENTS 30 28 PROPOSAL FORM 14: OWNERSHIP DISCLOSURE FORM (N.J.S. 52:25-24.2) 32 30 PROPOSAL FORM 15: NON-COLLUSION AFFIDAVIT 33 31 PROPOSAL FORM 16: AFFIRMATIVE ACTION AFFIDAVIT (P.L. 1975, C.127) 34 32 PROPOSAL FORM 17: C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM 37 35 PROPOSAL FORM 18: STOCKHOLDER DISCLOSURE CERTIFICATION 42 40 PROPOSAL FORM 19: GENERAL TERMS AND CONDITIONS ACCEPTANCE FORM 43 41 PROPOSAL FORM 20: EQUALIS GROUP ADMINISTRATION AGREEMENT 44 42 PROPOSAL FORM 21: OPEN RECORDS POLICY ACKNOWLEDGEMENT AND ACCEPTANCE 45 43 PROPOSAL FORM 22: VENDOR CONTRACT AND SIGNATURE FORM 46 44 Proposal Form Checklist The following documents must be submitted with the Proposal The below documents can be found in Section 2; Proposal Submission and Required Bid Forms and must be submitted with the proposal. Please note Proposal Form 1 is a separate attachment (attachment B). PROPOSAL PRICING: Attachment B is provided separately in a Microsoft Excel file and is required to complete your price proposal. PROPOSAL FORM 1: ATTACHMENT B - PRICING QUESTIONNAIRE & EVALUATION CRITERIA: PROPOSAL FORM 2: QUESTIONNAIRE & EVALUATION CRITERIA OTHER REQUIRED PROPOSAL FORMS: PROPOSAL FORM 3: CERTIFICATIONS AND LICENSES PROPOSAL FORM 4: CLEAN AIR AND WATER ACT PROPOSAL FORM 5: DEBARMENT NOTICE PROPOSAL FORM 6: LOBBYING CERTIFICATION PROPOSAL FORM 7: CONTRACTOR CERTIFICATION REQUIREMENTS PROPOSAL FORM 8: ANTITRUST CERTIFICATION STATEMENTS PROPOSAL FROM 9: IMPLEMENTATION OF HOUSE BILL 1295 PROPOSAL FROM 10: BOYCOTT CERTIFICATION AND TERRORIST STATE CERTIFICATION PROPOSAL FORM 11: RESIDENT CERTIFICATION PROPOSAL FORM 12: FEDERAL FUNDS CERIFICATION FORM PROPOSAL FORM 13: ADDITIONAL ARIZONA CONTRACTOR REQUIREMENTS PROPOSAL FORM 14: OWNERSHIP DISCLOSURE FORM (N.J.S. 52:25-24.2) PROPOSAL FORM 15: NON-COLLUSION AFFIDAVIT PROPOSAL FORM 16: AFFIRMATIVE ACTION AFFIDAVIT (P.L. 1975, C.127) PROPOSAL FORM 17: C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM PROPOSAL FORM 18: STOCKHOLDER DISCLOSURE CERTIFICATION PROPOSAL FORM 19: GENERAL TERMS AND CONDITIONS ACCEPTANCE FORM PROPOSAL FORM 20: EQUALIS GROUP ADMINISTRATION AGREEMENT PROPOSAL FORM 21: OPEN RECORDS POLICY ACKNOWLEDGEMENT AND ACCEPTANCE PROPOSAL FORM 22: VENDOR CONTRACT AND SIGNATURE FORM (The rest of this page is intentially left blank) PROPOSAL FORM 1: ATTACHMENT B – PRICING Pricing should be entered in the attachment B Excel form provided in this RFP packet. Please reference Section 1, Part B, Instructions to Proposers, for more information on how to complete pricing. (The rest of this page is intentionally left blank) PROPOSAL FORM 2: QUESTIONNAIRE & EVALUATION CRITERIA Instructions: Respondents should incorporate their questionnaire responses directly into the green cells below. Failure to provide responses in this format may result in the proposal being deemed as non-responsive at the sole discretion of Region 10. Respondents may incorporate additional documents as part of their response which may be utilized by Region 10 as part of the evaluation. Additional documents must be consolidated as part of this Section 2 at the end of your response. Vendor responses are strictly limited to 30 additional pages. Vendors who submit more than 30 additional pages may result in the proposal being deemed non-responsive at the sole discretion of Region 10. Region 10 has associated the evaluation criteria with the question that most closely aligns with that respective evaluation criteria. Region 10 reserves the right at its sole discretion to base its evaluation and specific evaluation criteria on any part of the respondent’s proposal. Evaluation Criteria Question Answer.

Appears in 1 contract

Samples: Vendor Contract And

Common use of Boycott Certification Clause in Contracts