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REP RFP - Department of Public Social Services

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<strong>RFP</strong> TABLE OF CONTENTS<br />

SECTION<br />

PAGE<br />

D-6 Bidder’s/Offeror’s Non-discrimination in <strong>Services</strong> Certification ...... 311<br />

D-7 Request for Local SBE Preference Program Consideration<br />

and CBE Firm/Organization Information Form............................... 312<br />

D-8 Familiarity <strong>of</strong> the County Lobbyist Ordinance Certification ............ 313<br />

D-9 Certification Regarding Debarment, Suspension, Ineligibility and<br />

Voluntary Exclusion - Lower Tiered Covered Transactions<br />

(45 C.F.R. Part 76) ........................................................................ 314<br />

D-10 Prospective Contractor References Format................................... 316<br />

D-11 Prospective Contractor List <strong>of</strong> Contracts Format ........................... 317<br />

D-12 Prospective Contractor List <strong>of</strong> Terminated Contracts Format ........ 318<br />

D-13 Attestation <strong>of</strong> Willingness to Consider GAIN/GROW/<strong>REP</strong><br />

Participants.................................................................................... 319<br />

D-14 County <strong>of</strong> Los Angeles Contractor Employee Jury Service<br />

Program Application for Exception and Certification Form ............ 320<br />

D-15 Five Year Revenue Disclosure Summary ...................................... 321<br />

D-16 Charitable Contributions Certification ............................................ 323<br />

D-17 Proposer’s Organization Questionnaire/Affidavit ........................... 324<br />

D-18 Certification <strong>of</strong> Compliance with the County’s Defaulted<br />

Property Tax Reduction Program .................................................. 327<br />

D-19 Contractors Certification <strong>of</strong> Office Locations.................................. 328<br />

D-20 Transitional Job Opportunities Preference Application .................. 329<br />

E: Transmittal Form to Request a <strong>RFP</strong> Solicitation Requirements Review.. 330<br />

F: Transmittal Form to Request a Disqualification Review .......................... 331<br />

G: Transmittal Form to Request a Proposed Contractor Selection Review 332<br />

H: Transmittal Form to Request a County Review Panel............................. 333<br />

I: County <strong>of</strong> Los Angeles Policy on Doing Business with Small Business .. 334<br />

J: Jury Service Ordinance........................................................................... 335<br />

K: Listing <strong>of</strong> Contractors Debarred in Los Angeles County.......................... 338<br />

L: IRS Notice 1015 ...................................................................................... 339<br />

M: Safely Surrendered Baby Law................................................................. 340<br />

N: Determinations <strong>of</strong> Contractor Non-Responsibility and Contractor<br />

Debarment .............................................................................................. 344<br />

O: Background and Resources: California Charities Regulation.................. 349<br />

P: Defaulted Property Tax Reduction Program............................................ 350<br />

Q: Civil Rights Compliant Contractor Form and Flow Chart<br />

Compliant <strong>of</strong> Discriminatory Treatment ................................................... 353<br />

R: County’s Administration .......................................................................... 355<br />

S: Sample Contractor Monthly Invoice Format ............................................ 356<br />

T: Sample Contractor Monthly Management Report ................................... 357<br />

U: Assurance <strong>of</strong> Compliance with Civil Rights Resolution ........................... 358<br />

____________________________________________________________________________________________<br />

<strong>Department</strong> <strong>of</strong> <strong>Public</strong> <strong>Social</strong> <strong>Services</strong> Refugee Employment Program (<strong>REP</strong>) <strong>RFP</strong> 2012<br />

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