26.04.2014 Views

(RFP) - Terminal Operator Services for the Statewide Fingerprint ...

(RFP) - Terminal Operator Services for the Statewide Fingerprint ...

(RFP) - Terminal Operator Services for the Statewide Fingerprint ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

EXHIBITS<br />

APPENDIX D REQUIRED FORMS<br />

TABLE OF CONTENTS<br />

PAGE<br />

BUSINESS FORMS<br />

1. Proposer’s Organization Questionnaire/Affidavit ................................................... 172<br />

2. Prospective Contractor References ....................................................................... 174<br />

3. Prospective Contractor List of Contracts ................................................................ 175<br />

4. Prospective Contractor List of Terminated Contracts ............................................. 176<br />

5. Certification of No Conflict of Interest ..................................................................... 177<br />

6. Familiarity with <strong>the</strong> County Lobbyist Ordinance Certification ................................. 178<br />

7. Request <strong>for</strong> Local SBE Preference Program Consideration and CBE<br />

Firm/In<strong>for</strong>mation (Two <strong>for</strong>ms available <strong>for</strong> Exhibit 7) .............................................. 179<br />

8. Proposer’s EEO Certification ................................................................................. 181<br />

9. Attestation of Willingness to Consider GAIN/GROW Participants .......................... 182<br />

10. Contractor Employee Jury Service Program Certification Form and Application<br />

For Exemption .................................................................................................... 183<br />

COST FORMS<br />

11. Three Year Cost Proposal...... ............................................................................... 184<br />

12. Certification of Independent Price Determination and Acknowledgement<br />

Of <strong>RFP</strong> Restrictions ............................................................................................... 185<br />

13. Sample Budget Sheet Format <strong>for</strong> SFIS <strong>Terminal</strong> <strong>Operator</strong>s ................................. 186<br />

14. Employee Benefits ................................................................................................ 187<br />

LIVING WAGE FORMS<br />

15. Acknowledgement And Statement of Compliance ................................................. 188<br />

16. Labor/Payroll/Debarment History ........................................................................... 189<br />

17. Contractor Living Wage Declaration ...................................................................... 190<br />

18. Application <strong>for</strong> Exemption ...................................................................................... 191<br />

19. Model Contractor Staffing Plan .............................................................................. 194<br />

TRANSITIONAL JOB OPPORTUNITIES PREFERENCE PROGRAM<br />

20. Transitional Job Opportunities Preference Application .......................................... 195<br />

DEFAULTED PROPERTY TAX REDUCTION PROGRAM<br />

21. Certification of Compliance with <strong>the</strong> County’s Defaulted Property Tax<br />

Reduction Program ................................................................................ ................196<br />

171

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!