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

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RFP Appendix D, Exhibit 9 STATEWIDE FINGERPRINT IMAGING SYSTEM ATTESTATION OF WILLINGNESS TO CONSIDER GAIN/GROW PARTICIPANTS As a threshold requirement for consideration for Contract award, Proposer shall demonstrate a proven record for hiring GAIN/GROW participants or shall attest to a willingness to consider GAIN/GROW participants for any future employment opening if they meet the minimum qualifications for that opening. Additionally, Proposer shall attest to a willingness to provide employed GAIN/GROW participants access to the Proposer’s employee mentoring program, if available, to assist these individuals in obtaining permanent employment and/or promotional opportunities. Proposers unable to meet this requirement shall not be considered for Contract award. Proposer shall complete all of the following information, sign where indicated below, and return this form with their proposal. A. Proposer has a proven record of hiring GAIN/GROW participants. ______YES (subject to verification by County) ______NO B. Proposer is willing to consider GAIN/GROW participants for any future employment openings if the GAIN/GROW participant meets the minimum qualifications for the opening. “Consider” means that Proposer is willing to interview qualified GAIN/GROW participants. ______YES ______NO C. Proposer is willing to provide employed GAIN/GROW participants access to its employeementoring program, if available. ______YES ______NO ______N/A (Program not available) Proposer Organization: __________________________________________________ Signature: ____________________________________________________________________ Print Name: __________________________________________________________ Title: ________________________________________ Date: __________________ Tel. #: _______________________________ Fax#: ________________________ GAIN/GROW ATTESTATION - 10-14-03 182
RFP Appendix D, Exhibit 10 STATEWIDE FINGERPRINT IMAGING SYSTEM COUNTY OF LOS ANGELES CONTRACTOR EMPLOYEE JURY SERVICE PROGRAM CERTIFICATION FORM AND APPLICATION FOR EXCEPTION The County’s solicitation for this Request for Proposals is subject to the County of Los Angeles Contractor Employee Jury Service Program (Program), Los Angeles County Code, Chapter 2.203. All proposers whether a Contractor or subcontractor, must complete this form to either certify compliance or request an exception from the Program requirements. Upon review of the submitted form, the County department will determine, in its sole discretion, whether the proposer is excepted from the Program. Company Name: Company Address: City: State: Zip Code: Telephone Number: Solicitation For ____________ Services: If you believe the Jury Service Program does not apply to your business, check the appropriate box in Part I (attach documentation to support your claim); or, complete Part II to certify compliance with the Program. Whether you complete Part I or Part II, please sign and date this form below. Part I: Jury Service Program is Not Applicable to My Business My business does not meet the definition of “Contractor,” as defined in the Program, as it has not received an aggregate sum of $50,000 or more in any 12-month period under one or more County Contracts or subcontracts (this exception is not available if the Contract itself will exceed $50,000). I understand that the exception will be lost and I must comply with the Program if my revenues from the County exceed an aggregate sum of $50,000 in any 12-month period. My business is a small business as defined in the Program. It 1) has ten or fewer employees; and, 2) has annual gross revenues in the preceding twelve months which, if added to the annual amount of this Contract, are $500,000 or less; and, 3) is not an affiliate or subsidiary of a business dominant in its field of operation, as defined below. I understand that the exception will be lost and I must comply with the Program if the number of employees in my business and my gross annual revenues exceed the above limits. “Dominant in its field of operation” means having more than ten employees and annual gross revenues in the preceding twelve months, which, if added to the annual amount of the Contract awarded, exceed $500,000. “Affiliate or subsidiary of a business dominant in its field of operation” means a business which is at least 20 percent owned by a business dominant in its field of operation, or by partners, officers, directors, majority stockholders, or their equivalent, of a business dominant in that field of operation. My business is subject to a Collective Bargaining Contract (attach Contract) that expressly provides that it supersedes all provisions of the Program. Part II: Certification of Compliance OR My business has and adheres to a written policy that provides, on an annual basis, no less than five days of regular pay for actual jury service for full-time employees of the business who are also California residents or my company will have and adhere to such a policy prior to award of the Contract. I declare under penalty of perjury under the laws of the State of California that the information stated above is true and correct. Print Name: Title: Signature: Date: 183
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DEPARTMENT OF PUBLIC SOCIAL SERVICE
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REQUEST FOR PROPOSALS STATEWIDE FIN
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RFP APPENDIX A, SAMPLE CONTRACT STA
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RFP APPENDIX B, STATEMENT OF WORK (
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RFP, APPENDIX C [CONTRACT, ATTACHME
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Page 171 and 172: EXHIBITS APPENDIX D REQUIRED FORMS
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Page 175 and 176: APPENDIX D REQUIRED FORMS STATEWIDE
Page 177 and 178: STATEWIDE FINGERPRINT IMAGING SYSTE
Page 179 and 180: RFP Appendix D, Exhibit 7-A Use thi
Page 181: RFP Appendix D, Exhibit 8 STATEWIDE
Page 185 and 186: RFP Appendix D, Exhibit 12 STATEWID
Page 187 and 188: RFP Appendix D, Exhibit 14 Medical
Page 189 and 190: RFP Appendix D, Exhibit 16 COUNTY O
Page 191 and 192: RFP Appendix D, Exhibit 18 Page 1 o
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Page 195 and 196: RFP Appendix D, Exhibit 20 TRANSITI
Page 197 and 198: APPENDIX E TRANSMITTAL FORM TO REQU
Page 199 and 200: APPENDIX G - 1 NOTICE OF INTENT TO
Page 201 and 202: APPENDIX H Vendor Name: Solicitatio
Page 203 and 204: APPENDIX J LISTING OF CONTRACTORS D
Page 205 and 206: APPENDIX K Page 2 of 5 Title 2 ADMI
Page 207 and 208: Title 2 ADMINISTRATION DETERMINATIO
Page 209 and 210: 209 APPENDIX L
Page 211 and 212: APPENDIX N Page 1 of 2 BACKGROUND A
Page 213 and 214: APPENDIX O Page 1 of 3 Title 2 ADMI
Page 215: APPENDIX O Page 3 of 3 Title 2 ADMI
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(RFP) - Terminal Operator Services for the Statewide Fingerprint ...

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