WPCI2 t9šciqi˞k6S Lac>/_ʡr"p_aq.&HHlk͑*%sKh„9'C3 p!V\4VɁ bgzʂx*h>mSe)^s3l7h8OzIt#@[%Ea890;ޖ.ўXb-P^\,",,,f,a,, 0P--------------8d-d-d-d-d-d-d-d-d-d-d- 0W.. 0////////////////////////////////////////////////////////////////////// C111111111f1111a11f2a 2f2a2f32a52\\DHR-TREE\shsb2-ns1-q205$,,,,$0(hH  Z 6Times New Roman RegularX($ UEVWXY\]^_D`f0\Z&$!|xb(hH  Z6Times New Roman Regular(hH 9Z 6Times New Roman Regular3#37=CIQYag1.a.i.(1)(a)(i)1)a)'(3$ !  =0 8 /C)  X @XX^Nv_@.#I:\PROCURE\CONTRACT\CONSHARE\MBoldt\OCP-OIS EXAMPLES\PSK Examples\System Analysis\101946psk.wpdI:\PROCURE\CONTRACT\CONSHARE\MBoldt\OCP-OISEXAMPLES\PSKExamples\SystemAnalysis\101946psk.wpd/  #@_^NvV#        `     h   \  `$Times NewRoman.(;3$2#  0  .3  0  U(O;$0  2#  a  .3  0` (#(#(b$0  0` (#(#2#   .3  0 ` (#` (#(xir$0  0` (#(#0 ` (#` (#2#(  0  )3  0 (# (#($0  0` (#(#0 ` (#` (#0 (# (#2#(  a  )3  0h(#(#(F$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#2#(   )3  0h(#h(#($0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#2#  0  )3  0(#(#({$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#2#  a  )3  0p(#(#hG_cgkosw{Bullet ListBullet List(5hCEKQW]cioAutoList11.1.1.1.1.1.1.1.(EhCEKQW]cioAutoList21.1.1.1.1.1.1.1.(CEKQW]cioAutoList3A.A.A.A.A.A.A.A.1, 2, 3,Level 1Level 2Level 3Level 4Level 5B121, 2, 3,Numbers  .0  Huddleston>c$"Small Circle"0  (9 Z6Times New Roman Regular9 Z6Times New Roman Regular        X + `*Times New RomanTT(hH  Z 6Times New Roman Regular  d    TRX3' LetterY3'letterhead3' Letter.3'letterheadT   #0(2C$ !   } /C)  XxXXk:\jhart\rfp\292\rfp292.wpd `     h      p      x   (#  %   2 X 1  #XXx7#&ƪ%XX$35;AGMU]c2I.A.1.a.(1)(a)i)a)2 Ha`$"Letter Gothic   (CEKQW]cioAutoList4A.A.A.A.A.A.A.A.,  AZ"Arial Regularzh :Right Par[2]Right-Aligned Paragraph Numbers..` ..2A.3  Ԁ..0` ..` Information for CH Check FormTABLE CTABLE ATABLE E&2$ !  6b$Triangle0 %2A`ArialTT #E } /C)  XxXXk:\jhart\rfp\292\rfp292.wpd `     h      p      x   (#  %   2 X 1  #XXx7#&ƪ%XX dFFFF'dxd I  /C)    %XXXX%]bX%X.#tI:\PROCURE\CONTRACT\CONSHARE\DENDICOT\RFP\1093\psk1093.wpdI:\PROCURE\CONTRACT\CONSHARE\DENDICOT\RFP\1093\psk1093.wpd/  #]b%]b7#5#]b#]b#5`#%]b]b K  /C)    %XXXX%]bX%X.#tI:\PROCURE\CONTRACT\CONSHARE\DENDICOT\RFP\1093\psk1093.wpdI:\PROCURE\CONTRACT\CONSHARE\DENDICOT\RFP\1093\psk1093.wpd/  #]b%]b7#5#]b#]b#5`#%]b]b          X/Q+ d  __H +G XX  SAMPLE#XWXG H +G#_ $   )   (uH Z DTimes New Roman (PCL6) Regular<   p`(&Times New Roman            TABLE D   ((3/Q$ !   d  . /C)  _X ^Բ_XX.#tI:\PROCURE\CONTRACT\CONSHARE\DENDICOT\RFP\1093\psk1093.wpdI:\PROCURE\CONTRACT\CONSHARE\DENDICOT\RFP\1093\psk1093.wpd/  @0ApxTxt1ApxTxt1  XXXW(\  `*Times New RomanTTW        &&&W(\  `*Times New RomanTTWD2ApxHead3ApxHead3&    ;1` hp x (#;XXXCC%2A`ArialTTC          &&&W(\  `*Times New RomanTTW>4X` hp x (#>'   dTABLE CTABLE ATABLE ETABLE D !  _XXXX  8WXXdd8____TRY$3'letterheadX3' Letter3'letterhead3'T_+Da_ _! _"!_#"_$#_&$_'&^ XXDisclaimer:Unlessotherwisespecificallystated,theinformationcontainedhereinismadeavailabletothepublicbytheDepartmentofHuman X Services(_''DHS_''),OfficeofInformationServices(_''OIS_''),ProjectManagementOffice(_''PMO_''),andtheOfficeofContractsand_''Procurements_''Ԁ(OC&P)foruseasanexampleofcontractscontentinformation.TheintentofthecontractexampleistoassiststaffwithcontractcreationbyprovidingPersonalServiceContractexamples,guidelines,andstandards.̀Neitherthe_''DHS_'',_''OIS_'',_''PMO_'',_''OCP_'',_''DOJ_'',DAS,_''IRMD_''Ԁnoranyotheragencyorentitiesthereof,assumesanylegalliabilityorresponsibilityfortheaccuracy,completeness,orusefulnessofanyinformation,productorprocessdisclosedintheseexamples.Referencehereintoanyspecificcommercialproduct,process,servicebytradename,trademark,manufacturer,vendor,orotherwise,doesnotconstituteorimplyitsendorsement,recommendation,orfavoringbytheDepartmentofHumanServices,theStateofOregon,oranyentitiesthereof.^`_''N_''`^Theviewsandopinionsoftheoriginatorsexpressedthereindonotnecessarilystateorreflectthoseofthe_''DHS_'',_''OIS_'',_''PMO_'',_''OCP_'',oranyagencyorentitiesthereof.Texttakenfromtheseexamplesandusedtodevelopsimilarsolicitationsandcontractswillnotreplacetheappropriatestepsnecessaryfor_''approval.#XWX# ^_ H   __''_''_ H   __''_''_ H   __'' `    @* H        `     h      p      ` Contract#101946 ] `     h   ] d       `     h      p      x    StateofOregonPersonal/ProfessionalServicesContract  l ,   ThiscontractisbetweentheStateofOregonactingbyandthroughitsDepartmentofHumanServices,OfficeofInformationServices,hereinafterreferredtoas  _''DHS_'' ,and 0 XXWԀ#XWX#     _''Wrightway_''ԀConsultingServices,Inc. x 774C_''Lockhaven_''ԀDrive,NE_''Keizer_'',OR97303  P   hereinafterreferredtoas"Contractor. 'X,XXX'I.0  EFFECTIVEDATEandDURATION X %% Thiscontractshallbecomeeffectiveonthedatethiscontracthasbeensignedbyeverypartyhereto,and,whenrequired,approvedbyDepartmentofAdministrativeServicesandDepartmentofJustice.Unlessterminatedorextended,thiscontractshallexpirewhen_''DHS_''ԀacceptsContractorscompletedperformanceoron August15,2002 , # whicheverdateoccursfirst.Expirationshallnotextinguishorprejudice_''DHS_''srighttoenforcethiscontractwithrespecttoanybreachofaContractorswarrantyoranydefaultordefectinContractorperformancethathasnotbeencured. II.0  PURPOSE #d!(%% ThiscontractprovidesforInformationTechnologyservicestoenhance_''DHS_''Ԁsystemsincludingdesigning,coding,testingandimplementingidentifiedsystemchangesandprovidingrequireddocumentation. III.0  STATEMENTofWORK l'%,%% Thestatementofwork(the Work)includingthedeliveryscheduleforsuchworkiscontainedinExhibitA,attachedandincorporatedbyreferenceintothiscontract.Contractoragreestoperformtheworkinaccordancewiththetermsandconditionsofthiscontract._'' IV.0  CONSIDERATION ,)1%%  A .0  DHSagreestopayContractorforaccomplishingtheWorkasrequiredbythiscontract,plusanyallowable ,*2 expensesandanytravelandotherexpensereimbursementwhennotedherein.Paymentforallworkperformed -+3 +Da + XTRX3' LetterY$3'letterhead3' Letter3'letterheadT   +  underthiscontractshallbesubjecttotheprovisionsofORS293.462andshallnotexceedthetotalmaximum   sumof $75,000.00 .%%  &V%XXWB.) 0  #XWX%&V#InterimpaymentsshallbemadetoContractorfollowingDHSsreviewandapprovalofinvoicessubmitted  byContractor. %%   C .0  Contractorshallnotsubmitinvoicesfor,andDHSwillnotpay,anyamountinexcessofthemaximum  compensationamountsetforthabove.Ifthismaximumcompensationamountisincreasedbyamendmentofthiscontract,theamendmentmustbefullyeffectivebeforeContractorperformsworksubjecttotheamendment.ContractorshallnotifyDHS'sContractAdministratorinwritingthirty(30)calendardaysbeforethiscontractexpires,oftheupcomingexpirationofthecontract.Nopaymentwillbemadeforanyservicesperformedbeforethebeginningdateoraftertheexpirationdateofthiscontract,asitmaybeamendedfrom&V%XXW M @ %% #XWX%&V1#   timetotimeinaccordancewithitsterms. 9 ,   D. 0  Contractorshallsubmitmonthlyinvoicesforworkperformed.Theinvoicesshalldescribeallworkperformed   withparticularityandbywhomitwasperformedandshallitemizeandexplainallexpensesforwhichreimbursementisclaimed.TheinvoicesshallalsoincludethetotalamountinvoicedtodatebyContractorpriortocurrentinvoice.Contractorwillspecificallynotetheappropriateinvoicewhenonethirdandtwothirdsofthemaximumcontractamount,includingexpensereimbursement,hasbeenexpended.ContractorshallsendinvoicestoDHSsContractAdministrator(seeE.,below). %%  E. 0  TheDHSemployeeassignedtomonitorcontractcompliance,authorizepaymentandactasDHSsContract | Administratoronmattersconcerningthiscontractshallbe: %%   EdKlimowiczordelegate  OfficeofInformationServices  OregonDepartmentofHumanServices  500SummerSt,NE  SalemOR97310  &V%XXW  #XWX%&V'"#V.0  TRAVELandPERDIEM&V%XXW%%  #XWX%&V"#Notravelorotherexpensesshallbepaidinadditiontothecostherein.   VI.0  CONTRACTinitsENTIRETY | %% 3X,XS` XX,XX3ThisContractconsistsofthisdocumentandincludesthefollowinglistedexhibitswhicharelistedindescendingorderofprecedenceandareattachedandincorporatedintothisContractbyreference: A. 0  ExhibitA:0S%%StatementofWork9#,!$S%S%  B. 0  ExhibitB:0S%%GeneralProvisions)$"%S%S%  C. 0  ExhibitC:0S%%CertificationStatementforIndependentContractor% #&S%S%  D.   ExhibitD:0 S ConfidentialityAgreement &#'S%S% L 4(3 L 3   3&2  E  .3  0    ExhibitE:0S%%CriminalHistoryAgreement3&&݌&$(S%S% Ќ  L ((4L F.   Exhibit F:0 S Solicitation#1093'%)S%S%  G.   ExhibitG:0 S ContractorsProposaltoSolicitation#1093(&*S%S%  Therearenoothercontractdocumentsunlessspecificallyreferencedandincorporatedinthecontract.&V%XXW  *(, 9X,X` XX,XS` X9#XWX%&Vp)#VII.0  MERGERCLAUSE;WAIVER y,l*.%% Thiscontractandattachedexhibitsconstitutetheentireagreementbetweenthepartiesonthesubjectmatterhereof.Therearenounderstandings,agreements,orrepresentations,oralorwritten,notspecifiedhereinregardingthis Q.D,0 contract.Nowaiver,consent,modificationorchangeoftermsofthiscontractshallbindeitherpartyunlessinwritingandsignedbybothpartiesandallnecessaryStateapprovalshavebeenobtained.Suchwaiver,consent,modificationorchange,ifmade,shallbeeffectiveonlyinthespecificinstanceandforthespecificpurposegiven.ThefailureofDHStoenforceanyprovisionofthiscontractshallnotconstituteawaiverbyDHSofthatoranyotherprovision.&ƪ%XX .,0   #XX%&ƪ##6X,XeS` XX,X` X6&ƪ%XX3P+CONTRACTOR,BYEXECUTIONofTHISCONTRACT,HEREBYACKNOWLEDGESTHATCONTRACTOR  HASREADTHISCONTRACT,UNDERSTANDSIT,ANDAGREESTOBEBOUNDBYITSTERMSANDCONDITIONS.#XX%&ƪ##2XXXX   2&& %X2X#&ƪ% %2&&%# VIII.0 e CONTRACTORDATAandCERTIFICATION;SIGNATURESYLe%e%  #XX%&ƪ>%#s XXName(exactlyasfiledwiththeIRS)________________________________________________ 5( 9X,XF XX,XeS` X9Address F ______________________________________________________________________ dW 9X,XFXX,XF X90   F ______________________________________________________________________  %% Telephone:()_________________Facsimile:()_________________Citizenship,ifapplicable:Nonresidentalien[]Yes[]No#XX s&#s XX   XBusinessDesignation(checkone):[]Corporation(completionofExhibit C not requiredforCorporationsonly)   []ProfessionalCorporation[]Partnership[]SoleProprietorship?X ,XFXhXX,XFX?[]LimitedLiabilityCompany[]LimitedPartnership[]LimitedLiabilityPartnership#XX s(#H&ƪ%XX0   $$  FederalTaxID#:____________________ORSSN:_____________________  $ #XX%&ƪ*#tQ XX#XX tQ+#XHs XXAbovePaymentinformationmustbeprovidedpriortocontractapproval.ThisinformationwillbereportedtotheInternalRevenue dW Services(IRS)underthenameandtaxpayeridentificationsubmitted.(SeeIRS1099foradditionalinstructionsregardingtaxpayerI.D.numbers.)InformationnotmatchingIRSrecordscouldsubjectContractorto31percentbackupwithholding.#XX s,#]bXX#XX]b-#s XX Certification: TheindividualsigningonbehalfofContractorherebycertifiesandswearsunderpenaltyofperjury:(a)thenumbershown  onthisformisContractorscorrecttaxpayeridentification;(b)Contractorisnotsubjecttobackupwithholdingbecause(i)Contractorisexemptfrombackupwithholding,(ii)ContractorhasnotbeennotifiedbytheIRSthatContractorissubjecttobackupwithholdingasaresultofafailuretoreportallinterestordividends,or(iii)theIRShasnotifiedContractorthatContractorisnolongersubjecttobackupwithholding;(c)s/heisauthorizedtoactonbehalfofContractor,s/hehasauthorityandknowledgeregardingContractorspaymentoftaxes,andtothebestofher/hisknowledge,ContractorisnotinviolationofanyOregontaxlawsasdefinedinOAR150305.385,referencedinExhibitB,paragraph12ofthiscontract;(d)ContractorisanindependentcontractorasdefinedinORS670.600;and(e)theaboveContractordataistrueandaccurate.#XX s4.#7,&ƪ%XX X < , XX ,XFXhX<#XX%&ƪ2#&ƪ%XXIX. 0  CONTRACTORS:YOUWILLNOTBEPAIDFORSERVICESRENDEREDPRIORTONECESSARY $ STATEAPPROVALS. %%  #XX%&ƪ+3#^Բ_XX 0 ,  X , X0#XX_^Բ4#A.0  &ƪ%XXContractor:#XX%&ƪ4#&ƪ%XX'%% #XX%&ƪ 5#^Բ_XX  #XX_^Բm5#&ƪ%XX<  IXX ,  X<0  By: I Title:     2     Date:_______________.!*%% 5Ӏ#XX%&ƪ5#&ƪ%XX +  #XX%&ƪ6#&ƪ%XXB.0  DepartmentofHumanServices,OfficeofInformationServices: #XX%&ƪU7#^Բ_XXEX<VX  IXXE ,%% #XX_^Բ7#4&ƪ%XX 9  e           q#XX%&ƪ8#s XXԀChiefInformationOfficer#XX sM9#&ƪ%XX !- EX eV7XX<VXE     I   q#XX%&ƪ9#s XXԀDeputyChiefInformationOfficer#XX sy:#&ƪ%XX " . Q(  wI 2"XX eV7XQ  By:_________________________________Title:  q#XX%&ƪ:#s XXԀComputerCenterManager#XX s;#&ƪ%XX      Date:_______________ #!/ #XX%&ƪ%<#8s XXT"  wX2XY"X  wI 2"XT30  Address:500SummerStNE,SalemOR97310#XX s<#&ƪ%XXl$_"0%% #XX%&ƪ=#&ƪ%XX #XX%&ƪ >#&ƪ%XXC.0  #XX%&ƪR>#==&ƪ%XXREVIEWED:#XX%&ƪ>#&ƪ%XX <&/$2%%  #XX%&ƪ?#^Բ_XX #XX_^Բ|?#&ƪ%XX  By:   *      2   Date:_______________#XX%&ƪ?#&ƪ%XX $  '%4   #XX%&ƪx@#s XXDwightEndicott,DHS/OISContractsCoordinator,DepartmentofHumanServices,ordelegate>#XX s@#  (&5   8dXXd8  *'7 3P+ 3 3  L_cExhibitAStatementofWorkAAcknowledgedandAgreedbytheParties:   AA TheContractorshallprovidesystemdesignandprogrammingservices,includingDB2,COBOLII,CICSandJCL. wj ThetasksshallbeperformedusingestablishedDHS/OISdevelopment,maintenanceandacceptancecriteriamethodologiessetforthinDHSsInformationSystemsStandardsandProceduresManual.WrittendocumentationshallbeupdatedandstoredinestablishedDHS/OISlibrariesusingexistingDHS/OISdocumentationstandardssetforthinDHSsInformationSystemsStandardsandProceduresManual.@* IntheabsenceofestablishedDHS/OISdevelopment,maintenanceandacceptancecriteriamethodologies,Contractor    shallcompleteallworkdescribedintheStatementofWorkaccordingtomethodologiesandstandardsthatconformtodocumentationstandards,definitions,andrecommendedpracticesknowntobegenerallyacceptedintheindustry,unlessotherwiseapprovedinwritingbyDHS.Unlessongoing,eachtaskshallbecompletedwithinthetimeframeandapprovedbytheDHSProjectManagerandunlessoverlapping,workshallnotbestartedonthenexttaskuntiltheprioroneiscomplete.Ifoverlappingtasks,thenworkshallbecloselymonitoredandstoppediftheDHSProjectManagerdoesnotapprovethepriortask.  $XXXX Task#1: #XXX$XzH#$XXXXԀ DetailDesignofaProcesstoSynchronizeDatabetweentheCIDatabaseandtheFACISandCW gZ Databases  WJ ContractorshallconsultwithAFSandSCFsystemsstaffandtheCAFUsercommunity#XXX$XH#$XXXX,asidentifiedbytheDHS G: ProjectManager,#XXX$XI#$XXXXԀto#XXX$XuJ#$XXXXԀdevelopa#XXX$XJ#$XXXXԀ#XXX$XK#$XXXXprocess,includingdetaileddesign,tosynchronizedatabetweentheCIdatabaseand 7* FACISandCWdatabases.Theprocessshallmatchclientsbetweenthetwosystemsandupdatewhereappropriatetobringthemintoagreement.ProcessshallbeusedtocleanupthedatabasesinpreparationfortheimplementationoftheCI/SCFintegration.Itshallalsobeusedafterimplementationtocorrectproblemswiththedataasrequired.Theprocessshallmatchrecordsonthesystemsandidentifydifferencesinname,ssn,primenumberanddateofbirthandwherepossible,itshallmakechanges.TheprocessshalladdpersonstotheCIwhennomatchcanbefoundforexistingSCFclients.Iftheprocessisunabletomakeadeterminationoftheappropriateaction,itshallproducereportsformanualaction. Deliverable:   ! #XXX$XIK#(X|XXXTheContractorshalldeliver#XXX(X|N#)X|XXXareport,bothhardcopyandelectronic,ofdiscrepanciesforuseinmanualcleanupefforts !z" anddetaildesignofallsystemcomponentsrequiredwhichincludes,butisnotlimitedto,programmingspecifications,#XXX)X|OO#(X|XXXԀconsistentwiththetasknarrativeabovetoDHSProjectManagerforacceptanceandapproval.Make g#Z!$ correctionsapprovedbyDHSProjectManager . #XXX(X|vP#$XXXX W$J"% #XXX$XaQ#$XXXX DeliverableDueDate: Twentyfive(25)calendardaysaftercontractexecutiondate#XXX$XQ#$XXXX. 7&*$'  #XXX$XSR#%XXXXNottoExceedDollars:$9,600.00 #XXX%XR#$XXXX ''%(  Task#2: #XXX$XS#$XXXXԀ IdentificationandDesignofDatabaseAdditionsandChanges  )'+ ContractorshallconsultwithAFSandSCFsystemsstaffandtheCAFUsercommunity#XXX$X{S#$XXXX,asidentifiedbytheDHS *(, ProjectManager,#XXX$XfT#$XXXXԀ#XXX$XT#$XXXXtoidentifyanddesignchangesrequiredtoaccommodateprocessanddataneedchangesincluding, +)- butnotlimitedto,additionofalegalnametype,additionofverificationdata,achangeinuseofdataconcerningtherelationshipsbetweenclientsandcases#XXX$X*U#$XXXXԀandcreationandpopulationofnewdatabasetablesormodificationofexisting -+/ databasetables.#XXX$XV#$XXXX .,0 L_c LX L  #XXX$X8W# (X|XXXDeliverable:   TheContractorshalldeliver#XXX(X|W#$XXXXmodifieddatamodel,conversionplantopopulatenewandchangeddataand  implementationplantochangeallexistingCIdatabaseswithoutimpactingcurrentusageorotherprojects#XXX$X\X#(X|XXXԀconsistent  withthetasknarrativeabovetoDHSProjectManagerforacceptanceandapproval.MakecorrectionsapprovedbyDHSProjectManager . #XXX(X|eY#$XXXX   DeliverableDueDate: Fifty(50)calendardaysaftercontractexecutiondate#XXX$XPZ#$XXXX.   #XXX$XZ#%XXXXNottoExceedDollars:$#XXX%XU[#$XXXX11,400.00     Task#3: #XXX$X[#$XXXXԀ DetailedDesignforChangestoExistingCICICSProcessestoUseNewDataandIntegratewithSCF ] P  Systems  M @  ContractorshallconsultwithAFSandSCFsystemsstaffandtheCAFUsercommunity#XXX$X#\#$XXXX,asidentifiedbytheDHS =0  ProjectManager,#XXX$XO]#$XXXXԀto#XXX$X]#$XXXXԀ#XXX$X^#$XXXXdevelopadetaildesignforchangestoexistingCICICSprocessestousenewdataandintegrate -  withtheSCFsystems.#XXX$XY^#$XXXXԀTheCIsystemshallcontinuetobeusedforitscurrentpurposes.Thenewfunctionalitybeing  createdforSCFshallbecomeavailabletocurrentusers.Existingcodeshallbemodifiedtomaintainnewdatastructures.#XXX$X$_#$XXXX  AffectedCIprocessesinclude,butarenotlimitedto,PersonAdd,PersonUpdate,Find,PersonMergeandPersonSplit.#XXX$XU`#$XXXXTheseprocessesrequirechangetointeractwiththeverificationprocess,shalldisplayandupdatelegalname  andhandlechangestocaserelationshipdata.Inaddition,existingCIsubroutinesshallbemodifiedforusebySCFprograms.#XXX$X&a#$XXXX  #XXX$Xhb#$XXXX#XXX$Xb# (X|XXXDeliverable:   TheContractorshalldeliver#XXX(X|c#$XXXXmockupofscreens,descriptionofdataflowsbetweensubprocessesanddetaildesign }p ofallsystemcomponentsneededwhichincludes,butisnotlimitedto,programmingspecifications,#XXX$Xc#(X|XXXԀconsistentwith m` thetasknarrativeabovetoDHSProjectManagerforacceptanceandapproval.MakecorrectionsapprovedbyDHSProjectManager . #XXX(X|d#$XXXX M@  #XXX$Xe#(X|XXXDeliverableDueDate: #XXX(X|e#$XXXXԀSeventy(70)calenderdaysaftercontractexecution.#XXX$X6f#$XXXX -   #XXX$Xf#%XXXXNottoExceedDollars:$#XXX%Xg#$XXXX8,400.00    Task#4:ModificationofMainframeBatchProcessestoSupportChangestoOnlineProcessing #XXX$Xag#$XXXX !" ContractorshallconsultwithAFSandSCFsystemsstaffandtheCAFUsercommunity#XXX$X&h#$XXXX,asidentifiedbytheDHS " # ProjectManager,#XXX$Xh#$XXXXԀto#XXX$XPi#$XXXXԀ#XXX$Xi#$XXXXdevelop#XXX$Xi#$XXXXadetaildesignforchanges#XXX$X#j#$XXXXtomainframebatchprocessestosupportchangestoonline #!$ processinganddatastructurechanges.#XXX$Xj#$XXXX $"% BatchprocesseswhichupdateCIdata,shallneedtohandlethechangestothedatastructuresinCI.Theseincludeadditionofalegalnametype,additionofverificationdata,achangeintheuseofrelationshipsbetweenclientsandcases.ThesechangesshallaffectCI,FoodStamps(FS)andClientMaintenance(CM)jobs.Thereshallbeashifttoonlineprocess,whichcausesthebatchinterfacebetweenSCFandAFStobeobsolete.Thisprocessshallneedtobediscontinued.#XXX$X7k#$XXXX m)`'* #XXX$Xpm#$XXXX Deliverable: #XXX$Xm#$XXXX M+@), #XXX$Xn#(X|XXXTheContractorshalldeliverwritten#XXX(X|sn#$XXXXanalysisofallaffectedobjectsanddetaildesignofallsystemcomponents =,0*- neededwhichincludes,butisnotlimitedto,programmingspecifications,#XXX$Xn#(X|XXXԀconsistentwiththetasknarrativeabove -- +. toDHSProjectManagerforacceptanceandapproval.MakecorrectionsapprovedbyDHSProjectManager . #XXX(X|o#$XXXX .,/   /-0  #XXX$Xp#(X|XXXDeliverableDueDate: #XXX(X|q#$XXXXԀNinety(90)calenderdaysaftercontractexecution#XXX$Xyq#$XXXX.    #XXX$Xq#%XXXXNottoExceedDollars:$#XXX%XIr#$XXXX8,400.00    Task#5: #XXX$Xr#$XXXXԀ ConstructionandUnitTestingofProcesstoSynchronizeDatabetweenCIDatabaseandtheFACIS  andCWDatabases   Contractorshallconstructandtestapprovedprogrammodules,baseduponDHSsupplieddesign,requiredtocompletethe#XXX$Xs#$XXXXprocess#XXX$Xpt#$XXXXtocompletethesynchronizationofdatabetweentheCIandSCFdatabases#XXX$Xt#$XXXX.#XXX$XDu#$XXXXԀTheprocessshall#XXX$Xu#$XXXX  matchclientsbetweenthetwosystemsandupdatewhereappropriatetobringthemintoagreement.#XXX$Xu#$XXXX   Thefollowingcomponentsareinvolvedintherequiredchanges: m `  L h(L 3   3mw23  0    Modificationof23existingCOBOLII,CICS,DB2programs;and3mww݌] P %% Ќ   3   3_x23  0    Creationof46newCOBOLII,CICS,DB2programs.#XXX$Xv#$XXXX3_xx݌M @ %% Ќ  #XXX$X$y#$XXXX Deliverable: #XXX$Xy#$XXXX -  #XXX$Xy#TheContractorshalldeliver(X|XXXsoftwarecomponents#XXX(X|rz#ԀconsistentwiththetasknarrativeabovetotheDHSProject  Managerforacceptanceandapproval.)X|XXXԀMakecorrectionsapprovedbytheDHSProjectManager.#XXX)X|<{#$XXXX    #XXX$X{#(X|XXXDeliverableDueDate: #XXX(X||#$XXXXԀOnehundredten(110)calenderdaysaftercontractexecution#XXX$Xj|#$XXXX.   #XXX$X|#%XXXXNottoExceedDollars:$#XXX%XD}#$XXXX8,400.00 @*   Task#6: #XXX$X}#$XXXXԀ ConstructionandUnitTestingofChangestoExistingCICICSProcessestoUseNewDataand  IntegratewithSCFSystems   Contractorshallconstructandtestapprovedprogrammodules,baseduponDHSsupplieddesign,requiredto#XXX$X$~#$XXXXuse  thenewdataimplementedfortheCI/SCFintegration.#XXX$Xw#$XXXXԀTheCIsystemshallcontinuetobeusedforitscurrent }p purposes.ThenewfunctionalitybeingcreatedforSCFshallbeavailabletothecurrentusers.Existingcodeshallbemodifiedtomaintainnewdatastructures.#XXX$X#$XXXX ]P Thefollowingcomponentsareinvolvedintherequiredchanges: =0 L hhL 3   323  0    Modificationof2630existingCOBOLII,CICS,DB2programs.3:݌- %% Ќ  #XXX$X5#$XXXX Deliverable: #XXX$X"#$XXXX    #XXX$Xw#TheContractorshalldeliver(X|XXXsoftwarecomponents#XXX(X|#ԀconsistentwiththetasknarrativeabovetotheDHSProject  ! Managerforacceptanceandapproval.)X|XXXԀMakecorrectionsapprovedbytheDHSProjectManager.#XXX)X|#$XXXX !"  #XXX$X.#(X|XXXDeliverableDueDate: #XXX(X|#$XXXXԀOnehundredthirty(130)calenderdaysaftercontractexecution#XXX$X#$XXXX. #!$  #XXX$Xe#%XXXXNottoExceedDollars:$#XXX%X#$XXXX7,800.00  $"%  Task#7: #XXX$X#$XXXXԀ ConstructionandUnitTestingofMainframeandBatchProcessestoSupportChangestoOnline '%( Processing  }(p&) Contractorshallconstructandtestapprovedprogrammodules,baseduponDHSsupplieddesign,requiredto#XXX$X#$XXXXsupportchangestoonlineprocessing.#XXX$Xш#$XXXXԀ#XXX$X8#$XXXXBatchprocesseswhichupdateCIdata,shallneedtoaccommodatethechanges ]*P(+ tothedatastructuresinCI.Theseincludeadditionofalegalnametype,additionofverificationdata,achangeintheuseofrelationshipsbetweenclientsandcases.ThesechangesshallaffectCI,FSandCMjobs.#XXX$X|#$XXXX =,0*- Thefollowingcomponentsareinvolvedintherequiredchanges: -- +. L hhL 3   3ы23  0    Modificationof810existingCOBOLII,DB2programs;and3ы݌.,/%% Ќ   3   323  0    Modificationof46jobs.#XXX$X#$XXXX3݌ /-0%% Ќ  #XXX$Xk#$XXXX Deliverable: #XXX$X#$XXXX   #XXX$XD#TheContractorshalldeliver(X|XXXsoftwarecomponents#XXX(X|#ԀconsistentwiththetasknarrativeabovetotheDHSProject  Managerforacceptanceandapproval.)X|XXXԀMakecorrectionsapprovedbytheDHSProjectManager.#XXX)X|#$XXXX   #XXX$X#(X|XXXDeliverableDueDate: #XXX(X|V#$XXXXԀOnehundredfifty(150)calenderdaysaftercontractexecution#XXX$X#$XXXX.   #XXX$X1#%XXXXNottoExceedDollars:$9,000.00 #XXX%X#$XXXX   Task#8: #XXX$X#$XXXXԀ SystemTestingofCIandSCFIntegration    ContractorshallconsultwithAFSandSCFsystemsstaffandtheCAFUsercommunity#XXX$XY#$XXXX,asidentifiedbytheDHS } p  ProjectManager,#XXX$X1#$XXXXԀ#XXX$X#$XXXXtoconductsystemtestingoftheCI/SCFintegrationprocesses.Systemtestshallconsistof m `  executionofallcomponentscreatedormodifiedforthisprojectfollowedbyevaluationoftheresults.Problemsidentifiedduringthetestexecutionandevaluationshallbecorrectedandthetestexecutedagainuntilsatisfactoryresultshavebeenachieved.#XXX$X#$XXXX =0   #XXX$X#(X|XXXDeliverable:   TheContractorshallprovideservicesconsistentwiththetasknarrativeabove.TheContractorshalldemonstratesuccessfuloutcomesconsistentwithrequirementsofthisStatementofWorktoDHSProjectManagerforacceptanceandapproval.MakecorrectionsapprovedbyDHSProjectManager#XXX(X|#$XXXX.#XXX$X#$XXXX  #XXX$Xҗ# (X|XXXDeliverableDueDate: #XXX(X|-#$XXXXԀOnehundredsixtyfive(165)calenderdaysaftercontractexecution#XXX$X# .   %XXXXNottoExceedDollars:$#XXX%X,#5,400.00    $XXXXTask#9:#XXX$X#$XXXXԀImplementationandPostImplementationMaintenanceofCIandSCFIntegration   ContractorshallconsultwithAFSandSCFsystemsstaffandtheCAFUsercommunity#XXX$X#$XXXX,asidentifiedbytheDHS }p ProjectManager,#XXX$X#$XXXXԀ#XXX$Xp#$XXXXtoconduct#XXX$X#$XXXX implementationoftheCI/SCFintegrationprocesses.#XXX$X#$XXXX Implementationconsistsof m` completionandreviewofrequireddocumentation,schedulingandexecutionofspecialprocessestoconvertdataandexecutionofonlineprocessestoinsuretheywillfunctionproperlyintheproductionenvironment.Additionally,thecontractorshallberesponsibleforcorrectingproblemsandissuesfoundinthefirstthreeweeksthataredirectlyrelatedtothechangesimplementedthroughthisStatementofWork.#XXX$X~#$XXXX    #XXX$X#$XXXX #XXX$X#(X|XXXDeliverable:   ! TheContractorshallprovideservicesconsistentwiththetasknarrativeabove.TheContractorshalldemonstratesuccessfuloutcomesconsistentwithrequirementsofthisStatementofWorktoDHSProjectManagerforacceptanceandapproval.MakecorrectionsapprovedbyDHSProjectManager#XXX(X|7#$XXXX. #!$  #XXX$X#(X|XXXDeliverableDueDate: #XXX(X|#$XXXXԀOnehundredeighty(180)calenderdaysaftercontractexecution#XXX$Xu#. )X|XXX0 Y %#&Y%Y%  #XXX)X|#%XXXXNottoExceedDollars:$6,600.00#XXX%Xn#)X|XXX  &$' #XXX)X|Т#  M+@),  T&'/VExhibitB   GeneralProvisions   L   1.0  IndependentContractor;ResponsibilityforTaxesandWithholding %% T(X u}L"X  wX2XY"XT0 9 a. 0e9%9%ContractorshallperformallrequiredWorkasanindependentcontractor.AlthoughDHSreservestheright  to(1)determine(andmodify)thedeliveryschedulefortheWorktobeperformedand(2)evaluatethequalityofthecompletedperformance,DHScannotandwillnotcontrolthemeansormannerofContractor'sperformance.ContractorisresponsiblefordeterminingtheappropriatemeansandmannerofperformingtheWork. e%e% 0 9 b. 0e9%9%IfContractoriscurrentlyperformingworkfortheStateofOregonorthefederalgovernment,Contractorby m `  signaturetothiscontractdeclaresandcertifiesthat:ContractorsWorktobeperformedunderthiscontractcreatesnopotentialoractualconflictofinterestasdefinedbyORS244andnorulesorregulationsofContractorsemployingagency(stateorfederal)wouldprohibitContractorsWorkunderthiscontract.Contractorisnotan officer, employee,or agentofDHS,asthosetermsareusedinORS30.265. e%e% 0 9 c. 0e9%9%Contractorshallberesponsibleforallfederalorstatetaxesapplicabletocompensationorpaymentspaidto   Contractorunderthiscontractand,unlessContractorissubjecttobackupwithholding,DHSwillnotwithholdfromsuchcompensationorpaymentsanyamount(s)tocoverContractorsfederalorstatetaxobligations.ContractorisnoteligibleforanySocialSecurity,unemploymentinsuranceorworkerscompensationbenefitsfromcompensationorpaymentspaidtoContractorunderthiscontract,exceptasaselfemployedindividual. e%e%  2.0 9 SubcontractsandAssignment;SuccessorsinInterest 9%9% 0 9 a. 0e9%9%ContractorshallnotenterintoanysubcontractsforanyoftheWorkrequiredbythiscontract,orassignor }p transferanyofitsinterestinthiscontract,withoutthepriorwrittenconsentofDHS.InadditiontoanyotherprovisionsDHSmayrequire,ContractorshallincludeinanypermittedsubcontractsunderthiscontractarequirementthatthesubcontractorbeboundbySections2,6,7,11,and13ofthisexhibitasifthesubcontractorweretheContractor.DHSsconsenttoanysubcontractshallnotrelieveContractorofanyofitsdutiesorobligationsunderthiscontract. e%e% 0 9 b. 0e9%9%Theprovisionsofthiscontractshallbebindinguponandshallinuretothebenefitofthepartieshereto,and    theirrespectivesuccessorsandpermittedassigns,ifany. e%e%  3.0 9 NoThirdPartyBeneficiaries. DHSandContractoraretheonlypartiestothiscontractandaretheonlyparties " # entitledtoenforceitsterms.Nothinginthiscontractgives,isintendedtogive,orshallbeconstruedtogiveorprovideanybenefitorright,whetherdirectly,indirectlyorotherwise,tothirdpersonsunlesssuchthirdpersonsareindividuallyidentifiedbynamehereinandexpresslydescribedasintendedbeneficiariesofthetermsofthiscontract. 9%9%  4.0 9 FundsAvailableandAuthorized;Payments }(p&)9%9% 0 9 a. 0e9%9%ContractorshallnotbecompensatedforWorkperformedunderthiscontractbyanyotheragencyor m)`'* departmentoftheStateofOregon.DHShassufficientfundscurrentlyavailableandauthorizedforexpendituretofinancethecostsofthiscontractwithinDHS'sbiennialappropriationorlimitation.ContractorunderstandsandagreesthatDHS'spaymentofamountsunderthiscontractattributabletoWorkperformedafterthelastdayofthecurrentbienniumiscontingentonDHSreceivingfromtheOregonLegislativeAssemblyappropriations,limitations,orotherexpenditureauthoritysufficienttoallowDHS,intheexerciseofitsreasonableadministrativediscretion,tocontinuetomakepaymentsunderthiscontract. /-0e%e% &  &  &  0 9 b. 0e9%9%DHSwillonlypayforcompletedworkthatisacceptedbyDHS.  e%e%  w ,  w 5. w  9 w 0 9 RepresentationsandWarranties 9%9%  9 a.0 e ContractorsRepresentationandWarranties :ContractorrepresentsandwarrantstoDHSthat(1)  Contractorhasthepowerandauthoritytoenterintoandperformthiscontract,(2)thiscontract,whenexecutedanddelivered,shallbeavalidandbindingobligationofContractorenforceableinaccordancewithitsterms,(3)theWorkunderthiscontractshallbeperformedinagoodandworkmanlikemannerandinaccordancewiththehighestprofessionalstandards,(4)Contractorshall,atalltimesduringthetermofthiscontract,bequalified,professionallycompetentanddulylicensedtoperformtheWork,(5)allcomputerhardwareandsoftwaredeliveredunderthiscontractwill,individuallyandincombination,correctlyprocess,sequence,andcalculatealldateanddaterelateddataforalldatespriorto,throughandafterJanuary1,2000and(6)anysoftwareproductsdeliveredunderthiscontractthatprocessdateordaterelateddatashallrecognize,storeandtransmitdatedatainaformatwhichexplicitlyandunambiguouslyspecifiesthecorrectcentury. e%e% 0 9 b.0e9%9%ContractorsLimitationofLiability :Contractorsliabilitywithrespecttoitems(5)and(6)ofsubsection  5aaboveshallnotexceed:(1)twicethetotalcontractamount(includinganyamendments)or(2)$100,000whicheverisgreater. e%e% 0 9 c.0e9%9%WarrantiesCumulative :Thewarrantiessetforthinthissectionareinadditionto,andnotinlieuof,any  otherwarrantiesprovided. e%e%  6.0 9 OwnershipofWorkProduct. AllworkproductofContractorthatresultsfromthiscontract("theWork  Product")istheexclusivepropertyofDHS.DHSandContractorintendthatsuchWorkProductbedeemed workmadeforhireofwhichDHSshallbedeemedtheauthor.IfforanyreasontheWorkProductisnotdeemed workmadeforhire,ContractorherebyirrevocablyassignstoDHSallofitsright,title,andinterestinandtoanyandalloftheWorkProduct,whetherarisingfromcopyright,patent,trademark,tradesecret,oranyotherstateorfederalintellectualpropertylawordoctrine.ContractorshallexecutesuchfurtherdocumentsandinstrumentsasDHSmayreasonablyrequestinordertofullyvestsuchrightsinDHS.ContractorforeverwaivesanyandallrightsrelatingtotheWorkProduct,includingwithoutlimitation,anyandallrightsarisingunder17USC106Aoranyotherrightsofidentificationofauthorshiporrightsofapproval,restrictionorlimitationonuseorsubsequentmodifications. 9%9%  7.0 9 Indemnity.  !9%9%  9 X|XXXa.GeneralIndemnity: Contractorshalldefend,holdharmlessandindemnifytheStateofOregon,DHSand !" 0 9 itsagencies,subdivisions,officers,employeesandagentsfromandagainstallclaims,suits,actions,losses,damages,liabilities,costsandexpensesofanynatureresultingfrom,arisingoutof,orrelatingtotheactivitiesofContractororitsofficers,employees,subcontractors,oragentsunderthisContract. 9%9%  9 b.IntellectualPropertyIndemnity: Withoutlimitingthegeneralindemnityprovision,Contractorexpressly &$' 0 9 agreestodefend,holdharmlessandindemnifytheStateofOregon,DHSanditsagencies,subdivisions,officers,employeesandagentsfromandagainstallclaims,suits,actions,losses,damages,liabilities,costsandexpensesofanynatureresultingfromorinconnectionwithanyclaimsthattheWork,Developments,SystemorDeliverablesorusethereofinfringeanypatent,copyright,tradesecret,orotherproprietaryright(referredtoas"IntellectualPropertyRights")ofanythirdparty;provided,thatDHSshallprovideContractorwithpromptwrittennoticeofanyinfringementclaim.Contractorshallhavecontrolofthedefenseandsettlementoftheclaim;providedthattheStateofOregonorDHSmayassumeitsowndefenseandsettlementintheeventthattheStateofOregonorDHSdeterminesthatContractorisnotadequatelydefendingitsinterestorthatanimportantgovernmentalprincipleisatissueandtheStateofOregonorDHSdesirestoassumeitsowndefense.  /-0 IfContractor,initssolediscretion,believesatanytimethattheWork,Developments,SystemorDeliverablesinfringeathirdparty'sIntellectualPropertyRights,Contractormay,atitsownexpenseandoptionanduponreceiptofDHS'spriorwrittenconsent,replaceaninfringingitemwithanoninfringingitemthatmeetsorexceedstheperformanceandfunctionalityofthereplaceditem.#XXXX|#9%9%  8.0 9 Insurance 9%9% 0 9 a. 0e9%9%DuringthetermofthiscontractContractorshallmaintaininforceatitsownexpense,eachinsurancenoted  below: e%e% ]+X 'u}L"XX u}L"X]0 9 0e9%9% (1) 0e%e%WorkersCompensationinsuranceincompliancewithORS656.017,whichrequiressubjectemployers   toprovideOregonworkerscompensationcoverageforalltheirsubjectworkers. %%  w , 0 w 09w%w% 9%9%  9  e (2) 0  GeneralLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan$1,000,000 ] P  eachoccurrenceforBodilyInjuryandPropertyDamage.Itshallincludecontractualliabilitycoveragefortheindemnityprovidedunderthiscontract.ItshallprovidethattheStateofOregon,DepartmentofHumanServices,andtheirdivisions,officersandemployeesareAdditionalInsuredsbutonlywithrespecttotheContractorsservicestobeprovidedunderthiscontract. %%  0 9  e (3)09%9% AutomobileLiabilityinsuranceasrequiredbytheOregonFinancialResponsibilityLaw(ORS806.060),  includingcoverageforowned,hiredornonownedvehicles,asapplicable. &ƪ%XX%% #XX%&ƪZ#0 9  e (4)09%9% ProfessionalLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan  $1,000,000eachclaim,incidentoroccurrence.Thisistocoverdamagescausedbyerror,omissionornegligentactsrelatedtotheprofessionalservicestobeprovidedunderthiscontract. %% 0 9 0e9%9% e%e% 0 9 b. 0e9%9% NoticeofCancellationorChange: Thereshallbenocancellation,materialchange,reductionoflimitsor yl intentnottorenewtheinsurancecoverage(s)without30dayspriorwrittennoticefromContractororitsinsurer(s)toContractsCoordinator,OregonDepartmentofHumanServices. e%e% 0 9 c. 0e9%9% CertificatesofInsurance: Asevidenceoftheinsurancecoveragesrequiredbythiscontract,Contractorshall 9, furnishacceptableinsurancecertificatestoContractsCoordinator,OregonDepartmentofHumanServicespriortocommencingtheWork.ThecertificatewillspecifyallofthepartieswhoareAdditionalInsureds.InsuringcompaniesorentitiesaresubjecttoStateacceptance.Ifrequested,completecopiesofinsurancepolicies,trustagreements,etc.,shallbeprovidedtotheState.Contractorshallbefinanciallyresponsibleforallpertinentdeductibles,selfinsuredretentionsand/orselfinsurance. e%e%  9.0 9 Termination " #9%9% 0 9 a.0e9%9%PartiesRighttoTerminateforConvenience :Thiscontractmaybeterminatedatanytimebymutual $"% writtenconsentoftheparties. e%e% 0 9 b.0e9%9%DHSsRighttoTerminateforConvenience :DHSmay,atitssolediscretion,terminatethiscontract,in y'l%( wholeorinpart,upon30daysnoticetoContractor. e%e% 0 9 c.0e9%9%DHSsRighttoTerminateforCause :DHSmayterminatethiscontract,inwholeorinpart,immediately I*<(+ uponnoticetoContractor,oratsuchlaterdateasDHSmayestablishinsuchnotice,upontheoccurrenceofanyofthefollowingevents: e%e%  9  e (1)0  DHSfailstoreceivefunding,orappropriations,limitationsorotherexpenditureauthorityatlevels - +. sufficienttopayforContractorsWork; %%  .,0 0 9 0e9%9% (2)0e%e% FederalorStatelaws,regulationsorguidelinesaremodifiedorinterpretedinsuchawaythateitherthe  WorkunderthiscontractisprohibitedorDHSisprohibitedfrompayingforsuchWorkfromtheplannedfundingsource; %% 0 9 0e9%9% (3)0e%e% ContractornolongerholdsanylicenseorcertificatethatisrequiredtoperformtheWork;or%% 0 9 0e9%9% (4) 0e%e%Contractorcommitsanymaterialbreachordefaultofanycovenant,warranty,obligationoragreement b underthiscontract,failstoperformtheWorkunderthiscontractwithinthetimespecifiedhereinoranyextensionthereof,orsofailstopursuetheWorkastoendangerContractorsperformanceunderthiscontractinaccordancewithitsterms,andsuchbreach,defaultorfailureisnotcuredwithin10businessdaysafterdeliveryofDHSsnotice,orsuchlongerperiodasDHSmayspecifyinsuchnotice. %% 0 9 d.0e9%9%ContractorsRighttoTerminateforCause :Contractormayterminatethiscontractupon30daysnotice  @  toDHSifDHSfailstopayContractorpursuanttothetermsofthiscontractandDHSfailstocurewithin30daysafterreceiptofContractorsnotice,orsuchlongerperiodofcureasContractormayspecifyinsuchnotice. e%e%   9 e.0 e Remedies :e%e%  9  e (1) 0  IntheeventofterminationpursuanttoSections9a,9b,9c(1),9c(2)or9dofthisexhibit,Contractors  soleremedyshallbeaclaimforthesumdesignatedforaccomplishingtheWorkmultipliedbythepercentageofWorkcompletedandacceptedbyDHS,lesspreviousamountspaidandanyclaim(s)whichStatehasagainstContractor.IfpreviousamountspaidtoContractorexceedtheamountduetoContractorunderthisSection,ContractorshallpayanyexcesstoDHSupondemand. %%   9 0 e (2)0e%e% IntheeventofterminationpursuanttoSection9c(3)or9c(4)ofthisexhibit,DHSshallhaveanyremedy B availabletoitinlaworequity.IfitisdeterminedforanyreasonthatContractorwasnotindefaultunderSection9c(3)or9c(4)ofthisexhibit,therightsandobligationsofthepartiesshallbethesameasifthecontractwasterminatedpursuanttoSection9bofthisexhibit. %%   9 f.0 e ContractorsTenderUponTermination: Uponreceivinganoticeofterminationofthiscontract, 0 Contractorshallimmediatelyceaseallactivitiesunderthiscontract,unlessDHSexpresslydirectsotherwiseinsuchnoticeoftermination.Uponterminationofthiscontract,ContractorshalldelivertoDHSalldocuments,information,worksinprogressandotherpropertythatareorwouldbedeliverableshadthecontractbeencompleted.UponDHSsrequest,ContractorshallsurrendertoanyoneDHSdesignates,alldocuments,researchorobjectsorothertangiblethingsneededtocompletetheWork. e%e%   w 10.0 9 LimitationofLiabilities.EXCEPTFORLIABILITYARISINGUNDERORRELATEDTO #!$ SECTION5aOR9e(2)OFTHISEXHIBIT,NEITHERPARTYSHALLBELIABLEFOR(A)ANYINDIRECT,INCIDENTAL,CONSEQUENTIALORSPECIALDAMAGESUNDERTHECONTRACTOR(B)ANYDAMAGESOFANYSORTARISINGSOLELYFROMTHETERMINATIONOFTHISCONTRACTINACCORDANCEWITHITSTERMS. B'%(9%9%  11.0 9 RecordsMaintenance;Access. Contractorshallmaintainallfiscalrecordsrelatingtothiscontractin ")`'* accordancewithgenerallyacceptedaccountingprinciples.Inaddition,ContractorshallmaintainanyotherrecordspertinenttothiscontractinsuchamannerastoclearlydocumentContractor'sperformance.ContractoracknowledgesandagreesthatDHS,theOregonSecretaryofState'sOffice,theFederalGovernment,andtheirdulyauthorizedrepresentativesshallhaveaccesstosuchfiscalrecordsandallotherbooks,documents,papers,plans,andwritingsoftheContractorthatarepertinenttothiscontractforthepurposeofperformingexaminationsandaudits,andmakingexcerptsandtranscripts. 9%9%  /-1 '/V  'Xw '   9 Contractorshallretainandkeepaccessibleallsuchfiscalrecords,books,documents,papers,plans,andwritings0 9 foraminimumofthree(3)years,orsuchlongerperiodasmayberequiredbyapplicablelaw,followingfinalpaymentandterminationofthiscontract,oruntiltheconclusionofanyaudit,controversyorlitigationarisingoutoforrelatedtothiscontract,whicheverdateislater. 9%9%  12.0 9 CompliancewithApplicableLaw. Contractorshallcomplywithallfederal,stateandlocallaws,regulations, r executiveordersandordinancesapplicabletotheWorkunderthiscontract.Withoutlimitingthegeneralityoftheforegoing,Contractorexpresslyagreestocomplywith:(i)TitleVIofCivilRightsActof1964;(ii)SectionVoftheRehabilitationActof1973;(iii)theAmericanswithDisabilitiesActof1990andORS659.425;(iv)allregulationsandadministrativerulesestablishedpursuanttotheforegoinglaws;and(v)allotherapplicablerequirementsoffederalandstatecivilrightsandrehabilitationstatutes,rulesandregulations.DHSsperformanceunderthiscontractisconditioneduponContractorscompliancewiththeprovisionsofORS279.312,279.314,279.316,279.320,and279.555,whichareincorporatedbyreferenceherein. 9%9%  13.0 9 ForeignContractor. IfContractorisnotdomiciledinorregisteredtodobusinessintheStateofOregon,   ContractorshallpromptlyprovidetotheOregonDepartmentofRevenueandtheSecretaryofStateCorporationDivisionallinformationrequiredbythoseagenciesrelativetothiscontract.ContractorshalldemonstrateitslegalcapacitytoperformtheWorkunderthiscontractintheStateofOregonpriortoenteringintothiscontract. 9%9%  14.0 9 ForceMajeure. NeitherDHSnorContractorshallbeheldresponsiblefordelayordefaultcausedbyfire,riot,  naturaldisasters,orwarwheresuchcausewasbeyondthereasonablecontrolofDHSorContractor,respectively.Contractorshall,however,makeallreasonableeffortstoremoveoreliminatesuchacauseofdelayordefaultandshall,uponthecessationofthecause,diligentlypursueperformanceofitsobligationsunderthiscontract. 9%9%  15.0 9 Survival. Allrightsandobligationsshallceaseuponterminationorexpirationofthiscontract,exceptforthe B rightsandobligationssetforthintheContractSectionI.EFFECTIVEDATEANDDURATION,andinparagraphs5,6,7,9,10,11,15and21ofthisexhibit. 9%9%  16.0 9 TimeisoftheEssence. Contractoragreesthattimeisoftheessenceunderthiscontract.@9%9%  17.0 9 WrittenNotice. Allnoticesregardingthiscontractmustbegiventothepartiesinwritingbypersonaldelivery   ormailingthesame,postageprepaid,tothefollowingaddresses: 9%9%  9  9 `+X 'u}L"XX 'u}L"X`DHS:0   S DwightEndicott,ContractsCoordinator,ordelegate !%% 0 9    S OregonDepartmentofHumanServices 9%9% 0 9    S 500SummerStreetNE/MailingCodeE03 9%9% 0 9    S SalemOR973101080 9%9% `+X ' }L"XX 'u}L"X` 9    S FacsimileNumber:5033737365 9    S PhoneNumber:50394561560 9  9%9%  9 Contractor:  S WrightwayConsultingServices,Inc. B'%(  9 0  0S%%774CLockhavenDrive,NE2(p&)S%S%  9 0  0S%%Keizer,OR97303 S%S%  9 0  0S%%PhoneNumber:(503)3903169 S%S%  9 0  0S%% S%S% 0 9 Anynoticedeliveredbyfacsimileshallbedeemedtobegivenwhenreceiptofthetransmissionisgeneratedbythetransmittingmachine.TobeeffectiveagainstDHS,suchfacsimiletransmissionmustbeconfirmedby telephonenoticetoDHSsContractAdministrator.-,/9%9%  X18.0 9 Severability. Thepartiesagreethatifanytermorprovisionofthiscontractisdeclaredbyacourtofcompetent X jurisdictiontobeillegalorinconflictwithanylaw,thevalidityoftheremainingtermsandprovisionsshallnotbeaffected,andtherightsandobligationsofthepartiesshallbeconstruedandenforcedasifthecontractdidnotcontaintheparticulartermorprovisionheldtobeinvalid. 9%9%  19.0 9 Counterparts. Thiscontractmaybeexecutedinseveralcounterparts,allofwhichwhentakentogethershall  constituteoneagreementbindingonallparties,notwithstandingthatallpartiesarenotsignatoriestothesamecounterpart.Eachcopyofthecontractsoexecutedshallconstituteanoriginal. 9%9%  20.0 9 DisclosureofSocialSecurityNumber. ContractormustprovideContractorsSocialSecuritynumberunless  p  ContractorprovidesafederaltaxInumber.ThisnumberisrequestedpursuanttoORS305.385,OAR12520410(3)andOAR150305.100.SocialSecuritynumbersprovidedpursuanttothisauthoritywillbeusedfortheadministrationofstate,federalandlocaltaxlaws. 9%9%  21.0 9 GoverningLaw;Venue;ConsenttoJurisdiction. Thiscontractshallbegovernedbyandconstruedin x  accordancewiththelawsoftheStateofOregonwithoutregardtoprinciplesofconflictsoflaw.Anyclaim,action,suitorproceeding(collectively,"Claim")betweenDHS(and/oranyotheragencyordepartmentoftheStateofOregon)andContractorthatarisesfromorrelatestothiscontractshallbebroughtandconductedsolelyandexclusivelywithintheCircuitCourtofMarionCountyfortheStateofOregon;provided,however,iftheclaimmustbebroughtinafederalforum,thenitshallbebroughtandconductedsolelyandexclusivelywithintheUnitedStatesDistrictCourtfortheDistrictofOregon.CONTRACTOR,BYTHEEXECUTIONOFTHISCONTRACT,HEREBYCONSENTSTOTHEINPERSONAMJURISDICTIONOFSAIDCOURTS. 9%9%  22.0 9 Amendment. Thetermsofthiscontractmaynotbewaived,altered,modified,supplementedoramended,in  anymannerwhatsoever,exceptbywrittenagreementsignedbytheparties.Thiscontractwillnotbeamendedaftertheexpirationdate. 9%9%  23.0 9 ConfidentialityofClientInformation P9%9% ](X u}L"XX ' }L"X]0 9 a. 0e9%9%AllinformationastopersonalfactsandcircumstancesobtainedbytheContractorontheclientshallbe 0 treatedasprivilegedcommunications,shallbeheldconfidential,andshallnotbedivulgedwithoutthewrittenconsentoftheclient,hisorherattorney,theresponsibleparentofaminorchild,orhisorherguardianexceptasrequiredbyothertermsofthiscontract.Nothingprohibitsthedisclosureofinformationinsummaries,statistical,orotherformwhichdoesnotidentifyparticularindividuals. e%e% 0 9 b. 0e9%9%Theuseordisclosureofinformationconcerningclientsshallbelimitedtopersonsdirectlyconnectedwith (# # theadministrationofthiscontract.Confidentialitypoliciesshallbeappliedtoallrequestsfromoutsidesources. *   %"%e%e% 0 9 c. 0e9%9%DHS,ContractorandanysubcontractorwillshareinformationasnecessarytoeffectivelyserveDHSclients.%#&e%e%  24.0 9 CompliancewithApplicableFederalLaw. Contractoragreestocomplywithallfederallawsandregulations '%( applicabletoworkperformedunderthiscontractinclusiveofbutnotlimitedto: 9%9% 0 9 a.0e9%9% Totheextentitisrequiredtodosobylaw,Contractorshallabidebyallmandatorystandardsandpolicies *P(+ whichrelatetoenergyefficiencyandwhicharecontainedinthestateofOregonenergyconservationplanwhichwasissuedincompliancewiththeEnergyPolicyandConservationAct(PL94-163).Allsubcontractsshallalsobeincompliancewiththeforegoing. e%e% 0 9 h.,/9%9%  0 9 b. 0e9%9%Bysignatureonthiscontract,theundersignedcertifies,tothebestofhisorherknowledgeandbelief,that:Xe%e% Z(X wu}L"XX u}L"XZ0 9 09%9% (1)0'%% Nofederallyappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfofContractor,toany 8 personforinfluencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththeawardingofanyfederalcontract,themakingofanyfederalgrant,themakingofanyfederalloan,theenteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodificationofanyfederalcontract,grant,loan,orcooperativeagreement. '%'% Z(X '}L"XX wu}L"XZ0 9 0e9%9% (2)0e%e% Ifanyfundsotherthanfederallyappropriatedfundshavebeenpaidorwillbepaidtoanypersonfor  p  influencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththisfederalcontract,grant,loan,orcooperativeagreement,ContractoragreestocompleteandsubmitStandardFormLLL"DisclosureFormtoReportLobbying,"inaccordancewithitsinstructions. %% 0 9 0e9%9% (3) 0e%e%Theundersignedshallrequirethatthelanguageofthiscertificationbeincludedintheawarddocuments h forallsubawardsatalltiers(includingsubcontracts,subgrants,andcontractsundergrants,loans,andcooperativeagreements)andthatallsubrecipientsshallcertifyanddiscloseaccordingly. %% 0 9 0e9%9%Thiscertificationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscertificationisaprerequisiteformakingorenteringintothistransactionimposedbysection1352,title31,U.S.Code.Anypersonwhofailstofiletherequiredcertificationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure. e%e% 0 9 c. 0e9%9%ContractoragreestocomplywithExecutiveOrder11246entitledEqualEmploymentOpportunityas p amendedbyExecutiveOrders11375and12086andassupplementedinDepartmentofLaborRegulation41CFRpart60.Allsubcontractsshallalsocomplywiththeseprovisions. e%e%   9 d. 0 e Ifthesumpayableunderthiscontractexceedsormayexceed$100,000,ContractorshallprovideDHSa 0 writtenassurancethatContractorwillcomplywithallapplicablestandards,orders,orrequirementsissuedunderSection306oftheCleanAirAct(42USC7401et.seq.),theFederalWaterPollutionControlAct,asamended(33USC1251et.seq.),Section508oftheCleanWaterAct(33USC1368),ExecutiveOrder11738andEnvironmentalProtectionAgencyregulations(40CFRPart15).ContractorfurtheragreestopromptlyreportallinfractionstotheStateofOregon,andtotheDepartmentofHealthandHumanServices,andtotheU.S.RegionalOfficeoftheEnvironmentalProtectionAgency.Allsubcontractsshallalsobeincompliancewiththeseprovisions. e%e%  25.0 9 Year2000. IntheeventContractorlearnsorhasreasontobelievethatDHSscomputerhardwareorsoftware %#& environmentfailstouseadateformatthatexplicitlyspecifiescenturyinanydatedata,ContractorshallpromptlyadviseDHSofsuchfailure. 9%9%  26.0 9 DepartmentofJusticeApproval. Whenthecontractoramendmentstheretocausethecontractpaymenttobe )`'* inexcessof$75,000,theDepartmentofJusticemustapprovethecontractandanyamendmentsastoLegalSufficiency.Suchapprovalisrequiredbeforeanyworkmaybeginunderthiscontractoramendmentsthereto,orthecontractisnotbindingontheStateofOregonorDHS. 9%9%   x- +.  27.0 9 KeyPerson. ContractoracknowledgesandagreesthatDHSselectedContractor,andisenteringintothis X  Contract,becauseofthespecialqualificationsofContractors KeyPerson(s).Inparticular,DHSthroughthisContract,isengagingtheexpertise,experience,judgmentandpersonalattentionofMichaelJQPPQSR,RSUT,TUV.WrightV( KeyPerson).ContractorsKeyPersonshallnotdelegateperformanceoftheresponsibilitieshe/sheisrequiredtoprovideunderthisContracttoanother(other)ofContractorsemployee(s)withoutfirstobtainingthewrittenconsentofDHS.Further,Contractorshallnotre-assignortransferanyKeyPersontootherdutiesorpositionssuchthatanyKeyPersonisnolongeravailabletoprovideDHSwithhis/herexpertise,experience,judgment,andpersonalattention,withoutfirstobtainingDHSspriorwrittenconsenttosuchre-assignmentortransfer.IntheeventContractorrequeststhatDHSapproveare-assignmentortransferofanyKeyPerson,DHSshallhavetherighttointerview,reviewthequalificationsof,andapproveordisapprovetheproposedreplacementfortheKeyPerson.AnyapprovedsubstituteorreplacementforaKeyPersonshallbedeemedaKeyPersonunderthisContract. 9%9%  9 0 9 Inaddition, X|XXXtheContractormustprovideareplacementforanyConsultantwhoceasesaffiliationwiththe 0  Contractor,whomDHSdeemsisnotperformingatanacceptablelevelorishinderingthesuccessfulcompletionofassignment(s),isunabletoperformassignedwork,orasrequiredbyDHS.TransitionschedulemustbeapprovedbyDHS.IntheeventthatDHSrequiressuchreplacement,theContractorshallpromptlysubstituteorengageotherqualifiedindividuals.AllsuchreplacementsaresubjecttoDHSspriorreviewandacceptance.IntheeventthatContractorisunabletomeetitsobligationtofurnishareplacementConsultant,DHSmay,atitsoption,terminatethatportionoftheContractwithoutliability,ortocontinuetheContractwithoutreplacement.#XXX X|(# (9%9% X|XXX&g%XX|   ExhibitC X #X|X%&g ,#B,#XXXX|,#  IndependentContractorCertification  4   &ƪ%XXs %&ƪ ThisformistobecompletedbyContractor;Corporationsarenotrequiredtocompletethisform.   ORS670.600IndependentContractor;standards.AsusedinvariousprovisionsofORSchapters316,656,657and701,anindividualor Z businessentitythatperformslabororservicesforrenumeration'sshallbeconsideredtoperformthelabororservicesasanIndependentContractorifthestandardsofthissectionaremet:X  Contractorunderstandsthat: *  P BXX '}L"XB1.0  Theindividualorbusinessentityprovidingthelabororservicesisfreefromdirectionandcontroloverthemeansandmannerof p  providingthelabororservices,subjectonlytotherightoftheAgencyforwhomthelabororservicesareprovidedtospecifythedesiredresults; %% 2.0  Theindividualorbusinessentityprovidinglabororservicesisresponsibleforobtainingallassumedbusinessregistrationsor @   professionaloccupationlicensesrequiredbystatelaworlocalgovernmentordinancesfortheindividualorbusinessentitytoconductthebusiness; %% 3.0  Theindividualorbusinessentityprovidinglabororservicesfurnishesthetoolsorequipmentnecessaryforperformanceofthe  `  contractedlabororservices; %% 4.0  Theindividualorbusinessentityprovidinglabororserviceshastheauthoritytohireandfireemployeestoperformthelaboror :  services; %% 5.0  Paymentforthelabororservicesismadeuponcompletionoftheperformanceofspecificportionsoftheprojectorismadeonthe l basisofanannualperiodicretainer. %% *XX*6.0  TheindividualorbusinessentityprovidinglabororserviceisregisteredunderORSchapter701,iftheindividualorbusinessentity F provideslabororservicesforwhichsuchregistrationisrequired; %% 7.0  FederalandstateincometaxreturnsinthenameofthebusinessorabusinessScheduleCorfarmScheduleFaspartofthepersonal   incometaxreturnwerefiledforthepreviousyeariftheindividualorbusinessentityperformedlabororservicesasanindependentcontractorinthepreviousyear;and %% 8.0  Theindividualorbusinessentityrepresentstothepublicthatthelabororservicesaretobeprovidedbyanindependentlyestablished @! business.ExceptwhenanindividualorbusinessentityfilesaScheduleFaspartofthepersonalincometaxreturnsandtheindividualorbusinessentityperformsfarmlabororservicesthatarereportableonScheduleC,anindividualorbusinessentityisconsideredtobeengagedinanindependentlyestablishedbusinesswhenfourormoreofthefollowingcircumstancesexist.Contractormustmeetfour(4)ormoreofthefollowing: %% *X*  A.0  Thelabororservicesareprimarilycarriedoutatalocationthatisseparatefromtheresidenceofanindividualwhoperformsthe L' labororservices,orareprimarilycarriedoutinaspecificportionoftheresidence,whichportionissetasideasthelocationofthebusiness; %%   B.0  Commercialadvertisingorbusinesscardsasiscustomaryinoperationofsimilarbusinessesarepurchasedforthebusiness,or l+ theindividualorbusinessentityhasatradeassociationmembership; %%   C.0  Telephonelistingandserviceareusedforthebusinessthatisseparatefromthepersonalresidencelistingandserviceusedbyan F. individualwhoperformsthelabororservices; %%   D.0  Labororservicesareperformedonlypursuanttowrittencontracts;x! 1%%   E.0  Labororservicesareperformedfortwoormoredifferentpersonswithinaperiodofoneyear;or"\ 3%%   F.0  Theindividualorbusinessentityassumesfinancialresponsibilityfordefectiveworkmanshiporforservicenotprovidedas #!5 evidencedbytheownershipofperformancebonds,warranties,errorsandomissioninsuranceorliabilityinsurancerelatingtothelabororservicestobeperformed. %% 9.0  PursuanttoOAR1250200410(4),thecontractshallprovidethattheContractorisresponsibleforfederalSocialSecurity,exceptthose h&$9 categoriesexcludedbylaw,andforanyfederalorstatetaxesapplicabletothecontractpayment. %%  IndependentContractorcertifieshe/shemeetstheabovestandardsandagreestoperformthelabororservicesrequiredbythiscontractasanIndependentContractor. P'  '*   *ContractorSignature ________________________________________________Date_________________ X+)A '   ' E/H X7/HXEntityName(printedortyped): _____________________________________________________________________ 2-*D  H#CXHCC#&ƪ% s6-#X-  -x+E  XX%&ƪ  ExhibitD X ConfidentialityAgreement#&ƪ%XXGD#s %&ƪ  H #&ƪ% sD#fDs %&ƪToallcontractorsworkingonOregonDepartmentofHumanServices(DHS)projects: 8 Forthepurposesofthiscertificatetheterm contractorwillmeanallConsultantsassignedtotheprojectbythecontractor.Oregonslawscontainprovisionsrelationtoconfidentialityofrecords,listsandinformationaboutclientapplicants/clients/recipientsandaboutStateemployees.Theselaws,andthepenaltiesforviolationofthem,pertaintoeverycontractorworkingonDHSprojects,atalllevelsandinanycapacity.AsaconditionofyourcontinuedworkforDHS,youarerequiredtocompletetheconfidentialitytrainingexerciseandsignthiscertificateverifyingthatyouunderstandthelawsandareawareofthepenaltiesforviolation.Ifatsomefuturedate,youhavedoubtsaboutthelegalityofanactionyoumaybeabouttotake,asktherespectiveprojectmanagerforaninterpretation.You 2  personallyarelegallyresponsibleforanyviolationoftheselaws. (    ConfidentialityofPersonnelInformation :ORS192.500 ThePublicRecords Actcontainsanumberofexemptionsforinformation d   maintainedonStateemployeesincludinga personalprivacyexemptionwhichstates: Thefollowingpublicrecordsareexemptfromdisclosure...Informationofapersonalnaturesuchasthatkeptinapersonal,medicalorsimilarfile,ifthepublicdisclosurethereofwouldconstituteanunreasonableinvasionofprivacy,unlessthepublicinterestbyclearandconvincingevidencerequiresdisclosureintheparticularinstance.Thepartyseekingdisclosureshallhavetheburdenofshowingthatpublicdisclosurewouldnotconstituteanunreasonableinvasionofprivacy.(ORS196.500(2)(b)) ConfidentialityofWelfareApplicants/RecipientsInformation :ORS411.300 Regulationsconcerninguseandcustodyofrecords.  ^  (1)DHSshallmakeandenforcereasonablerulesandregulationsgoverningthecustody,useandpreservationoftherecords,tapes,filesandcommunicationsofDHS.Theuseofsuchrecords,papers,filesandcommunicationsbyanyotheragencyordepartmentofgovernmentorpersontowhichtheymaybefurnishedshallbelimitedtothepurposesforwhichtheyarefurnishedandbytheprovisionsofthelawunderwhichtheymaybefurnished.ORS411.320 Disclosureanduseofrecordslimited;contentsasaprivilegedcommunication. Fortheprotectionofclients,DHS j contractors...shallnotdiscloseorusethecontentsofanyrecords,files,papersorcommunicationsforpurposesotherthanthosedirectlyconnectedwiththeadministrationofthepublicassistancelawsofOregon,andtheserecords,filespapersandcommunicationareconsideredconfidentialsubjecttotherulesandregulationsofDHSanditsDivisions,exceptasotherwiseprovidedinORS411.325to411.335.Inanyjudicialproceedings,exceptproceedingsdirectlyconnectedwiththeadministrationofpublicassistancelaws,theircontentsareconsideredprivilegedcommunications.(Note:ORS421.325and411.330havebeenvoidedbycourtaction.)ORS411.335 Prohibiteduseoflistsornames. Nopersonoragencyshallsolicit,disclose,receive,makeuseof,orauthorize,knowingly d  permit,participateinoracquiesceintheuseof,anylistsofnamesforcommercialorpoliticalpurposesofanynature,foranypurposenotdirectlyconnectedwiththeadministrationofpublicassistancelaws.(Note:ORS411.325and41.330havebeenvoidedbycourtaction.)ORS411.990 Penalties (1)ViolationofORS411.320to411.335ispunishable,uponconviction,byafineofnotmorethan$1,000orby 4$ imprisonmentinthecountyjailfornotmorethan60days,orbyboth.ViolationofORS192.500iscausefordisciplinaryactionunderORS240.555. Instructions: Contractorandsupervisorwillsignpriortostartofwork.ReturnoriginaltotheDHSProjectManagerordesignee. T( IcertifythatIhavereadtheforegoing.MysignaturebelowmeansthatIunderstandtheprovisionsoflawpertainingtotheconfidentialityofDHSrecordsandinformation.IalsounderstandthattheselawsmaychangefromtimetotimeandthatitismyresponsibilitytoreadandunderstandthesechangesasIamnotifiedofthem.9%X ,X9er4 hX 79  Name(pleaseprint):  ___________________________________________________________________________ / Signature:_______________________________________________  Date_____________________ !2 SupervisorsSignature:________________________________________________Date_____________________CW#&ƪ% s6E#  P$!6 X     @F  @r  @  @  @A  @  @  @u XX%&ƪ0 @ #&ƪ%XXwY# XX%&ƪ0@%(#(# ExhibitE X  7 INFORMATIONFORCRIMINALHISTORYCHECK#&ƪ%XXY#x%&ƪ   *8F9Xddd Xdd Xdd XX%X%,m dd ,dd , dd +  % 2 %@L L *** 5xHIRINGSUPERVISORTOCOMPLETETHISSECTION #x5[#*** * > *3pNameofDHSSupervisor=p3 $f $3pAgency/Address=p3  f 3pPhoneNumber/Extension=p3(f    (*:F;dXdm dd m dd  dd 8F9X%X%,s#dd +  ! 4  !@ ***5x TOBECOMPLETEDBYAPPLICANT/EMPLOYEE #x5^#***(@   (KX X (#X ,X9er4 hXK  Name(PleasePrint) Last    h First     p Middle    DateofBirth u  AF<) xdEX (#A  Y OtherName(s)Used:(MaidenName,PreviousMarriedName(s),Aliases,LegalNameChanges,AssumedNames,etc.)#&ƪ%xxZ#XX%&ƪAF<)V' s#dEV' s#A#&ƪ%XX6a#x%&ƪ 2 o #&ƪ%xa#L%&ƪ33#&ƪ%Lb#332bx%&ƪSex     SocialSecurityNumber(PerSignedConsentBelow) p     DriversLicenseNumber/IssuingState  Q   G #&ƪ%x~b#x%&ƪMale#&ƪ%xc#x%&ƪ  Female#&ƪ%xc#x%&ƪ  #&ƪ%xBd#x%&ƪ "  AF<)Vs#dEVs#A %+ ^ WARNING:Falselyrespondingtoanyofthequestionslistedbelowdisqualifiesyourapplicationbylaw.  +  EX  X (#X X XE1.  Yes  No0 HaveyoulivedoutsidetheStateofOregonanytimeduringthefive(5)yearpriortodaysdate?!  % % e2.  Yes  No0 Haveyoueverbeenconvictedofanycrimelistedonthebackofthisform(orthesubstantialequivalentofanyofthe  crime(s)iftheconvictionoccurredinanotherjurisdictionorinOregonunderadifferentstatutorynameornumber)?  % % IfYES,placean(X)intheboxbesidethecrime(orthesubstantiallyequivalentcrime)and,onaseparatesheetofpaper,describethecircumstancesbywhichyouwereconvictedofthecrime(s)andprovideanyinformationyouhavetohelpusunderstandwhyyoubelieveyourconviction(s)WILLNOTposearisktopersonsinthecareoforreceivingservicesfromDHS,orotherpreventyoufromfulfillingtheresponsibilitiesofyourjob.3.  Yes  No0 Doyouhaveaconcealedhandgunlicense?N$ % % @R R %`; 5xAUTHORIZATIONTODISCLOSESOCIALSECURITYNUMBER#x5j#  `' %#OAR410070000authorizesDHStorequestyoutovoluntarilyprovideyourSocialSecurityNumbertoDHSforuseasanidentificationnumberforcriminalrecordchecks.FailuretoprovideyourSocialSecurityNumberwillnotbeusedasabasistodenyyouanyrightorbenefit,orprivilegeprovidedbylaw.IfyouprovideyourSocialSecurityNumberandconsenttoitsuse,itwillbeusedonlyforthepurposestatedaboveandwillnotbegiventothegeneralpublic.BysigningthisconsenttodiscloseyourSocialSecurityNumber,youauthorizeDHStodiscloseyourSocialSecurityNumbertoothersifsuchdisclosureisnecessaryforthepurposestatedabove.______________________________________________________________________________________________________________________ConsultantsSignature     h      p       Date u/ %8@  5xAFFIRMATIONOFACCURATEINFORMATION#x5mo#  80 %~Ihavereviewedandcompletedbothsidesofthisformasapplicabletome.Iunderstandthatsubmittingfalseinformationwilldisqualifymefromworkingat/forDHS.Bymysignaturebelow,Iherebyaffirmthatallinformationprovidedonbothsidesofthisform,andallattachmentsthereto,aretrueandaccurate.   73    @  @  @ ***5x CONSULTANTSSIGNATUREMUSTBEWITNESSED#x5q# 󀀀*** s 5   _________________________________________________0  0%%______________________________________________________!W7%% ConsultantsSignature    Date h   0  SignatureofWitness     DateM"8%%              h       0  0%%0 %%0 % %   h   0 % % %%   0  0%%0 %%0 % %0 % %0h%%0h%h%0%%_______________________________________________________ %% h           h   0   %%   0  0%%0 %%0 % %0 % %0h%%0h%h%0%%TitleofWitness %% hu*e=F>dds#dd s#:F;X%X%e,dd ,Wdd +  % 0'$C %@ \***5x DHSPERSONNELSERVICESUSEONLY #x5)x#Ԁ*** ''<%D 'DateofLEDSCCH/WARRANTS/DMVCheck:______/______/_____  )&F DHSPERSSVCSRECORDSSPEC: (n&G   ]4X^ ; N <u|,,Xh4!XX  X X]Conviction : ^ Yes  No ;  N Warrant:  < Yes u No |   ValidODL :YesQ<hNo 2*'H  ContinuedEmployment :  Approved N Denied#&ƪ%xd# n+)J      ^    ;  N  <  u x%&ƪ "/,P *xFdddd Wdd W=F>X%X%x, $dd +   X #&ƪ%x{#XX%&ƪ@ \ IMPORTANTNOTICETOCONSULTANT   d #&ƪ%XX|#]b%&ƪYOURSIGNATUREONTHEFRONTOFTHISFORMMEANSYOUHAVEREVIEWEDTHISLISTOFCRIMESANDCHECKMARKED(4)THOSECRIMES  FORWHICHYOUHAVEBEENCONVICTED.YOURSIGNATUREALSOGRANTSPERMISSIONFORDHSTOVERIFYANYANDALLINFORMATIONYOUHAVEPROVIDEDONTHISFORMANDATTACHEDDOCUMENTS,IFANY.#&ƪ%]bY}#x%&ƪ f  #&ƪ%x~#L%&ƪffӀ#&ƪ%L6#x%&ƪ 4 ffU#&ƪ%x#]b%&ƪSpecificCrimes:(ORS):#&ƪ%]b#]b%&ƪ s #&ƪ%]bQ#XX%&ƪffffǀ`" F X XX^ ; N <u|,,Xh4!X`#&ƪ%XX#x%&ƪ( X%X%(o0 W 162.0250WuWuBribeReceivingP uu o0 W 162.0650WuWuPerjuryv uu o0 W 162.1550WuWuEscapeIIL  uu o0 W 162.165  EscapeI r WuWu o W 162.185  SupplyingContraband H   o0 W 162.2050WuWuFailuretoAppearI nuu o0 W 162.2350WuWuObstructingGovernmentalorJudicialAdministrationD uu o0 W 162.2650WuWuBribingaWitness j uu o0 W 162.2750WuWuBribeReceivingByaWitness@ uu o0 W 162.2850WuWuTamperingWithaWitness f uu o0 W 162.3050WuWuTamperingWithPublicRecords< uu o0 W 162.3250WuWuHinderingProsecution b uu o W 163.095  AggravatedMurder 8  o W 163.115  Murder ^  o W 163.118  ManslaughterI 4  o W 163.125  ManslaughterII Z  o W 163.145  CriminallyNegligentHomicide 0  o0 W 163.1600WuWuAssaultIVVuu o W 163.165  AssaultIII , o W 163.175  AssaultII R o W 163.185  AssaultI ( o0 W 163.1900WuWuMenacingNuu o0 W 163.1950WuWuRecklesslyEndangeringAnother$uu o W 163.200  CriminalMistreatmentII J  o W 163.205  CriminalMistreatmentI  ! o W 163.225  KidnapingII F" o W 163.235  KidnapingI # o W 163.275  Coercion B$ o W 163.355  RapeIII % o W 163.365  RapeII >& o W 163.375  RapeI ' o W 163.385  SodomyIII :( o W 163.395  SodomyII ) o W 163.405  SodomyI 6* o W 163.408  UnlawfulSexualPenetrationII  + o W 163.411  UnlawfulSexualPenetrationI 2, o W 163.415  SexualAbuseIII - o W 163.425  SexualAbuseII .. o W 163.427  SexualAbuseI / o W 163.435  ContributingtotheSexualDelinquencyofaMinor *0 o W 163.445  SexualMisconduct 1 o0 W 163.4550WuWuAccostingforDeviatePurposes~&2uu o W 163.465  PublicIndecency 3 o W 163.515  Bigamy z"4 o W 163.525  Incest 5 o W 163.535  AbandonmentofaChild v6 o W 163.545  ChildNeglectII 7 o W 163.547  ChildNeglectI r8 o W 163.555  CriminalNonsupport 9 o W 163.575  EndangeringtheWelfareofaMinor n : o W 163.670  UsingChildinDisplayofSexuallyExplicitConduct  ; o W 163.6730  DealinginDepictionsofSexualConductInvolvinga j!< Child uu o0 W 163.6750WuWuSaleofExhibitionofVisualReproductionofSexual f" > ConductbyChild uu o W 163.680  PayingforViewingSexualConduct b# !@ o W 163.732  Stalking #!A o0 W 164.0430WuWuTheftIII^$"Buu o0 W 164.0450WuWuTheftII$"Cuu o0 W 164.0550WuWuTheftIZ%#Duu o0 W 164.0570WuWuAggravatedTheftI%#Euu o W 164.075  TheftbyExtortion V&#F o W 164.225  BurglaryI &|$G o W 164.325  ArsonI R'$H H,F$ 4 X F X XHo 9 164.395  RobberyIII 'x%I o 9 164.405  RobberyII N(%J o 9 164.415  RobberyI (t&K o0 9 165.01309u9uForgeryintheFirstDegreeJ)&Luu o0 9 165.02209u9uCriminalPossessionofaForgedInstrumentinthe )p'M FirstDegree uu BX,F$ 4 XBo0 9 165.03209u9uCriminalPossessionofaForgeryDevice*l(Ouu o0 9 165.05509u9uFraudulentUseofCreditCard(Over$750)B+(Puu o0 9 165.06509u9uNegotiatingaBadCheck(ClassFelonyClause)+h)Quu o0 9 165.07009u9uPossessionaFraudulentCommunicationDevice>,)Ruu o0 9 165.07409u9uUnlawfulFactoringofaCreditCardTransaction,d*Suu o0 9 165.08509u9uSportsBribery:-*Tuu o0 9 165.09009u9uSportsBribeReceiving-`+Uuu o0 9 166.01509u9uRiot6.+Vuu o 9 166.085  AbuseofCorpseII .\,W o 9 166.087  AbuseofCorpseI 2/,X o  166.155 5 IntimidationII PX o  166.165 5 IntimidationI vY o  166.220 5 UnlawfulUseofWeapon L Z o  166.270 5 FeloninPossessionofFirearm  r[ o0  166.27205&&UnlawfulPossessionofMachineGuns,CertainShortbarreled H \ Firearms&FirearmsSilencers 5&5& o  166.275 5 PossessionofWeaponsbyInmatesofInstitutions D ^ o  166.3700 5 DischargingFirearmatSchool/PossessionofFirearmor  j _ DangerousWeaponinPublicBuilding 5&5& o  166.382 5 PossessionofDestructiveDevice  f a o  166.384 5 UnlawfulManufactureofDestructiveDevice < b o  166.429 5 UseofFirearmsinFelony  b c o  166.480 5 SaleorGiftofExplosivestoChildren 8 d o  166.660 5 UnlawfulParamilitaryActivity ^ e o  166.720 5 Racketeering 4 f o0  167.00705&&ProstitutionZ g5&5& o  167.012 5 PromotingProstitution 0 h o  167.017 5 CompellingProstitution Vi o  167.0620 5 SadomasochisticAbuseorSexualConductinLiveShow#&ƪ%x#]b%&ƪ(engaging ,j in)#&ƪ%]b#x%&ƪRk5&5& o  167.0620 5 SadomasochisticAbuseorSexualConductinLiveShow (l (directing,managing,financing,orpresenting) 5&5& o  167.065 5 FurnishingObsceneMaterialstoMinors $n o  167.070 5 SendingObsceneMaterialstoMinors Jo o  167.075 5 ExhibitinganObscenePerformancetoaMinor  p o  167.080 5 DisplayingObsceneMaterialstoMinors Fq o  167.087 5 DisseminatingObsceneMaterial r o  167.090 5 PubliclyDisplayingNudityorSexforAdvertisingPurposes Bs o  167.212 5 TamperingwithDrugRecords t o  167.2620 5 AdultUsingMinorinCommissionofControlledSubstance >u Offense(LessThanFiveGramsMarijuana) 5&5& o  411.630 5 UnlawfullyObtainingofPublicAssistance :w o  411.840 5 UnlawfullyUsingStampsorCommodities x o0  471.41005&&ProvidingLiquortoaPersonUnder21ortoIntoxicatedPerson; 6y MandatoryMinimumPenalties 5&5& o0  475.99205&&ProhibitedActsGenerally;Penalties;AffirmativeDefensefor 2{ CertainPeyoteUses 5&5& o0  475.99305&&ProhibitedActsforRegistrants;Penalties.}5&5& o0  475.99405&&ProhibitedActsInvolvingRecordsandFraud;Penalties~5&5& o0  475.99505&&DistributionofControlledSubstancetoMinors*5&5& o0  475.99605&&CrimeCategoryClassificationforViolationof475.992;Proofof  CommercialDrugOffense 5&5& o0  475.99905&&ManufactureorDeliveryofControlledsubstancetoMinoror  StudentWithin1,000FeetofSchool 5&5& o0  811.14005&&RecklessDriving5&5& o0  811.18205&&CriminalDrivingWhileSuspendedorRevokedorinViolationof v aPermit 5&5& o0  811.54005&&FleeingorAttemptingtoEludePolicer5&5& o0  811.70005&&FailuretoPerformdutiesofDriverWhenPropertyisDamaged5&5& o0  811.70505&&HitandRunVehicle(Injury)n 5&5& o0  813.01005&&DrivingUndertheInfluenceofIntoxicant#&ƪ%xX#P 5&5&    5     Q##<#   G"  $    5    D-* ( XuXu(DXX%&ƪ%XXXXH8xdd8   @9  @  @4  @` Q@p p p  @<  @ #XXX%X|#ExhibitF X #&ƪ%XX]#XX%&ƪ%XXXXSolicitation1093 #XXX%Xа#%XXXX#%&ƪ%X%X#%XX%%&ƪ  #%&ƪ%X%Xh##&ƪ%%%&ƪ&#XX%&ƪ.  %XXXXJ 9    4  ` Qp p p  <    9    9    4  ` Qp p p  <      D     TheStateofOregon H DepartmentofHumanServices    IssuestheFollowing   InformalSolicitation   for h @@=Y  EnhancingDepartmentApplications#XXX%X #%XXXX  b  Solicitation1093   #XXX%X#X<XX z XX<DateofIssuance:   z January8,2002   ProposalsDue:0 0z % %3:00P.M.,January21,2002attheissuingofficez %z %  `    z Note:PostmarkswillnotbeconsideredIssuingOffice: 0 0z % %StateofOregon,DepartmentofHumanServices hz %z %  `  0  z DwightEndicott,DHSContractsCoordinator  % % 0 ` 0 ` %` %0 % % z 500SummerStreetNE/MailingCodeE03  % % 0 ` 0 ` %` %0 % % z SalemOregon973101080  % % 9XX z pXXX z X9 `    z Voice:0  5039456156$("#%%  `    z Fax:  5033737365 p%#$ Xhf.9X,Xr` XXX z pX9    `&$% #DH.J# DEf HDIEh .H0I J.K0h J  > &ƪ%XX   r  `     h     #XX%&ƪU#Attachments &ƪ%XX 4   6X,X'` XX,Xr` X6#XX%&ƪ #ExhibitA:0 ' StatementofWork$'%'% ExhibitB:0 ' ContractualTermsandConditions'%'% ExhibitC:0 ' IndependentContractorCertification'%'% ExhibitD:0 ' CriminalHistoryAgreement'%'% ExhibitE:0 ' ConfidentialityAgreement'%'% &ƪ%XX  #XX%&ƪ3#X|XXX #XXXX|#&ƪ%XX   H  6X,XF'` XX,X'` X6 #XX%&ƪ˾#M]O5W_cSection1:0 ' Purpose/OverviewX'%'% 6X,X'` XX,XF'` X61.10  PurposeofthisSolicitation H%% TheStateofOregon,DepartmentofHumanServices(DHS),OfficeofInformationServices(OIS),seeksInformationTechnologyresourcestoenhancetheClientInformation(CI)system.ThesystemsresideonDHScomputerandarewritteninCOBOLII. 1.20  Approach %% Theprojectconsistsof:designing,constructing,testingandimplementingofsystemchangesandprovidingrequireddocumentation.ThetasksshallbeperformedusingestablishedDHS/OISdevelopment,maintenanceandacceptancecriteriamethodologiessetforthinDHSsInformationSystemsStandardsandProceduresManual.DocumentationshallbeupdatedandstoredinestablishedDHS/OISlibrariesusingexistingDHS/OISdocumentationstandardssetforthinDHSsInformationSystemsStandardsandProceduresManual.DeliverablesrequiredbytheContractresultantofthisSolicitationarerequiredbyonehundredeighty(180)calenderdaysaftercontractexecutiondate.&ƪ%XX6X,Xw'` XX,X'` X61  #XX%&ƪ4#1.3  UseofSubcontractors  D IntheeventofaProposalsubmittedjointlybymorethanoneorganization,oneorganizationmustbedesignatedastheprimeContractor,andtheprimeContractorwillbesolelyresponsibleforassuringtheperformanceofallaspectsofresultantContracts.AllotherparticipantsshallbedesignatedasSubcontractors.&ƪ%XX  #XX%&ƪE#xXX#XXx#TheselectedProposer,asPrimeContractor,shallberequiredtoassumeresponsibilityforallservicesoutlinedin ` thisSolicitationandanyresultingContracts,whethertheProposer,representative,subsidiaryorSubcontractorprovidesthem.&ƪ%XX @ 1,he  Q1XXF4` hp x X,Xw'` XQ1  1,he  #XX%&ƪ#6XX, XXXF, X6 , @,  X 2.0  ProcurementSchedule&ƪ%XX  x  #XX%&ƪp#Thefollowingrepresentstheproposedtimelineforthisproject.Pleasenote:Thesedatesrepresentatentative h scheduleofevents.DHSreservestherighttomodifythesedatesatanytime,withappropriatenoticetoprospectiveproposers.AlltimesarePacificTime.&ƪ%XX H #XX%&ƪ#xXX#XXxD# Activity    4  `     h Date/Time &ƪ%XX  #XX%&ƪ#SolicitationRelease `     h January8,2002  Preproposalquestionsdue    h January11,2002(3:00PM) t  Preproposalquestions&answersissued0 h January16,2002(3:00PM) d!h%h% ProposalsDue   4  `  `    0 h January21,2002(3:00PM)!T"h%h% AwardAnnouncement `       h     h January24,2002(approximately)&ƪ%XX "D # #XX%&ƪ#xXX#XXx8# 3X,X` XXX, X33.0   StatementofWork&ƪ%XX @$!%  #XX%&ƪ#InformationTechnologyservicesrequiredinclude,butarenotlimitedto,1)designofsoftwarecomponents, 0%"& 2)constructionofsoftwarecomponents,3)testingofsoftwarecomponentsandsystems,4)implementationofsoftwarecomponentsand5)completedocumentationofthechanges.AdditionaldetailisprovidedinExhibitA,StatementofWork.&ƪ%XX  (%)  #XX%&ƪ#xXX#XXx# 4.00  ProposalRequirements &ƪ%XX)L'+%% #XX%&ƪn#ProposersmayrespondtothisSolicitationwithaproposalthatincludes:&ƪ%XX *<(, #XX%&ƪ#1)0  aQualificationsandTechnicalProposal,whichincludestheresumesandqualificationsofproposed +,)- Consultants;and %% 2)0  aCostProposal,whichidentifiesthehourlyrate,thenottoexceedcostforeachdeliverableandtheoverall d- +/ nottoexceedcostfortheproject.&ƪ%XXT.+0%% %&ƪ%%&ƪ0X,X XX,X` X0#%XX%%&ƪ#Ataminimum,QualificationsandTechnicalProposalstothisSolicitationshallinclude:%&ƪ%X%X X 6X,X9 XX,X X6#&ƪ%%%&ƪ ##XX%&ƪ#Ԁ  H 4.10  QualificationsProposal&ƪ%XX8%%  #XX%&ƪ#QualificationsProposalsshallinclude:&ƪ%XX ( #XX%&ƪQ#4.1.10  E"X X'` X"X,X9 XEThefirmname,addressandtelephonenumber,andthename,address,telephonenumber,EMailandfax  numberofthepersonauthorizedtoreceiveandrespondtoinquiriesandnoticesregardingthisSolicitationandpersonauthorizedtoexecuteanyresultantcontracts;&ƪ%XX%% KX X,'` X"X X'` X"K#XX%&ƪ#4.1.20  AstatementindicatingthattheProposerisalegalentity,authorizedtoenterintoaContractandthe  Proposersregisteredbusinessname; %% 4.1.30  AstatementidentifyingtheindividualswhopreparedtheproposaltoSolicitation1093; p %% 4.1.40  AcoverlettersummarizingthefirmsinterestinSolicitation1093; ` %% 4.1.5  AstatementofthefirmsgeneralapproachanddetailplanstomeettherequirementsoftheSolicitation;  P  4.1.6  ProposedtimelinesforcompletionofeachtaskanddeliverabledefinedintheStatementofWork;  @  4.1.70  AstatementthatnoattempthasbeenmadeorwillbemadebytheProposertoinduceanyotherpersonor 0  firmtosubmitornotsubmitaproposal; %% 4.1.80  AstatementofAffirmativeActionthatProposerdoesnotdiscriminateinitsemploymentpracticeswith h regardtorace,creed,age,sex,disabilityornationalorigin; %% 4.1.90  Astatementthatanyresponsesubmitted,includingcostsandstaffingshallremainvalidforsixty(60) H calendardaysafterduedateoruntilContractsareapprovedandexecuted,whichevercomesfirst; %% 4.1.100  StatementsorspecificstipulationofacceptanceofALLtermsandconditionscontainedandthatProposer ( willperformpursuanttoandagreestothetermsandconditionstherein; %% 4.1.110  AstatementindicatingacceptanceofStateofOregonbillingterms;%% 4.1.120  AstatementofacceptancethatConsultantsprovidedbyProposershallsubmittoaCriminalHistorycheck  atDHSsrequest; %% 4.1.130  AstatementofacceptancethatConsultantsprovidedbyProposershallexecuteaconfidentialityclauseat  DHSsrequest;and %% 4.1.140  AstatementidentifyinganySubcontractorsthatmaybeengaged,withthenamesoftheConsultantsxXXԀ#XXx#andthe ` namesandcontactinformation(name,addressandtelephonenumber)ofSubcontractoraffiliation,ifany,ofeachConsultant,clearlyidentified. %%  4.20    TechnicalProposalx %%  TechnicalProposalsshallinclude: h EXX` D"X X,'` X"E4.2.10  %XXXXAproposalwhich:X  %% EX XA " D"XX` D"E    1)  addressesallrequirementsofExhibitA:StatementofWork,4.1and4.2,Technical,and H!! 0  0%%2)0%%proposingfirms#XXX%X#%XXXXԀ#XXX%X #PX|XXXdocumentedexperienceinsuccessfullycompletingprojectsofasimilarsizeandscope 8"" tothoserequiredbythisSolicitation#XXXPX|c#%XXXXԀandthe#XXX%X5#resumesofeachKeyPerson%XXXXrelatingtotheperformance (# # ofsimilarworkasrequiredbytheSolicitation#XXX%X#,includingqualificationsandrelevantindividual $!$ experience.Resumesshallincludeatleastthree(3)references(telephonenumberandcontactname),whichDHS,atitsdiscretion,maycontact%XXXX.#XXX%X#%#&%% xXX#XXxs# HX XFA " D"X XA " D"H4.3  CostProposal 'D%(  Acompletedcostproposalfortheproposedservicesisrequiredandmustbesubmittedseparatelyfromtherestof (4&) theProposal.Thecostproposalshallidentifythehourlyrate,thenottoexceedcostforeachdeliverableandtheoverallnottoexceedcostfortheproject. Allhourlyratesmustbefullyloadedandincludeallexpenses. DHS l*(+ reservestherighttoreviewallaspectsofCostProposalstothisSolicitationforreasonablenessandtorequestclarificationofanyProposalwheretheCostProposal(s)showsignificantandunsupporteddeviationfromindustrystandardsorinareaswheredetailedpricingisrequired. Thecontract,ifany,includingamendments,resultantof <-*. thisSolicitationshallnotexceedanaggregateof$75,000.00perOAR1250200330.  ,.+/ M] M X M  5.00  EvaluationofProposals  %% Proposalswillbeevaluatedonthecompletenessandqualityofcontentinthreephases:K"X X4` D%X XFA " D"K1)EvaluationofQualificationsandTechnicalProposal,and2)ScoringofTechnicalProposaland3)EvaluationandscoringofCostProposal.Anevaluationcommitteewillbeestablishedtoevaluateandscoreproposalssubmitted.Responseswillbereviewedbythecommitteetodetermineiftheyarecomplete.AProposersfailuretocomplywiththeinstructionsortosubmitacompleteresponsewillresultintheresponsebeingdeemednonresponsive,exceptthatDHSreservestherighttowaiveminorirregularities.AnyproposalthatisincompleteorcontainssignificantinaccuraciesorinconsistenciesmayberejectedinwholeorinpartbyDHS.DHSreservestherighttorejectallproposalsifitisinthebestinterestofthepublictodoso. ?XX,X%XX,X%?5.10  0%%PhaseI:EvaluationofQualificationsProposal] P %%  ThepurposeofthisphaseistodetermineiftheproposalmeetstheSolicitationmandatoryrequirementsofthis M @  Solicitation.Proposalsareevaluatedona Pass/FailbasisinPhaseI.Proposalsthatdonotmeettheminimumrequirementsmaybedisqualified,exceptthatDHSreservestherighttowaiveminorirregularities.ProposalsthatareevaluatedasresponsiveinPhaseIwillqualifyforevaluationandscoringoftechnicalproposalsinPhaseIIoftheevaluation.xXX#XXxu# 5.2    PhaseII: EvaluationandScoringofTechnicalProposal  t EvaluationandscoringofTechnicalProposalswillbebasedcriteriadescribedinSection6.Themaximumpossiblenumberofpointsisstatedforeachcategoryandfortheoveralltotalnumberofpoints.Technicalevaluationpointsthataregivenbyeachevaluatorwillbesummedanddividedbythenumberofevaluatorstocomputeanaveragetechnicalscoreforeachproposedproposal.ThemaximumnumberofpointsthatmaybeawardedinthisPhaseis A4  75 . 1$ DHSreservestherighttorequireverbaland/orwrittenverificationoftheexperience,skillsandreferences,and/orCriminalHistorychecksofconsultantsproposedtoperformwork,toassistintheevaluationofproposals,including,butnotlimitedto,telephoneand/orinpersoninterviewsandreferencechecks.Referencechecksmaybeperformed,includingbutnotlimitedto,requestsforinformationonprojectdescriptionandbackground,functionalandtechnicalabilities,communicationskillsandtimeliness,costandscheduleestimatesandaccuracy,anyproblemsencountered,andoverallperformance.Corporateandpersonnelreferencechecksmaynotbelimitedtospecificcustomerreferencescitedintheproposal.QX|XXXConsultantsproposed#XXXQX|#QX|XXXԀtodotheworkandtheirreferencesmustbeavailablefortelephoneinterviewsandreference #!$ checks,respectively,ifrequiredbyDHS,andattimesasdesignatedbyDHS,whichshallbebetweenthehoursof8:00AMand5:00PMPacificTime,duringMondaythroughFridayandexcludingstateholidays,oratsuchothertimesasisagreeabletoDHS.#XXXQX|R#ԀDHSreservestherighttorejectanyproposalfortheconsultantproposedtodothe a&T$' workwhoisnotavailableforinterviewsasrequired,orforwhomreferencesarenotavailable.QX|XXXԀProposeris Q'D%( responsibleforarrangingandprovidingsuchcommunications(attheircost),asarenecessaryforinterviewsandreferencechecksrequiredbyDHSforproposedConsultantsandreferenceswhoarelocatedoutsidetheUnitedStatesofAmerica.#XXXQX|# !*(+ xXX#XXx2#Proposalselectionswillbemadebytheevaluationcommitteebasedupontheinformationreceivedinthe +)- QualificationsandProposals,CostProposals,evaluations,resultsofinterviews,ifrequiredbyDHS,andfromreferencechecks,ifperformedbyDHS.@* /x-1 W_c WX W  DHSreservestherighttoinvestigatethereferencesandthepastperformanceofanyProposerorconsultantproposedtodotheworkwithrespecttoitssuccessfulperformanceofsimilarservices,compliancewithspecificationsandcontractualobligations,anditslawfulpaymentofsuppliers,sub-contractors,andworkers.DHSmaypostponetheawardorexecutionofContractsaftertheannouncementoftheapparentsuccessfulproposers,inordertocompleteitsinvestigation.DHSreservestherighttorejectanyproposalortorejectallproposalsatanytimepriortoState'sexecutionofContracts. ?XX4,X%XX,X%?5.3  EvaluationofCostProposal  } p  uRX,9rS -Y(#%'0*,.8135@8:<H?XX4,X%uCostpointswillbeawardedbaseduponthetotalcostforeachproposal.EachcorrespondingcostproposalwillbeawardedapercentageofthecostpointsavailablebasedonthepercentageoftheproposalpriceasrelatedtothelowestproposalpriceafterPhaseIusingthefollowingformula:UX,9rS -Y(#%'0*,.8135@8:<H?X,9rS -Y(#X(L/X)*Y=A S Where:   X=Totalprojectcostbeingscored -   9    r  S    L=Lowesttotalprojectcost 9    r  S    A=Awardedpoints̀ 9    r  S    Y=TotalPointsPossible (25)   [X,X N hp x (#%'0*,.8135@8:<H?X,9rS -Y(#X{UX,9rS -Y(#%'0*,.8135@8:<H?X,, N X{Althoughpriceisaconsiderationwhenawardingacontract,theintentistoprovideDHSwithqualifications,performancehistory,expertise,knowledgeandskillsrequiredtoprovidethedeliverablesidentifiedinExhibitA.Theseareprimaryconsiderationsintheselectionprocess.Theproposalwiththelowestcostwillnotnecessarilybeselected.DHSreservesthesolerighttomakethisdeterminationinthebestinterestoftheState.TheaggregatelimitofthevalueoftheContractresultantofthisSolicitation,includinganyamendments,is$75,000.00perOAR1250200330.XX,X9FN hp x (#%'0*,.8135@8:<H?X,9rS -Y(#X 6.00  EvaluationCriteriaofTechnicalProposalm`%%  EvaluationandscoringofTechnicalProposalswillbebasedonthescoringcriteriadefined.Themaximumnumber ]P ofpointsthatmaybeawardedinthisPhaseis 75.   M@ BX X,4` Xuxf!X,XFN XB =0 0  X - %% 0  X 1)  COBOLII,CICSandDB2databaseexperienceofproposedconsultantonsystemscommensuratewiththose  addressedintheSolicitation. %% HX X,` XXf!X X,4` XuxH  PointsPossible: 10   ! K"X XFr` XXf!X X,` XXf!K2)0 9 09%9%ExperiencewithDHSapplicationsystemsandstandardscommensuratewiththoseaddressedinthe " # Solicitationofproposedconsultant. %%  9   PointsPossible: 20  $"% PX|XXX#XXXPX|E#3)0 9 09%9%DPX|XXXocumentedexperienceinsuccessfullycompletingprojectsofasimilarsizeandscopetothoserequiredby &$' thisSolicitation#XXXPX|#ofproposedconsultantPX|XXX.#XXXPX|#'%(%%  9   PointsPossible: 10 PX|XXX }(p&) 4) 9   TheProposer'sgeneralapproachandplanstoperformtheservicesrequiredbythescopeofworkofthis ]*P(+  9   Solicitation.#XXXPX|'#PX|XXX M+@), #XXXPX|;# 9   PointsPossible: 15 PX|XXX =,0*- Ѐ5) 9   TheProposer'sdetailedapproachandplanstoperformtheservicesrequiredbythescopeofworkofthis .,/  9   Solicitation.#XXXPX|# 9   PointsPossible: 10 PX|XXX /-1 O5 O)   O  6) 9   Proposingfirm'sdocumentedexperienceinsuccessfullycompletingprojectsofasimilarsizeandscopeto    9   thoserequiredbythisSolicitation.#XXXPX| #     9   PointsPossible: 10   0 9 09%9%MaximumOverallTechnicalPoints:0h%%0h%h%0%%75%%  9   MinimumOverallTechnicalPointstoQualifyforConsideration:0  40 %%  9 0  Ifateamapproachisproposedeachmemberoftheteamwillbeevaluatedandtheirawardedpointswillbe  averaged.  %% KX X9e ` XXf!X XFr` XXf!K  9  e  7.0  e ProposalPreparationandSubmission m `   TheOregonDepartmentofHumanServices,500SummerStreetNE,MailingCodeE03,Salem,Oregon97310 ] P  1080,Attention:DwightEndicott,DHSContractsCoordinator,isthesolepointofcontactwithinStategovernmentforthepurposeofthisSolicitation.ProposalsmustbereceivedbytheDHSContractsandProcurementUnit,nolaterthantheduedateandtimespecifiedinSection2.ProposalsmaybedeliveredviaU.S.Mailorcourierto500SummerStreetNE,MailingCodeE03,Salem,OR973101080,orfaxedto5033737365,andmustreferenceDHSSolicitation#1093. X|XXXԀNeither  latenorelectronicproposalstoSolicitation#1093willbeaccepted;postmarkswillnotbeconsidered.#XXX X|# X|XXXProposalsshallbesubmittedastwo(2)separatedocuments:1)0 9 QualificationsandTechnicalProposal;and9%9% 2)0 9 CostProposal.#XXX X|# X|XXX9%9% #XXX X|# X|XXXBothpartsoftheproposalshallbesignedbytheProposeroranauthorizedrepresentative.#XXX X| #Ԁ X|XXXProposalsnotin  compliancewithSection4through4.3maybeconsiderednonresponsiveandrejected,atDHSssolediscretion.Anyproposalsubmitted,unlesswithdrawnbeforetheProposalduedatespecifiedinthisSection,shallremainavalidproposal,bindingontheContractorandirrevocable,forsixty(60)daysaftertheproposaldeadlineoruntilagreement(s)areapprovedandexecuted,whichevercomesfirst.Thisperiodmaybeextendeduponmutualagreementoftheparties.#XXX X|#(X|XXXAlthoughpricewillbeaconsiderationwhenengagingaContractor,theintentwillbetoprovideDHSwithqualifications,performancehistory,expertise,andknowledgeforthisSolicitation.Thesewillbeprimaryconsiderationsintheselectionprocess.TheProposerwiththelowestcostwillnotnecessarilychosen.DHSreservesthesolerighttomakethisdetermination.#XXX(X|#Ԁ Thecontract,ifany,includingamendments,resultantofthisSolicitation  ! shallnotexceedanaggregateof$75,000.00perOAR1250200330.  !" 8.0 0 e AddendatotheSolicitation #!$e%e% AnyAddendawillbeissuedbytheContractsandProcurementUnitofDHS.Anyinterpretation,correction,orchangetothisSolicitationwillbemadebywrittenAddenda.Interpretations,corrections,orchangestothisSolicitationmadeinanyothermannerwillnotbebindingandProposersshallnotrelyuponsuchinterpretation,corrections,orchanges.ProposersmaynotconsideranycommunicationsinterpretingorclarifyingprovisionsofthisSolicitationwithanyperson,Statesdesignatedrepresentativeorotherwise,unlessintheformofofficialwrittenAddendatotheProposal.xXX#XXx%# 9.00 e InquiriesRelatingtothisSolicitation +),e%e% Inquiries,includingrequestsforexplanationsofthemeaningorinterpretationofprovisionsofthisSolicitationmustberequestedbyProposersinwriting,andmustarriveattheIssuingOfficebytheduedateforProposalsnotedinSection2.0,ProcurementSchedule.QuestionsmaybesubmittedtoDwightEndicott,ContractsandProcurementUnit,500SummerStNE,MailingCodeE03,SalemOR973101080ortransmittedviafaxto5033737365. /-1 VxXX#XXxJ(#V 10.00 e ReservationofDHSRights/RighttoAward,RejectorNegotiate  e%e%  X|XXXDHSreservesallrightsregardingthisSolicitation,including,withoutlimitation,theright:  HX Xr4,D"X X9e ` XXf!H1)0  #XXX X|M(#toamendorcancelthisSolicitationandresultingcontract,ifany,withoutliabilityifitisinthebestinterestof  thepublictodoso X|XXX%% 2)0  #XXX X|)# X|XXXtoextendthedeadlineforsubmittingproposals;%% 3)0  #XXX X|f*#seekclarificationsofeachproposal,and/ortoawardacontractswithoutfurtherdiscussionoftheproposals  submitted.DHSreservestherighttomodifytheproposedSolicitationrequirementspriortoissuingacontractforexecutionwithsuccessfulproposerstothisSolicitation,andmaynegotiateadditionalchangeswiththoseproposers; %%  X|XXX4)0  #XXX X|,#torejectaProposaliftheProposerattemptstoomitormodifyanyofthetermsandconditionswithoutproper } p  explanation; %% 5)0  torejectanyandallproposalsreceivedbyreasonofthisrequest,ortonegotiateseparatelyinanymanner ] P  necessarytoservethebestinterestofthepublic X|XXX;M @ %% 6)0  todetermine,initssolediscretion,whetheraproposaldoesordoesnot,substantiallycomplywiththe =0  requirementsofthisSolicitation; %% #XXX X|=.# X|XXX7)0  towaiveanyminorirregularity,informality,ornonconformancewiththeprovisionsorproceduresofthis  Solicitation; %% #XXX X|c/# X|XXX8)0  atanytimepriortoenteringintoaContract,ifany,(includingafterannouncementoftheapparentsuccessful  Contractor(s)): %% EXX,` D"X Xr4,D"E0  a)torejectanyproposalthatfailstosubstantiallycomplywithallprescribedsolicitationproceduresandrequirements;and %% 0  b)torejectallproposalsreceivedorcancelthisSolicitationuponafindingbyDHSthatitisinthepublicinteresttodoso; %% EX X` D"XX,` D"E9)  toengageContractorsbyselectionorprocurementindependentofthisSolicitationprocess,ortheContracts    establishedunderit;#XXX X|V0# X|XXX10) X 0  torequireContractortoreplace(withoutanyContractorrecourse)anyKeyPersonengagedbyContractatany }p timeduringtheContractperiodwhoceasesaffiliationwiththeContractor,whomDHSdeemsisnotperformingatanacceptablelevelorishinderingthesuccessfulcompletionofassignment(s),isunabletoperformassignedwork,orasrequiredbyDHS. %% #XXX X|3# HX X,` D"X X` D"H11.00  AwardNotice - %% PerOregonAdministrativeRule1250200360,everyProposerwhosubmitsaproposalshallbenotifiedofitsselectionstatus.ProposedtermsandconditionswhichmayapplytoacontractresultingfromthisSolicitationarefurtherdefinedin ExhibitBContractualTermsandConditions. DHSreservestherighttomodifythese  ! proposedtermsandconditionspriortoissuingacontractforexecutionwithsuccessfulproposerstothisSolicitation,andmaynegotiateadditionalchangeswiththoseproposers. 12.00  ReleaseofInformation$"%%%  NoinformationshallbegiventoanyProposer(oranyotherindividual)relativetoHis/Herstandingwithother %#& ProposersduringtheSolicitationprocess.NoProposer(oranyotherindividual)shallbeadvisedofthepricesproposedbyotherOfferorsduringtheSolicitationprocess. 13.00  PublicInformation m)`'*%% Allproposalsarepublicinformationaftertheproposalshavebeenopenedandallprotestsarepublicinformationaftertheprotestperiodends.Copiesofpublicinformationmayberequestedbyanyperson.Ifanypartofaproposalorprotestisconsideredatradesecret,theProposermustclearlydesignatethatportionasconfidentialinordertoobtainprotection,ifany,fromdisclosureatthetimeofsubmission.SeeOregonRevisedStatutes(ORS)192.501(2);ORS646.461to646.475.ApplicationoftheOregonPublicRecordsLawshalldetermineiftheconfidentialinformationclaimedtobeexemptisinfactexemptfromdisclosure.Intheeventofapublicrecordsrequest,Proposerswillbenotifiedpriortothereleaseofanyinformation. /-1 Ї 14.00  CostofProposals  %% AllcostsincurredinpreparingandsubmittingaproposalinresponsetothisSolicitationaretheresponsibilityoftheProposerandshallnotbereimbursedbyDHS. 15.0  RecyclableProducts   Contractorsshalluserecyclableproductstothemaximumextenteconomicallyfeasibleintheperformanceofthe  contractworksetforthinthisdocument. 16.00   X|XXXWithdrawalofProposals  %% IfaProposerwishestowithdrawasubmittedproposal,itmustbewithdrawnpriortotheproposalduedateindicatedinSection2.0.AwrittenrequesttowithdrawmustbesignedbytheProposerandsubmittedtothenameandaddressspecifiedforsubmittingproposals.#XXX X|?#  ] P       M @  RFExhibitAStatementofWork@AcknowledgedandAgreedbytheParties:   TheContractorshallprovidesystemdesignandprogrammingservices,includingDB2,COBOLII,CICSandJCL.  ThetasksshallbeperformedusingestablishedDHS/OISdevelopment,maintenanceandacceptancecriteriamethodologiessetforthinDHSsInformationSystemsStandardsandProceduresManual.WrittendocumentationshallbeupdatedandstoredinestablishedDHS/OISlibrariesusingexistingDHS/OISdocumentationstandardssetforthinDHSsInformationSystemsStandardsandProceduresManual.@* IntheabsenceofestablishedDHS/OISdevelopment,maintenanceandacceptancecriteriamethodologies, m `  ContractorshallcompleteallworkdescribedintheStatementofWorkaccordingtomethodologiesandstandardsthatconformtodocumentationstandards,definitions,andrecommendedpracticesknowntobegenerallyacceptedintheindustry,unlessotherwiseapprovedinwritingbyDHS.Unlessongoing,eachtaskshallbecompletedwithinthetimeframeandapprovedbytheDHSProjectManagerandunlessoverlapping,workshallnotbestartedonthenexttaskuntiltheprioroneiscomplete.Ifoverlappingtasks,thenworkshallbecloselymonitoredandstoppediftheDHSProjectManagerdoesnotapprovethepriortask.  $XXXX Task#1: #XXX$XF#$XXXXԀ DetailDesignofaProcesstoSynchronizeDatabetweentheCIDatabaseandtheFACISandCW  Databases   ContractorshallconsultwithAFSandSCFsystemsstaffandtheCAFUsercommunity#XXX$XF#$XXXX,asidentifiedbytheDHS  ProjectManager,#XXX$X'H#$XXXXԀto#XXX$XH#$XXXXԀdevelopa#XXX$XH#$XXXXԀ#XXX$X9I#$XXXXprocess,includingdetaileddesign,tosynchronizedatabetweentheCIdatabaseand  FACISandCWdatabases.Theprocessshallmatchclientsbetweenthetwosystemsandupdatewhereappropriatetobringthemintoagreement.ProcessshallbeusedtocleanupthedatabasesinpreparationfortheimplementationoftheCI/SCFintegration.Itshallalsobeusedafterimplementationtocorrectproblemswiththedataasrequired.Theprocessshallmatchrecordsonthesystemsandidentifydifferencesinname,ssn,primenumberanddateofbirthandwherepossible,itshallmakechanges.TheprocessshalladdpersonstotheCIwhennomatchcanbefoundforexistingSCFclients.Iftheprocessisunabletomakeadeterminationoftheappropriateaction,itshallproducereportsformanualaction. Deliverable:  !" #XXX$X|I#(X|XXXTheContractorshalldeliver#XXX(X|#M#)X|XXXareport,bothhardcopyandelectronic,ofdiscrepanciesforuseinmanualcleanup " # effortsanddetaildesignofallsystemcomponentsrequiredwhichincludes,butisnotlimitedto,programmingspecifications,#XXX)X|M#(X|XXXԀconsistentwiththetasknarrativeabovetoDHSProjectManagerforacceptanceandapproval.Make $"% correctionsapprovedbyDHSProjectManager . #XXX(X|N#$XXXX %#& #XXX$XO#$XXXX DeliverableDueDate: Twentyfive(25)calendardaysaftercontractexecutiondate#XXX$XO#$XXXX. '%(  Task#2: #XXX$XP#$XXXXԀ IdentificationandDesignofDatabaseAdditionsandChanges  ]*P(+ ContractorshallconsultwithAFSandSCFsystemsstaffandtheCAFUsercommunity#XXX$XP#$XXXX,asidentifiedbytheDHS M+@), ProjectManager,#XXX$XQ#$XXXXԀ#XXX$X[R#$XXXXtoidentifyanddesignchangesrequiredtoaccommodateprocessanddataneedchangesincluding, =,0*- butnotlimitedto,additionofalegalnametype,additionofverificationdata,achangeinuseofdataconcerningtherelationshipsbetweenclientsandcases#XXX$XR#$XXXXԀandcreationandpopulationofnewdatabasetablesormodificationof .,/ existingdatabasetables.#XXX$XS#$XXXX  /-0  /-1 #XXX$XT# (X|XXXDeliverable:    TheContractorshalldeliver#XXX(X|U#$XXXXmodifieddatamodel,conversionplantopopulatenewandchangeddataand  implementationplantochangeallexistingCIdatabaseswithoutimpactingcurrentusageorotherprojects#XXX$XU#(X|XXXԀconsistent  withthetasknarrativeabovetoDHSProjectManagerforacceptanceandapproval.MakecorrectionsapprovedbyDHSProjectManager . #XXX(X|V#$XXXX   DeliverableDueDate: Fifty(50)calendardaysaftercontractexecutiondate#XXX$XW#$XXXX.   Task#3: #XXX$X=X#$XXXXԀ DetailedDesignforChangestoExistingCICICSProcessestoUseNewDataandIntegratewith } p  SCFSystems  m `  ContractorshallconsultwithAFSandSCFsystemsstaffandtheCAFUsercommunity#XXX$XX#$XXXX,asidentifiedbytheDHS ] P  ProjectManager,#XXX$XY#$XXXXԀto#XXX$XSZ#$XXXXԀ#XXX$XZ#$XXXXdevelopadetaildesignforchangestoexistingCICICSprocessestousenewdataandintegrate M @  withtheSCFsystems.#XXX$XZ#$XXXXԀTheCIsystemshallcontinuetobeusedforitscurrentpurposes.Thenewfunctionality =0  beingcreatedforSCFshallbecomeavailabletocurrentusers.Existingcodeshallbemodifiedtomaintainnewdatastructures.#XXX$X[#$XXXX  AffectedCIprocessesinclude,butarenotlimitedto,PersonAdd,PersonUpdate,Find,PersonMergeandPersonSplit.#XXX$X\#$XXXXTheseprocessesrequirechangetointeractwiththeverificationprocess,shalldisplayandupdatelegalname  andhandlechangestocaserelationshipdata.Inaddition,existingCIsubroutinesshallbemodifiedforusebySCFprograms.#XXX$X]#$XXXX  #XXX$X^#$XXXX#XXX$XB_# (X|XXXDeliverable:   TheContractorshalldeliver#XXX(X|_#$XXXXmockupofscreens,descriptionofdataflowsbetweensubprocessesanddetaildesign  ofallsystemcomponentsneededwhichincludes,butisnotlimitedto,programmingspecifications,#XXX$X `#(X|XXXԀconsistentwith  thetasknarrativeabovetoDHSProjectManagerforacceptanceandapproval.MakecorrectionsapprovedbyDHSProjectManager . #XXX(X|a#$XXXX m`  #XXX$Xb#(X|XXXDeliverableDueDate: #XXX(X|_b#$XXXXԀSeventy(70)calenderdaysaftercontractexecution.#XXX$Xb#$XXXX M@  Task#4:ModificationofMainframeBatchProcessestoSupportChangestoOnlineProcessing #XXX$X0c#$XXXX  ContractorshallconsultwithAFSandSCFsystemsstaffandtheCAFUsercommunity#XXX$Xc#$XXXX,asidentifiedbytheDHS    ProjectManager,#XXX$Xd#$XXXXԀto#XXX$Xe#$XXXXԀ#XXX$XYe#$XXXXdevelop#XXX$Xe#$XXXXadetaildesignforchanges#XXX$Xe#$XXXXtomainframebatchprocessestosupportchangestoonline  ! processinganddatastructurechanges.#XXX$XEf#$XXXX !" BatchprocesseswhichupdateCIdata,shallneedtohandlethechangestothedatastructuresinCI.Theseincludeadditionofalegalnametype,additionofverificationdata,achangeintheuseofrelationshipsbetweenclientsandcases.ThesechangesshallaffectCI,FoodStamps(FS)andClientMaintenance(CM)jobs.Thereshallbeashifttoonlineprocess,whichcausesthebatchinterfacebetweenSCFandAFStobeobsolete.Thisprocessshallneedtobediscontinued.#XXX$Xf#$XXXX &$' #XXX$X4i#$XXXX Deliverable: #XXX$Xi#$XXXX }(p&) #XXX$Xi#(X|XXXTheContractorshalldeliverwritten#XXX(X|7j#$XXXXanalysisofallaffectedobjectsanddetaildesignofallsystemcomponents m)`'* neededwhichincludes,butisnotlimitedto,programmingspecifications,#XXX$Xj#(X|XXXԀconsistentwiththetasknarrativeabove ]*P(+ toDHSProjectManagerforacceptanceandapproval.MakecorrectionsapprovedbyDHSProjectManager . #XXX(X|k#$XXXX M+@), DueDate:Ninety(90)calenderdaysaftercontractexecution#XXX$Xtl#$XXXX. -- +.   /-1 RF R) R  Task#5: #XXX$Xm#$XXXXԀ ConstructionandUnitTestingofProcesstoSynchronizeDatabetweenCIDatabaseandtheFACIS   andCWDatabases   Contractorshallconstructandtestapprovedprogrammodules,baseduponDHSsupplieddesign,requiredtocompletethe#XXX$Xm#$XXXXprocess#XXX$X3o#$XXXXtocompletethesynchronizationofdatabetweentheCIandSCFdatabases#XXX$X}o#$XXXX.#XXX$Xp#$XXXXԀTheprocessshall#XXX$XJp#$XXXX  matchclientsbetweenthetwosystemsandupdatewhereappropriatetobringthemintoagreement.#XXX$Xp#$XXXX  Thefollowingcomponentsareinvolvedintherequiredchanges:  L hhL 3   30r23  0    Modificationof23existingCOBOLII,CICS,DB2programs;and30r[r݌%% Ќ   3   3"s23  0    Creationof46newCOBOLII,CICS,DB2programs.#XXX$XVq#$XXXX3"sMs݌ %% Ќ  #XXX$Xs#$XXXX Deliverable: #XXX$Xlt#$XXXX m `  #XXX$Xt#TheContractorshalldeliver(X|XXXsoftwarecomponents#XXX(X|5u#ԀconsistentwiththetasknarrativeabovetotheDHSProject ] P  Managerforacceptanceandapproval.)X|XXXԀMakecorrectionsapprovedbytheDHSProjectManager.#XXX)X|u#$XXXX M @  DueDate:Onehundredten(110)calenderdaysaftercontractexecution#XXX$Xxv#$XXXX. -  @* Task#6: #XXX$Xw#$XXXXԀ ConstructionandUnitTestingofChangestoExistingCICICSProcessestoUseNewDataand  IntegratewithSCFSystems   Contractorshallconstructandtestapprovedprogrammodules,baseduponDHSsupplieddesign,requiredto#XXX$Xw#$XXXXuse  thenewdataimplementedfortheCI/SCFintegration.#XXX$Xx#$XXXXԀTheCIsystemshallcontinuetobeusedforitscurrent  purposes.ThenewfunctionalitybeingcreatedforSCFshallbeavailabletothecurrentusers.Existingcodeshallbemodifiedtomaintainnewdatastructures.#XXX$Xsy#$XXXX  Thefollowingcomponentsareinvolvedintherequiredchanges:  L hhL 3   3}{23  0    Modificationof2630existingCOBOLII,CICS,DB2programs.3}{{݌}p%% Ќ  #XXX$Xz#$XXXX Deliverable: #XXX$X|#$XXXX ]P #XXX$X|#TheContractorshalldeliver(X|XXXsoftwarecomponents#XXX(X|Y}#ԀconsistentwiththetasknarrativeabovetotheDHSProject M@ Managerforacceptanceandapproval.)X|XXXԀMakecorrectionsapprovedbytheDHSProjectManager.#XXX)X|#~#$XXXX =0 DueDate:Onehundredthirty(130)calenderdaysaftercontractexecution#XXX$X~#$XXXX.   Task#7: #XXX$X=#$XXXXԀ ConstructionandUnitTestingofMainframeandBatchProcessestoSupportChangestoOnline !" Processing  " # Contractorshallconstructandtestapprovedprogrammodules,baseduponDHSsupplieddesign,requiredto#XXX$X#$XXXXsupportchangestoonlineprocessing.#XXX$X#$XXXXԀ#XXX$XQ#$XXXXBatchprocesseswhichupdateCIdata,shallneedtoaccommodatethe $"% changestothedatastructuresinCI.Theseincludeadditionofalegalnametype,additionofverificationdata,achangeintheuseofrelationshipsbetweenclientsandcases.ThesechangesshallaffectCI,FSandCMjobs.#XXX$X#$XXXX &$' Thefollowingcomponentsareinvolvedintherequiredchanges: }(p&) L hhL 3   323  0    Modificationof810existingCOBOLII,DB2programs;and3݌m)`'*%% Ќ   3   3؄23  0    Modificationof46jobs.#XXX$X#$XXXX3؄݌]*P(+%% Ќ  #XXX$X#$XXXX Deliverable: #XXX$X #$XXXX =,0*- #XXX$X_#TheContractorshalldeliver(X|XXXsoftwarecomponents#XXX(X|ӆ#ԀconsistentwiththetasknarrativeabovetotheDHSProject -- +. Managerforacceptanceandapproval.)X|XXXԀMakecorrectionsapprovedbytheDHSProjectManager.#XXX)X|#$XXXX .,/ DueDate:Onehundredfifty(150)calenderdaysaftercontractexecution#XXX$X#$XXXX. /-1 Ї Task#8: #XXX$X#$XXXXԀ SystemTestingofCIandSCFIntegration    ContractorshallconsultwithAFSandSCFsystemsstaffandtheCAFUsercommunity#XXX$X#$XXXX,asidentifiedbytheDHS  ProjectManager,#XXX$X#$XXXXԀ#XXX$Xw#$XXXXtoconductsystemtestingoftheCI/SCFintegrationprocesses.Systemtestshallconsistof  executionofallcomponentscreatedormodifiedforthisprojectfollowedbyevaluationoftheresults.Problemsidentifiedduringthetestexecutionandevaluationshallbecorrectedandthetestexecutedagainuntilsatisfactoryresultshavebeenachieved.#XXX$X#$XXXX   #XXX$Xq#(X|XXXDeliverable:   TheContractorshallprovideservicesconsistentwiththetasknarrativeabove.TheContractorshalldemonstratesuccessfuloutcomesconsistentwithrequirementsofthisStatementofWorktoDHSProjectManagerforacceptanceandapproval.MakecorrectionsapprovedbyDHSProjectManager#XXX(X|̌#$XXXX.#XXX$XT#$XXXX m `  #XXX$X#$XXXXDueDate:Onehundredsixtyfive(165)calenderdaysaftercontractexecution#XXX$X# . M @   $XXXXTask#9:#XXX$X#$XXXXԀImplementationandPostImplementationMaintenanceofCIandSCFIntegration   ContractorshallconsultwithAFSandSCFsystemsstaffandtheCAFUsercommunity#XXX$X#$XXXX,asidentifiedbytheDHS   ProjectManager,#XXX$X#$XXXXԀ#XXX$Xd#$XXXXtoconduct#XXX$X#$XXXX implementationoftheCI/SCFintegrationprocesses.#XXX$X#$XXXX Implementationconsistsof  completionandreviewofrequireddocumentation,schedulingandexecutionofspecialprocessestoconvertdataandexecutionofonlineprocessestoinsuretheywillfunctionproperlyintheproductionenvironment.Additionally,thecontractorshallberesponsibleforcorrectingproblemsandissuesfoundinthefirstthreeweeksthataredirectlyrelatedtothechangesimplementedthroughthisStatementofWork.#XXX$Xr#$XXXX    #XXX$X#$XXXX #XXX$X#(X|XXXDeliverable:   TheContractorshallprovideservicesconsistentwiththetasknarrativeabove.TheContractorshalldemonstratesuccessfuloutcomesconsistentwithrequirementsofthisStatementofWorktoDHSProjectManagerforacceptanceandapproval.MakecorrectionsapprovedbyDHSProjectManager#XXX(X|+#$XXXX. ]P  #XXX$X#(X|XXXDeliverableDueDate: #XXX(X|#$XXXXԀOnehundredeighty(180)calenderdaysaftercontractexecution#XXX$Xi#. =0      `       `     D  %#& $A   ExhibitB     Personal/ProfessionalServicesTermsandConditions     I.0  EFFECTIVEDATEandDURATION %% Thiscontractshallbecomeeffectiveonthedatethiscontracthasbeensignedbyeverypartyhereto,and,whenrequired,approvedbyDepartmentofAdministrativeServicesandDepartmentofJustice.Unlessterminatedorextended,thiscontractshallexpirewhenDHSacceptsContractorscompletedperformanceoron XXXXX ,  whicheverdateoccursfirst.ExpirationshallnotextinguishorprejudiceDHSsrighttoenforcethiscontractwithrespecttoanybreachofaContractorswarrantyoranydefaultordefectinContractorperformancethathasnotbeencured. II.0  PURPOSE ] P %% ThiscontractprovidesforInformationTechnologyservicestoenhanceandmaintainDHSssystemsincludinganalyzing,designing,coding,testingandimplementingidentifiedsystemchangesandprovidingrequireddocumentation. III.0  STATEMENTofWORK  %% Thestatementofwork(the Work)includingthedeliveryscheduleforsuchworkiscontainedinExhibitA,attachedandincorporatedbyreferenceintothiscontract.Contractoragreestoperformtheworkinaccordancewiththetermsandconditionsofthiscontract. IV.0  CONSIDERATION %%  A .0  DHSagreestopayContractorforaccomplishingtheWorkasrequiredbythiscontract,plusanyallowable  expensesandanytravelandotherexpensereimbursementwhennotedherein.PaymentforallworkperformedunderthiscontractshallbesubjecttotheprovisionsofORS293.462andshallnotexceedthetotalmaximumsumofXXXXX. %%  &ƪ%XXB.) 0  #XX%&ƪ"#InterimpaymentsshallbemadetoContractorfollowingDHSsreviewandapprovalofinvoicessubmittedby I< Contractor. %%   C .0  Contractorshallnotsubmitinvoicesfor,andDHSwillnotpay,anyamountinexcessofthemaximum   compensationamountsetforthabove.Ifthismaximumcompensationamountisincreasedbyamendmentofthiscontract,theamendmentmustbefullyeffectivebeforeContractorperformsworksubjecttotheamendment.ContractorshallnotifyDHS'sContractAdministratorinwritingthirty(30)calendardaysbeforethiscontractexpires,oftheupcomingexpirationofthecontract.Nopaymentwillbemadeforanyservicesperformedbeforethebeginningdateoraftertheexpirationdateofthiscontract,asitmaybeamendedfrom&ƪ%XX " #%% #XX%&ƪã#   timetotimeinaccordancewithitsterms. #!$  D. 0  Contractorshallsubmitmonthlyinvoicesforworkperformed.Theinvoicesshalldescribeallworkperformed %#& withparticularityandbywhomitwasperformedandshallitemizeandexplainallexpensesforwhichreimbursementisclaimed.TheinvoicesshallalsoincludethetotalamountinvoicedtodatebyContractorpriortocurrentinvoice.Contractorwillspecificallynotetheappropriateinvoicewhenonethirdandtwothirdsofthemaximumcontractamount,includingexpensereimbursement,hasbeenexpended.ContractorshallsendinvoicestoDHSsContractAdministrator(seeE.,below). %%  E. 0  TheDHSemployeeassignedtomonitorcontractcompliance,authorizepaymentandactasDHSsContract ),*- Administratoronmattersconcerningthiscontractshallbe: %%    .,0 SLT_c  XXXXordelegate  OfficeofInformationServices  OregonDepartmentofHumanServices  500SummerSt,NE  SalemOR97310  &ƪ%XX  #XX%&ƪ#V.0  TRAVELandPERDIEM&ƪ%XX%%  #XX%&ƪf#Notravelorotherexpensesshallbepaidinadditiontothecostherein. |  VI.0  CONTRACTinitsENTIRETY i \ %% <X,XS` XXX,` D"<ThisContractconsistsofthisdocumentandincludesthefollowinglistedexhibitswhicharelistedindescendingorderofprecedenceandareattachedandincorporatedintothisContractbyreference: A. 0  ExhibitA:0S%%StatementofWork) S%S%  B. 0  ExhibitB:0S%%GeneralProvisions S%S%  C. 0  ExhibitC:0S%%CertificationStatementforIndependentContractor  S%S%  D.   ExhibitD:0 S ConfidentialityAgreementS%S% L 4(hL 3   32  E  .3  0    ExhibitE:0S%%CriminalHistoryAgreement3݌S%S% Ќ  L ((4L F.   Exhibit F:0 S Solicitation#1093S%S%  G.   ExhibitG:0 S ContractorsProposaltoSolicitation#1093 S%S%  Therearenoothercontractdocumentsunlessspecificallyreferencedandincorporatedinthecontract.&ƪ%XX   9X,X` XX,XS` X9#XX%&ƪE#VII.0  MERGERCLAUSE;WAIVER uh%% Thiscontractandattachedexhibitsconstitutetheentireagreementbetweenthepartiesonthesubjectmatterhereof.Therearenounderstandings,agreements,orrepresentations,oralorwritten,notspecifiedhereinregardingthiscontract.Nowaiver,consent,modificationorchangeoftermsofthiscontractshallbindeitherpartyunlessinwritingandsignedbybothpartiesandallnecessaryStateapprovalshavebeenobtained.Suchwaiver,consent,modificationorchange,ifmade,shallbeeffectiveonlyinthespecificinstanceandforthespecificpurposegiven.ThefailureofDHStoenforceanyprovisionofthiscontractshallnotconstituteawaiverbyDHSofthatoranyotherprovision. - 4XX,X` X-  GeneralContractProvisions$  ]^Բ_XX #XX_^Բ}#THEFOLLOWINGARETHESTANDARDPROVISIONSWITHINCONTRACTSFORTHESTATE S"F # OFOREGONINTHEEVENTACONTRACTISOFFERED. ^Բ_XX #XX_^ԲQ#1.0  IndependentContractor;ResponsibilityforTaxesandWithholding $"&%% 6X X` D"4X6  0  a. 0%%ContractorshallperformallrequiredWorkasanindependentcontractor.AlthoughDHSreservestheright %#' to(1)determine(andmodify)thedeliveryschedulefortheWorktobeperformedand(2)evaluatethequalityofthecompletedperformance,DHScannotandwillnotcontrolthemeansormannerofContractor'sperformance.ContractorisresponsiblefordeterminingtheappropriatemeansandmannerofperformingtheWork. %% 0  b. 0%%IfContractoriscurrentlyperformingworkfortheStateofOregonorthefederalgovernment,Contractor Q+D)- bysignaturetothiscontractdeclaresandcertifiesthat:ContractorsWorktobeperformedunderthiscontractcreatesnopotentialoractualconflictofinterestasdefinedbyORS244andnorulesorregulationsofContractorsemployingagency(stateorfederal)wouldprohibitContractorsWorkunderthiscontract. Contractorisnotan officer, employee,or agentofDHS,asthosetermsareusedinORS30.265./-1%% SL# S  S  0  c. 0%%Contractorshallberesponsibleforallfederalorstatetaxesapplicabletocompensationorpaymentspaid    toContractorunderthiscontractand,unlessContractorissubjecttobackupwithholding,DHSwillnotwithholdfromsuchcompensationorpaymentsanyamount(s)tocoverContractorsfederalorstatetaxobligations.ContractorisnoteligibleforanySocialSecurity,unemploymentinsuranceorworkerscompensationbenefitsfromcompensationorpaymentspaidtoContractorunderthiscontract,exceptasaselfemployedindividual. %%  2.0  SubcontractsandAssignment;SuccessorsinInterest %% 0  a. 0%%ContractorshallnotenterintoanysubcontractsforanyoftheWorkrequiredbythiscontract,orassignor   transferanyofitsinterestinthiscontract,withoutthepriorwrittenconsentofDHS.InadditiontoanyotherprovisionsDHSmayrequire,ContractorshallincludeinanypermittedsubcontractsunderthiscontractarequirementthatthesubcontractorbeboundbySections2,6,7,11,and15ofthisexhibitasifthesubcontractorweretheContractor.DHSsconsenttoanysubcontractshallnotrelieveContractorofanyofitsdutiesorobligationsunderthiscontract. %% ]bXX#XX]b#0  b. 0%%Theprovisionsofthiscontractshallbebindinguponandshallinuretothebenefitofthepartieshereto,and   theirrespectivesuccessorsandpermittedassigns,ifany. %% &  ]bXX#XX]b# 3.0  NoThirdPartyBeneficiaries. DHSandContractoraretheonlypartiestothiscontractandaretheonly M@ parties'entitledtoenforceitsterms.Nothinginthiscontractgives,isintendedtogive,orshallbeconstruedtogiveorprovideanybenefitorright,whetherdirectly,indirectlyorotherwise,tothirdpersonsunlesssuchthirdpersonsareindividuallyidentifiedbynamehereinandexpresslydescribedasintendedbeneficiariesofthetermsofthiscontract. %% ]bXX #XX]b\#4.0  FundsAvailableandAuthorized;Payments %% 0  a. 0%%ContractorshallnotbecompensatedforWorkperformedunderthiscontractbyanyotheragencyor  departmentoftheStateofOregon.DHShassufficientfundscurrentlyavailableandauthorizedforexpendituretofinancethecostsofthiscontractwithinDHS'sbiennialappropriationorlimitation.ContractorunderstandsandagreesthatDHS'spaymentofamountsunderthiscontractattributabletoWorkperformedafterthelastdayofthecurrentbienniumiscontingentonDHSreceivingfromtheOregonLegislativeAssemblyappropriations,limitations,orotherexpenditureauthoritysufficienttoallowDHS,intheexerciseofitsreasonableadministrativediscretion,tocontinuetomakepaymentsunderthiscontract. %% 0  b. 0%%DHSwillonlypayforcompletedworkthatisacceptedbyDHS. !%% ]bXX#XX]b# 5.0  RepresentationsandWarranties!#%%  0  a.0%%ContractorsRepresentationandWarranties :ContractorrepresentsandwarrantstoDHSthat(1) " $ Contractorhasthepowerandauthoritytoenterintoandperformthiscontract,(2)thiscontract,whenexecutedanddelivered,shallbeavalidandbindingobligationofContractorenforceableinaccordancewithitsterms,(3)theWorkunderthiscontractshallbeperformedinaccordancewiththenormalskillandcareandprofessionalstandardsofotherprofessionalsperformingsimilarservicesundersimilarconditions,(4)Contractorshall,atalltimesduringthetermofthiscontract,bequalified,professionallycompetentanddulylicensedtoperformtheWork,(5)allcomputerhardwareandsoftwaredeliveredunderthiscontractwill,individuallyandincombination,correctlyprocess,sequence,andcalculatealldateanddaterelateddataforalldatespriorto,throughandafterJanuary1,2000and(6)anysoftwareproductsdeliveredunderthiscontractthatprocessdateordaterelateddatashallrecognize,storeandtransmitdatedatainaformatwhichexplicitlyandunambiguouslyspecifiesthecorrectcentury. %% 0  b.0%%ContractorsLimitationofLiability :Contractorsliabilitywithrespecttoitems(5)and(6)ofsubsection -+0 5aaboveshallnotexceed:(1)twicethetotalcontractamount(includinganyamendments)or(2)$100,000whicheverisgreater./-2%% ]bXX  #XX]bE# c.0  WarrantiesCumulative :Thewarrantiessetforthinthissectionareinadditionto,andnotinlieuof,any   otherwarrantiesprovided. %% &  6.0  OwnershipofWorkProduct. AllworkproductofContractorthatresultsfromthiscontract("theWork  Product")isthe'XexclusivepropertyofDHS.DHSandContractorintendthatsuchWorkProductbedeemed workmadeforhireofwhichDHSshallbedeemedtheauthor.IfforanyreasontheWorkProductisnotdeemed workmadeforhire,ContractorherebyirrevocablyassignstoDHSallofitsright,title,andinterestinandtoanyandalloftheWorkProduct,whetherarisingfromcopyright,patent,trademark,tradesecret,oranyotherstateorfederalintellectualpropertylawordoctrine.ContractorshallexecutesuchfurtherdocumentsandinstrumentsasDHSmayreasonablyrequestinordertofullyvestsuchrightsinDHS.ContractorforeverwaivesanyandallrightsrelatingtotheWorkProduct,includingwithoutlimitation,anyandallrightsarisingunder17USC106Aoranyotherrightsofidentificationofauthorshiporrightsofapproval,restrictionorlimitationonuseorsubsequentmodifications. %% ]bXX#XX]b# 7.0  Indemnity.  %%   X|XXXa.GeneralIndemnity: Contractorshalldefend,holdharmlessandindemnifytheStateofOregon,DHSand   0  itsagencies,subdivisions,officers,employeesandagentsfromandagainstallclaims,suits,actions,losses,damages,liabilities,costsandexpensesofanynatureresultingfrom,arisingoutof,orrelatingtotheactivitiesofContractororitsofficers,employees,subcontractors,oragentsunderthisContract. %%   b.IntellectualPropertyIndemnity: Withoutlimitingthegeneralindemnityprovision,Contractorexpressly }p 0  agreestodefend,holdharmlessandindemnifytheStateofOregon,DHSanditsagencies,subdivisions,officers,employeesandagentsfromandagainstallclaims,suits,actions,losses,damages,liabilities,costsandexpensesofanynatureresultingfromorinconnectionwithanyclaimsthattheWork,Developments,SystemorDeliverablesorusethereofinfringeanypatent,copyright,tradesecret,orotherproprietaryright(referredtoas"IntellectualPropertyRights")ofanythirdparty;provided,thatDHSshallprovideContractorwithpromptwrittennoticeofanyinfringementclaim.Contractorshallhavecontrolofthedefenseandsettlementoftheclaim;providedthattheStateofOregonorDHSmayassumeitsowndefenseandsettlementintheeventthattheStateofOregonorDHSdeterminesthatContractorisnotadequatelydefendingitsinterestorthatanimportantgovernmentalprincipleisatissueandtheStateofOregonorDHSdesirestoassumeitsowndefense.IfContractor,initssolediscretion,believesatanytimethattheWork,Developments,SystemorDeliverablesinfringeathirdparty'sIntellectualPropertyRights,Contractormay,atitsownexpenseandoptionanduponreceiptofDHS'spriorwrittenconsent,replaceaninfringingitemwithanoninfringingitemthatmeetsorexceedstheperformanceandfunctionalityofthereplaceditem.#XXXX|S# !%% ]bXX#XX]b# 8.0  Insurance="0 #%%  0  a. 0%%DuringthetermofthiscontractContractorshallmaintaininforceatitsownexpense,eachinsurancenoted -# !$ below: %% HX Xr D"X X` D"H0  0%% (1) 0r%%WorkersCompensationinsuranceincompliancewithORS656.017,whichrequiressubject  %#& employerstoprovideOregonworkerscompensationcoverageforalltheirsubjectworkers. r%r% 0  0%% (2) 0r%%GeneralLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan$1,000,000 '%) eachoccurrenceforBodilyInjuryandPropertyDamage.Itshallincludecontractualliabilitycoveragefortheindemnityprovidedunderthiscontract.ItshallprovidethattheStateofOregon,DepartmentofHumanServices,andtheirdivisions,officersandemployeesareAdditionalInsuredsbutonlywithrespecttotheContractorsservicestobeprovidedunderthiscontract. r%r% 0  0%% (3) 0r%%AutomobileLiabilityinsuranceasrequiredbytheOregonFinancialResponsibilityLaw(ORS }-p+/ 806.060),includingcoverageforowned,hiredornonownedvehicles,asapplicable. r%r%  ]/P-1 T_c% T  T  0  0%% (4) 0r%%ProfessionalLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan   $1,000,000eachclaim,incidentoroccurrence.Thisistocoverdamagescausedbyerror,omissionornegligentactsrelatedtotheprofessionalservicestobeprovidedunderthiscontract. r%r% 0  b. 0%% NoticeofCancellationorChange: Thereshallbenocancellation,materialchange,reductionoflimits  orintentnottorenewtheinsurancecoverage(s)without30dayspriorwrittennoticefromContractororitsinsurer(s)toContractsCoordinator,OregonDepartmentofHumanServices. %% 0  c. 0%% CertificatesofInsurance: Asevidenceoftheinsurancecoveragesrequiredbythiscontract,Contractor   shallfurnishacceptableinsurancecertificatestoContractsCoordinator,OregonDepartmentofHumanServicespriortocommencingtheWork.ThecertificatewillspecifyallofthepartieswhoareAdditionalInsureds.InsuringcompaniesorentitiesaresubjecttoStateacceptance.Ifrequested,completecopiesofinsurancepolicies,trustagreements,etc.,shallbeprovidedtotheState.Contractorshallbefinanciallyresponsibleforallpertinentdeductibles,selfinsuredretentionsand/orselfinsurance. %% &  9.0  Termination - %% 0  a.0%%PartiesRighttoTerminateforConvenience :Thiscontractmaybeterminatedatanytimebymutual  writtenconsentoftheparties. %% '-0  b.0%%DHSsRighttoTerminateforConvenience :DHSmay,atitssolediscretion,terminatethiscontract,in  wholeorinpart,upon30daysnoticetoContractor. %% 0  c.0%%DHSsRighttoTerminateforCause :DHSmayterminatethiscontract,inwholeorinpart,immediately  uponnoticetoContractor,oratsuchlaterdateasDHSmayestablishinsuchnotice,upontheoccurrenceofanyofthefollowingevents: %%     (1)0 r DHSfailstoreceivefunding,orappropriations,limitationsorotherexpenditureauthorityatlevels  sufficienttopayforContractorsWork; r%r% 0  0%% %%     (2)0 r FederalorStatelaws,regulationsorguidelinesaremodifiedorinterpretedinsuchawaythateither ]P theWorkunderthiscontractisprohibitedorDHSisprohibitedfrompayingforsuchWorkfromtheplannedfundingsource; r%r% 0  0%% (3)0r%% ContractornolongerholdsanylicenseorcertificatethatisrequiredtoperformtheWork;orr%r% 0  0%% (4) 0r%%Contractorcommitsanymaterialbreachordefaultofanycovenant,warranty,obligationoragreement  ! underthiscontract,failstoperformtheWorkunderthiscontractwithinthetimespecifiedhereinoranyextensionthereof,orsofailstopursuetheWorkastoendangerContractorsperformanceunderthiscontractinaccordancewithitsterms,andsuchbreach,defaultorfailureisnotcuredwithin10businessdaysafterdeliveryofDHSsnotice,orsuchlongerperiodasDHSmayspecifyinsuchnotice. r%r% 0  d.0%%ContractorsRighttoTerminateforCause :Contractormayterminatethiscontractupon30daysnotice &$' toDHSifDHSfailstopayContractorpursuanttothetermsofthiscontractandDHSfailstocurewithin30daysafterreceiptofContractorsnotice,orsuchlongerperiodofcureasContractormayspecifyinsuchnotice. %%   0   %%    e.0  Remedies :M+@),%% 0  0%% (1) 0r%%IntheeventofterminationpursuanttoSections9a,9b,9c(1),9c(2)or9dofthisexhibit,Contractors =,0*- soleremedyshallbeaclaimforthesumdesignatedforaccomplishingtheWorkmultipliedbythepercentageofWorkcompletedandacceptedbyDHS,lesspreviousamountspaidandanyclaim(s)whichStatehasagainstContractor.IfpreviousamountspaidtoContractorexceedtheamountduetoContractorunderthisSection,ContractorshallpayanyexcesstoDHSupondemand./-1r%r% Ї0  0%%(2)0r%% IntheeventofterminationpursuanttoSection9c(3)or9c(4)ofthisexhibit,DHSshallhaveany   remedyavailabletoitinlaworequity.IfitisdeterminedforanyreasonthatContractorwasnotindefaultunderSection9c(3)or9c(4)ofthisexhibit,therightsandobligationsofthepartiesshallbethesameasifthecontractwasterminatedpursuanttoSection9bofthisexhibit. r%r%    f.0  ContractorsTenderUponTermination: Uponreceivinganoticeofterminationofthiscontract,  Contractorshallimmediatelyceaseallactivitiesunderthiscontract,unlessDHSexpresslydirectsotherwiseinsuchnoticeoftermination.Uponterminationofthiscontract,ContractorshalldelivertoDHSalldocuments,information,worksinprogressandotherpropertythatareorwouldbedeliverableshadthecontractbeencompleted.UponDHSsrequest,ContractorshallsurrendertoanyoneDHSdesignates,alldocuments,researchorobjectsorothertangiblethingsneededtocompletetheWork. %%  10.0  LimitationofLiabilities.EXCEPTFORLIABILITYARISINGUNDERORRELATEDTO ] P  SECTION5aOR9e(2)OFTHISEXHIBIT,NEITHERPARTYSHALLBELIABLEFOR(A)ANYINDIRECT,INCIDENTAL,CONSEQUENTIALORSPECIALDAMAGESUNDERTHECONTRACTOR(B)ANYDAMAGESOFANYSORTARISINGSOLELYFROMTHETERMINATIONOFTHISCONTRACTINACCORDANCEWITHITSTERMS. %% ]bXX#XX]b`# 11.0  RecordsMaintenance;Access. Contractorshallmaintainallfiscalrecordsrelatingtothiscontractin  accordancewithgenerallyacceptedaccountingprinciples.Inaddition,ContractorshallmaintainanyotherrecordspertinenttothiscontractinsuchamannerastoclearlydocumentContractor'sperformance.ContractoracknowledgesandagreesthatDHS,theOregonSecretaryofState'sOffice,theFederalGovernment,andtheirdulyauthorizedrepresentativesshallhaveaccesstosuchfiscalrecordsandallotherbooks,documents,papers,plans,andwritingsoftheContractorthatarepertinenttothiscontractforthepurposeofperformingexaminationsandaudits,andmakingexcerptsandtranscripts.Contractorshallretainandkeepaccessibleallsuchfiscalrecords,books,documents,papers,plans,andwritingsforaminimumofthree(3)years,orsuchlongerperiodasmayberequiredbyapplicablelaw,followingfinalpaymentandterminationofthiscontract,oruntiltheconclusionofanyaudit,controversyorlitigationarisingoutoforrelatedtothiscontract,whicheverdateislater. %% ]bXX#XX]b;# 12.0  CompliancewithApplicableLaw. Contractorshallcomplywithallfederal,stateandlocallaws,regulations,  executiveordersandordinancesapplicabletotheWorkunderthiscontract.Withoutlimitingthegeneralityoftheforegoing,Contractorexpresslyagreestocomplywith:(I)TitleVIofCivilRightsActof1964;(ii)SectionVoftheRehabilitationActof1973;(iii)theAmericanswithDisabilitiesActof1990andORS659.425;(iv)allregulationsandadministrativerulesestablishedpursuanttotheforegoinglaws;and(v)allotherapplicablerequirementsoffederalandstatecivilrightsandrehabilitationstatutes,rulesandregulations.DHSsperformanceunderthiscontractisconditioneduponContractorscompliancewiththeprovisionsofORS279.312,279.314,279.316,279.320,and279.555,whichareincorporatedbyreferenceherein. %% ]bXX#XX]b # 13.0  ForeignContractor. IfContractorisnotdomiciledinorregisteredtodobusinessintheStateofOregon, $"& ContractorshallpromptlyprovidetotheOregonDepartmentofRevenueandtheSecretaryofStateCorporationDivisionallinformationrequiredbythoseagenciesrelativetothiscontract.ContractorshalldemonstrateitslegalcapacitytoperformtheWorkunderthiscontractintheStateofOregonpriortoenteringintothiscontract. %%  14.0  ForceMajeure. NeitherDHSnorContractorshallbeheldresponsiblefordelayordefaultcausedbyfire,riot, m)`'+ actsofGod,orwarwheresuchcausewasbeyondthereasonablecontrolofDHSorContractor,respectively.Contractorshall,however,makeallreasonableeffortstoremoveoreliminatesuchacauseofdelayordefaultandshall,uponthecessationofthecause,diligentlypursueperformanceofitsobligationsunderthiscontract. %%  15.0  Survival. Allrightsandobligationsshallceaseuponterminationorexpirationofthiscontract,exceptforthe .,0 rightsandobligationssetforthintheContractSectionI.EFFECTIVEDATEANDDURATION,andinparagraphs5,6,7,11,15and21ofthisexhibit./-2%% Ї 16.0  TimeisoftheEssence. Contractoragreesthattimeisoftheessenceunderthiscontract. %%  17.0  WrittenNotice. Allnoticesregardingthiscontractmustbegiventothepartiesinwritingbypersonaldelivery  ormailingthesame,postageprepaid,tothefollowingaddresses: %% &  0  '/ &  DHS:0r%%0 r%r%DHSContractsCoordinatorordelegate % %      r  OregonDepartmentofHumanServices0  0%%0r%%0 r%r%500SummerStreetNE/MailingCodeE03  % % 0  0%%0r%%0 r%r%SalemOR973101080  % % 0     r  FacsimileNumber: %%      r  PhoneNumber:& AP 0  Contractor:0 %%EntityM @  % % 0  0%%0r%%0 r%r%Address  % % 0  0%%0r%%0 r%r%City,State,ZIP  % % 'P      r  FacsimileNumber:     r  PhoneNumber:0  Anynoticedeliveredbyfacsimileshallbedeemedtobegivenwhenreceiptofthetransmissionisgeneratedbythetransmittingmachine.TobeeffectiveagainstDHS,suchfacsimiletransmissionmustbeconfirmedbytelephonenoticetoDHSsContractAdministrator. %% ]bXX#XX]b# 18.0  Severability. Thepartiesagreethatifanytermorprovisionofthiscontractisdeclaredbyacourtofcompetent ]P jurisdictiontobeillegalorinconflictwithanylaw,thevalidityoftheremainingtermsandprovisionsshallnotbeaffected,andtherightsandobligationsofthepartiesshallbeconstruedandenforcedasifthecontractdidnotcontaintheparticulartermorprovisionheldtobeinvalid. %%  19.0  Counterparts. Thiscontractmaybeexecutedinseveralcounterparts,allofwhichwhentakentogethershall   constituteoneagreementbindingonallparties,notwithstandingthatallpartiesarenotsignatoriestothesamecounterpart.Eachcopyofthecontractsoexecutedshallconstituteanoriginal. %% &  20.0  DisclosureofSocialSecurityNumber. ContractormustprovideContractorsSocialSecuritynumberunless  '<ContractorprovidesafederaltaxIDnumber.ThisnumberisrequestedpursuanttoORS305.385,OAR12520410(3)andOAR150305.100.SocialSecuritynumbersprovidedpursuanttothisauthoritywillbeusedfortheadministrationofstate,federalandlocaltaxlaws. %%  21.0  GoverningLaw;Venue;ConsenttoJurisdiction. Thiscontractshallbegovernedbyandconstruedin }#p!$ accordancewiththelawsoftheStateofOregonwithoutregardtoprinciplesofconflictsoflaw.Anyclaim,action,suitorproceeding(collectively,"Claim")betweenDHS(and/oranyotheragencyordepartmentoftheStateofOregon)andContractorthatarisesfromorrelatestothiscontractshallbebroughtandconductedsolelyandexclusivelywithintheCircuitCourtofMarionCountyfortheStateofOregon;provided,however,iftheclaimmustbebroughtinafederalforum,thenitshallbebroughtandconductedsolelyandexclusivelywithintheUnitedStatesDistrictCourtfortheDistrictofOregon.CONTRACTOR,BYTHEEXECUTIONOFTHISCONTRACT,HEREBYCONSENTSTOTHEINPERSONAMJURISDICTIONOFSAIDCOURTS. %%  22.0  Amendment. Thetermsofthiscontractmaynotbewaived,altered,modified,supplementedoramended,in ,*. anymannerwhatsoever,exceptbywrittenagreementsignedbytheparties.Thiscontractwillnotbeamended aftertheexpirationdate..,0%% &   23.0  ConfidentialityofClientInformation  %% 0  a. 0%%AllinformationastopersonalfactsandcircumstancesobtainedbytheContractor' ontheclientshallbe  treatedasprivilegedcommunications,shallbeheldconfidential,andshallnotbedivulgedwithoutthewrittenconsentoftheclient,hisorherattorney,theresponsibleparentofaminorchild,orhisorherguardianexceptasrequiredbyothertermsofthiscontract.Nothingprohibitsthedisclosureofinformationinsummaries,statistical,orotherformwhichdoesnotidentifyparticularindividuals. %% 0  b. 0%%Theuseordisclosureofinformationconcerningclientsshallbelimitedtopersonsdirectlyconnectedwith  theadministrationofthiscontract.Confidentialitypoliciesshallbeappliedtoallrequestsfromoutsidesources. %% 0  c. 0%%DHS,ContractorandanysubcontractorwillshareinformationasnecessarytoeffectivelyserveDHS ] P  clients. %% ]bXX#XX]b!# 24.0  CompliancewithApplicableFederalLaw. Contractoragreestocomplywithallfederallawsandregulations   applicabletoworkperformedunderthiscontractinclusiveofbutnotlimitedto: %% 0  a.0%% Totheextentitisrequiredtodosobylaw,Contractorshallabidebyallmandatorystandardsandpolicies  whichrelatetoenergyefficiencyandwhicharecontainedinthestateofOregonenergyconservationplanwhichwasissuedincompliancewiththeEnergyPolicyandConservationAct(PL94-163).Allsubcontractsshallalsobeincompliancewiththeforegoing. %% 0  b. 0%%Bysignatureonthiscontract,theundersignedcertifies,tothebestofhisorherknowledgeandbelief,that:]P%% 0  0%%(1)0r%% Nofederallyappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfofContractor,toany =0 personforinfluencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththeawardingofanyfederalcontract,themakingofanyfederalgrant,themakingofanyfederalloan,theenteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodificationofanyfederalcontract,grant,loan,orcooperativeagreement. r%r% 0  0%% (2)0r%% Ifanyfundsotherthanfederallyappropriatedfundshavebeenpaidorwillbepaidtoanypersonfor  influencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththisfederalcontract,grant,loan,orcooperativeagreement,ContractoragreestocompleteandsubmitStandardFormLLL"DisclosureFormtoReportLobbying,"inaccordancewithitsinstructions. r%r% ]bXX#XX]bd*#0  0%% (3) 0r%%Theundersignedshallrequirethatthelanguageofthiscertificationbeincludedintheaward $"% documentsforallsubawardsatalltiers(includingsubcontracts,subgrants,andcontractsundergrants,loans,andcooperativeagreements)andthatallsubrecipientsshallcertifyanddiscloseaccordingly. r%r% 0  0%%0r%%Thiscertificationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscertificationisaprerequisiteformakingorenteringintothistransactionimposedbysection1352,title31,U.S.Code.Anypersonwhofailstofiletherequiredcertificationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure. r%r% 0   %%     }-p+/ 0  c. 0%%ContractoragreestocomplywithExecutiveOrder11246entitledEqualEmploymentOpportunityas   amendedbyExecutiveOrders11375and12086andassupplementedinDepartmentofLaborRegulation41CFRpart60.Allsubcontractsshallalsocomplywiththeseprovisions. %%  0  d. 0%%Ifthesumpayableunderthiscontractexceedsormayexceed$100,000,ContractorshallprovideDHSa  writtenassurancethatContractorwillcomplywithallapplicablestandards,orders,orrequirementsissuedunderSection306oftheCleanAirAct(42USC7401et.seq.),theFederalWaterPollutionControlAct,asamended(33USC1251et.seq.),Section508oftheCleanWaterAct(33USC1368),ExecutiveOrder11738andEnvironmentalProtectionAgencyregulations(40CFRPart15).ContractorfurtheragreestopromptlyreportallinfractionstotheStateofOregon,andtotheDepartmentofHealthandHumanServices,andtotheU.S.RegionalOfficeoftheEnvironmentalProtectionAgency.Allsubcontractsshallalsobeincompliancewiththeseprovisions. %% ]bXX#XX]bL3# 25.0  Year2000ComplianceNotice .IntheeventContractorlearnsorhasreasontobelievethatDHSscomputer   hardwareorsoftwareenvironmentfailstouseadataformatthatexplicitlyspecifiescenturyinanydatedata,ContractorshallpromptlyadviseDHSofsuchfailure. %%  26.0  DepartmentofJusticeApproval. Whenthecontractoramendmentstheretocausethecontractpaymentto  beinexcessof$75,000,theDepartmentofJusticemustapprovethecontractandanyamendmentsastoLegalSufficiency.Suchapprovalisrequiredbeforeanyworkmaybeginunderthiscontractoramendmentsthereto,orthecontractisnotbindingontheStateofOregonorDHS. %%  27.0  KeyPerson. ContractoracknowledgesandagreesthatOregonDHSselectedContractor,andisenteringinto ]P thisContract,becauseofthespecialqualificationsofContractorskeyperson(s).Inparticular,OregonDHSthroughthisContract,isengagingtheexpertise,experience,judgmentandpersonalattentionofXXXXX(KeyPersonName).ContractorsKeyPersonsshallnotdelegateperformanceoftheresponsibilitieshe/sheisrequiredtoprovideunderthisContracttoanother(other)ofContractorsemployee(s)withoutfirstobtainingthewrittenconsentofOregonDHS.Further,Contractorshallnotre-assignortransferanyKeyPersontootherdutiesorpositionssuchthatanyKeyPersonisnolongeravailabletoprovideOregonDHSwithhis/herexpertise,experience,judgment,andpersonalattention,withoutfirstobtainingOregonDHSspriorwrittenconsenttosuchre-assignmentortransfer.IntheeventContractorrequeststhatOregonDHSapproveare-assignmentortransferofanyKeyPerson,OregonDHSshallhavetherighttointerview,reviewthequalificationsof,andapproveordisapprovetheproposedreplacementfortheKeyPerson.AnyapprovedsubstituteorreplacementforaKeyPersonshallbedeemedaKeyPersonunderthisContract.Inaddition, X|XXXthe  ! ContractormustprovideareplacementforanyConsultantwhoceasesaffiliationwiththeContractor,whomDHSdeemsisnotperformingatanacceptablelevelorishinderingthesuccessfulcompletionofassignment(s),isunabletoperformassignedwork,orasrequiredbyDHS.TransitionschedulemustbeapprovedbyDHS.IntheeventthatDHSrequiressuchreplacement,theContractorshallpromptlysubstituteorengageotherqualifiedindividuals.AllsuchreplacementsaresubjecttoDHSspriorreviewandacceptance.IntheeventthatContractorisunabletomeetitsobligationtofurnishareplacementConsultant,DHSmay,atitsoption,terminatethatportionoftheContractwithoutliability,ortocontinuetheContractwithoutreplacement.#XXX X|;# ='0%(%%   ExhibitC     IndependentContractorCertificationStatement     %XXXX #XXX%X?#s XXThisformistobecompletedbyContractor;Corporationsarenotrequiredtocompletethisform.   ORS670.600IndependentContractor;standards.AsusedinvariousprovisionsofORSchapters316,656,657and701,anindividual t orbusinessentitythatperformslabororservicesforrenumeration'sshallbeconsideredtoperformthelabororservicesasanIndependentContractorifthestandardsofthissectionaremet: Contractorunderstandsthat: P 9XX Xr D"91.0  Theindividualorbusinessentityprovidingthelabororservicesisfreefromdirectionandcontroloverthemeansandmannerof   providingthelabororservices,subjectonlytotherightoftheAgencyforwhomthelabororservicesareprovidedtospecifythedesiredresults; %% 2.0  Theindividualorbusinessentityprovidinglabororservicesisresponsibleforobtainingallassumedbusinessregistrationsor E 8  professionaloccupationlicensesrequiredbystatelaworlocalgovernmentordinancesfortheindividualorbusinessentitytoconductthebusiness; %% 3.0  Theindividualorbusinessentityprovidinglabororservicesfurnishesthetoolsorequipmentnecessaryforperformanceofthe   contractedlabororservices; %% 4.0  Theindividualorbusinessentityprovidinglabororserviceshastheauthoritytohireandfireemployeestoperformthelaboror   services; %% 5.0  Paymentforthelabororservicesismadeuponcompletionoftheperformanceofspecificportionsoftheprojectorismadeonthe  basisofanannualperiodicretainer. %% *XX*6.0  TheindividualorbusinessentityprovidinglabororserviceisregisteredunderORSchapter701,iftheindividualorbusinessentity  provideslabororservicesforwhichsuchregistrationisrequired; %% 7.0  FederalandstateincometaxreturnsinthenameofthebusinessorabusinessScheduleCorfarmScheduleFaspartofthepersonal x incometaxreturnwerefiledforthepreviousyeariftheindividualorbusinessentityperformedlabororservicesasanindependentcontractorinthepreviousyear;and %% 8.0  Theindividualorbusinessentityrepresentstothepublicthatthelabororservicesaretobeprovidedbyanindependentlyestablished ! business.ExceptwhenanindividualorbusinessentityfilesaScheduleFaspartofthepersonalincometaxreturnsandtheindividualorbusinessentityperformsfarmlabororservicesthatarereportableonScheduleC,anindividualorbusinessentityisconsideredtobeengagedinanindependentlyestablishedbusinesswhenfourormoreofthefollowingcircumstancesexist.Contractormustmeetfour(4)ormoreofthefollowing: %% *X*  A.0  Thelabororservicesareprimarilycarriedoutatalocationthatisseparatefromtheresidenceofanindividualwhoperforms ' thelabororservices,orareprimarilycarriedoutinaspecificportionoftheresidence,whichportionissetasideasthelocationofthebusiness; %%   B.0  Commercialadvertisingorbusinesscardsasiscustomaryinoperationofsimilarbusinessesarepurchasedforthebusiness,or }p+ theindividualorbusinessentityhasatradeassociationmembership; %%   C.0  Telephonelistingandserviceareusedforthebusinessthatisseparatefromthepersonalresidencelistingandserviceusedby i \. anindividualwhoperformsthelabororservices; %%   D.0  Labororservicesareperformedonlypursuanttowrittencontracts;U"H 1%%   E.0  Labororservicesareperformedfortwoormoredifferentpersonswithinaperiodofoneyear;or#!3%%   F.0  Theindividualorbusinessentityassumesfinancialresponsibilityfordefectiveworkmanshiporforservicenotprovidedas $"5 evidencedbytheownershipofperformancebonds,warranties,errorsandomissioninsuranceorliabilityinsurancerelatingtothelabororservicestobeperformed. %% 9.0  PursuanttoOAR1250200410(4),thecontractshallprovidethattheContractorisresponsibleforfederalSocialSecurity,except u'h%9 thosecategoriesexcludedbylaw,andforanyfederalorstatetaxesapplicabletothecontractpayment. %%  IndependentContractorcertifieshe/shemeetstheabovestandardsandagreestoperformthelabororservicesrequiredbythiscontractasanIndependentContractor. P'  '     *   *ContractorSignature ________________________________________________Date_________________ +)@ '   'EntityName(printedortyped): _____________________________________________________________________#XX s @# -+C   .t,D 0 @ ExhibitD    7 INFORMATIONFORCRIMINALHISTORYCHECKxXX     *eFXdd $dd $FX%X%e,m dd ,dd , dd +  % PC %@L L *** 5xHIRINGSUPERVISORTOCOMPLETETHISSECTION #x5xX#*** *  *NameofDHSSupervisor= $ $Agency/Address=   PhoneNumber/Extension=(    (*FdXdm dd m dd  dd FX%X%,s#dd +  !   !@ ***5x TOBECOMPLETEDBYAPPLICANT/EMPLOYEE #x5"[#***(   (0X X (# 70Name(PleasePrint) Last    h First     p Middle    DateofBirth   AF<) xdEX (#A N A OtherName(s)Used:(MaidenName,PreviousMarriedName(s),Aliases,LegalNameChanges,AssumedNames,etc.)#XXx0W#AF<)V' s#dEV' s#AxXX t #XXx]#LXX33#XXLH^#33g^xXXSex     SocialSecurityNumber(PerSignedConsentBelow) p     DriversLicenseNumber/IssuingState    TG #XXx^#xXXMale#XXx_#xXX  Female#XXx`#xXX  #XXxw`#xXX SF  AF<)Vs#dEVs#A %WARNING:Falselyrespondingtoanyofthequestionslistedbelowdisqualifiesyourapplicationbylaw.   EX  X (#X X XE1.  Yes  No0 HaveyoulivedoutsidetheStateofOregonanytimeduringthefive(5)yearpriortodaysdate?{ % % )b2.  Yes  No0 Haveyoueverbeenconvictedofanycrimelistedonthebackofthisform(orthesubstantialequivalentofanyofthe l_ crime(s)iftheconvictionoccurredinanotherjurisdictionorinOregonunderadifferentstatutorynameornumber)?  % % VIfYES,placean(X)intheboxbesidethecrime(orthesubstantiallyequivalentcrime)and,onaseparatesheetofpaper,describethecircumstancesbywhichyouwereconvictedofthecrime(s)andprovideanyinformationyouhavetohelpusunderstandwhyyoubelieveyourconviction(s)WILLNOTposearisktopersonsinthecareoforreceivingservicesfromDHS,orotherpreventyoufromfulfillingtheresponsibilitiesofyourjob.3.  Yes  No0 Doyouhaveaconcealedhandgunlicense?</$ % % @R R %i\D7 5xAUTHORIZATIONTODISCLOSESOCIALSECURITYNUMBER#x5g#  i\' %>1 OAR410070000authorizesDHStorequestyoutovoluntarilyprovideyourSocialSecurityNumbertoDHSforuseasanidentificationnumberforcriminalrecordchecks.FailuretoprovideyourSocialSecurityNumberwillnotbeusedasabasistodenyyouanyrightorbenefit,orprivilegeprovidedbylaw.IfyouprovideyourSocialSecurityNumberandconsenttoitsuse,itwillbeusedonlyforthepurposestatedaboveandwillnotbegiventothegeneralpublic.BysigningthisconsenttodiscloseyourSocialSecurityNumber,youauthorizeDHStodiscloseyourSocialSecurityNumbertoothersifsuchdisclosureisnecessaryforthepurposestatedabove.______________________________________________________________________________________________________________________ConsultantsSignature     h      p       Date / %@  5xAFFIRMATIONOFACCURATEINFORMATION#x5k#  0 %  Ihavereviewedandcompletedbothsidesofthisformasapplicabletome.Iunderstandthatsubmittingfalseinformationwilldisqualifymefromworkingat/forDHS.Bymysignaturebelow,Iherebyaffirmthatallinformationprovidedonbothsidesofthisform,andallattachmentsthereto,aretrueandaccurate.   " 3    @  @  @ ***5x CONSULTANTSSIGNATUREMUSTBEWITNESSED#x5m# 󀀀*** x#k!5 m__________________________________________________________  _______________________________________________________ $"7 ConsultantsSignature    Date h     SignatureofWitness     Date %{#8              h     _______________________________________________________h           h     TitleofWitnesshp*eFdds#dd s#FX%X%e,dd ,Wdd +  % X)K'@ %@ \***5x DHSPERSONNELSERVICESUSEONLY #x5%r#Ԁ*** ')'A 'DateofLEDSCCH/WARRANTS/DMVCheck:______/______/_____  X+K)C DHSPERSSVCSRECORDSSPEC: +(D   ]4X^ ; N <u|,,Xh4!XX  X X]Conviction : ^ Yes  No ;  N Warrant:  < Yes u No |   ValidODL :YesQ<hNo ,*E  ContinuedEmployment :  Approved N Denied  -+G *xUFVdddd Wdd WFX%X%x, $dd +     #XXx`#@ \ IMPORTANTNOTICETOCONSULTANT   qd ]bXXYOURSIGNATUREONTHEFRONTOFTHISFORMMEANSYOUHAVEREVIEWEDTHISLISTOFCRIMESANDCHECKMARKED(4)THOSECRIMES  FORWHICHYOUHAVEBEENCONVICTED.YOURSIGNATUREALSOGRANTSPERMISSIONFORDHSTOVERIFYANYANDALLINFORMATIONYOUHAVEPROVIDEDONTHISFORMANDATTACHEDDOCUMENTS,IFANY.#XX]bWv# uh  LXXffӀ#XXLw# UH ffx]bXXSpecificCrimes:(ORS):  #XX]brx#ffffx`" F X XX^ ; N <u|,,Xh4!X`xXX( X%X%(o0 W 162.0250WuWuBribeReceiving uu o0 W 162.0650WuWuPerjury  uu o0 W 162.1550WuWuEscapeII  uu o0 W 162.165  EscapeI5 ( WuWu o W 162.185  SupplyingContraband    o0 W 162.2050WuWuFailuretoAppearIM @ uu o0 W 162.2350WuWuObstructingGovernmentalorJudicialAdministration uu o0 W 162.2650WuWuBribingaWitnesse X uu o0 W 162.2750WuWuBribeReceivingByaWitness uu o0 W 162.2850WuWuTamperingWithaWitness} p uu o0 W 162.3050WuWuTamperingWithPublicRecords  uu o0 W 162.3250WuWuHinderingProsecution uu o W 163.095  AggravatedMurder !  o W 163.115  Murder   o W 163.118  ManslaughterI 9, o W 163.125  ManslaughterII  o W 163.145  CriminallyNegligentHomicide QD o0 W 163.1600WuWuAssaultIVuu o W 163.165  AssaultIII i\ o W 163.175  AssaultII  o W 163.185  AssaultI t o0 W 163.1900WuWuMenacing uu o0 W 163.1950WuWuRecklesslyEndangeringAnotheruu o W 163.200  CriminalMistreatmentII %  o W 163.205  CriminalMistreatmentI ! o W 163.225  KidnapingII =0" o W 163.235  KidnapingI # o W 163.275  Coercion UH$ o W 163.355  RapeIII % o W 163.365  RapeII m`& o W 163.375  RapeI ' o W 163.385  SodomyIII x( o W 163.395  SodomyII ) o W 163.405  SodomyI * o W 163.408  UnlawfulSexualPenetrationII )+ o W 163.411  UnlawfulSexualPenetrationI , o W 163.415  SexualAbuseIII A4- o W 163.425  SexualAbuseII . o W 163.427  SexualAbuseI YL/ o W 163.435  ContributingtotheSexualDelinquencyofaMinor 0 o W 163.445  SexualMisconduct qd1 o0 W 163.4550WuWuAccostingforDeviatePurposes2uu o W 163.465  PublicIndecency |3 o W 163.515  Bigamy  4 o W 163.525  Incest  5 o W 163.535  AbandonmentofaChild -! 6 o W 163.545  ChildNeglectII !7 o W 163.547  ChildNeglectI E"8 8 o W 163.555  CriminalNonsupport " 9 o W 163.575  EndangeringtheWelfareofaMinor ]#P!: o W 163.670  UsingChildinDisplayofSexuallyExplicitConduct #!; o W 163.6730  DealinginDepictionsofSexualConductInvolvinga u$h"< Child uu o0 W 163.6750WuWuSaleofExhibitionofVisualReproductionofSexual %#> ConductbyChild uu o W 163.680  PayingforViewingSexualConduct &$@ o W 163.732  Stalking 1'$%A o0 W 164.0430WuWuTheftIII'%Buu o0 W 164.0450WuWuTheftIII(<&Cuu o0 W 164.0550WuWuTheftI(&Duu o0 W 164.0570WuWuAggravatedTheftIa)T'Euu o W 164.075  TheftbyExtortion )'F o W 164.225  BurglaryI y*l(G o W 164.325  ArsonI +(H H,F$ 4 X F X XHo 9 164.395  RobberyIII +)I o 9 164.405  RobberyII ,*J o 9 164.415  RobberyI ,*K o0 9 165.01309u9uForgeryintheFirstDegree5-(+Luu o0 9 165.02209u9uCriminalPossessionofaForgedInstrumentinthe -+M FirstDegree uu BX,F$ 4 XBo0 9 165.03209u9uCriminalPossessionofaForgeryDevice.,Ouu o0 9 165.05509u9uFraudulentUseofCreditCard(Over$750)e/X-Puu o0 9 165.06509u9uNegotiatingaBadCheck(ClassFelonyClause)/-Quu o0  165.07005&&PossessionaFraudulentCommunicationDeviceQ5&5& o0  165.07405&&UnlawfulFactoringofaCreditCardTransaction R5&5& o0  165.08505&&SportsBribery S5&5& o0  165.09005&&SportsBribeReceiving5 (T5&5& o0  166.01505&&Riot U5&5& o  166.085 5 AbuseofCorpseII M @ V o  166.087 5 AbuseofCorpseI  W o  166.155 5 IntimidationII e X X o  166.165 5 IntimidationI  Y o  166.220 5 UnlawfulUseofWeapon } p Z o  166.270 5 FeloninPossessionofFirearm   [ o0  166.27205&&UnlawfulPossessionofMachineGuns,CertainShortbarreled  \ Firearms&FirearmsSilencers 5&5& o  166.275 5 PossessionofWeaponsbyInmatesofInstitutions  ^ o  166.3700 5 DischargingFirearmatSchool/PossessionofFirearmor 9,_ DangerousWeaponinPublicBuilding 5&5& o  166.382 5 PossessionofDestructiveDevice QDa o  166.384 5 UnlawfulManufactureofDestructiveDevice b o  166.429 5 UseofFirearmsinFelony i\c o  166.480 5 SaleorGiftofExplosivestoChildren d o  166.660 5 UnlawfulParamilitaryActivity te o  166.720 5 Racketeering  f o0  167.00705&&Prostitutiong5&5& o  167.012 5 PromotingProstitution %h o  167.017 5 CompellingProstitution i o  167.0620 5 SadomasochisticAbuseorSexualConductinLiveShow#XXx{y#]bXX(engaging =0j in)#XX]b#xXXk5&5& o  167.0620 5 SadomasochisticAbuseorSexualConductinLiveShow UHl (directing,managing,financing,orpresenting) 5&5& o  167.065 5 FurnishingObsceneMaterialstoMinors m`n o  167.070 5 SendingObsceneMaterialstoMinors o o  167.075 5 ExhibitinganObscenePerformancetoaMinor xp o  167.080 5 DisplayingObsceneMaterialstoMinors q o  167.087 5 DisseminatingObsceneMaterial r o  167.090 5 PubliclyDisplayingNudityorSexforAdvertisingPurposes )s o  167.212 5 TamperingwithDrugRecords t o  167.2620 5 AdultUsingMinorinCommissionofControlledSubstance A4u Offense(LessThanFiveGramsMarijuana) 5&5& o  411.630 5 UnlawfullyObtainingofPublicAssistance YLw o  411.840 5 UnlawfullyUsingStampsorCommodities x o0  471.41005&&ProvidingLiquortoaPersonUnder21ortoIntoxicatedPerson; qdy MandatoryMinimumPenalties 5&5& o0  475.99205&&ProhibitedActsGenerally;Penalties;AffirmativeDefensefor |{ CertainPeyoteUses 5&5& o0  475.99305&&ProhibitedActsforRegistrants;Penalties }5&5& o0  475.99405&&ProhibitedActsInvolvingRecordsandFraud;Penalties-! ~5&5& o0  475.99505&&DistributionofControlledSubstancetoMinors!5&5& o0  475.99605&&CrimeCategoryClassificationforViolationof475.992;Proofof E"8  CommercialDrugOffense 5&5& o0  475.99905&&ManufactureorDeliveryofControlledsubstancetoMinoror ]#P! StudentWithin1,000FeetofSchool 5&5& o0  811.14005&&RecklessDrivingu$h"5&5& o0  811.18205&&CriminalDrivingWhileSuspendedorRevokedorinViolationof %" aPermit 5&5& o0  811.54005&&FleeingorAttemptingtoEludePolice& $5&5& o0  811.70005&&FailuretoPerformdutiesofDriverWhenPropertyisDamaged&$5&5& o0  811.70505&&HitandRunVehicle(Injury)1'$%5&5& o0  813.01005&&DrivingUndertheInfluenceofIntoxicant#XXxN# '%5&5& iy( XuXu(   ExhibitE   ConfidentialityAgreements XX   #XX sզ#  XX  s XXToallcontractorsworkingonOregonDepartmentofHumanServices(DHS)projects:  Forthepurposesofthiscertificatetheterm contractorwillmeanallConsultantsassignedtotheprojectbythecontractor.Oregonslawscontainprovisionsrelationtoconfidentialityofrecords,listsandinformationaboutclientapplicants/clients/recipientsandaboutStateemployees.Theselaws,andthepenaltiesforviolationofthem,pertaintoeverycontractorworkingonDHSprojects,atalllevelsandinanycapacity.AsaconditionofyourcontinuedworkforDHS,youarerequiredtocompletetheconfidentialitytrainingexerciseandsignthiscertificateverifyingthatyouunderstandthelawsandareawareofthepenaltiesforviolation.Ifatsomefuturedate,youhavedoubtsaboutthelegalityofanactionyoumaybeabouttotake,asktherespectiveprojectmanagerforaninterpretation.Youpersonally u h  arelegallyresponsibleforanyviolationoftheselaws. 1 $   ConfidentialityofPersonnelInformation :ORS192.500 ThePublicRecords Actcontainsanumberofexemptions   forinformationmaintainedonStateemployeesincludinga personalprivacyexemptionwhichstates: Thefollowingpublicrecordsareexemptfromdisclosure...Informationofapersonalnaturesuchasthatkeptinapersonal,medicalorsimilarfile,ifthepublicdisclosurethereofwouldconstituteanunreasonableinvasionofprivacy,unlessthepublicinterestbyclearandconvincingevidencerequiresdisclosureintheparticularinstance.Thepartyseekingdisclosureshallhavetheburdenofshowingthatpublicdisclosurewouldnotconstituteanunreasonableinvasionofprivacy.(ORS196.500(2)(b)) ConfidentialityofWelfareApplicants/RecipientsInformation :ORS411.300 Regulationsconcerninguseand | custodyofrecords. (1)DHSshallmakeandenforcereasonablerulesandregulationsgoverningthecustody,useand E8 preservationoftherecords,tapes,filesandcommunicationsofDHS.Theuseofsuchrecords,papers,filesandcommunicationsbyanyotheragencyordepartmentofgovernmentorpersontowhichtheymaybefurnishedshallbelimitedtothepurposesforwhichtheyarefurnishedandbytheprovisionsofthelawunderwhichtheymaybefurnished.ORS411.320 Disclosureanduseofrecordslimited;contentsasaprivilegedcommunication. Fortheprotection  ofclients,DHScontractors...shallnotdiscloseorusethecontentsofanyrecords,files,papersorcommunicationsforpurposesotherthanthosedirectlyconnectedwiththeadministrationofthepublicassistancelawsofOregon,andtheserecords,filespapersandcommunicationareconsideredconfidentialsubjecttotherulesandregulationsofDHSanditsDivisions,exceptasotherwiseprovidedinORS411.325to411.335.Inanyjudicialproceedings,exceptproceedingsdirectlyconnectedwiththeadministrationofpublicassistancelaws,theircontentsareconsideredprivilegedcommunications.(Note:ORS421.325and411.330havebeenvoidedbycourtaction.)ORS411.335 Prohibiteduseoflistsornames. Nopersonoragencyshallsolicit,disclose,receive,makeuseof,or & authorize,knowinglypermit,participateinoracquiesceintheuseof,anylistsofnamesforcommercialorpoliticalpurposesofanynature,foranypurposenotdirectlyconnectedwiththeadministrationofpublicassistancelaws.(Note:ORS411.325and41.330havebeenvoidedbycourtaction.)ORS411.990 Penalties (1)ViolationofORS411.320to411.335ispunishable,uponconviction,byafineofnotmore }!p+ than$1,000orbyimprisonmentinthecountyjailfornotmorethan60days,orbyboth.ViolationofORS192.500iscausefordisciplinaryactionunderORS240.555. Instructions: Contractorandsupervisorwillsignpriortostartofwork.ReturnoriginaltotheDHSProjectManager m$`"/ ordesignee.IcertifythatIhavereadtheforegoing.MysignaturebelowmeansthatIunderstandtheprovisionsoflawpertainingtotheconfidentialityofDHSrecordsandinformation.IalsounderstandthattheselawsmaychangefromtimetotimeandthatitismyresponsibilitytoreadandunderstandthesechangesasIamnotifiedofthem.K%X ,X9er4 hXXK  Name(pleaseprint): ___________________________________________________________________________ )'6 Signature:_______________________________________________ p Date_____________________ +)9 SupervisorsSignature:________________________________________________Date_____________________t#XX s#  .,=   @@  %XXXXExhibitGPersonalServicesContractW101WW???W#XXX%X#\946\  ProposaltoDepartmentofHumanServicesSolicitation#1093DatedXJanuary10XX???X,2002&SignedbyYMichaelJ.WrightYY???Y  }p