WPC:+ ] k kVöHsݙ@4)b3 c֡u YX4ڵ :!jjfY.?V0RjIUGҥ!i'j_+B9nw0z'㻈|k+5]+DV77*f!f0t=iQXиVEgz cm~zxu#`%fwZR5t tU_b+LZ`_/ӆշv9OT A΄*udwC4.C7=0rE "i \6Ͱ}2^?D=`66!?9\BLA 'K kX yYR?G.^{CNm&#!D UNe % 0(w@4!5UNDUN 1uNU 0DW^ U< 0c m2 0wI 0 0J 0 0 0e 0@ 1/ 1 1= 1K 0s" 0Le UNUNJ"UBUN B`} 0P 0C 1i@ U:  1 U:! 0!<"f"a"f"a"E#f#a # 0B#N`# 0Db#M#U.#-#$ B% D3%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%% 0W'' 0&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&)&) C + + + + + + + + + + + + + + + + + + +f$+a&+\\DHR-TREE\pkwy2-ns1-p2$,,,,$0(hH  Z 6Times New Roman RegularX($ D[Bz,\Z&$!|x(hH  Z6Times New Roman Regular(hH 9Z 6Times New Roman Regular3#37=CIQYag1.a.i.(1)(a)(i)1)a)!(3$ !  #2  /C)  X XX^`_.#~I:\PMO\Templates\Contract Templates\examples\sow_100322_wwc.wpdI:\PMO\Templates\ContractTemplates\examples\sow_100322_wwc.wpd/  #_^`V#        `     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   -/Q+ d  _H 0:G XX  SAMPLE#X[XG H 0:7#((3/Q$ !   d (2C$ !  $35;AGMU]c2I.A.1.a.(1)(a)i)a)2 Ha`$"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)  XعXXk:\jhart\rfp\292\rfp292.wpd `     h      p      x   (#  %   1  9  #X.Xع7#&f%XX. dFFFF'dxd I  /C)    %X.XXX%~X%X..#zI:\PROCURE\CONTRACT\CONSHARE\DENDICOT\PSK\sample\johnrpsk.wpdI:\PROCURE\CONTRACT\CONSHARE\DENDICOT\PSK\sample\johnrpsk.wpd/  #~%~7#5di"~#~"5dii#%~~@0ApxTxt1ApxTxt1  XXXW(\  `*Times New RomanTTW        &&&W(\  `*Times New RomanTTWD2ApxHead3ApxHead3&    ;1` hp x (#;XXXCC%2A`ArialTTC          &&&W(\  `*Times New RomanTTW>4X` hp x (#>'   dTABLE D !  _XXXX  8[XXdd8TRY<3'letterheadX3' Letter3'letterhead3'T+Da,     ` @*     `     h      p      x       ` Contract#100322  t      `     h      p      x    StateofOregonPersonal/ProfessionalServicesContract  | $    ThiscontractisbetweentheStateofOregonactingbyandthroughitsDepartmentofHumanServices,OfficeofInformationServices,hereinafterreferredtoas  DHS ,and @  XXԀ#X[XD# 0    _Wrightway_ԀConsultingServices,Inc.  6726_McLeod_ԀLaneNE_Keizer_,OR97303  `   hereinafterreferredtoas"Contractor. 'X,XXX'I.0  EFFECTIVEDATEandDURATION h%% Thiscontractshallbecomeeffectiveonthedatethiscontracthasbeensignedbyeverypartyhereto,and,whenrequired,approvedbyDepartmentofAdministrativeServicesandDepartmentofJustice.Unlessterminatedorextended,thiscontractshallexpirewhenDHSacceptsContractorscompletedperformanceoron October12, , 2001 ,whicheverdateoccursfirst.ExpirationshallnotextinguishorprejudiceDHSsrighttoenforcethiscontract  withrespecttoanybreachofaContractorswarrantyoranydefaultordefectinContractorperformancethathasnotbeencured. II.0  PURPOSE x%% Thiscontractprovidesforconsultationservicestoprovideanindependentprojectmanagementassessmentreviewofongoingteamsoverallidentifiedprojectassessmentandrelatedcomponents. III.0  STATEMENTofWORK T%% Thestatementofwork(the Work)includingthedeliveryscheduleforsuchworkiscontainedinExhibitA,attachedandincorporatedbyreferenceintothiscontract.Contractoragreestoperformtheworkinaccordancewiththetermsandconditionsofthiscontract. IV.0  CONSIDERATION %%  A .0  DHSagreestopayContractorforaccomplishingtheWorkasrequiredbythiscontract,plusanyallowable  expensesandanytravelandotherexpensereimbursementwhennotedherein.Paymentforallworkperformedunderthiscontractshallbesubjecttotheprovisionsof_ORS_Ԁ293.462andshallnotexceedthetotalmaximumsumof$5,000.00. %%  & %XX[B.) 0  #X[X%& #InterimpaymentsshallbemadetoContractorfollowingDHSsreviewandapprovalofinvoicessubmitted  8! byContractor. %%   C .0  Contractorshallnotsubmitinvoicesfor,andDHSwillnotpay,anyamountinexcessofthemaximum T# $ compensationamountsetforthabove.Ifthismaximumcompensationamountisincreasedbyamendmentofthiscontract,theamendmentmustbefullyeffectivebeforeContractorperformsworksubjecttotheamendment.ContractorshallnotifyDHS'sContractAdministratorinwritingthirty(30)calendardaysbeforethiscontractexpires,oftheupcomingexpirationofthecontract.Nopaymentwillbemadeforanyservicesperformedbeforethebeginningdateoraftertheexpirationdateofthiscontract,asitmaybeamendedfrom& %XX[ '%)%% #X[X%& #   timetotimeinaccordancewithitsterms. (&*  D. 0  Contractorshallsubmitmonthlyinvoicesforworkperformed.Theinvoicesshalldescribeallworkperformed *`(, withparticularityandbywhomitwasperformedandshallitemizeandexplainallexpensesforwhichreimbursementisclaimed.TheinvoicesshallalsoincludethetotalamountinvoicedtodatebyContractorpriortocurrentinvoice.Contractorwillspecificallynotetheappropriateinvoicewhenonethirdandtwo -(+/ +Da + XTRX3' LetterY<3'letterhead3' Letter3'letterheadT   +  thirdsofthemaximumcontractamount,includingexpensereimbursement,hasbeenexpended.Contractor   shallsendinvoicestoDHSsContractAdministrator(seeE.,below). %%  E. 0  TheDHSemployeeassignedtomonitorcontractcompliance,authorizepaymentandactasDHSsContract  Administratoronmattersconcerningthiscontractshallbe: %%   _Kristen_Ԁ_Duus_Ԁordelegate  OfficeofInformationServices  OregonDepartmentofHumanServices  500SummerSt,NE  SalemOR97310  & %XX[  #X[X%& #V.0  TRAVELandPERDIEM& %XX[ %%  #X[X%& `#Notravelorotherexpensesshallbepaidinadditiontothecostherein.    VI.0  CONTRACTinitsENTIRETY  %% 3X,XS` XX,XX3ThisContractconsistsofthisdocumentandincludesthefollowinglistedexhibitswhicharelistedindescendingorderofprecedenceandareattachedandincorporatedintothisContractbyreference: A. 0  ExhibitA:0S%%StatementofWorktS%S%  B. 0  ExhibitB:0S%%GeneralProvisionsqdS%S%  C. 0  ExhibitC:0S%%CertificationStatementforIndependentContractoraTS%S%  D.   ExhibitD:0 S ConfidentialityAgreementQDS%S% L 4(3 L 3   32  E  .3  0    ExhibitE:0S%%CriminalHistoryAgreement3݌A4S%S% Ќ  L ((4L F.   Exhibit F:0 S ContractorsProposal1$S%S%  Therearenoothercontractdocumentsunlessspecificallyreferencedandincorporatedinthecontract.& %XX[   9X,X` XX,XS` X9#X[X%& #VII.0  MERGERCLAUSE;WAIVER %% Thiscontractandattachedexhibitsconstitutetheentireagreementbetweenthepartiesonthesubjectmatterhereof.Therearenounderstandings,agreements,orrepresentations,oralorwritten,notspecifiedhereinregardingthiscontract.Nowaiver,consent,modificationorchangeoftermsofthiscontractshallbindeitherpartyunlessinwritingandsignedbybothpartiesandallnecessaryStateapprovalshavebeenobtained.Suchwaiver,consent,modificationorchange,ifmade,shallbeeffectiveonlyinthespecificinstanceandforthespecificpurposegiven.ThefailureofDHStoenforceanyprovisionofthiscontractshallnotconstituteawaiverbyDHSofthatoranyotherprovision.& %XX[ 1#$!$   #X[X%& r##6X,XeS` XX,X` X6& %XX[3P+CONTRACTOR,BYEXECUTIONofTHISCONTRACT,HEREBYACKNOWLEDGESTHATCONTRACTOR $"& HASREADTHISCONTRACT,UNDERSTANDSIT,ANDAGREESTOBEBOUNDBYITSTERMSANDCONDITIONS.#X[X%& $#2XXXX[ &$(  & %XX[#& % %2&#%# VIII.0 e CONTRACTORDATAandCERTIFICATION;SIGNATURESW(J&*e%e%  #X[X%& Z%# XX[Name(exactlyasfiledwiththeIRS)________________________________________________ /)"'+ 9X,XF XX,XeS` X9Address F ______________________________________________________________________ X*K(- 9X,XFXX,XF X90   F ______________________________________________________________________+t)/%% Telephone:()_________________Facsimile:()_________________Citizenship,ifapplicable:Nonresidentalien[]Yes[]No#X[X 5&# XX[ -+3 XBusinessDesignation(checkone): .,5 3P+ 3 3  []Corporation(completionofExhibit C not requiredforCorporationsonly)   []ProfessionalCorporation[]Partnership[]SoleProprietorship?X ,XFXhXX,XFX?[]LimitedLiabilityCompany[]LimitedPartnership[]LimitedLiabilityPartnership#X[X (#H& %XX[0   $$  FederalTaxID#:____________________OR_SSN_:_____________________  9, #X[X%& c+#%j XX[#X[X %j\,#XH XX[AbovePaymentinformationmustbeprovidedpriortocontractapproval.ThisinformationwillbereportedtotheInternalRevenue uh Services(IRS)underthenameandtaxpayeridentificationsubmitted.(SeeIRS1099foradditionalinstructionsregardingtaxpayerI.D.numbers.)InformationnotmatchingIRSrecordscouldsubjectContractorto31percentbackupwithholding.#X[X ,#0XX[#X[X0.# 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)Contractorisanindependentcontractorasdefinedin_ORS_Ԁ670.600;and(e)theaboveContractordataistrueandaccurate.#X[X .#,& %XX[ X < , XX ,XFXhX<#X[X%& p3#& %XX[IX. 0  CONTRACTORS:YOUWILLNOTBEPAIDFORSERVICESRENDEREDPRIORTONECESSARY   STATEAPPROVALS. %%  #X[X%& 4#^~;_XX[ 0 ,  X , X0#X[X_^~;4#A.0   SeeExhibitAStatementofWorkonnextpage. & %XX[Contractor:#X[X%& 5#& %XX[%% #X[X%& 6#^~;_XX[  #X[X_^~;}6#& %XX[<  IXX ,  X<0  By: I Title:     2     Date:_______________(%% 6Ӏ#X[X%& 6#& %XX[   #X[X%&  8#& %XX[B.0  DepartmentofHumanServices,OfficeofInformationServices: #X[X%& e8#^~;_XX[EX<VX  IXXE%% #X[X_^~;8#t5& %XX[ 9  e           q#X[X%& 9# XX[ԀChiefInformationOfficer#X[X ]:#& %XX[  EX eV7XX<VXE     I   q#X[X%& :# XX[ԀDeputyChiefInformationOfficer#X[X ;#& %XX[  Q(  wI 2"XX eV7XQ  By:_________________________________Title:  q#X[X%& ;# XX[ԀComputerCenterManager#X[X <#& %XX[      Date:_______________ xk #X[X%& 5=#9 XX[T"  wX2XY"X  wI 2"XT30  Address:500SummerStNE,SalemOR97310#X[X =#& %XX[PC%% #X[X%& >#& %XX[ #X[X%& ?#& %XX[C.0  #X[X%& b?#M>& %XX[REVIEWED:#X[X%& ?#& %XX[  !%%  #X[X%& %@#^~;_XX[ #X[X_^~;@#& %XX[  By:   *      2   Date:_______________#X[X%& @#& %XX[ $  #   #X[X%& A#XX[Dwight_Endicott_,DHS/OISContractsCoordinator,DepartmentofHumanServices,ordelegate@#X[XLB#     8jdXXd8   +Da + XTRX3' LetterY<3'letterhead3' Letter3'letterheadT   +  _!ExhibitA   StatementofWorkBAcknowledgedandAgreedbytheParties:   CBContractor$X[XXX[ԀshallcompleteallworkdescribedintheStatementofWorkaccordingtomethodologiesandstandards wj thatconformtodocumentationstandards,definitions,andrecommendedpracticesknowntobegenerallyacceptedpracticeintheindustry,unlessotherwiseapprovedinwritingbyDHS.#X[XX$X[F#  OB  DHSshallidentifyateamforthepurposeof assessingtheNationalElectronicDiseaseSurveillanceSystem ' (NEDSS)Project . Theteamshallevaluatethehealthoftheprojectthroughinterviewsoftheprojectstaff,sponsor   andsteeringcommitteemembers;throughreviewoftheprojectplanandthestatusagainsttheplan;throughidentificationofprojectrisksandtheimpactoftheseriskstotheproject.Inaddition,theteamwillmakeappropriaterecommendationsastostrategiesforensuringthecontinuedsuccessoftheproject.Theassessmentteamshallcreateanassessmentreportoftheirfindings,suitableforexecutivereview.Samplereportsmaybeprovideduponrequest.Itisanticipatedthattheassessmentwillrequire4onsitedaysofreviewatthePortlandStateOfficeBuildingand2daysforreportcompilation,foratotalof6daysofservice.  cV Task#1: IndependentProjectManagementAssessment  ' Contractorshallperform%X[XXX[Ԁongoing#X[XX%X[K#Ԁobjectiveandindependentprojectmanagementassessmentreviewactivitiesof   theDHSidentifiedteamassessingtheNEDSSProjectasaparticipatingmember.L 5h(3 L )X<* XXX[Deliverable#X[X X)X<*2M#:  #3L#P 3(LP?"  e A xG"X,XX? X<* XXX[TheContractorshalldeliverservicesconsistentwithTask#1#X[X XX<*TN#.)X<* XXX[ԀMakecorrectionsapprovedbytheProjectManager#X[X X)X<*N#X<* XXX[.  #X[X XX<*HO#)X<* XXX[ DeliverableDueDate :#X[X X)X<*O# September28,2001 )X<* XXX[0  0Q%% #X[X X)X<*P#%X[XXX[NottoExceedDollars:$5,000.00 #X[XX%X[}P#)X<* XXX[Q%Q% #X[X X)X<*P#   ?2   T&'/VExhibitB   GeneralProvisions   oQ   1.0 9 IndependentContractor;ResponsibilityforTaxesandWithholding 9%9% Q(X u}L"X  e A xG"Q0  a. 0%%ContractorshallperformallrequiredWorkasanindependentcontractor.AlthoughDHSreservestheright  to(1)determine(andmodify)thedeliveryschedulefortheWorktobeperformedand(2)evaluatethequalityofthecompletedperformance,DHScannotandwillnotcontrolthemeansormannerofContractor'sperformance.ContractorisresponsiblefordeterminingtheappropriatemeansandmannerofperformingtheWork. %% 0  b. 0%%IfContractoriscurrentlyperformingworkfortheStateofOregonorthefederalgovernment,Contractorby I <  signaturetothiscontractdeclaresandcertifiesthat:ContractorsWorktobeperformedunderthiscontractcreatesnopotentialoractualconflictofinterestasdefinedby_ ORS_ Ԁ244andnorulesorregulationsofContractorsemployingagency(stateorfederal)wouldprohibitContractorsWorkunderthiscontract.Contractorisnotan officer, employee,or agentofDHS,asthosetermsareusedin_ ORS_ Ԁ30.265. %% 0  c. 0%%Contractorshallberesponsibleforallfederalorstatetaxesapplicabletocompensationorpaymentspaid  toContractorunderthiscontractand,unlessContractorissubjecttobackupwithholding,DHSwillnotwithholdfromsuchcompensationorpaymentsanyamount(s)tocoverContractorsfederalorstatetaxobligations.ContractorisnoteligibleforanySocialSecurity,unemploymentinsuranceorworkerscompensationbenefitsfromcompensationorpaymentspaidtoContractorunderthiscontract,exceptasaselfemployedindividual. %%  2.0  SubcontractsandAssignment;SuccessorsinInterest M@%% 0  a. 0%%ContractorshallnotenterintoanysubcontractsforanyoftheWorkrequiredbythiscontract,orassignor % transferanyofitsinterestinthiscontract,withoutthepriorwrittenconsentofDHS.InadditiontoanyotherprovisionsDHSmayrequire,ContractorshallincludeinanypermittedsubcontractsunderthiscontractarequirementthatthesubcontractorbeboundbySections2,6,7,11,and13ofthisexhibitasifthesubcontractorweretheContractor.DHSsconsenttoanysubcontractshallnotrelieveContractorofanyofitsdutiesorobligationsunderthiscontract. %% 0  b. 0%%Theprovisionsofthiscontractshallbebindinguponandshallinuretothebenefitofthepartieshereto,and   theirrespectivesuccessorsandpermittedassigns,ifany. %%  3.0  NoThirdPartyBeneficiaries. DHSandContractoraretheonlypartiestothiscontractandaretheonlyparties e"X # entitledtoenforceitsterms.Nothinginthiscontractgives,isintendedtogive,orshallbeconstruedtogiveorprovideanybenefitorright,whetherdirectly,indirectlyorotherwise,tothirdpersonsunlesssuchthirdpersonsareindividuallyidentifiedbynamehereinandexpresslydescribedasintendedbeneficiariesofthetermsofthiscontract. %%  4.0  FundsAvailableandAuthorized;Payments '%)%% 0  a. 0%%ContractorshallnotbecompensatedforWorkperformedunderthiscontractbyanyotheragencyor (&* departmentoftheStateofOregon.DHShassufficientfundscurrentlyavailableandauthorizedforexpendituretofinancethecostsofthiscontractwithinDHS'sbiennialappropriationorlimitation.ContractorunderstandsandagreesthatDHS'spaymentofamountsunderthiscontractattributabletoWorkperformedafterthelastdayofthecurrentbienniumiscontingentonDHSreceivingfromtheOregonLegislativeAssemblyappropriations,limitations,orotherexpenditureauthoritysufficienttoallowDHS,intheexerciseofitsreasonableadministrativediscretion,tocontinuetomakepaymentsunderthiscontract.i.\,0%% & & X &  _ 0  b. 0%%DHSwillonlypayforcompletedworkthatisacceptedbyDHS.  %%   ,   5.     0  RepresentationsandWarranties %%   a.0  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. %% 0  b.0%%ContractorsLimitationofLiability :Contractorsliabilitywithrespecttoitems(5)and(6)ofsubsection   5aaboveshallnotexceed:(1)twicethetotalcontractamount(includinganyamendments)or(2)$100,000whicheverisgreater. %% 0  c.0%%WarrantiesCumulative :Thewarrantiessetforthinthissectionareinadditionto,andnotinlieuof,any  otherwarrantiesprovided. %%  6.0  OwnershipofWorkProduct. AllworkproductofContractorthatresultsfromthiscontract("theWork eX Product")istheexclusivepropertyofDHS.DHSandContractorintendthatsuchWorkProductbedeemed workmadeforhireofwhichDHSshallbedeemedtheauthor.IfforanyreasontheWorkProductisnotdeemed workmadeforhire,ContractorherebyirrevocablyassignstoDHSallofitsright,title,andinterestinandtoanyandalloftheWorkProduct,whetherarisingfromcopyright,patent,trademark,tradesecret,oranyotherstateorfederalintellectualpropertylawordoctrine.ContractorshallexecutesuchfurtherdocumentsandinstrumentsasDHSmayreasonablyrequestinordertofullyvestsuchrightsinDHS.ContractorforeverwaivesanyandallrightsrelatingtotheWorkProduct,includingwithoutlimitation,anyandallrightsarisingunder17USC106Aoranyotherrightsofidentificationofauthorshiporrightsofapproval,restrictionorlimitationonuseorsubsequentmodifications. %%  7.0  Indemnity.  !%%   X$XXX[a.GeneralIndemnity: Contractorshalldefend,holdharmlessandindemnifytheStateofOregon,DHSand }!p" 0  itsagencies,subdivisions,officers,employeesandagentsfromandagainstallclaims,suits,actions,losses,damages,liabilities,costsandexpensesofanynatureresultingfrom,arisingoutof,orrelatingtotheactivitiesofContractororitsofficers,employees,subcontractors,oragentsunderthisContract. %%   b.IntellectualPropertyIndemnity: Withoutlimitingthegeneralindemnityprovision,Contractorexpressly &$' 0  agreestodefend,holdharmlessandindemnifytheStateofOregon,DHSanditsagencies,subdivisions,officers,employeesandagentsfromandagainstallclaims,suits,actions,losses,damages,liabilities,costsandexpensesofanynatureresultingfromorinconnectionwithanyclaimsthattheWork,Developments,SystemorDeliverablesorusethereofinfringeanypatent,copyright,tradesecret,orotherproprietaryright(referredtoas"IntellectualPropertyRights")ofanythirdparty;provided,thatDHSshallprovideContractorwithpromptwrittennoticeofanyinfringementclaim.Contractorshallhavecontrolofthedefenseandsettlementoftheclaim;providedthattheStateofOregonorDHSmayassumeitsowndefenseandsettlementintheeventthattheStateofOregonorDHSdeterminesthatContractorisnotadequatelydefendingitsinterestorthatanimportantgovernmentalprincipleisatissueandtheStateofOregonorDHSdesirestoassumeitsowndefense.IfContractor,initssolediscretion,believesatanytimethattheWork,Developments,SystemorDeliverables Y/L-1 infringeathirdparty'sIntellectualPropertyRights,Contractormay,atitsownexpenseandoptionanduponreceiptofDHS'spriorwrittenconsent,replaceaninfringingitemwithanoninfringingitemthatmeetsorexceedstheperformanceandfunctionalityofthereplaceditem.#X[XXX$p#%%  8.0  Insurance %% 0  a. 0%%DuringthetermofthiscontractContractorshallmaintaininforceatitsownexpense,eachinsurancenoted  below: %% ]+X 'u}L"XX u}L"X]0  0%% (1) 0'%%WorkersCompensationinsuranceincompliancewithORS656.017,whichrequiressubjectemployers x toprovideOregonworkerscompensationcoverageforalltheirsubjectworkers. '%'%   , 0  0%% %%     (2) 0 ' GeneralLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan$1,000,000 M @  eachoccurrenceforBodilyInjuryandPropertyDamage.Itshallincludecontractualliabilitycoveragefortheindemnityprovidedunderthiscontract.ItshallprovidethattheStateofOregon,DepartmentofHumanServices,andtheirdivisions,officersandemployeesareAdditionalInsuredsbutonlywithrespecttotheContractorsservicestobeprovidedunderthiscontract. '%'%  0    (3)0'%% AutomobileLiabilityinsuranceasrequiredbytheOregonFinancialResponsibilityLaw(ORS806.060),  includingcoverageforowned,hiredornonownedvehicles,asapplicable. & %XX['%'% #X[X%& Z#0    (4)0'%% ProfessionalLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan  $1,000,000eachclaim,incidentoroccurrence.Thisistocoverdamagescausedbyerror,omissionornegligentactsrelatedtotheprofessionalservicestobeprovidedunderthiscontract. i\'%'% 0  0%% %% 0  b. 0%% NoticeofCancellationorChange: Thereshallbenocancellation,materialchange,reductionoflimitsor A4 intentnottorenewtheinsurancecoverage(s)without30dayspriorwrittennoticefromContractororitsinsurer(s)toContractsCoordinator,OregonDepartmentofHumanServices. %% 0  c. 0%% CertificatesofInsurance: Asevidenceoftheinsurancecoveragesrequiredbythiscontract,Contractor  shallfurnishacceptableinsurancecertificatestoContractsCoordinator,OregonDepartmentofHumanServicespriortocommencingtheWork.ThecertificatewillspecifyallofthepartieswhoareAdditionalInsureds.InsuringcompaniesorentitiesaresubjecttoStateacceptance.Ifrequested,completecopiesofinsurancepolicies,trustagreements,etc.,shallbeprovidedtotheState.Contractorshallbefinanciallyresponsibleforallpertinentdeductibles,selfinsuredretentionsand/orselfinsurance. %%  9.0  Termination m!`"%% 0  a.0%%PartiesRighttoTerminateforConvenience :Thiscontractmaybeterminatedatanytimebymutual E#8!$ writtenconsentoftheparties. %% 0  b.0%%DHSsRighttoTerminateforConvenience :DHSmay,atitssolediscretion,terminatethiscontract,in  &$' wholeorinpart,upon30daysnoticetoContractor. %% 0  c.0%%DHSsRighttoTerminateforCause :DHSmayterminatethiscontract,inwholeorinpart,immediately (&* uponnoticetoContractor,oratsuchlaterdateasDHSmayestablishinsuchnotice,upontheoccurrenceofanyofthefollowingevents: %% 0  0%% (1)0'%% DHSfailstoreceivefunding,orappropriations,limitationsorotherexpenditureauthorityatlevels ,|*. sufficienttopayforContractorsWork; '%'%  e.X,0 0  0%% (2)0'%% FederalorStatelaws,regulationsorguidelinesaremodifiedorinterpretedinsuchawaythateitherthe  WorkunderthiscontractisprohibitedorDHSisprohibitedfrompayingforsuchWorkfromtheplannedfundingsource; '%'% 0  0%% (3)0'%% ContractornolongerholdsanylicenseorcertificatethatisrequiredtoperformtheWork;orv'%'% 0  0%% (4) 0'%%Contractorcommitsanymaterialbreachordefaultofanycovenant,warranty,obligationoragreement R underthiscontract,failstoperformtheWorkunderthiscontractwithinthetimespecifiedhereinoranyextensionthereof,orsofailstopursuetheWorkastoendangerContractorsperformanceunderthiscontractinaccordancewithitsterms,andsuchbreach,defaultorfailureisnotcuredwithin10businessdaysafterdeliveryofDHSsnotice,orsuchlongerperiodasDHSmayspecifyinsuchnotice. '%'% 0  d.0%%ContractorsRighttoTerminateforCause :Contractormayterminatethiscontractupon30daysnotice    toDHSifDHSfailstopayContractorpursuanttothetermsofthiscontractandDHSfailstocurewithin30daysafterreceiptofContractorsnotice,orsuchlongerperiodofcureasContractormayspecifyinsuchnotice. %%    e.0  Remedies :~%%     (1) 0 ' IntheeventofterminationpursuanttoSections9a,9b,9c(1),9c(2)or9dofthisexhibit,Contractors n soleremedyshallbeaclaimforthesumdesignatedforaccomplishingtheWorkmultipliedbythepercentageofWorkcompletedandacceptedbyDHS,lesspreviousamountspaidandanyclaim(s)whichStatehasagainstContractor.IfpreviousamountspaidtoContractorexceedtheamountduetoContractorunderthisSection,ContractorshallpayanyexcesstoDHSupondemand. '%'%    0  (2)0'%% IntheeventofterminationpursuanttoSection9c(3)or9c(4)ofthisexhibit,DHSshallhaveany 8 remedyavailabletoitinlaworequity.IfitisdeterminedforanyreasonthatContractorwasnotindefaultunderSection9c(3)or9c(4)ofthisexhibit,therightsandobligationsofthepartiesshallbethesameasifthecontractwasterminatedpursuanttoSection9bofthisexhibit. '%'%    f.0  ContractorsTenderUponTermination: Uponreceivinganoticeofterminationofthiscontract,  Contractorshallimmediatelyceaseallactivitiesunderthiscontract,unlessDHSexpresslydirectsotherwiseinsuchnoticeoftermination.Uponterminationofthiscontract,ContractorshalldelivertoDHSalldocuments,information,worksinprogressandotherpropertythatareorwouldbedeliverableshadthecontractbeencompleted.UponDHSsrequest,ContractorshallsurrendertoanyoneDHSdesignates,alldocuments,researchorobjectsorothertangiblethingsneededtocompletetheWork. %%   w 10.0  LimitationofLiabilities.EXCEPTFORLIABILITYARISINGUNDERORRELATEDTO #P!$ SECTION5aOR9e(2)OFTHISEXHIBIT,NEITHERPARTYSHALLBELIABLEFOR(A)ANYINDIRECT,INCIDENTAL,CONSEQUENTIALORSPECIALDAMAGESUNDERTHECONTRACTOR(B)ANYDAMAGESOFANYSORTARISINGSOLELYFROMTHETERMINATIONOFTHISCONTRACTINACCORDANCEWITHITSTERMS. &%(%%  11.0  RecordsMaintenance;Access. Contractorshallmaintainallfiscalrecordsrelatingtothiscontractin (&* accordancewithgenerallyacceptedaccountingprinciples.Inaddition,ContractorshallmaintainanyotherrecordspertinenttothiscontractinsuchamannerastoclearlydocumentContractor'sperformance.ContractoracknowledgesandagreesthatDHS,theOregonSecretaryofState'sOffice,theFederalGovernment,andtheirdulyauthorizedrepresentativesshallhaveaccesstosuchfiscalrecordsandallotherbooks,documents,papers,plans,andwritingsoftheContractorthatarepertinenttothiscontractforthepurposeofperformingexaminationsandaudits,andmakingexcerptsandtranscripts. %%  /P-1 '/V 'Xw '    Contractorshallretainandkeepaccessibleallsuchfiscalrecords,books,documents,papers,plans,andwritings0  foraminimumofthree(3)years,orsuchlongerperiodasmayberequiredbyapplicablelaw,followingfinalpaymentandterminationofthiscontract,oruntiltheconclusionofanyaudit,controversyorlitigationarisingoutoforrelatedtothiscontract,whicheverdateislater. %%  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. %%  13.0  ForeignContractor. IfContractorisnotdomiciledinorregisteredtodobusinessintheStateofOregon,   ContractorshallpromptlyprovidetotheOregonDepartmentofRevenueandtheSecretaryofStateCorporationDivisionallinformationrequiredbythoseagenciesrelativetothiscontract.ContractorshalldemonstrateitslegalcapacitytoperformtheWorkunderthiscontractintheStateofOregonpriortoenteringintothiscontract. %%  14.0  ForceMajeure. NeitherDHSnorContractorshallbeheldresponsiblefordelayordefaultcausedbyfire,riot, N naturaldisasters,orwarwheresuchcausewasbeyondthereasonablecontrolofDHSorContractor,respectively.Contractorshall,however,makeallreasonableeffortstoremoveoreliminatesuchacauseofdelayordefaultandshall,uponthecessationofthecause,diligentlypursueperformanceofitsobligationsunderthiscontract. %%  15.0  Survival. Allrightsandobligationsshallceaseuponterminationorexpirationofthiscontract,exceptforthe  rightsandobligationssetforthintheContractSectionI.EFFECTIVEDATEANDDURATION,andinparagraphs5,6,7,9,10,11,15and21ofthisexhibit. %%  16.0  TimeisoftheEssence. Contractoragreesthattimeisoftheessenceunderthiscontract.%%  17.0  WrittenNotice. Allnoticesregardingthiscontractmustbegiventothepartiesinwritingbypersonaldelivery j ormailingthesame,postageprepaid,tothefollowingaddresses: %%   `+X 'u}L"XX 'u}L"X`DHS:0 '   DwightEndicott,ContractsCoordinator,ordelegateF !'%'% 0   '   OregonDepartmentofHumanServices %% 0   '   500SummerStreetNE/MailingCodeE03 %% 0   '   SalemOR973101080 %% `+X ' }L"XX 'u}L"X`   '   FacsimileNumber:5033737365   '   PhoneNumber:50394561560   %%   Contractor:   WrightwayConsultingServices &$(   0 ' 0'%'%6726McLeodLaneNE %%   0 ' 0'%'%Keizer,OR97303 %%    '   PhoneNumber:(503)39031690  Anynoticedeliveredbyfacsimileshallbedeemedtobegivenwhenreceiptofthetransmissionisgeneratedbythetransmittingmachine.TobeeffectiveagainstDHS,suchfacsimiletransmissionmustbeconfirmedbytelephonenoticetoDHSsContractAdministrator. %%   /D-1 X18.0  Severability. Thepartiesagreethatifanytermorprovisionofthiscontractisdeclaredbyacourtofcompetent X jurisdictiontobeillegalorinconflictwithanylaw,thevalidityoftheremainingtermsandprovisionsshallnotbeaffected,andtherightsandobligationsofthepartiesshallbeconstruedandenforcedasifthecontractdidnotcontaintheparticulartermorprovisionheldtobeinvalid. %%  19.0  Counterparts. Thiscontractmaybeexecutedinseveralcounterparts,allofwhichwhentakentogethershall  constituteoneagreementbindingonallparties,notwithstandingthatallpartiesarenotsignatoriestothesamecounterpart.Eachcopyofthecontractsoexecutedshallconstituteanoriginal. %%  20.0  DisclosureofSocialSecurityNumber. ContractormustprovideContractorsSocialSecuritynumberunless  T  ContractorprovidesafederaltaxInumber.ThisnumberisrequestedpursuanttoORS305.385,OAR12520410(3)andOAR150305.100.SocialSecuritynumbersprovidedpursuanttothisauthoritywillbeusedfortheadministrationofstate,federalandlocaltaxlaws. %%  21.0  GoverningLaw;Venue;ConsenttoJurisdiction. Thiscontractshallbegovernedbyandconstruedin L  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 D anymannerwhatsoever,exceptbywrittenagreementsignedbytheparties.Thiscontractwillnotbeamendedaftertheexpirationdate. %%  23.0  ConfidentialityofClientInformation P%% ](X u}L"XX ' }L"X]0  a. 0%%AllinformationastopersonalfactsandcircumstancesobtainedbytheContractorontheclientshallbe ( treatedasprivilegedcommunications,shallbeheldconfidential,andshallnotbedivulgedwithoutthewrittenconsentoftheclient,hisorherattorney,theresponsibleparentofaminorchild,orhisorherguardianexceptasrequiredbyothertermsofthiscontract.Nothingprohibitsthedisclosureofinformationinsummaries,statistical,orotherformwhichdoesnotidentifyparticularindividuals. %% 0  b. 0%%Theuseordisclosureofinformationconcerningclientsshallbelimitedtopersonsdirectlyconnectedwith "\ # theadministrationofthiscontract.Confidentialitypoliciesshallbeappliedtoallrequestsfromoutsidesources. u   $8"%%% 0  c. 0%%DHS,ContractorandanysubcontractorwillshareinformationasnecessarytoeffectivelyserveDHSclients.|%$#&%%  24.0  CompliancewithApplicableFederalLaw. Contractoragreestocomplywithallfederallawsandregulations X'%( applicabletoworkperformedunderthiscontractinclusiveofbutnotlimitedto: %% 0  a.0%% Totheextentitisrequiredtodosobylaw,Contractorshallabidebyallmandatorystandardsandpolicies  *'+ whichrelatetoenergyefficiencyandwhicharecontainedinthestateofOregonenergyconservationplanwhichwasissuedincompliancewiththeEnergyPolicyandConservationAct(PL94-163).Allsubcontractsshallalsobeincompliancewiththeforegoing. %% 0   %%  0  b. 0%%Bysignatureonthiscontract,theundersignedcertifies,tothebestofhisorherknowledgeandbelief,that:.h,0%% ЇZ(X wu}L"XX u}L"XZ0  0%% (1)0r%% Nofederallyappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfofContractor,toany X personforinfluencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththeawardingofanyfederalcontract,themakingofanyfederalgrant,themakingofanyfederalloan,theenteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodificationofanyfederalcontract,grant,loan,orcooperativeagreement. r%r% Z(X '}L"XX wu}L"XZ0  0%% (2)0'%% Ifanyfundsotherthanfederallyappropriatedfundshavebeenpaidorwillbepaidtoanypersonfor x influencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththisfederalcontract,grant,loan,orcooperativeagreement,ContractoragreestocompleteandsubmitStandardFormLLL"DisclosureFormtoReportLobbying,"inaccordancewithitsinstructions. '%'% 0  0%% (3) 0'%%Theundersignedshallrequirethatthelanguageofthiscertificationbeincludedintheawarddocuments \  forallsubawardsatalltiers(includingsubcontracts,subgrants,andcontractsundergrants,loans,andcooperativeagreements)andthatallsubrecipientsshallcertifyanddiscloseaccordingly. '%'% 0  0%%Thiscertificationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscertificationisaprerequisiteformakingorenteringintothistransactionimposedbysection1352,title31,U.S.Code.Anypersonwhofailstofiletherequiredcertificationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure. %% 0  c. 0%%ContractoragreestocomplywithExecutiveOrder11246entitledEqualEmploymentOpportunityas @ amendedbyExecutiveOrders11375and12086andassupplementedinDepartmentofLaborRegulation41CFRpart60.Allsubcontractsshallalsocomplywiththeseprovisions. %%    d. 0  Ifthesumpayableunderthiscontractexceedsormayexceed$100,000,ContractorshallprovideDHSa L writtenassurancethatContractorwillcomplywithallapplicablestandards,orders,orrequirementsissuedunderSection306oftheCleanAirAct(42USC7401et.seq.),theFederalWaterPollutionControlAct,asamended(33USC1251et.seq.),Section508oftheCleanWaterAct(33USC1368),ExecutiveOrder11738andEnvironmentalProtectionAgencyregulations(40CFRPart15).ContractorfurtheragreestopromptlyreportallinfractionstotheStateofOregon,andtotheDepartmentofHealthandHumanServices,andtotheU.S.RegionalOfficeoftheEnvironmentalProtectionAgency.Allsubcontractsshallalsobeincompliancewiththeseprovisions. %%  25.0  Year2000. IntheeventContractorlearnsorhasreasontobelievethatDHSscomputerhardwareorsoftware #D!$ environmentfailstouseadateformatthatexplicitlyspecifiescenturyinanydatedata,ContractorshallpromptlyadviseDHSofsuchfailure. %%  26.0  DepartmentofJusticeApproval. Whenthecontractoramendmentstheretocausethecontractpaymentto P'$( beinexcessof$75,000,theDepartmentofJusticemustapprovethecontractandanyamendmentsastoLegalSufficiency.Suchapprovalisrequiredbeforeanyworkmaybeginunderthiscontractoramendmentsthereto,orthecontractisnotbindingontheStateofOregonorDHS. %%  27.0  KeyPerson. ContractoracknowledgesandagreesthatDHSselectedContractor,andisenteringintothis +)- Contract,becauseofthespecialqualificationsofContractors KeyPerson(s).Inparticular,DHSthroughthisContract,isengagingtheexpertise,experience,judgmentandpersonalattentionofGaryPotter( KeyPerson).ContractorsKeyPersonshallnotdelegateperformanceoftheresponsibilitieshe/sheisrequiredtoprovide .`,0 underthisContracttoanother(other)ofContractorsemployee(s)withoutfirstobtainingthewrittenconsentofDHS.Further,Contractorshallnotre-assignortransferanyKeyPersontootherdutiesorpositionssuchthatanyKeyPersonisnolongeravailabletoprovideDHSwithhis/herexpertise,experience,judgment,andpersonalattention,withoutfirstobtainingDHSspriorwrittenconsenttosuchre-assignmentortransfer.IntheeventContractorrequeststhatDHSapproveare-assignmentortransferofanyKeyPerson,DHSshallhavetherighttointerview,reviewthequalificationsof,andapproveordisapprovetheproposedreplacementfortheKeyPerson.AnyapprovedsubstituteorreplacementforaKeyPersonshallbedeemedaKeyPersonunderthisContract. %%   0  Inaddition, X[XXX[theContractormustprovideareplacementforanyConsultantwhoceasesaffiliationwiththe  L  Contractor,whomDHSdeemsisnotperformingatanacceptablelevelorishinderingthesuccessfulcompletionofassignment(s),isunabletoperformassignedwork,orasrequiredbyDHS.TransitionschedulemustbeapprovedbyDHS.IntheeventthatDHSrequiressuchreplacement,theContractorshallpromptlysubstituteorengageotherqualifiedindividuals.AllsuchreplacementsaresubjecttoDHSspriorreviewandacceptance.IntheeventthatContractorisunabletomeetitsobligationtofurnishareplacementConsultant,DHSmay,atitsoption,terminatethatportionoftheContractwithoutliability,ortocontinuetheContractwithoutreplacement.#X[XX X[# %% X$XXX[&h%XX$   ExhibitC X #X$X%&ho##X[XXX$P#  IndependentContractorCertification  0   & %XX[ XX[ ThisformistobecompletedbyContractor;Corporationsarenotrequiredtocompletethisform.   ORS670.600IndependentContractor;standards.AsusedinvariousprovisionsofORSchapters316,656,657and701,anindividual N orbusinessentitythatperformslabororservicesforrenumeration'sshallbeconsideredtoperformthelabororservicesasanIndependentContractorifthestandardsofthissectionaremet:XX Contractorunderstandsthat:   P BXX '}L"XB1.0  Theindividualorbusinessentityprovidingthelabororservicesisfreefromdirectionandcontroloverthemeansandmannerof d  providingthelabororservices,subjectonlytotherightoftheAgencyforwhomthelabororservicesareprovidedtospecifythedesiredresults; %% 2.0  Theindividualorbusinessentityprovidinglabororservicesisresponsibleforobtainingallassumedbusinessregistrationsor 4   professionaloccupationlicensesrequiredbystatelaworlocalgovernmentordinancesfortheindividualorbusinessentitytoconductthebusiness; %% 3.0  Theindividualorbusinessentityprovidinglabororservicesfurnishesthetoolsorequipmentnecessaryforperformanceofthe  T  contractedlabororservices; %% 4.0  Theindividualorbusinessentityprovidinglabororserviceshastheauthoritytohireandfireemployeestoperformthelaboror .  services; %% 5.0  Paymentforthelabororservicesismadeuponcompletionoftheperformanceofspecificportionsoftheprojectorismadeonthe ` basisofanannualperiodicretainer. %% *XX*6.0  TheindividualorbusinessentityprovidinglabororserviceisregisteredunderORSchapter701,iftheindividualorbusinessentity : provideslabororservicesforwhichsuchregistrationisrequired; %% 7.0  FederalandstateincometaxreturnsinthenameofthebusinessorabusinessScheduleCorfarmScheduleFaspartofthepersonal  incometaxreturnwerefiledforthepreviousyeariftheindividualorbusinessentityperformedlabororservicesasanindependentcontractorinthepreviousyear;and %% 8.0  Theindividualorbusinessentityrepresentstothepublicthatthelabororservicesaretobeprovidedbyanindependentlyestablished 4! business.ExceptwhenanindividualorbusinessentityfilesaScheduleFaspartofthepersonalincometaxreturnsandtheindividualorbusinessentityperformsfarmlabororservicesthatarereportableonScheduleC,anindividualorbusinessentityisconsideredtobeengagedinanindependentlyestablishedbusinesswhenfourormoreofthefollowingcircumstancesexist.Contractormustmeetfour(4)ormoreofthefollowing: %% *X*  A.0  Thelabororservicesareprimarilycarriedoutatalocationthatisseparatefromtheresidenceofanindividualwhoperformsthe @' labororservices,orareprimarilycarriedoutinaspecificportionoftheresidence,whichportionissetasideasthelocationofthebusiness; %%   B.0  Commercialadvertisingorbusinesscardsasiscustomaryinoperationofsimilarbusinessesarepurchasedforthebusiness,or `+ theindividualorbusinessentityhasatradeassociationmembership; %%   C.0  Telephonelistingandserviceareusedforthebusinessthatisseparatefromthepersonalresidencelistingandserviceusedbyan :. individualwhoperformsthelabororservices; %%   D.0  Labororservicesareperformedonlypursuanttowrittencontracts;l!1%%   E.0  Labororservicesareperformedfortwoormoredifferentpersonswithinaperiodofoneyear;or"P 3%%   F.0  Theindividualorbusinessentityassumesfinancialresponsibilityfordefectiveworkmanshiporforservicenotprovidedas #!5 evidencedbytheownershipofperformancebonds,warranties,errorsandomissioninsuranceorliabilityinsurancerelatingtothelabororservicestobeperformed. %% 9.0  PursuanttoOAR1250200410(4),thecontractshallprovidethattheContractorisresponsibleforfederalSocialSecurity,except \&$9 thosecategoriesexcludedbylaw,andforanyfederalorstatetaxesapplicabletothecontractpayment. %%  IndependentContractorcertifieshe/shemeetstheabovestandardsandagreestoperformthelabororservicesrequiredbythiscontractasanIndependentContractor. P'  '*   *ContractorSignature ________________________________________________Date_________________ L+(A '   'XHXXHXEntityName(printedortyped): _____________________________________________________________________ &-*D XHrXH#& % #  -l+E  X[XXX[  ExhibitD X ConfidentialityAgreement#& %XX[# XX[  D #& % # XX[ToallcontractorsworkingonOregonDepartmentofHumanServices(DHS)projects: 0 Forthepurposesofthiscertificatetheterm contractorwillmeanallConsultantsassignedtotheprojectbythecontractor.Oregonslawscontainprovisionsrelationtoconfidentialityofrecords,listsandinformationaboutclientapplicants/clients/recipientsandaboutStateemployees.Theselaws,andthepenaltiesforviolationofthem,pertaintoeverycontractorworkingonDHSprojects,atalllevelsandinanycapacity.AsaconditionofyourcontinuedworkforDHS,youarerequiredtocompletetheconfidentialitytrainingexerciseandsignthiscertificateverifyingthatyouunderstandthelawsandareawareofthepenaltiesforviolation.Ifatsomefuturedate,youhavedoubtsaboutthelegalityofanactionyoumaybeabouttotake,asktherespectiveprojectmanagerforaninterpretation.You *  personallyarelegallyresponsibleforanyviolationoftheselaws.     ConfidentialityofPersonnelInformation :ORS192.500 ThePublicRecords Actcontainsanumberofexemptionsforinformation \   maintainedonStateemployeesincludinga personalprivacyexemptionwhichstates: Thefollowingpublicrecordsareexemptfromdisclosure...Informationofapersonalnaturesuchasthatkeptinapersonal,medicalorsimilarfile,ifthepublicdisclosurethereofwouldconstituteanunreasonableinvasionofprivacy,unlessthepublicinterestbyclearandconvincingevidencerequiresdisclosureintheparticularinstance.Thepartyseekingdisclosureshallhavetheburdenofshowingthatpublicdisclosurewouldnotconstituteanunreasonableinvasionofprivacy.(ORS196.500(2)(b)) ConfidentialityofWelfareApplicants/RecipientsInformation :ORS411.300 Regulationsconcerninguseandcustodyofrecords.  V  (1)DHSshallmakeandenforcereasonablerulesandregulationsgoverningthecustody,useandpreservationoftherecords,tapes,filesandcommunicationsofDHS.Theuseofsuchrecords,papers,filesandcommunicationsbyanyotheragencyordepartmentofgovernmentorpersontowhichtheymaybefurnishedshallbelimitedtothepurposesforwhichtheyarefurnishedandbytheprovisionsofthelawunderwhichtheymaybefurnished.ORS411.320 Disclosureanduseofrecordslimited;contentsasaprivilegedcommunication. Fortheprotectionofclients,DHS b  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 \  permit,participateinaoracquiesceintheuseof,anylistsofnamesforcommercialorpoliticalpurposesofanynature,foranypurposenotdirectlyconnectedwiththeadministrationofpublicassistancelaws.(Note:ORS411.325and41.330havebeenvoidedbycourtaction.)ORS411.990 Penalties (1)ViolationofORS411.320to411.335ispunishable,uponconviction,byafineofnotmorethan$1,000or r% byimprisonmentinthecountyjailfornotmorethan60days,orbyboth.ViolationofORS192.500iscausefordisciplinaryactionunderORS240.555. Instructions: Contractorandsupervisorwillsignpriortostartofwork.ReturnoriginaltotheDHSProjectManagerordesignee. B) IcertifythatIhavereadtheforegoing.MysignaturebelowmeansthatIunderstandtheprovisionsoflawpertainingtotheconfidentialityofDHSrecordsandinformation.IalsounderstandthattheselawsmaychangefromtimetotimeandthatitismyresponsibilitytoreadandunderstandthesechangesasIamnotifiedofthem.9%X ,X9er4 hX 79  Name(pleaseprint): 4 ___________________________________________________________________________  <0 Signature:_______________________________________________  Date_____________________ n" 3 SupervisorsSignature:________________________________________________Date_____________________#& % #  $"7 X     @F  @r  @  @  @A  @  @  @u X[XXX[0 @ #& %XX[# X[XXX[0@%(#(# ExhibitE X  7 INFORMATIONFORCRIMINALHISTORYCHECK#& %XX[%#օXX[   *8F9Xddd Xdd Xdd XX%X%,m dd ,dd , dd +  % 2 %@] ] *** 5EօHIRINGSUPERVISORTOCOMPLETETHISSECTION #օ5E4 #*** * > *3pNameofDHSSupervisor=p3 $f $3pAgency/Address=p3  f 3pPhoneNumber/Extension=p3(f    (*:F;dXdm dd m dd  dd 8F9X%X%,s#dd +  ! 4  !@ ***5Eօ TOBECOMPLETEDBYAPPLICANT/EMPLOYEE #օ5E #***(@   (KX X (#X ,X9er4 hXK  Name(PleasePrint) Last    h First     p Middle    DateofBirth u  AF<) xdEX (#A  Y OtherName(s)Used:(MaidenName,PreviousMarriedName(s),Aliases,LegalNameChanges,AssumedNames,etc.)#& %օ#X[XXX[AF<)V' s#dEV' s#A#& %XX[#օXX[ 2 o #& %օ#n9XX[33#& %n9m#33օXX[Sex     SocialSecurityNumber(PerSignedConsentBelow) p     DriversLicenseNumber/IssuingState  Q   G #& %օ#օXX[Male#& %օ#օXX[  Female#& %օ=#օXX[ #& %օ#օXX[ "  AF<)Vs#dEVs#A %+ ^ WARNING:Falselyrespondingtoanyofthequestionslistedbelowdisqualifiesyourapplicationbylaw.  +  EX  X (#X X XE1.  Yes  No0 HaveyoulivedoutsidetheStateofOregonanytimeduringthefive(5)yearpriortodaysdate?!  % % N2.  Yes  No0 Haveyoueverbeenconvictedofanycrimelistedonthebackofthisform(orthesubstantialequivalentofanyofthe  crime(s)iftheconvictionoccurredinanotherjurisdictionorinOregonunderadifferentstatutorynameornumber)?  % % IfYES,placean(X)intheboxbesidethecrime(orthesubstantiallyequivalentcrime)and,onaseparatesheetofpaper,describethecircumstancesbywhichyouwereconvictedofthecrime(s)andprovideanyinformationyouhavetohelpusunderstandwhyyoubelieveyourconviction(s)WILLNOTposearisktopersonsinthecareoforreceivingservicesfromDHS,orotherpreventyoufromfulfillingtheresponsibilitiesofyourjob.3.  Yes  No0 Doyouhaveaconcealedhandgunlicense?N$ % % @T T %`; 5EօAUTHORIZATIONTODISCLOSESOCIALSECURITYNUMBER#օ5E1#  `' %#OAR410070000authorizesDHStorequestyoutovoluntarilyprovideyourSocialSecurityNumbertoDHSforuseasanidentificationnumberforcriminalrecordchecks.FailuretoprovideyourSocialSecurityNumberwillnotbeusedasabasistodenyyouanyrightorbenefit,orprivilegeprovidedbylaw.IfyouprovideyourSocialSecurityNumberandconsenttoitsuse,itwillbeusedonlyforthepurposestatedaboveandwillnotbegiventothegeneralpublic.BysigningthisconsenttodiscloseyourSocialSecurityNumber,youauthorizeDHStodiscloseyourSocialSecurityNumbertoothersifsuchdisclosureisnecessaryforthepurposestatedabove.______________________________________________________________________________________________________________________ConsultantsSignature     h      p       Date u/ %8@  5EօAFFIRMATIONOFACCURATEINFORMATION#օ5E#  80 %~Ihavereviewedandcompletedbothsidesofthisformasapplicabletome.Iunderstandthatsubmittingfalseinformationwilldisqualifymefromworkingat/forDHS.Bymysignaturebelow,Iherebyaffirmthatallinformationprovidedonbothsidesofthisform,andallattachmentsthereto,aretrueandaccurate.    73    @  @  @ ***5Eօ CONSULTANTSSIGNATUREMUSTBEWITNESSED#օ5E # 󀀀*** 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 %% h-$*e=F>dds#dd s#:F;X%X%e,dd ,Wdd +  % 0'$C %@ \***5Eօ DHSPERSONNELSERVICESUSEONLY #օ5E&#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#& %օ# n+)J      ^    ;  N  <  u _ օXX[ "/,P *xFdddd Wdd W=F>X%X%x, $dd +   X #& %օ#*#X[XXX[@I I \ IMPORTANTNOTICETOCONSULTANT   d #& %XX[-+#0XX[YOURSIGNATUREONTHEFRONTOFTHISFORMMEANSYOUHAVEREVIEWEDTHISLISTOFCRIMESANDCHECKMARKED(4)THOSE  CRIMESFORWHICHYOUHAVEBEENCONVICTED.YOURSIGNATUREALSOGRANTSPERMISSIONFORDHSTOVERIFYANYANDALLINFORMATIONYOUHAVEPROVIDEDONTHISFORMANDATTACHEDDOCUMENTS,IFANY.#& %0+#օXX[ f  #& %օE-#n9XX[ffӀ#& %n9-#օXX[ 4 ff-#& %օ-#0XX[SpecificCrimes:(_ ORS_ ):#& %0b.#0XX[ s #& %0.#X[XXX[ffffQ/`" F X XX^ ; N <u|,,Xh4!X`#& %XX[2/#օXX[( X%X%(o0 W 162.0250WuWuBribeReceivingP uu o0 W 162.0650WuWuPerjuryv uu o0 W 162.1550WuWuEscapeIIL  uu o0 W 162.165  EscapeI r WuWu o W 162.185  SupplyingContraband H   o0 W 162.2050WuWuFailuretoAppearI nuu o0 W 162.2350WuWuObstructingGovernmentalorJudicialAdministrationD uu o0 W 162.2650WuWuBribingaWitness j uu o0 W 162.2750WuWuBribeReceivingByaWitness@ uu o0 W 162.2850WuWuTamperingWithaWitness f uu o0 W 162.3050WuWuTamperingWithPublicRecords< uu o0 W 162.3250WuWuHinderingProsecution b uu o W 163.095  AggravatedMurder 8  o W 163.115  Murder ^  o W 163.118  ManslaughterI 4  o W 163.125  ManslaughterII Z  o W 163.145  CriminallyNegligentHomicide 0  o0 W 163.1600WuWuAssaultIVVuu o W 163.165  AssaultIII , o W 163.175  AssaultII R o W 163.185  AssaultI ( o0 W 163.1900WuWuMenacingNuu o0 W 163.1950WuWuRecklesslyEndangeringAnother$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  Criminal_ Nonsupport_  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#& %օ0#0XX[(engaging ,j in)#& %0P#օXX[Rk5&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&&CriminalDrivingWhileSuspendedorRevokedorinViolationofa v Permit 5&5& o0  811.54005&&FleeingorAttemptingtoEludePolicer5&5& o0  811.70005&&FailuretoPerformdutiesofDriverWhenPropertyisDamaged5&5& o0  811.70505&&HitandRunVehicle(Injury)n 5&5& o0  813.01005&&DrivingUndertheInfluenceofIntoxicant#& %օQ#/ 5&5&    5     Q##<#   G"  $    5    D-* ( XuXu(DX[XXX[  %X[XXX[H8օdd8 X #%& %X%X[^##& %%%& 2^#  @@ X[XXX[ %X[XXX[ExhibitFPersonalServicesContract100322kristenpsk#X[XX%X[6_# < ProposaltoDepartmentofHumanServices#& %XX[_#X[XXX[DatedAugust22?????,2001&SignedbyMikeWright #& %XX[#`#