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I1  /C)  _X sXXX^._sX.#I:\PMO\Templates\Contract Templates\examples\sow_100795_prodx.wpdI:\PMO\Templates\ContractTemplates\examples\sow_100795_prodx.wpd/  #sX_^.f#        `     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 Regular        X + `*Times New RomanTT(hH  Z 6Times New Roman Regular  d ^ /C)  XvXXk:\jhart\rfp\292\rfp292.wpd `     h      p      x   (#  %   1 X 7  #X[Xv7# .  /C)    %X[XXX%sXX%X[.#I:\PMO\Templates\Contract Templates\examples\sow_100795_prodx.wpdI:\PMO\Templates\ContractTemplates\examples\sow_100795_prodx.wpd/  #sX%sX7#%sXsX(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$Triangle0 %2A`ArialTT #E } /C)  XvXXk:\jhart\rfp\292\rfp292.wpd `     h      p      x   (#  %   1 X 7  #X[Xv7#&)Q%XX[ dFFFF'dxd I  /C)    %X[XXX%sXX%X[.#I:\PMO\Templates\Contract Templates\examples\sow_100795_prodx.wpdI:\PMO\Templates\ContractTemplates\examples\sow_100795_prodx.wpd/  #sX%sX7#5K+sX#sX+5Ku#%sXsX   (uH Z DTimes New Roman (PCL6) Regular<   p`(&Times New Roman       TABLE D \R3' Letter\ X   [/Q+ d  _H ~G XX  SAMPLE#X[XG H ~7#((3/Q$ !   d  C /C)  _X ^._XX.#I:\PMO\Templates\Contract Templates\examples\sow_100795_prodx.wpdI:\PMO\Templates\ContractTemplates\examples\sow_100795_prodx.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  8[XXdd8TRY<3'letterheadX3' Letter3'letterhead3'TVU vXXDisclaimer: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.ZTheviewsandopinionsoftheoriginatorsexpressedthereindonotnecessarilystateorreflectthoseofthe_DHS_,_OIS_,_PMO_,_OCP_,oranyagencyorentitiesthereof.Texttakenfromtheseexamplesandusedtodevelopsimilarsolicitationsandcontractswillnotreplacetheappropriatestepsnecessaryforapproval.#X[Xv#  `  @* H        `     h      p      ` Contract#100795  d       `     h      p      x    StateofOregonPersonal/ProfessionalServicesContract  l    ThiscontractisbetweentheStateofOregonactingbyandthroughitsDepartmentofHumanServices,OfficeofInformationServices,hereinafterreferredtoas  _DHS_ ,and 0 vXX[Ԁ#X[Xv #     ProfessionalDataExchange(_ProDX_) x 222SWColumbia,Suite500Portland,OR97201  P    hereinafterreferredtoas"Contractor.'X,XXX' III.0  STATEMENTofWORK 0"%% Thestatementofwork(the Work)includingthedeliveryscheduleforsuchworkiscontainedinExhibitA,attachedandincorporatedbyreferenceintothiscontract.Contractoragreestoperformtheworkinaccordancewiththetermsandconditionsofthiscontract.**+ +*SeeExhibitAStatementofWorkonnextpage.*+ + "t ' $  $ SusanEastmanordelegate  OfficeofInformationServices  OregonDepartmentofHumanServices  500SummerSt,NE  SalemOR97310  &)Q%XX[  #X[X%&)Q"#V.0  TRAVELandPERDIEM&)Q%XX[*'/%%  #X[X%&)Q6##Notravelorotherexpensesshallbepaidinadditiontothecostherein. +(0  $ $ VI.0  CONTRACTinitsENTIRETY $ 3X,XS` XX,XX3$!ThisContractconsistsofthisdocumentandincludesthefollowinglistedexhibitswhicharelistedindescending %8#* orderofprecedenceandareattachedandincorporatedintothisContractbyreference: A. 0  ExhibitA:0S%%StatementofWorkT(%-S%S%  B. 0  ExhibitB:0S%%GeneralProvisionsD)&.S%S%  C. 0  ExhibitC:0S%%CertificationStatementforIndependentContractor4*'/S%S%  D.   ExhibitD:0 S ConfidentialityAgreement$+(0S%S% L 4(3 L 3   3a'2  E  .3  0    ExhibitE:0S%%CriminalHistoryAgreement3a''݌,)1S%S% Ќ  L ((4L F.   Exhibit F:0 S Solicitation#962-*2S%S%  G.   ExhibitG:0 S ContractorsProposaltoSolicitation#962!$ $"Therearenoothercontractdocumentsunlessspecificallyreferencedandincorporatedinthecontract.&)Q%XX[  h'%, 9X,X` XX,XS` X9#X[X%&)Q)#VII.0  MERGERCLAUSE;WAIVER ,)&.%% Thiscontractandattachedexhibitsconstitutetheentireagreementbetweenthepartiesonthesubjectmatterhereof.Therearenounderstandings,agreements,orrepresentations,oralorwritten,notspecifiedhereinregardingthiscontract.Nowaiver,consent,modificationorchangeoftermsofthiscontractshallbindeitherpartyunlessinwritingandsignedbybothpartiesandallnecessaryStateapprovalshavebeenobtained.Suchwaiver,consent,modificationorchange,ifmade,shallbeeffectiveonlyinthespecificinstanceandforthespecificpurposegiven."#Thefailureof_DHS_Ԁtoenforceanyprovisionofthiscontractshallnotconstituteawaiverby_DHS_Ԁofthatorany h'%, otherprovision.&)Q%XX[ T(%-   #X[X%&)Q:,#6X,XeS` XX,XS` X6&)Q%XX[3P+CONTRACTOR,BYEXECUTIONofTHISCONTRACT,HEREBYACKNOWLEDGESTHATCONTRACTOR *'/ HASREADTHISCONTRACT,UNDERSTANDSIT,ANDAGREESTOBEBOUNDBYITSTERMSANDCONDITIONS.#X[X%&)Q,#2XeXXX[ +p)1  &)Q%XX[#&)Q% %2&-# VIII.0 e CONTRACTORDATAandCERTIFICATION;SIGNATURESz-"+3e%e%  #X[X%&)Q".##$ XX[$#Name(exactlyasfiledwiththeIRS)________________________________________________#$9X,XF XX,XS` X9Address F ______________________________________________________________________ .(%- 9X,XFXX,XF X90   F ______________________________________________________________________(&.%% Telephone:()_________________Facsimile:()_________________Citizenship,ifapplicable:Nonresidentalien[]Yes[]No#X[X .#$ XX[$ *((0 X$##$BusinessDesignation(checkone):[]Corporation(completionofExhibit C not requiredforCorporationsonly)  ,)2 []ProfessionalCorporation[]Partnership[]SoleProprietorship?X ,XFXhXX,XFX?[]LimitedLiabilityCompany[]LimitedPartnership[]LimitedLiabilityPartnership$#X[X z!#HX&)Q%XX[0   $$ % FederalTaxID#:____________________OR_SSN_:_____________________  V%"* %#X[X%&)Q##%EFXX[#X[XEF4#XH XX[%%AbovePaymentinformationmustbeprovidedpriortocontractapproval.ThisinformationwillbereportedtotheInternalRevenue &:$, Services(IRS)underthenameandtaxpayeridentificationsubmitted.(SeeIRS1099foradditionalinstructionsregardingtaxpayerI.D.numbers.)InformationnotmatchingIRSrecordscouldsubjectContractorto31percentbackupwithholding.#X[X G5#sXXX[#X[XsX 7#% XX[% Certification: TheindividualsigningonbehalfofContractorherebycertifiesandswearsunderpenaltyofperjury:(a)thenumbershown  )&0 onthisformisContractorscorrecttaxpayeridentification;(b)Contractorisnotsubjecttobackupwithholdingbecause(_i_)Contractorisexemptfrombackupwithholding,(ii)ContractorhasnotbeennotifiedbytheIRSthatContractorissubjecttobackupwithholdingasaresultofafailuretoreportallinterestordividends,or(iii)theIRShasnotifiedContractorthatContractorisnolongersubjecttobackupwithholding;(c)s/heisauthorizedtoactonbehalfofContractor,s/hehasauthorityandknowledgeregardingContractorspaymentoftaxes,andtothebestofher/hisknowledge,ContractorisnotinviolationofanyOregontaxlawsasdefinedinOAR150305.385,referencedinExhibitB,paragraph12ofthiscontract;(d)Contractorisanindependentcontractorasdefinedin_ORS_Ԁ670.600;and(e)theaboveContractordataistrueandaccurate.%#X[X B'#;%&)Q%XX[& X 0 , XX,XX0&#X[X%&)Q+#&&)Q%XX[IX. 0  CONTRACTORS:YOUWILLNOTBEPAIDFORSERVICESRENDEREDPRIORTO &t$, NECESSARYSTATEAPPROVALS. $$  #X[X%&)Qu<#^._XX[ 0 ,  X , X0#X[X_^.a=#A.0  &)Q%XX[Contractor:#X[X%&)Q >#&)Q%XX[)&/$$ #X[X%&)QV>#^._XX[  #X[X_^.>#&)Q%XX[<  IXX ,  X<0  By: I Title:     2     Date:_______________?+(2$$ >Ӏ#X[X%&)Q?#&)Q%XX[ ,)3  #X[X%&)QE@#&)Q%XX[B.0  DepartmentofHumanServices,OfficeofInformationServices: #X[X%&)Q@#^._XX[EX<VX  IXXE,*4$$ #X[X_^./A#=&)Q%XX[ 9  e           q#X[X%&)QA#& XX[&ChiefInformationOfficer&#X[X 2#&)Q%XX[<X eV7XX,XX< e (     V q(#X[X%&)Q3#( XX[ԀDeputyChiefInformationOfficer#X[X >#&)Q%XX[ &t$, Q(  wI 2"XX eV7XQ e By:_________________________________Title: V q#X[X%&)Q># XX[ԀComputerCenterManager#X[X ?#&)Q%XX[   L  - Date:_______________ 'L%- #X[X%&)Q+@#(& B&( XX[T"  wX2XY"X  wI 2"XT30 e Address:500SummerStNE,SalemOR97310#X[X @#&)Q%XX[|($&.e$e$ #X[X%&)QA#&)Q%XX[ #X[X%&)Q&B#&)Q%XX[C.0 e #X[X%&)QlB#WA((&)Q%XX[REVIEWED:#X[X%&)QB#&)Q%XX[ B*'0e$e$  #X[X%&)Q/C#^._XX[ #X[X_^.C#&)Q%XX[ e By:   u      }   Date:_______________#X[X%&)QC#&)Q%XX[ +q)2  e   #X[X%&)QD#( XX[(Dwight_Endicott_,_DHS_/_OIS_ԀContractsCoordinator,DepartmentofHuman ,^*3 Services,ordelegate(-8#X[X h:#   8dXXd8  '`%- VU VTRX3' LetterY<3'letterhead3' Letter3'letterheadT X   V  ExhibitA   StatementofWork;AcknowledgedandAgreedbytheParties:  wj TheContractorshallprovidesystemdesignandprogrammingservices,includingCOBOLII,_Easytrieve_ԀPlus, E8 CICS,CA_Intertest_Ԁand_VSAM_ԀandDB2filestructures.Thetasksshallbeperformedusingestablished_DHS_/_OIS_Ԁdevelopment,maintenanceandacceptancecriteriamethodologiessetforthin_DHS_sInformationSystemsStandardsandProceduresManual.Writtendocumentationshallbeupdatedandstoredinestablished_DHS_/_OIS_Ԁlibrariesusingexisting_DHS_/_OIS_documentationstandardssetforthin_DHS_sInformationSystemsStandardsandProceduresManual. Intheabsenceofestablished_DHS_/_OIS_Ԁdevelopment,maintenanceandacceptancecriteriamethodologies,   ContractorshallcompleteallworkdescribedintheStatementofWorkaccordingtomethodologiesandstandardsthatconformtodocumentationstandards,definitions,andrecommendedpracticesknowntobegenerallyacceptedintheindustry,unlessotherwiseapprovedinwritingby_DHS_.Unlessongoing,eachtaskshallbecompletedwithinthetimeframeandapprovedbythe_DHS_ԀProjectManagerandunlessoverlapping,workshallnotbestartedonthenexttaskuntiltheprioroneiscomplete.Ifoverlappingtasks,thenworkshallbecloselymonitoredandstoppedifthe_DHS_ԀProjectManagerdoesnotapprovethepriortask.@tt)t )XXXX[Task#1:DefineandSelectDataforUserTestingNeedsandExecuteTests   Contractorshallconsultwith_DHS_ԀProjectManagerandstaff,asidentifiedby_DHS_ԀProjectManager,todefine ]P anddocumentwhattestingdataisneededfortheCBC/512raterestructureproject.Thisshallinclude,butnotbelimitedto,L h3 L 3   3G23  0 e   Consultingwith_DHS_ԀProjectManagerand_DHS_Ԁidentifiedstaff#X[XX)XE#;3GG݌e$e$ Ќ   3   3"I23  0 e   )XXXX[Definitionanddocumentationoftestingdata#X[XX)XI#;3"IMI݌cVe$e$ Ќ   3   3EJ23  0 e   Creationofreportsbasedon_DHS_Ԁsuppliedspecifications;3EJpJ݌1$e$e$ Ќ   3   3RK23  0 e   )XXXX[Executionoftestruns;#X[XX)XK#Ԁ3RK}K݌e$e$ Ќ   3   3`L23  0 e   )XXXX[Generationofsaid#X[XX)XL#)XXXX[Ԁreports;#X[XX)X%M#and3`LL݌ e$e$ Ќ   3   )XXXX[3M23  0 e   Backingup/restoringofdata#X[XX)XM#.3MN݌!e$e$ Ќ  L hhL)XXXX[#X[XX)X6O# )XXXX[Deliverable #X[XX)X|O# 7*# (XXXX[TheContractorshalldeliversoftwarecomponentsandservicesconsistentwithrequirementsofTask#2to_DHS_ $ ProjectManagerforacceptanceandapproval.Makecorrectionsapprovedby_DHS_ԀProjectManager.#X[XX(XO# % @tt)t (XXXX[DeliverableDueDate: #X[XX(XoQ# December15,20010  0$$0V$$ NottoExceedcost: $34,320.00($66/hr.X520hrs.)o!b'V$V$  )XXXX[Task#2:IdentifiedConstruction/ModificationandImplementationofProgramsandFiles #X[XX)XrR# #!* (XXXX[Contractorshallconstructor#X[XX(X"S#)XXXX[modifyandimplementprograms/filesthatwillcontroltheprocessingofrateson $"+ theJD/CBCsystem#X[XX)XS#(XXXX[,basedon_DHS_ԀsuppliedProjectDesigndocumentandcriteria#X[XX(X:T#. u%h#,  (XXXX[Deliverable: TheContractorshalldeliversoftwarecomponentsconsistentwithrequirementsofTask#2to_DHS_ '%. ProjectManagerforacceptanceandapproval.Makecorrectionsapprovedby_DHS_ԀProjectManager.#X[XX(XT# '%/  (XXXX[DeliverableDueDate: #X[XX(XpV# December20,2001 0  0$$0V$$ NottoExceedcost: $2,640.00($66/hr.X40hrs.){)n'1V$V$  (XXXX[Task#3:PostImplementation  ,*5 _Contractorshallperformdesignchanges,programming,acceptancetestingorimplementationtoaddressunforeseenerror(s),newlydiscoveredbugsand/orinterfacingissues._DHS_ԀstaffshallidentifyandapproveallworksubjecttothissectioninadvanceofContractorprovidingservices. Deliverable:  E8 TheContractorshalldeliver,throughimplementation,programsconsistentwiththetasknarrativeabove.TheContractorshalldemonstratesuccessfulimplementationoftheproductionsystemsconsistentwithrequirementsofthisStatementofWorkto_DHS_ԀProjectManagerforacceptanceandapproval.Makecorrectionsapprovedby_DHS_ԀProjectManager#X[XX(XW# }p  (XXXX[DeliverableDueDate :PostImplementationwillcontinueforthefulltermofcontract.      N%X X` D"(#%X eV7XN NottoExceedTotalHours: #X[XX(X2[#Ԁ 2400  NottoExceedcost: $15,840.00($66/hr.X240hrs.) ;;)XXXX[  $$ #X[XX)X\#)XXXX[ #X[XX)X2]#   0  0` $$0 ` $` $0 $ $TotalNottoExceedcost:_$52,800.00-0"$$-__- $$ - __- $$ -__- $$ -__- $$ -__-  $$ -, ,__- $$ -__- $$ -__- $$ -__- $$ -_ $$ T&'/V,,,ExhibitB   GeneralProvisions   ,`,   1.0  IndependentContractor;ResponsibilityforTaxesandWithholding $$ T(X u}L"XX X,` D"(#XT0  a. 0$$ContractorshallperformallrequiredWorkasanindependentcontractor.Although_DHS_Ԁreservesthe  rightto(1)determine(andmodify)thedeliveryschedulefortheWorktobeperformedand(2)evaluatethequalityofthecompletedperformance,_DHS_ԀcannotandwillnotcontrolthemeansormannerofContractor'sperformance.ContractorisresponsiblefordeterminingtheappropriatemeansandmannerofperformingtheWork. $$ 0  b. 0$$IfContractoriscurrentlyperformingworkfortheStateofOregonorthefederalgovernment,Contractor I <  bysignaturetothiscontractdeclaresandcertifiesthat:ContractorsWorktobeperformedunderthiscontractcreatesnopotentialoractualconflictofinterestasdefinedby_ORS_Ԁ244andnorulesorregulationsofContractorsemployingagency(stateorfederal)wouldprohibitContractorsWorkunderthiscontract.Contractorisnotan officer, employee,or agentof_DHS_,asthosetermsareusedin_ORS_Ԁ30.265. $$ 0  c. 0$$Contractorshallberesponsibleforallfederalorstatetaxesapplicabletocompensationorpaymentspaid  toContractorunderthiscontractand,unlessContractorissubjecttobackupwithholding,_DHS_Ԁwillnotwithholdfromsuchcompensationorpaymentsanyamount(s)tocoverContractorsfederalorstatetaxobligations.ContractorisnoteligibleforanySocialSecurity,unemploymentinsuranceorworkerscompensationbenefitsfromcompensationorpaymentspaidtoContractorunderthiscontract,exceptasaselfemployedindividual. $$  2.0  SubcontractsandAssignment;SuccessorsinInterest 9,$$ 0  a. 0$$ContractorshallnotenterintoanysubcontractsforanyoftheWorkrequiredbythiscontract,orassign  ortransferanyofitsinterestinthiscontract,withoutthepriorwrittenconsentof_DHS_.Inadditiontoanyotherprovisions_DHS_Ԁmayrequire,ContractorshallincludeinanypermittedsubcontractsunderthiscontractarequirementthatthesubcontractorbeboundbySections2,6,7,11,and13ofthisexhibitasifthesubcontractorweretheContractor._DHS_sconsenttoanysubcontractshallnotrelieveContractorofanyofitsdutiesorobligationsunderthiscontract. $$ 0  b. 0$$Theprovisionsofthiscontractshallbebindinguponandshallinuretothebenefitofthepartieshereto,  |! andtheirrespectivesuccessorsandpermittedassigns,ifany. $$  3.0  NoThirdPartyBeneficiaries. _DHS_ԀandContractoraretheonlypartiestothiscontractandaretheonly Q#D!$ partiesentitledtoenforceitsterms.Nothinginthiscontractgives,isintendedtogive,orshallbeconstruedtogiveorprovideanybenefitorright,whetherdirectly,indirectlyorotherwise,tothirdpersonsunlesssuchthirdpersonsareindividuallyidentifiedbynamehereinandexpresslydescribedasintendedbeneficiariesofthetermsofthiscontract. $$  4.0  FundsAvailableandAuthorized;Payments (&*$$ 0  a. 0$$ContractorshallnotbecompensatedforWorkperformedunderthiscontractbyanyotheragencyor )'+ departmentoftheStateofOregon._DHS_Ԁhassufficientfundscurrentlyavailableandauthorizedforexpendituretofinancethecostsofthiscontractwithin_DHS_'sbiennialappropriationorlimitation.Contractorunderstandsandagreesthat_DHS_'spaymentofamountsunderthiscontractattributabletoWorkperformedafterthelastdayofthecurrentbienniumiscontingenton_DHS_ԀreceivingfromtheOregonLegislativeAssemblyappropriations,limitations,orotherexpenditureauthoritysufficientto i.\,0 & & X &  _allowDHS,intheexerciseofitsreasonableadministrativediscretion,tocontinuetomakepaymentsunderthiscontract. $$ 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$$ContractorsLimitationofLiability :Contractorsliabilitywithrespecttoitems(5)and(6)of  subsection5aaboveshallnotexceed:(1)twicethetotalcontractamount(includinganyamendments)or(2)$100,000whicheverisgreater. $$ 0  c.0$$WarrantiesCumulative :Thewarrantiessetforthinthissectionareinadditionto,andnotinlieuof, uh anyotherwarrantiesprovided. $$  6.0  OwnershipofWorkProduct. AllworkproductofContractorthatresultsfromthiscontract("theWork =0 Product")istheexclusivepropertyofDHS.DHSandContractorintendthatsuchWorkProductbedeemed workmadeforhireofwhichDHSshallbedeemedtheauthor.IfforanyreasontheWorkProductisnotdeemed workmadeforhire,ContractorherebyirrevocablyassignstoDHSallofitsright,title,andinterestinandtoanyandalloftheWorkProduct,whetherarisingfromcopyright,patent,trademark,tradesecret,oranyotherstateorfederalintellectualpropertylawordoctrine.ContractorshallexecutesuchfurtherdocumentsandinstrumentsasDHSmayreasonablyrequestinordertofullyvestsuchrightsinDHS.ContractorforeverwaivesanyandallrightsrelatingtotheWorkProduct,includingwithoutlimitation,anyandallrightsarisingunder17USC106Aoranyotherrightsofidentificationofauthorshiporrightsofapproval,restrictionorlimitationonuseorsubsequentmodifications. $$  7.0  Indemnity. e"X #$$   XXXX[a.GeneralIndemnity: Contractorshalldefend,holdharmlessandindemnifytheStateofOregon,DHS U#H!$ and0  itsagencies,subdivisions,officers,employeesandagentsfromandagainstallclaims,suits,actions, E$8"% losses,damages,liabilities,costsandexpensesofanynatureresultingfrom,arisingoutof,orrelatingtotheactivitiesofContractororitsofficers,employees,subcontractors,oragentsunderthisContract. $$   b.IntellectualPropertyIndemnity: Withoutlimitingthegeneralindemnityprovision,Contractorexpressly '%) 0  agreestodefend,holdharmlessandindemnifytheStateofOregon,DHSanditsagencies,subdivisions,officers,employeesandagentsfromandagainstallclaims,suits,actions,losses,damages,liabilities,costsandexpensesofanynatureresultingfromorinconnectionwithanyclaimsthattheWork,Developments,SystemorDeliverablesorusethereofinfringeanypatent,copyright,tradesecret,orotherproprietaryright(referredtoas"IntellectualPropertyRights")ofanythirdparty;provided,thatDHSshallprovideContractorwithpromptwrittennoticeofanyinfringementclaim.Contractorshallhavecontrolofthedefenseandsettlementoftheclaim;providedthattheStateofOregonorDHSmayassumeitsowndefenseandsettlementintheeventthattheStateofOregonorDHSdeterminesthatContractorisnotadequately Y/L-1 defendingitsinterestorthatanimportantgovernmentalprincipleisatissueandtheStateofOregonorDHSdesirestoassumeitsowndefense.IfContractor,initssolediscretion,believesatanytimethattheWork,Developments,SystemorDeliverablesinfringeathirdparty'sIntellectualPropertyRights,Contractormay,atitsownexpenseandoptionanduponreceiptofDHS'spriorwrittenconsent,replaceaninfringingitemwithanoninfringingitemthatmeetsorexceedstheperformanceandfunctionalityofthereplaceditem.#X[XXX~#$$  8.0  Insurance $$ 0  a. 0$$DuringthetermofthiscontractContractorshallmaintaininforceatitsownexpense,eachinsurance t notedbelow: $$ ]+X 'u}L"XX u}L"X]0  0$$ (1) 0'$$WorkersCompensationinsuranceincompliancewithORS656.017,whichrequiressubject ] P  employerstoprovideOregonworkerscompensationcoverageforalltheirsubjectworkers. '$'$   , 0  0$$ $$     (2) 0 ' GeneralLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan %   $1,000,000eachoccurrenceforBodilyInjuryandPropertyDamage.Itshallincludecontractualliabilitycoveragefortheindemnityprovidedunderthiscontract.ItshallprovidethattheStateofOregon,DepartmentofHumanServices,andtheirdivisions,officersandemployeesareAdditionalInsuredsbutonlywithrespecttotheContractorsservicestobeprovidedunderthiscontract. '$'$  0    (3)0'$$ AutomobileLiabilityinsuranceasrequiredbytheOregonFinancialResponsibilityLaw(ORS  806.060),includingcoverageforowned,hiredornonownedvehicles,asapplicable. &)Q%XX['$'$ #X[X%&)QO#0    (4)0'$$ ProfessionalLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan eX $1,000,000eachclaim,incidentoroccurrence.Thisistocoverdamagescausedbyerror,omissionornegligentactsrelatedtotheprofessionalservicestobeprovidedunderthiscontract. A4'$'$ 0  0$$ $$ 0  b. 0$$ 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. $$  9.0  Termination E#8!$$$ 0  a.0$$PartiesRighttoTerminateforConvenience :Thiscontractmaybeterminatedatanytimebymutual %#& writtenconsentoftheparties. $$ 0  b.0$$DHSsRighttoTerminateforConvenience :DHSmay,atitssolediscretion,terminatethiscontract, '%) inwholeorinpart,upon30daysnoticetoContractor. $$ 0  c.0$$DHSsRighttoTerminateforCause :DHSmayterminatethiscontract,inwholeorinpart, *(, immediatelyuponnoticetoContractor,oratsuchlaterdateasDHSmayestablishinsuchnotice,upontheoccurrenceofanyofthefollowingevents: $$ 0  0$$ (1)0'$$ DHSfailstoreceivefunding,orappropriations,limitationsorotherexpenditureauthorityatlevels a.T,0 sufficienttopayforContractorsWork;Q/D-1'$'$ Ї0  0$$ (2)0'$$ FederalorStatelaws,regulationsorguidelinesaremodifiedorinterpretedinsuchawaythateither  theWorkunderthiscontractisprohibitedorDHSisprohibitedfrompayingforsuchWorkfromtheplannedfundingsource; '$'$ 0  0$$ (3)0'$$ ContractornolongerholdsanylicenseorcertificatethatisrequiredtoperformtheWork;orv'$'$ 0  0$$ (4) 0'$$Contractorcommitsanymaterialbreachordefaultofanycovenant,warranty,obligationor R agreementunderthiscontract,failstoperformtheWorkunderthiscontractwithinthetimespecifiedhereinoranyextensionthereof,orsofailstopursuetheWorkastoendangerContractorsperformanceunderthiscontractinaccordancewithitsterms,andsuchbreach,defaultorfailureisnotcuredwithin10businessdaysafterdeliveryofDHSsnotice,orsuchlongerperiodasDHSmayspecifyinsuchnotice. '$'$ 0  d.0$$ContractorsRighttoTerminateforCause :Contractormayterminatethiscontractupon30days    noticetoDHSifDHSfailstopayContractorpursuanttothetermsofthiscontractandDHSfailstocurewithin30daysafterreceiptofContractorsnotice,orsuchlongerperiodofcureasContractormayspecifyinsuchnotice. $$    e.0  Remedies :j$$     (1) 0 ' IntheeventofterminationpursuanttoSections9a,9b,9c(1),9c(2)or9dofthisexhibit, Z ContractorssoleremedyshallbeaclaimforthesumdesignatedforaccomplishingtheWorkmultipliedbythepercentageofWorkcompletedandacceptedbyDHS,lesspreviousamountspaidandanyclaim(s)whichStatehasagainstContractor.IfpreviousamountspaidtoContractorexceedtheamountduetoContractorunderthisSection,ContractorshallpayanyexcesstoDHSupondemand. '$'$    0  (2)0'$$ IntheeventofterminationpursuanttoSection9c(3)or9c(4)ofthisexhibit,DHSshallhaveany  remedyavailabletoitinlaworequity.IfitisdeterminedforanyreasonthatContractorwasnotindefaultunderSection9c(3)or9c(4)ofthisexhibit,therightsandobligationsofthepartiesshallbethesameasifthecontractwasterminatedpursuanttoSection9bofthisexhibit. '$'$    f.0  ContractorsTenderUponTermination: Uponreceivinganoticeofterminationofthiscontract, r Contractorshallimmediatelyceaseallactivitiesunderthiscontract,unlessDHSexpresslydirectsotherwiseinsuchnoticeoftermination.Uponterminationofthiscontract,ContractorshalldelivertoDHSalldocuments,information,worksinprogressandotherpropertythatareorwouldbedeliverableshadthecontractbeencompleted.UponDHSsrequest,ContractorshallsurrendertoanyoneDHSdesignates,alldocuments,researchorobjectsorothertangiblethingsneededtocompletetheWork. $$   w 10.0  LimitationofLiabilities.EXCEPTFORLIABILITYARISINGUNDERORRELATEDTO $(#& SECTION5aOR9e(2)OFTHISEXHIBIT,NEITHERPARTYSHALLBELIABLEFOR(A)ANYINDIRECT,INCIDENTAL,CONSEQUENTIALORSPECIALDAMAGESUNDERTHECONTRACTOR(B)ANYDAMAGESOFANYSORTARISINGSOLELYFROMTHETERMINATIONOFTHISCONTRACTINACCORDANCEWITHITSTERMS. (&*$$  11.0  RecordsMaintenance;Access. Contractorshallmaintainallfiscalrecordsrelatingtothiscontractin r*(, accordancewithgenerallyacceptedaccountingprinciples.Inaddition,ContractorshallmaintainanyotherrecordspertinenttothiscontractinsuchamannerastoclearlydocumentContractor'sperformance.ContractoracknowledgesandagreesthatDHS,theOregonSecretaryofState'sOffice,theFederalGovernment,andtheirdulyauthorizedrepresentativesshallhaveaccesstosuchfiscalrecordsandallotherbooks,documents,papers,plans,andwritingsoftheContractorthatarepertinenttothiscontractforthepurposeofperformingexaminationsandaudits,andmakingexcerptsandtranscripts./<.2$$ '/V 'Xw '    Contractorshallretainandkeepaccessibleallsuchfiscalrecords,books,documents,papers,plans,andwritings0 ' foraminimumofthree(3)years,orsuchlongerperiodasmayberequiredbyapplicablelaw,  followingfinalpaymentandterminationofthiscontract,oruntiltheconclusionofanyaudit,controversyorlitigationarisingoutoforrelatedtothiscontract,whicheverdateislater. '$'$  12.0  CompliancewithApplicableLaw. Contractorshallcomplywithallfederal,stateandlocallaws, J regulations,executiveordersandordinancesapplicabletotheWorkunderthiscontract.Withoutlimitingthegeneralityoftheforegoing,Contractorexpresslyagreestocomplywith:(i)TitleVIofCivilRightsActof1964;(ii)SectionVoftheRehabilitationActof1973;(iii)theAmericanswithDisabilitiesActof1990andORS659.425;(iv)allregulationsandadministrativerulesestablishedpursuanttotheforegoinglaws;and(v)allotherapplicablerequirementsoffederalandstatecivilrightsandrehabilitationstatutes,rulesandregulations.DHSsperformanceunderthiscontractisconditioneduponContractorscompliancewiththeprovisionsofORS279.312,279.314,279.316,279.320,and279.555,whichareincorporatedbyreferenceherein. $$  13.0  ForeignContractor. IfContractorisnotdomiciledinorregisteredtodobusinessintheStateofOregon,  ContractorshallpromptlyprovidetotheOregonDepartmentofRevenueandtheSecretaryofStateCorporationDivisionallinformationrequiredbythoseagenciesrelativetothiscontract.ContractorshalldemonstrateitslegalcapacitytoperformtheWorkunderthiscontractintheStateofOregonpriortoenteringintothiscontract. $$  14.0  ForceMajeure. NeitherDHSnorContractorshallbeheldresponsiblefordelayordefaultcausedbyfire, P riot,naturaldisasters,orwarwheresuchcausewasbeyondthereasonablecontrolofDHSorContractor,respectively.Contractorshall,however,makeallreasonableeffortstoremoveoreliminatesuchacauseofdelayordefaultandshall,uponthecessationofthecause,diligentlypursueperformanceofitsobligationsunderthiscontract. $$  15.0  Survival. Allrightsandobligationsshallceaseuponterminationorexpirationofthiscontract,exceptfor  therightsandobligationssetforthintheContractSectionI.EFFECTIVEDATEANDDURATION,andinparagraphs5,6,7,9,10,11,15and21ofthisexhibit. $$  16.0  TimeisoftheEssence. Contractoragreesthattimeisoftheessenceunderthiscontract.R $$  17.0  WrittenNotice. Allnoticesregardingthiscontractmustbegiventothepartiesinwritingbypersonal .!l" deliveryormailingthesame,postageprepaid,tothefollowingaddresses: $$   `+X 'u}L"XX 'u}L"X`DHS:0 '   DwightEndicott,ContractsCoordinator,ordelegate #H!$'$'$ 0   '   OregonDepartmentofHumanServices $$ 0   '   500SummerStreetNE/MailingCodeE03 $$ 0   '   SalemOR973101080 $$ `+X ' }L"XX 'u}L"X`   '   FacsimileNumber:5033737365   '   PhoneNumber:50394561560   $$   Contractor:   SteveMacMillan,RegionalVicePresident  ~)'+   0 ' 0'$'$ ProfessionalDataExchange(ProDX)j*(,$$   0 ' 0'$'$222SWColumbia,Suite500 $$   0 ' 0'$'$Portland,OR97201 $$   0 ' 0'$'$PhoneNumber:5032261301,x2850 $$   0 ' 0'$'$FacsimileNumber:5037219958     } .X,0$$  /D-1 0  Anynoticedeliveredbyfacsimileshallbedeemedtobegivenwhenreceiptofthetransmissionisgeneratedbythetransmittingmachine.TobeeffectiveagainstDHS,suchfacsimiletransmissionmustbeconfirmedbytelephonenoticetoDHSsContractAdministrator. $$  X18.0  Severability. Thepartiesagreethatifanytermorprovisionofthiscontractisdeclaredbyacourtof  competentjurisdictiontobeillegalorinconflictwithanylaw,thevalidityoftheremainingtermsandprovisionsshallnotbeaffected,andtherightsandobligationsofthepartiesshallbeconstruedandenforcedasifthecontractdidnotcontaintheparticulartermorprovisionheldtobeinvalid. $$  19.0  Counterparts. Thiscontractmaybeexecutedinseveralcounterparts,allofwhichwhentakentogethershall  d constituteoneagreementbindingonallparties,notwithstandingthatallpartiesarenotsignatoriestothesamecounterpart.Eachcopyofthecontractsoexecutedshallconstituteanoriginal. $$  20.0  DisclosureofSocialSecurityNumber. ContractormustprovideContractorsSocialSecuritynumber p   unlessContractorprovidesafederaltaxInumber.ThisnumberisrequestedpursuanttoORS305.385,OAR12520410(3)andOAR150305.100.SocialSecuritynumbersprovidedpursuanttothisauthoritywillbeusedfortheadministrationofstate,federalandlocaltaxlaws. $$  21.0  GoverningLaw;Venue;ConsenttoJurisdiction. Thiscontractshallbegovernedbyandconstruedin  accordancewiththelawsoftheStateofOregonwithoutregardtoprinciplesofconflictsoflaw.Anyclaim,action,suitorproceeding(collectively,"Claim")betweenDHS(and/oranyotheragencyordepartmentoftheStateofOregon)andContractorthatarisesfromorrelatestothiscontractshallbebroughtandconductedsolelyandexclusivelywithintheCircuitCourtofMarionCountyfortheStateofOregon;provided,however,iftheclaimmustbebroughtinafederalforum,thenitshallbebroughtandconductedsolelyandexclusivelywithintheUnitedStatesDistrictCourtfortheDistrictofOregon.CONTRACTOR,BYTHEEXECUTIONOFTHISCONTRACT,HEREBYCONSENTSTOTHEINPERSONAMJURISDICTIONOFSAIDCOURTS. $$  22.0  Amendment. Thetermsofthiscontractmaynotbewaived,altered,modified,supplementedoramended, L inanymannerwhatsoever,exceptbywrittenagreementsignedbytheparties.Thiscontractwillnotbeamendedaftertheexpirationdate. $$  23.0  ConfidentialityofClientInformation $$ ](X u}L"XX ' }L"X]0  a. 0$$AllinformationastopersonalfactsandcircumstancesobtainedbytheContractorontheclientshallbe  ! treatedasprivilegedcommunications,shallbeheldconfidential,andshallnotbedivulgedwithoutthewrittenconsentoftheclient,hisorherattorney,theresponsibleparentofaminorchild,orhisorherguardianexceptasrequiredbyothertermsofthiscontract.Nothingprohibitsthedisclosureofinformationinsummaries,statistical,orotherformwhichdoesnotidentifyparticularindividuals. $$ 0  b. 0$$Theuseordisclosureofinformationconcerningclientsshallbelimitedtopersonsdirectlyconnected d& $' withtheadministrationofthiscontract.Confidentialitypoliciesshallbeappliedtoallrequestsfromoutsidesources. u   @(%)$$ 0  c. 0$$DHS,ContractorandanysubcontractorwillshareinformationasnecessarytoeffectivelyserveDHS ,)&* clients. $$  24.0  CompliancewithApplicableFederalLaw. Contractoragreestocomplywithallfederallawsand +)- regulationsapplicabletoworkperformedunderthiscontractinclusiveofbutnotlimitedto: $$  -x+/ 0  a.0$$ Totheextentitisrequiredtodosobylaw,Contractorshallabidebyallmandatorystandardsandpolicies X whichrelatetoenergyefficiencyandwhicharecontainedinthestateofOregonenergyconservationplanwhichwasissuedincompliancewiththeEnergyPolicyandConservationAct(PL94-163).Allsubcontractsshallalsobeincompliancewiththeforegoing. $$ 0   $$  0  b. 0$$Bysignatureonthiscontract,theundersignedcertifies,tothebestofhisorherknowledgeandbelief,  that: $$ Z(X wu}L"XX u}L"XZ0  0$$ (1)0r$$ Nofederallyappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfofContractor,to  h anypersonforinfluencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththeawardingofanyfederalcontract,themakingofanyfederalgrant,themakingofanyfederalloan,theenteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodificationofanyfederalcontract,grant,loan,orcooperativeagreement. r$r$ Z(X '}L"XX wu}L"XZ0  0$$ (2)0'$$ Ifanyfundsotherthanfederallyappropriatedfundshavebeenpaidorwillbepaidtoanypersonfor 8  influencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththisfederalcontract,grant,loan,orcooperativeagreement,ContractoragreestocompleteandsubmitStandardFormLLL"DisclosureFormtoReportLobbying,"inaccordancewithitsinstructions. '$'$ 0  0$$ (3) 0'$$Theundersignedshallrequirethatthelanguageofthiscertificationbeincludedintheaward X documentsforallsubawardsatalltiers(includingsubcontracts,subgrants,andcontractsundergrants,loans,andcooperativeagreements)andthatallsubrecipientsshallcertifyanddiscloseaccordingly. '$'$ 0  0$$Thiscertificationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscertificationisaprerequisiteformakingorenteringintothistransactionimposedbysection1352,title31,U.S.Code.Anypersonwhofailstofiletherequiredcertificationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure. $$ 0  c. 0$$ContractoragreestocomplywithExecutiveOrder11246entitledEqualEmploymentOpportunityas  ! amendedbyExecutiveOrders11375and12086andassupplementedinDepartmentofLaborRegulation41CFRpart60.Allsubcontractsshallalsocomplywiththeseprovisions. $$    d. 0  Ifthesumpayableunderthiscontractexceedsormayexceed$100,000,ContractorshallprovideDHS $4"% awrittenassurancethatContractorwillcomplywithallapplicablestandards,orders,orrequirementsissuedunderSection306oftheCleanAirAct(42USC7401et.seq.),theFederalWaterPollutionControlAct,asamended(33USC1251et.seq.),Section508oftheCleanWaterAct(33USC1368),ExecutiveOrder11738andEnvironmentalProtectionAgencyregulations(40CFRPart15).ContractorfurtheragreestopromptlyreportallinfractionstotheStateofOregon,andtotheDepartmentofHealthandHumanServices,andtotheU.S.RegionalOfficeoftheEnvironmentalProtectionAgency.Allsubcontractsshallalsobeincompliancewiththeseprovisions. $$  25.0  Year2000. IntheeventContractorlearnsorhasreasontobelievethatDHSscomputerhardwareor ,*. softwareenvironmentfailstouseadateformatthatexplicitlyspecifiescenturyinanydatedata,ContractorshallpromptlyadviseDHSofsuchfailure..`,0$$ Ї 26.0  DepartmentofJusticeApproval. Whenthecontractoramendmentstheretocausethecontractpayment X tobeinexcessof$75,000,theDepartmentofJusticemustapprovethecontractandanyamendmentsastoLegalSufficiency.Suchapprovalisrequiredbeforeanyworkmaybeginunderthiscontractoramendmentsthereto,orthecontractisnotbindingontheStateofOregonorDHS. $$  27.0  KeyPerson. ContractoracknowledgesandagreesthatDHSselectedContractor,andisenteringintothis  Contract,becauseofthespecialqualificationsofContractors KeyPerson(s).Inparticular,DHSthroughthisContract,isengagingtheexpertise,experience,judgmentandpersonalattentionof Clint | Morinaka ( KeyPerson).ContractorsKeyPersonshallnotdelegateperformanceoftheresponsibilities  l he/sheisrequiredtoprovideunderthisContracttoanother(other)ofContractorsemployee(s)withoutfirstobtainingthewrittenconsentofDHS.Further,Contractorshallnotre-assignortransferanyKeyPersontootherdutiesorpositionssuchthatanyKeyPersonisnolongeravailabletoprovideDHSwithhis/herexpertise,experience,judgment,andpersonalattention,withoutfirstobtainingDHSspriorwrittenconsenttosuchre-assignmentortransfer.IntheeventContractorrequeststhatDHSapproveare-assignmentortransferofanyKeyPerson,DHSshallhavetherighttointerview,reviewthequalificationsof,andapproveordisapprovetheproposedreplacementfortheKeyPerson.AnyapprovedsubstituteorreplacementforaKeyPersonshallbedeemedaKeyPersonunderthisContract. $$   0  Inaddition, X[XXX[theContractormustprovideareplacementforanyConsultantwhoceasesaffiliationwiththe  Contractor,whomDHSdeemsisnotperformingatanacceptablelevelorishinderingthesuccessfulcompletionofassignment(s),isunabletoperformassignedwork,orasrequiredbyDHS.TransitionschedulemustbeapprovedbyDHS.IntheeventthatDHSrequiressuchreplacement,theContractorshallpromptlysubstituteorengageotherqualifiedindividuals.AllsuchreplacementsaresubjecttoDHSspriorreviewandacceptance.IntheeventthatContractorisunabletomeetitsobligationtofurnishareplacementConsultant,DHSmay,atitsoption,terminatethatportionoftheContractwithoutliability,ortocontinuetheContractwithoutreplacement.#X[XX X[H# t$$ XXXX[&Ⱥ%XX   ExhibitC X #XX%&Ⱥ##X[XXX#  IndependentContractorCertification  0   &)Q%XX[ XX[ ThisformistobecompletedbyContractor;Corporationsarenotrequiredtocompletethisform.   ORS670.600IndependentContractor;standards.AsusedinvariousprovisionsofORSchapters316,656,657and701,anindividual N orbusinessentitythatperformslabororservicesforrenumeration'sshallbeconsideredtoperformthelabororservicesasanIndependentContractorifthestandardsofthissectionaremet:HX 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 '   'XHXH,+HX+,EntityName(printedortyped): _____________________________________________________________________ &-*D XH,+XH+,#&)Q% #   -l+E  X[XXX[  ExhibitD X ConfidentialityAgreement#&)Q%XX[ # XX[  D #&)Q% #, XX[ToallcontractorsworkingonOregonDepartmentofHumanServices(DHS)projects: 0 Forthepurposesofthiscertificatetheterm contractorwillmeanallConsultantsassignedtotheprojectbythecontractor.Oregonslawscontainprovisionsrelationtoconfidentialityofrecords,listsandinformationaboutclientapplicants/clients/recipientsandaboutStateemployees.Theselaws,andthepenaltiesforviolationofthem,pertaintoeverycontractorworkingonDHSprojects,atalllevelsandinanycapacity.AsaconditionofyourcontinuedworkforDHS,youarerequiredtocompletetheconfidentialitytrainingexerciseandsignthiscertificateverifyingthatyouunderstandthelawsandareawareofthepenaltiesforviolation.Ifatsomefuturedate,youhavedoubtsaboutthelegalityofanactionyoumaybeabouttotake,asktherespectiveprojectmanagerforaninterpretation.Youpersonallyarelegallyresponsibleforanyviolationoftheselaws.     ConfidentialityofPersonnelInformation :ORS192.500 ThePublicRecords Actcontainsanumberofexemptionsforinformation \   maintainedonStateemployeesincludinga personalprivacyexemptionwhichstates: Thefollowingpublicrecordsareexemptfromdisclosure...Informationofapersonalnaturesuchasthatkeptinapersonal,medicalorsimilarfile,ifthepublicdisclosurethereofwouldconstituteanunreasonableinvasionofprivacy,unlessthepublicinterestbyclearandconvincingevidencerequiresdisclosureintheparticularinstance.Thepartyseekingdisclosureshallhavetheburdenofshowingthatpublicdisclosurewouldnotconstituteanunreasonableinvasionofprivacy.(ORS196.500(2)(b)) ConfidentialityofWelfareApplicants/RecipientsInformation :ORS411.300 Regulationsconcerninguseandcustodyof V  records. (1)DHSshallmakeandenforcereasonablerulesandregulationsgoverningthecustody,useandpreservationoftherecords, L  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, \  knowinglypermit,participateinaoracquiesceintheuseof,anylistsofnamesforcommercialorpoliticalpurposesofanynature,foranypurposenotdirectlyconnectedwiththeadministrationofpublicassistancelaws.(Note:ORS411.325and41.330havebeenvoidedbycourtaction.)ORS411.990 Penalties (1)ViolationofORS411.320to411.335ispunishable,uponconviction,byafineofnotmorethan$1,000 r% orbyimprisonmentinthecountyjailfornotmorethan60days,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_____________________ #&)Q% #  $"7 ,+X +,    @F  @r  @  @  @A  @  @  @u X[XXX[0 @ #&)Q%XX[H# X[XXX[0@%(#(# ExhibitE X  7 INFORMATIONFORCRIMINALHISTORYCHECK#&)Q%XX[#vXX[   *8F9Xddd Xdd Xdd XX$X$,m dd ,dd , dd +  % 2 %@] ] *** 5GvHIRINGSUPERVISORTOCOMPLETETHISSECTION #v5G#*** * > *3pNameofDHSSupervisor=p3 $f $3pAgency/Address=p3  f 3pPhoneNumber/Extension=p3(f    (*:F;dXdm dd m dd  dd 8F9X$X$,s#dd +  ! 4  !@ ***5Gv TOBECOMPLETEDBYAPPLICANT/EMPLOYEE #v5GU#***(@   (KX X (#X ,X9er4 hXK  Name(PleasePrint) Last    h First     p Middle    DateofBirth u  AF<) xdEX 8"A  Y OtherName(s)Used:(MaidenName,PreviousMarriedName(s),Aliases,LegalNameChanges,AssumedNames,etc.)#&)Q%vI#X[XXX[AF<)V' s#dEV' s#A#&)Q%XX[#vXX[ 2 o #&)Q%v#N!XX[33#&)Q%!N#33 vXX[Sex     SocialSecurityNumber(PerSignedConsentBelow) p     DriversLicenseNumber/Issuing  Q  State , #&)Q%vO #vXX[Male#&)Q%va!#vXX[  Female#&)Q%v!#vXX[ #&)Q%v"#vXX[ h  AF<)Vs#dEVs#A %!  WARNING:Falselyrespondingtoanyofthequestionslistedbelowdisqualifiesyourapplicationbylaw.  !  EX  X (#X X XE1.  Yes  No0 HaveyoulivedoutsidetheStateofOregonanytimeduringthefive(5)yearpriortodaysdate?g $ $ #2.  Yes  No0 Haveyoueverbeenconvictedofanycrimelistedonthebackofthisform(orthesubstantialequivalentofanyof B thecrime(s)iftheconvictionoccurredinanotherjurisdictionorinOregonunderadifferentstatutorynameornumber)?  $ $ IfYES,placean(X)intheboxbesidethecrime(orthesubstantiallyequivalentcrime)and,onaseparatesheetofpaper,describethecircumstancesbywhichyouwereconvictedofthecrime(s)andprovideanyinformationyouhavetohelpusunderstandwhyyoubelieveyourconviction(s)WILLNOTposearisktopersonsinthecareoforreceivingservicesfromDHS,orotherpreventyoufromfulfillingtheresponsibilitiesofyourjob.3.  Yes  No0 Doyouhaveaconcealedhandgunlicense?(' $ $ @ t%: 5GvAUTHORIZATIONTODISCLOSESOCIALSECURITYNUMBER#v5G(#  :* %OAR410070000authorizesDHStorequestyoutovoluntarilyprovideyourSocialSecurityNumbertoDHSforuseasanidentificationnumberforcriminalrecordchecks.FailuretoprovideyourSocialSecurityNumberwillnotbeusedasabasistodenyyouanyrightorbenefit,orprivilegeprovidedbylaw.IfyouprovideyourSocialSecurityNumberandconsenttoitsuse,itwillbeusedonlyforthepurposestatedaboveandwillnotbegiventothegeneralpublic.BysigningthisconsenttodiscloseyourSocialSecurityNumber,youauthorizeDHStodiscloseyourSocialSecurityNumbertoothersifsuchdisclosureisnecessaryforthepurposestatedabove.______________________________________________________________________________________________________________________ConsultantsSignature     h      p       Date 3 %X3@  t 5GvAFFIRMATIONOFACCURATEINFORMATION#v5G?-#  X4 %s N Ihavereviewedandcompletedbothsidesofthisformasapplicabletome.Iunderstandthatsubmittingfalseinformationwilldisqualifymefromworkingat/forDHS.Bymysignaturebelow,Iherebyaffirmthatallinformationprovidedonbothsidesofthisform,andallattachmentsthereto,aretrueandaccurate.   !W7    @  @  @ ***5Gv CONSULTANTSSIGNATUREMUSTBEWITNESSED#v5Gy/# 󀀀*** " 9   _________________________________________________0  0$$____________________________________________________ '$!; __ $$ ConsultantsSignature    Date h   0  SignatureofWitness     Datec% #=$$              h       0  0$$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 $$ h3*e=F>dds#dd s#:F;X$X$e,dd ,Wdd +  % *=(I %@ \***5Gv DHSPERSONNELSERVICESUSEONLY #v5G 6#Ԁ*** '*(J 'DateofLEDSCCH/WARRANTS/DMVCheck:______/______/_____  z,"*L DHSPERSSVCSRECORDSSPEC: +,)M   ]4X^ ; N <u|,,Xh4!XX  X X]Conviction : ^ Yes  No ;  N Warrant:  < Yes u No |   ValidODL :YesQ<hNo -?+N  ContinuedEmployment :  Approved N Denied#&)Q%va"# .{,P Ї     ^    ;  N  <  u vXX[Թ*xFdddd Wdd W=F>X$X$x, $dd +   n #&)Q%v9#X[XXX[@I I \ IMPORTANTNOTICETOCONSULTANT   z #&)Q%XX[:#sXXX[YOURSIGNATUREONTHEFRONTOFTHISFORMMEANSYOUHAVEREVIEWEDTHISLISTOFCRIMESANDCHECKMARKED(4)THOSE  CRIMESFORWHICHYOUHAVEBEENCONVICTED.YOURSIGNATUREALSOGRANTSPERMISSIONFORDHSTOVERIFYANYANDALLINFORMATIONYOUHAVEPROVIDEDONTHISFORMANDATTACHEDDOCUMENTS,IFANY.#&)Q%sX%;#vXX[ | $   #&)Q%v<#N!XX[ffӀ#&)Q%!N=#vXX[ J   ff!=#&)Q%vW=#sXXX[SpecificCrimes:(ORS):#&)Q%sX=#sXXX[  1  #&)Q%sX>#X[XXX[ffff>`" F X XX^ ; N <u|,,Xh4!X`#&)Q%XX[t>#vXX[( X$X$(o0 W 162.0250WuWuBribeReceivingf  uu o0 W 162.0650WuWuPerjury uu o0 W 162.1550WuWuEscapeIIb uu o0 W 162.165  EscapeI WuWu o W 162.185  SupplyingContraband ^   o0 W 162.2050WuWuFailuretoAppearI uu o0 W 162.2350WuWuObstructingGovernmentalorJudicialAdministrationZ uu o0 W 162.2650WuWuBribingaWitness uu o0 W 162.2750WuWuBribeReceivingByaWitnessV uu o0 W 162.2850WuWuTamperingWithaWitness| uu o0 W 162.3050WuWuTamperingWithPublicRecordsR uu o0 W 162.3250WuWuHinderingProsecutionxuu o W 163.095  AggravatedMurder N o W 163.115  Murder t o W 163.118  ManslaughterI J o W 163.125  ManslaughterII p o W 163.145  CriminallyNegligentHomicide F o0 W 163.1600WuWuAssaultIVluu o W 163.165  AssaultIII B  o W 163.175  AssaultII h! o W 163.185  AssaultI >" o0 W 163.1900WuWuMenacingd#uu o0 W 163.1950WuWuRecklesslyEndangeringAnother:$uu o W 163.200  CriminalMistreatmentII `% o W 163.205  CriminalMistreatmentI 6& o W 163.225  KidnapingII \' o W 163.235  KidnapingI 2( o W 163.275  Coercion X) o W 163.355  RapeIII .* o W 163.365  RapeII T+ o W 163.375  RapeI *, o W 163.385  SodomyIII P- o W 163.395  SodomyII &. o W 163.405  SodomyI L/ o W 163.408  UnlawfulSexualPenetrationII "0 o W 163.411  UnlawfulSexualPenetrationI H1 o W 163.415  SexualAbuseIII 2 o W 163.425  SexualAbuseII D3 o W 163.427  SexualAbuseI 4 o W 163.435  ContributingtotheSexualDelinquencyofaMinor @5 o W 163.445  SexualMisconduct 6 o0 W 163.4550WuWuAccostingforDeviatePurposes<7uu o W 163.465  PublicIndecency  8 o W 163.515  Bigamy  89 o W 163.525  Incest !: o W 163.535  AbandonmentofaChild !4; o W 163.545  ChildNeglectII  "< o W 163.547  ChildNeglectI "0 = o W 163.555  CriminalNonsupport # > o W 163.575  EndangeringtheWelfareofaMinor #,!? o W 163.670  UsingChildinDisplayofSexuallyExplicitConduct $!@ o W 163.6730  DealinginDepictionsofSexualConductInvolvinga $("A Child uu o0 W 163.6750WuWuSaleofExhibitionofVisualReproductionofSexual |%$#C ConductbyChild uu o W 163.680  PayingforViewingSexualConduct x& $E o W 163.732  Stalking &$F o0 W 164.0430WuWuTheftIIIt'%Guu o0 W 164.0450WuWuTheftII'%Huu o0 W 164.0550WuWuTheftIp(&Iuu o0 W 164.0570WuWuAggravatedTheftI(&Juu o W 164.075  TheftbyExtortion l)'K o W 164.225  BurglaryI )'L o W 164.325  ArsonI h*(M H,F$ 4 X F X XHo 9 164.395  RobberyIII *(N o 9 164.405  RobberyII d+ )O o 9 164.415  RobberyI +)P o0 9 165.01309u9uForgeryintheFirstDegree`,*Quu o0 9 165.02209u9uCriminalPossessionofaForgedInstrumentinthe ,*R FirstDegree uu BX,F$ 4 XBo0 9 165.03209u9uCriminalPossessionofaForgeryDevice-+Tuu o0 9 165.05509u9uFraudulentUseofCreditCard(Over$750)X.,Uuu o0 9 165.06509u9uNegotiatingaBadCheck(ClassFelonyClause).~,Vuu o0 9 165.07009u9uPossessionaFraudulentCommunicationDeviceT/,Wuu o0  165.07405&&UnlawfulFactoringofaCreditCardTransactionf  W5&5& o0  165.08505&&SportsBribery X5&5& o0  165.09005&&SportsBribeReceivingb Y5&5& o0  166.01505&&Riot Z5&5& o  166.085 5 AbuseofCorpseII ^  [ o  166.087 5 AbuseofCorpseI  \ o  166.155 5 IntimidationII Z ] o  166.165 5 IntimidationI  ^ o  166.220 5 UnlawfulUseofWeapon V _ o  166.270 5 FeloninPossessionofFirearm | ` o0  166.27205&&UnlawfulPossessionofMachineGuns,CertainShortbarreled R a Firearms&FirearmsSilencers 5&5& o  166.275 5 PossessionofWeaponsbyInmatesofInstitutions Nc o  166.3700 5 DischargingFirearmatSchool/PossessionofFirearmor td DangerousWeaponinPublicBuilding 5&5& o  166.382 5 PossessionofDestructiveDevice pf o  166.384 5 UnlawfulManufactureofDestructiveDevice Fg o  166.429 5 UseofFirearmsinFelony lh o  166.480 5 SaleorGiftofExplosivestoChildren Bi o  166.660 5 UnlawfulParamilitaryActivity hj o  166.720 5 Racketeering >k o0  167.00705&&Prostitutiondl5&5& o  167.012 5 PromotingProstitution :m o  167.017 5 CompellingProstitution `n o  167.0620 5 SadomasochisticAbuseorSexualConductinLiveShow#&)Q%vQ?#sXXX[(engaging 6o in)#&)Q%sX_#vXX[\p5&5& o  167.0620 5 SadomasochisticAbuseorSexualConductinLiveShow 2q (directing,managing,financing,orpresenting) 5&5& o  167.065 5 FurnishingObsceneMaterialstoMinors .s o  167.070 5 SendingObsceneMaterialstoMinors Tt o  167.075 5 ExhibitinganObscenePerformancetoaMinor *u o  167.080 5 DisplayingObsceneMaterialstoMinors Pv o  167.087 5 DisseminatingObsceneMaterial &w o  167.090 5 PubliclyDisplayingNudityorSexforAdvertisingPurposes Lx o  167.212 5 TamperingwithDrugRecords "y o  167.2620 5 AdultUsingMinorinCommissionofControlledSubstance Hz Offense(LessThanFiveGramsMarijuana) 5&5& o  411.630 5 UnlawfullyObtainingofPublicAssistance D| o  411.840 5 UnlawfullyUsingStampsorCommodities } o0  471.41005&&ProvidingLiquortoaPersonUnder21ortoIntoxicatedPerson; @~ MandatoryMinimumPenalties 5&5& o0  475.99205&&ProhibitedActsGenerally;Penalties;AffirmativeDefensefor < CertainPeyoteUses 5&5& o0  475.99305&&ProhibitedActsforRegistrants;Penalties 85&5& o0  475.99405&&ProhibitedActsInvolvingRecordsandFraud;Penalties!5&5& o0  475.99505&&DistributionofControlledSubstancetoMinors!45&5& o0  475.99605&&CrimeCategoryClassificationforViolationof475.992;Proofof  " CommercialDrugOffense 5&5& o0  475.99905&&ManufactureorDeliveryofControlledsubstancetoMinoror #  StudentWithin1,000FeetofSchool 5&5& o0  811.14005&&RecklessDriving$!5&5& o0  811.18205&&CriminalDrivingWhileSuspendedorRevokedorinViolationofa $(" Permit 5&5& o0  811.54005&&FleeingorAttemptingtoEludePolice|%$#5&5& o0  811.70005&&FailuretoPerformdutiesofDriverWhenPropertyisDamaged%#5&5& o0  811.70505&&HitandRunVehicle(Injury)x& $5&5& o0  813.01005&&DrivingUndertheInfluenceofIntoxicant#&)Q%v$`#?&$5&5&    5     Q##<#   G"  $    5  ., Ї 9  n  X ( XuXu(DX[XXX[%X[XXX[H8vdd8   @9  @  @4  @` Q@p p p  @<  @ #X[XX%X[rm#ExhibitF R #&)Q%XX[Sm#X[XXX[%X[XXX[Solicitation962 #X[XX%X[n#%X[XXX[#%&)Q%X%X[n#%X[XX%X[ H #%&)Q%X%X[]o##&)Q%%%&)Qo#X[X%&)Q,+Xw+,$  %X[XXX[- 9    4  ` Qp p p  <    9    9    4  ` Qp p p  <      D     TheStateofOregon    DepartmentofHumanServices 8  IssuestheFollowing t   InformalSolicitation N  for 2 @@=Xq  EnhancingandMaintainingDepartmentApplicationsar  Solicitation962  H r#X[XX%X[-p#X<XX z XX<DateofIssuance:   z August29,2001  ProposalsDue:0 0z $ $3:00P.M.,September11,2001attheissuingoffice!z $z $  `    z Note:PostmarkswillnotbeconsideredIssuingOffice: 0 0z $ $StateofOregon,DepartmentofHumanServicest$z $z $  `  0  z DwightEndicott,DHSContractsCoordinator  $ $ 0 ` 0 ` $` $0 $ $ z 500SummerStreetNE/MailingCodeE03  $ $ 0 ` 0 ` $` $0 $ $ z SalemOregon973101080  $ $ 9XX z pXXX z X9 `    z Voice:0  5039456156D($$  `    z Fax:  5033737365 ) X sf*9X,Xr` XXX z pX9    (* #DH$-# DEf HDIE` $H,I -$.,` -  w &)Q%XX[  #X[X%&)Qy#Attachments &)Q%XX[    6X,X'` XX,Xr` X6#X[X%&)Qoy#ExhibitA:0 ' StatementofWork<'$'$ ExhibitB:0 ' ContractualTermsandConditions2'$'$ ExhibitC:0 ' IndependentContractorCertificationx'$'$ ExhibitD:0 ' CriminalHistoryAgreementn'$'$ ExhibitE:0 ' ConfidentialityAgreement '$'$ &)Q%XX[  #X[X%&)Q{#XXXX[ #X[XXX{#&)Q%XX[    6X,XF'` XX,X'` X6 #X[X%&)Q1|#0FJSection1:0 ' Purpose/OverviewX'$'$ 6X,X'` XX,XF'` X61.10  PurposeofthisSolicitation $$ TheStateofOregon,DepartmentofHumanServices(DHS),OfficeofInformationServices(OIS),seeksInformationTechnologyresourcestorestructuretheratecalculationmechanismforClientBasedCare(CBC)ProvidersintheSeniorandDisabledServicesDivision(SDSD)mainframeCICSandbatchenvironment.TherewillalsobecommunicationandinteractionwithSDSDsClientServersystem,AutomatedComputerCaptureandStorageSystem(ACCESS)topassandreceiverelatedinformation. 1.20  Approach H$$ Theprojectconsistsof:analyzing,designing,coding,testingandimplementingofsystemchangesandprovidingrequireddocumentation.ThetasksshallbeperformedusingestablishedDHS/OISdevelopment,maintenanceandacceptancecriteriamethodologiessetforthinDHSsInformationSystemsStandardsandProceduresManual.DocumentationshallbeupdatedandstoredinestablishedDHS/OISlibrariesusingexistingDHS/OISdocumentationstandardssetforthinDHSsInformationSystemsStandardsandProceduresManual.DeliverablesrequiredbytheContractresultantofthisSolicitationarerequiredbyDecember20,2001&)Q%XX[6X,Xw'` XX,X'` X61  #X[X%&)QN#1.3  UseofSubcontractors   ~  IntheeventofaProposalsubmittedjointlybymorethanoneorganization,oneorganizationmustbedesignatedastheprimeContractor,andtheprimeContractorwillbesolelyresponsibleforassuringtheperformanceofallaspectsofresultantContracts.AllotherparticipantsshallbedesignatedasSubcontractors.&)Q%XX[ X  #X[X%&)Q_#vXX[#X[Xv#TheselectedProposer,asPrimeContractor,shallberequiredtoassumeresponsibilityforallservicesoutlined   inthisSolicitationandanyresultingContracts,whethertheProposer,representative,subsidiaryorSubcontractorprovidesthem.&)Q%XX[ ( 1,he  Q1XXF4` hp x X,Xw'` XQ1  1,he  #X[X%&)Q#6XX, XXXF, X6 , @,  X 2.0  ProcurementSchedule&)Q%XX[  d  #X[X%&)Q#Thefollowingrepresentstheproposedtimelineforthisproject.Pleasenote:Thesedatesrepresentatentative  scheduleofevents.DHSreservestherighttomodifythesedatesatanytime,withappropriatenoticetoprospectiveproposers.AlltimesarePacificTime.&)Q%XX[ > #X[X%&)Q#vXX[#X[Xv^# Activity    4  `     h Date/Time &)Q%XX[ z" #X[X%&)Q#SolicitationRelease `     h August29,2001   Preproposalquestionsdue    h September4,2001(3:00PM) ^! Preproposalquestions&answersissued h September6,2001(3:00PM) T" ProposalsDue   4  `  `    0 h September11,2001(3:00PM)#h$h$ AwardAnnouncement `       h     h September14,2001(approximately)&)Q%XX[ 8$ #X[X%&)Q#vXX[#X[XvM# 3X,X` XXX, X33.0   StatementofWork&)Q%XX[ t&  #X[X%&)Q#InformationTechnologyservicesrequiredinclude,butarenotlimitedto,1)enhancementofsystemsand2) j' completedocumentationofthechanges.AdditionaldetailisprovidedinExhibitA,StatementofWork.&)Q%XX[  (  #X[X%&)Q5#vXX[#X[Xv# 4.00  ProposalRequirements &)Q%XX[D*$$ #X[X%&)Q#ProposersmayrespondtothisSolicitationwithaproposalthatincludes:&)Q%XX[ + #X[X%&)Q#1)0  aQualificationsandTechnicalProposal,whichincludestheresumesandqualificationsofproposed (, Consultants;and $$ 2)0  aCostProposal,whichidentifiesthehourlyrate,thenottoexceedcostforeachdeliverableandtheoverall d. nottoexceedcostfortheproject.&)Q%XX[Z/$$ %X[XXX[0X,X XX,X` X0#%X[X%%&)Q`#Ataminimum,QualificationsandTechnicalProposalstothisSolicitationshallinclude:&)Q%XX[ 0 6X,X9 XX,X X6#&)Q%%%&)Q##X[X%&)Qh# 4.10  QualificationsProposal&)Q%XX[ >1$$  #X[X%&)QA#QualificationsProposalsshallinclude:&)Q%XX[ 4!2 #X[X%&)Q̔#4.1.10  E"X X'` X"X,X9 XEThefirmname,addressandtelephonenumber,andthename,address,telephonenumber,EMailandfax !z3 numberofthepersonauthorizedtoreceiveandrespondtoinquiriesandnoticesregardingthisSolicitationandpersonauthorizedtoexecuteanyresultantcontracts;&)Q%XX[# 5$$ KX X,'` X"X X'` X"K#X[X%&)Q#4.1.20  AstatementindicatingthattheProposerisalegalentity,authorizedtoenterintoaContractandthe #T!6 Proposersregisteredbusinessname; $$ 4.1.30  AstatementidentifyingtheindividualswhopreparedtheproposaltoSolicitation962;$"8$$ 4.1.40  AcoverlettersummarizingthefirmsinterestinSolicitation962;%.#9$$ 4.1.5  AstatementofthefirmsgeneralapproachanddetailplanstomeettherequirementsoftheSolicitation; $&#: 4.1.6  ProposedtimelinesforcompletionofeachtaskanddeliverabledefinedintheStatementofWork; &j$; 4.1.70  AstatementthatnoattempthasbeenmadeorwillbemadebytheProposertoinduceanyotherperson `'%< orfirmtosubmitornotsubmitaproposal; $$ 4.1.80  AstatementofAffirmativeActionthatProposerdoesnotdiscriminateinitsemploymentpracticeswith (D&> regardtorace,creed,age,sex,disabilityornationalorigin; $$ 4.1.90  Astatementthatanyresponsesubmitted,includingcostsandstaffingshallremainvalidforsixty(60) )'@ calendardaysafterduedateoruntilContractsareapprovedandexecuted,whichevercomesfirst; $$ 4.1.100  StatementsorspecificstipulationofacceptanceofALLtermsandconditionscontainedandthatProposer +(B willperformpursuanttoandagreestothetermsandconditionstherein; $$ 4.1.110  AstatementindicatingacceptanceofStateofOregonbillingterms;P,)D$$ 4.1.120  AstatementofacceptancethatConsultantsprovidedbyProposershallsubmittoaCriminalHistory ,*E checkatDHSsrequest; $$ 4.1.130  AstatementofacceptancethatConsultantsprovidedbyProposershallexecuteaconfidentialityclause *.+G atDHSsrequest;and.p,H$$ J J J  4.1.140  AstatementidentifyinganySubcontractorsthatmaybeengaged,withthenamesoftheConsultantsvXX[Ԁ#X[Xvx#and X thenamesandcontactinformation(name,addressandtelephonenumber)ofSubcontractoraffiliation,ifany,ofeachConsultant,clearlyidentified. $$  4.20    TechnicalProposalx$$  TechnicalProposalsshallinclude: n EXX` D"X X,'` X"E4.2.10  %X[XXX[Aproposalwhich: $$ EX XA " D"XX` D"E    1)  addressesallrequirementsofExhibitA:StatementofWork,4.1and4.2,Technical,and R 0  0$$2)0$$proposingfirms#X[XX%X[h#%X[XXX[Ԁ#X[XX%X[#KXXXX[documentedexperienceinsuccessfullycompletingprojectsofasimilarsizeand H scopetothoserequiredbythisSolicitation#X[XXKX=#%X[XXX[Ԁandthe#X[XX%X[#resumesofeachKeyPerson%X[XXX[relatingtothe   performanceofsimilarworkasrequiredbytheSolicitation#X[XX%X[u#,includingqualificationsandrelevant ,  individualexperience.Resumesshallincludeatleastthree(3)references(telephonenumberandcontactname),whichDHS,atitsdiscretion,maycontact%X[XXX[.#X[XX%X[# h $$ vXX[#X[XvM# HX XFA " D"X XA " D"H4.3  CostProposal    Acompletedcostproposalfortheproposedservicesisrequiredandmustbesubmittedseparatelyfromtherest  B  oftheProposal.Thecostproposalshallidentifythehourlyrate,thenottoexceedcostforeachdeliverableandtheoverallnottoexceedcostfortheproject. Allhourlyratesmustbefullyloadedandincludeallexpenses.   ~  DHSreservestherighttoreviewallaspectsofCostProposalstothisSolicitationforreasonablenessandtorequestclarificationofanyProposalwheretheCostProposal(s)showsignificantandunsupporteddeviationfromindustrystandardsorinareaswheredetailedpricingisrequired. Thecontract,ifany,includingamendments, X  resultantofthisSolicitationshallnotexceedanaggregateof$75,000.00perOAR1250200330.  N   vXX[#X[Xvt# 5.00  EvaluationofProposals n$$ 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$$PhaseI:EvaluationofQualificationsProposal.%$$  ThepurposeofthisphaseistodetermineiftheproposalmeetstheSolicitationmandatoryrequirementsofthis t& Solicitation.Proposalsareevaluatedona Pass/FailbasisinPhaseI.Proposalsthatdonotmeettheminimumrequirementsmaybedisqualified,exceptthatDHSreservestherighttowaiveminorirregularities.ProposalsthatareevaluatedasresponsiveinPhaseIwillqualifyforevaluationandscoringoftechnicalproposalsinPhaseIIoftheevaluation.vXX[#X[XvH# 5.2    PhaseII: EvaluationandScoringofTechnicalProposal  Z/ EvaluationandscoringofTechnicalProposalswillbebasedcriteriadescribedinSection6.Themaximumpossiblenumberofpointsisstatedforeachcategoryandfortheoveralltotalnumberofpoints.Technicalevaluationpointsthataregivenbyeachevaluatorwillbesummedanddividedbythenumberofevaluatorstocomputeanaveragetechnicalscoreforeachproposedproposal.ThemaximumnumberofpointsthatmaybeawardedinthisPhaseis 75 . p" 4 DHSreservestherighttorequireverbaland/orwrittenverificationoftheexperience,skillsandreferences,and/orCriminalHistorychecksofconsultantsproposedtoperformwork,toassistintheevaluationofproposals,including,butnotlimitedto,telephoneand/orinpersoninterviewsandreferencechecks.Referencechecksmaybeperformed,includingbutnotlimitedto,requestsforinformationonprojectdescriptionandbackground,functionalandtechnicalabilities,communicationskillsandtimeliness,costandscheduleestimatesandaccuracy,anyproblemsencountered,andoverallperformance.Corporateandpersonnelreferencechecksmaynotbelimitedtospecificcustomerreferencescitedintheproposal.LXXXX[Consultantsproposed#X[XXLX#LXXXX[Ԁtodotheworkandtheirreferencesmustbeavailablefortelephoneinterviewsand (D&> referencechecks,respectively,ifrequiredbyDHS,andattimesasdesignatedbyDHS,whichshallbebetweenthehoursof8:00AMand5:00PMPacificTime,duringMondaythroughFridayandexcludingstateholidays,oratsuchothertimesasisagreeabletoDHS.#X[XXLX#ԀDHSreservestherighttorejectanyproposalfortheconsultant v*(A proposedtodotheworkwhoisnotavailableforinterviewsasrequired,orforwhomreferencesarenotavailable.LXXXX[ +(B Proposerisresponsibleforarrangingandprovidingsuchcommunications(attheircost),asarenecessaryforinterviewsandreferencechecksrequiredbyDHSforproposedConsultantsandreferenceswhoarelocatedoutsidetheUnitedStatesofAmerica.#X[XXLX# ,*E vXX[#X[Xv#Proposalselectionswillbemadebytheevaluationcommitteebasedupontheinformationreceivedinthe *.+G QualificationsandProposals,CostProposals,evaluations,resultsofinterviews,ifrequiredbyDHS,andfromreferencechecks,ifperformedbyDHS. f/-I DHSreservestherighttoinvestigatethereferencesandthepastperformanceofanyProposerorconsultantproposedtodotheworkwithrespecttoitssuccessfulperformanceofsimilarservices,compliancewithspecificationsandcontractualobligations,anditslawfulpaymentofsuppliers,sub-contractors,andworkers.DHSmaypostponetheawardorexecutionofContractsaftertheannouncementoftheapparentsuccessfulproposers,inordertocompleteitsinvestigation.DHSreservestherighttorejectanyproposalortorejectallproposalsatanytimepriortoState'sexecutionofContracts. ?XX4,X%XX,X%?5.3  EvaluationofCostProposal    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  EvaluationCriteriaofTechnicalProposald $$  EvaluationandscoringofTechnicalProposalswillbebasedonthescoringcriteriadefined.Themaximum  numberofpointsthatmaybeawardedinthisPhaseis 75.  H BX X,4` Xuxf!X,XFN XB > 0  X 1)  COBOLII,EasytrievePlus,CICS,CAInterest,VSAMfilestructureandDB2databaseexperienceof  proposedconsultantonsystemscommensuratewiththoseaddressedintheSolicitation. $$ HX X,` XXf!X X,4` XuxH  PointsPossible: 15    K"X XFr` XXf!X X,` XXf!K2)0 9 09$9$DKXXXX[ocumentedexperienceinsuccessfullycompletingprojectsofasimilarsizeandscopetothoserequired T" bythisSolicitation#X[XXKX#ofproposedconsultantKXXXX[.#X[XXKX#Ԁ#$$  9   PointsPossible: 10  8$ KXXXX[#X[XXKX1#3)0 9 09$9$ExperiencewithDHSapplicationsystemsKXXXX[requiredbythisSolicitation#X[XXKX#Ԁofproposedconsultant.t&$$  9   PointsPossible: 10 KXXXX[ j' 4) 9   TheProposer'sgeneralapproachandplanstoperformtheservicesrequiredbythescopeofworkofthis N)  9   Solicitation.#X[XXKX#KXXXX[ D* #X[XXKX# 9   PointsPossible: 15 KXXXX[ + Ѐ5) 9   TheProposer'sdetailedapproachandplanstoperformtheservicesrequiredbythescopeofworkofthis -  9   Solicitation.#X[XXKX&# 9   PointsPossible: 10 KXXXX[ Z/ 6) 9   Proposingfirm'sdocumentedexperienceinsuccessfullycompletingprojectsofasimilarsizeandscope  >1 to 9   thoserequiredbythisSolicitation.#X[XXKXn#  4!2   9   PointsPossible: 15 !z3  9    9   MaximumOverallTechnicalPoints:0 h 0h$h$0$$ 75 # 5$$  9   MinimumOverallTechnicalPointstoQualifyforConsideration:0   40#T!6$$ KX X9e ` XXf!X XFr` XXf!K7.0  e ProposalPreparationandSubmission $"8  TheOregonDepartmentofHumanServices,500SummerStreetNE,MailingCodeE03,Salem,Oregon97310 %.#9 1080,Attention:DwightEndicott,DHSContractsCoordinator,isthesolepointofcontactwithinStategovernmentforthepurposeofthisSolicitation.ProposalsmustbereceivedbytheDHSContractsandProcurementUnit,nolaterthantheduedateandtimespecifiedinSection2.ProposalsmaybedeliveredviaU.S.Mailorcourierto500SummerStreetNE,MailingCodeE03,Salem,OR973101080,orfaxedto5033737365,andmustreferenceDHSSolicitation#962. X[XXX[Ԁ :)&? NeitherlatenorelectronicproposalstoSolicitation#962willbeaccepted;postmarkswillnotbeconsidered.#X[XX X[*# X[XXX[Proposalsshallbesubmittedastwo(2)separatedocuments:1)0 9 QualificationsandTechnicalProposal;and+Z)C9$9$ 2)0 9 CostProposal.#X[XX X[# X[XXX[P,)D9$9$ #X[XX X[# X[XXX[BothpartsoftheproposalshallbesignedbytheProposeroranauthorizedrepresentative.#X[XX X[D#Ԁ X[XXX[Proposalsnotin ,*E compliancewithSection4through4.3maybeconsiderednonresponsiveandrejected,atDHSssolediscretion.Anyproposalsubmitted,unlesswithdrawnbeforetheProposalduedatespecifiedinthisSection,shallremainavalidproposal,bindingontheContractorandirrevocable,forsixty(60)daysaftertheproposaldeadlineoruntil .p,H agreement(s)areapprovedandexecuted,whichevercomesfirst.Thisperiodmaybeextendeduponmutualagreementoftheparties.#X[XX X[#(XXXX[AlthoughpricewillbeaconsiderationwhenengagingaContractor,theintentwillbetoprovideDHSwithqualifications,performancehistory,expertise,andknowledgeforthisSolicitation.Thesewillbeprimaryconsiderationsintheselectionprocess.TheProposerwiththelowestcostwillnotnecessarilychosen.DHSreservesthesolerighttomakethisdetermination.#X[XX(XI#Ԁ Thecontract,ifany,includingamendments,resultantofthis   Solicitationshallnotexceedanaggregateof$75,000.00perOAR1250200330.  R 8.0 0 e AddendatotheSolicitation  e$e$ AnyAddendawillbeissuedbytheContractsandProcurementUnitofDHS.Anyinterpretation,correction,orchangetothisSolicitationwillbemadebywrittenAddenda.Interpretations,corrections,orchangestothisSolicitationmadeinanyothermannerwillnotbebindingandProposersshallnotrelyuponsuchinterpretation,corrections,orchanges.ProposersmaynotconsideranycommunicationsinterpretingorclarifyingprovisionsofthisSolicitationwithanyperson,Statesdesignatedrepresentativeorotherwise,unlessintheformofofficialwrittenAddendatotheProposal.vXX[#X[Xvh# 9.00 e InquiriesRelatingtothisSolicitation  ~ e$e$ Inquiries,includingrequestsforexplanationsofthemeaningorinterpretationofprovisionsofthisSolicitationmustberequestedbyProposersinwriting,andmustarriveattheIssuingOfficebytheduedateforProposalsnotedinSection2.0,ProcurementSchedule.QuestionsmaybesubmittedtoDwightEndicott,ContractsandProcurementUnit,500SummerStNE,MailingCodeE03,SalemOR973101080ortransmittedviafaxto5033737365.vXX[#X[Xv# 10.00 e ReservationofDHSRights/RighttoAward,RejectorNegotiate (e$e$  X[XXX[DHSreservesallrightsregardingthisSolicitation,including,withoutlimitation,theright: n HX Xr4,D"X X9e ` XXf!H1)0  #X[XX X[|#toamendorcancelthisSolicitationandresultingcontract,ifany,withoutliabilityifitisinthebestinterest d  ofthepublictodoso X[XXX[$$ 2)0  #X[XX X[&# X[XXX[toextendthedeadlineforsubmittingproposals;H$$ 3)0  #X[XX X[#seekclarificationsofeachproposal,and/ortoawardacontractswithoutfurtherdiscussionoftheproposals > submitted.DHSreservestherighttomodifytheproposedSolicitationrequirementspriortoissuingacontractforexecutionwithsuccessfulproposerstothisSolicitation,andmaynegotiateadditionalchangeswiththoseproposers; $$  X[XXX[4)0  #X[XX X[#torejectaProposaliftheProposerattemptstoomitormodifyanyofthetermsandconditionswithoutproper ^! explanation; $$ 5)0  torejectanyandallproposalsreceivedbyreasonofthisrequest,ortonegotiateseparatelyinanymanner # necessarytoservethebestinterestofthepublic X[XXX[;8$$$ 6)0  todetermine,initssolediscretion,whetheraproposaldoesordoesnot,substantiallycomplywiththe .% requirementsofthisSolicitation; $$ #X[XX X[l# X[XXX[7)0  towaiveanyminorirregularity,informality,ornonconformancewiththeprovisionsorproceduresofthis j' Solicitation; $$ #X[XX X[# X[XXX[8)0  atanytimepriortoenteringintoaContract,ifany,(includingafterannouncementoftheapparentsuccessful N) Contractor(s)): $$ EXX,` D"X Xr4,D"E0  a)torejectanyproposalthatfailstosubstantiallycomplywithallprescribedsolicitationproceduresandrequirements;and $$ 0  b)torejectallproposalsreceivedorcancelthisSolicitationuponafindingbyDHSthatitisinthepublicinteresttodoso; $$ EX X` D"XX,` D"E9)  toengageContractorsbyselectionorprocurementindependentofthisSolicitationprocess,ortheContracts Z/   establishedunderit;#X[XX X[# X[XXX[10) X 0  torequireContractortoreplace(withoutanyContractorrecourse)anyKeyPersonengagedbyContractat  >1 anytimeduringtheContractperiodwhoceasesaffiliationwiththeContractor,whomDHSdeemsisnotperformingatanacceptablelevelorishinderingthesuccessfulcompletionofassignment(s),isunabletoperformassignedwork,orasrequiredbyDHS. $$ #X[XX X[# HX X,` D"X X` D"H11.00  AwardNotice #T!6$$ PerOregonAdministrativeRule1250200360,everyProposerwhosubmitsaproposalshallbenotifiedofitsselectionstatus.ProposedtermsandconditionswhichmayapplytoacontractresultingfromthisSolicitationarefurtherdefinedin ExhibitBContractualTermsandConditions. DHSreservestherighttomodifythese %.#9 proposedtermsandconditionspriortoissuingacontractforexecutionwithsuccessfulproposerstothisSolicitation,andmaynegotiateadditionalchangeswiththoseproposers. 12.00  ReleaseofInformation'%=$$  NoinformationshallbegiventoanyProposer(oranyotherindividual)relativetoHis/Herstandingwithother (D&> ProposersduringtheSolicitationprocess.NoProposer(oranyotherindividual)shallbeadvisedofthepricesproposedbyotherOfferorsduringtheSolicitationprocess. 13.00  PublicInformation +(B$$ Allproposalsarepublicinformationaftertheproposalshavebeenopenedandallprotestsarepublicinformationaftertheprotestperiodends.Copiesofpublicinformationmayberequestedbyanyperson.Ifanypartofaproposalorprotestisconsideredatradesecret,theProposermustclearlydesignatethatportionasconfidentialinordertoobtainprotection,ifany,fromdisclosureatthetimeofsubmission.SeeOregonRevisedStatutes(ORS)192.501(2);ORS646.461to646.475.ApplicationoftheOregonPublicRecordsLawshalldetermineiftheconfidentialinformationclaimedtobeexemptisinfactexemptfromdisclosure.Intheeventofapublicrecordsrequest,Proposerswillbenotifiedpriortothereleaseofanyinformation. f/-I 0F 0) X 0  14.00  CostofProposals $$ AllcostsincurredinpreparingandsubmittingaproposalinresponsetothisSolicitationaretheresponsibilityoftheProposerandshallnotbereimbursedbyDHS. 15.0  RecyclableProducts #  Contractorsshalluserecyclableproductstothemaximumextenteconomicallyfeasibleintheperformanceof  thecontractworksetforthinthisdocument. 16.00   X[XXX[WithdrawalofProposals  $$ IfaProposerwishestowithdrawasubmittedproposal,itmustbewithdrawnpriortotheproposalduedateindicatedinSection2.0.AwrittenrequesttowithdrawmustbesignedbytheProposerandsubmittedtothenameandaddressspecifiedforsubmittingproposals.#X[XX X[#  u h          X )ExhibitAStatementofWorkGAcknowledgedandAgreedbytheParties:  < TheContractorshallprovidesystemdesignandprogrammingservices,includingCOBOLII,EasytrievePlus, 2 CICS,CAIntertestandVSAMandDB2filestructures.ThetasksshallbeperformedusingestablishedDHS/OISdevelopment,maintenanceandacceptancecriteriamethodologiessetforthinDHSsInformationSystemsStandardsandProceduresManual.WrittendocumentationshallbeupdatedandstoredinestablishedDHS/OISlibrariesusingexistingDHS/OISdocumentationstandardssetforthinDHSsInformationSystemsStandardsandProceduresManual. IntheabsenceofestablishedDHS/OISdevelopment,maintenanceandacceptancecriteriamethodologies, "   ContractorshallcompleteallworkdescribedintheStatementofWorkaccordingtomethodologiesandstandardsthatconformtodocumentationstandards,definitions,andrecommendedpracticesknowntobegenerallyacceptedintheindustry,unlessotherwiseapprovedinwritingbyDHS.Unlessongoing,eachtaskshallbecompletedwithinthetimeframeandapprovedbytheDHSProjectManagerandunlessoverlapping,workshallnotbestartedonthenexttaskuntiltheprioroneiscomplete.Ifoverlappingtasks,thenworkshallbecloselymonitoredandstoppediftheDHSProjectManagerdoesnotapprovethepriortask.@tt)t )XXXX[Task#1:DefineandSelectDataforUserTestingNeedsandExecuteTests    ContractorshallconsultwithDHSProjectManagerandstaff,asidentifiedbyDHSProjectManager,todefine 2 anddocumentwhattestingdataisneededfortheCBC/512raterestructureproject.Thisshallinclude,butnotbelimitedto,L hhL 3   3(23  0    ConsultingwithDHSProjectManagerandDHSidentifiedstaff#X[XX)X\#;3(S݌$$ Ќ   3   3=23  0    )XXXX[Definitionanddocumentationoftestingdata#X[XX)X#;3=h݌H$$ Ќ   3   3`23  0    CreationofreportsbasedonDHSsuppliedspecifications;3`݌>$$ Ќ   3   3M23  0    )XXXX[Executionoftestruns;#X[XX)X#Ԁ3Mx݌$$ Ќ   3   3[ 23  0    )XXXX[Generationofsaid#X[XX)X #)XXXX[Ԁreports;#X[XX)X #and3[  ݌z"$$ Ќ   3   )XXXX[3 23  0    Backingup/restoringofdata#X[XX)X #.3  ݌ $$ Ќ  L hhL)XXXX[#X[XX)X1 # )XXXX[Deliverable #X[XX)Xw # T" (XXXX[TheContractorshalldeliversoftwarecomponentsandservicesconsistentwithrequirementsofTask#2toDHS # ProjectManagerforacceptanceandapproval.MakecorrectionsapprovedbyDHSProjectManager.#X[XX(X # 8$ @tt)t (XXXX[DeliverableDueDate: #X[XX(X*# December15,2001 t&  )XXXX[Task#2:IdentifiedConstruction/ModificationandImplementationofProgramsandFiles #X[XX)X# N) (XXXX[Contractorshallconstructor#X[XX(Xf#)XXXX[modifyandimplementprograms/filesthatwillcontroltheprocessingofrateson D* theJD/CBCsystem#X[XX)X#(XXXX[,basedonDHSsuppliedProjectDesigndocumentandcriteria#X[XX(X~#. +  (XXXX[Deliverable: TheContractorshalldeliversoftwarecomponentsconsistentwithrequirementsofTask#2toDHS - ProjectManagerforacceptanceandapproval.MakecorrectionsapprovedbyDHSProjectManager.#X[XX(X# d.  (XXXX[DeliverableDueDate: #X[XX(XT# December20,2001  0  (XXXX[Task#3:PostImplementation  !z3 Contractorshallperformdesignchanges,programming,acceptancetestingorimplementationtoaddressunforeseenerror(s),newlydiscoveredbugsand/orinterfacingissues.DHSstaffshallidentifyandapproveallworksubjecttothissectioninadvanceofContractorprovidingservices. Deliverable:  $"8 TheContractorshalldeliver,throughimplementation,programsconsistentwiththetasknarrativeabove.TheContractorshalldemonstratesuccessfulimplementationoftheproductionsystemsconsistentwithrequirementsofthisStatementofWorktoDHSProjectManagerforacceptanceandapproval.MakecorrectionsapprovedbyDHSProjectManager#X[XX(X# `'%<  (XXXX[DeliverableDueDate :PostImplementationwillcontinueforthefulltermofcontract. (D&> K%X X` D"(#%XX,` D"K NottoExceedTotalHours: #X[XX(X#Ԁ 240  :)&?    ExhibitB  X  Personal/ProfessionalServicesTermsandConditions   i  I.0  EFFECTIVEDATEandDURATION 2$$ Thiscontractshallbecomeeffectiveonthedatethiscontracthasbeensignedbyeverypartyhereto,and,whenrequired,approvedbyDepartmentofAdministrativeServicesandDepartmentofJustice.Unlessterminatedorextended,thiscontractshallexpirewhenDHSacceptsContractorscompletedperformanceoron XXXXX ,   whicheverdateoccursfirst.ExpirationshallnotextinguishorprejudiceDHSsrighttoenforcethiscontractwithrespecttoanybreachofaContractorswarrantyoranydefaultordefectinContractorperformancethathasnotbeencured. II.0  PURPOSE "  $$ ThiscontractprovidesforInformationTechnologyservicestoenhanceandmaintainDHSssystemsincludinganalyzing,designing,coding,testingandimplementingidentifiedsystemchangesandprovidingrequireddocumentation. III.0  STATEMENTofWORK 8 $$ Thestatementofwork(the Work)includingthedeliveryscheduleforsuchworkiscontainedinExhibitA,attachedandincorporatedbyreferenceintothiscontract.Contractoragreestoperformtheworkinaccordancewiththetermsandconditionsofthiscontract. IV.0  CONSIDERATION N $$  A .0  DHSagreestopayContractorforaccomplishingtheWorkasrequiredbythiscontract,plusanyallowable   expensesandanytravelandotherexpensereimbursementwhennotedherein.PaymentforallworkperformedunderthiscontractshallbesubjecttotheprovisionsofORS293.462andshallnotexceedthetotalmaximumsumofXXXXX. $$  &)Q%XX[B.) 0  #X[X%&)Q#InterimpaymentsshallbemadetoContractorfollowingDHSsreviewandapprovalofinvoicessubmitted  byContractor. $$   C .0  Contractorshallnotsubmitinvoicesfor,andDHSwillnotpay,anyamountinexcessofthemaximum  compensationamountsetforthabove.Ifthismaximumcompensationamountisincreasedbyamendmentofthiscontract,theamendmentmustbefullyeffectivebeforeContractorperformsworksubjecttotheamendment.ContractorshallnotifyDHS'sContractAdministratorinwritingthirty(30)calendardaysbeforethiscontractexpires,oftheupcomingexpirationofthecontract.Nopaymentwillbemadeforanyservicesperformedbeforethebeginningdateoraftertheexpirationdateofthiscontract,asitmaybeamendedfrom&)Q%XX[ #$$ #X[X%&)Q"#   timetotimeinaccordancewithitsterms. 8$  D. 0  Contractorshallsubmitmonthlyinvoicesforworkperformed.Theinvoicesshalldescribeallwork t& performedwithparticularityandbywhomitwasperformedandshallitemizeandexplainallexpensesforwhichreimbursementisclaimed.TheinvoicesshallalsoincludethetotalamountinvoicedtodatebyContractorpriortocurrentinvoice.Contractorwillspecificallynotetheappropriateinvoicewhenonethirdandtwothirdsofthemaximumcontractamount,includingexpensereimbursement,hasbeenexpended.ContractorshallsendinvoicestoDHSsContractAdministrator(seeE.,below). $$  E. 0  TheDHSemployeeassignedtomonitorcontractcompliance,authorizepaymentandactasDHSsContract - Administratoronmattersconcerningthiscontractshallbe: $$    0 MLN_c  XXXXordelegate  OfficeofInformationServices  OregonDepartmentofHumanServices  500SummerSt,NE  SalemOR97310  &)Q%XX[  #X[X%&)Q'#V.0  TRAVELandPERDIEM&)Q%XX[ $$  #X[X%&)Q6(#Notravelorotherexpensesshallbepaidinadditiontothecostherein. R  VI.0  CONTRACTinitsENTIRETY  $$ BX,XS` XX X,` D"(#XBThisContractconsistsofthisdocumentandincludesthefollowinglistedexhibitswhicharelistedindescendingorderofprecedenceandareattachedandincorporatedintothisContractbyreference: A. 0  ExhibitA:0S$$StatementofWork^  S$S$  B. 0  ExhibitB:0S$$GeneralProvisions S$S$  C. 0  ExhibitC:0S$$CertificationStatementforIndependentContractor B S$S$  D.   ExhibitD:0 S ConfidentialityAgreement8 S$S$ L 4(hL 3   3f,2  E  .3  0    ExhibitE:0S$$CriminalHistoryAgreement3f,,݌ ~ S$S$ Ќ  L ((4L F.   Exhibit F:0 S Solicitation#962t  S$S$  G.   ExhibitG:0 S ContractorsProposaltoSolicitation#962  S$S$  Therearenoothercontractdocumentsunlessspecificallyreferencedandincorporatedinthecontract.&)Q%XX[  N  9X,X` XX,XS` X9#X[X%&)Q/#VII.0  MERGERCLAUSE;WAIVER 2$$ Thiscontractandattachedexhibitsconstitutetheentireagreementbetweenthepartiesonthesubjectmatterhereof.Therearenounderstandings,agreements,orrepresentations,oralorwritten,notspecifiedhereinregardingthiscontract.Nowaiver,consent,modificationorchangeoftermsofthiscontractshallbindeitherpartyunlessinwritingandsignedbybothpartiesandallnecessaryStateapprovalshavebeenobtained.Suchwaiver,consent,modificationorchange,ifmade,shallbeeffectiveonlyinthespecificinstanceandforthespecificpurposegiven.ThefailureofDHStoenforceanyprovisionofthiscontractshallnotconstituteawaiverbyDHSofthatoranyotherprovision. - 4XX,X` X-  GeneralContractProvisions2  13^._XX[ #X[X_^.Q3#THEFOLLOWINGARETHESTANDARDPROVISIONSWITHINCONTRACTSFORTHE # STATEOFOREGONINTHEEVENTACONTRACTISOFFERED. ^._XX[ #X[X_^.%4#1.0  IndependentContractor;ResponsibilityforTaxesandWithholding t&$$ 6X X` D"4X6  0  a. 0$$ContractorshallperformallrequiredWorkasanindependentcontractor.AlthoughDHSreservesthe j' rightto(1)determine(andmodify)thedeliveryschedulefortheWorktobeperformedand(2)evaluatethequalityofthecompletedperformance,DHScannotandwillnotcontrolthemeansormannerofContractor'sperformance.ContractorisresponsiblefordeterminingtheappropriatemeansandmannerofperformingtheWork. $$ 0  b. 0$$IfContractoriscurrentlyperformingworkfortheStateofOregonorthefederalgovernment,Contractor - bysignaturetothiscontractdeclaresandcertifiesthat:ContractorsWorktobeperformedunderthiscontractcreatesnopotentialoractualconflictofinterestasdefinedbyORS244andnorulesorregulationsofContractorsemployingagency(stateorfederal)wouldprohibitContractorsWorkunderthiscontract.Contractorisnotan officer, employee,or agentofDHS,asthosetermsareusedinORS30.265. $$ 0  c. 0$$Contractorshallberesponsibleforallfederalorstatetaxesapplicabletocompensationorpaymentspaid !z3 toContractorunderthiscontractand,unlessContractorissubjecttobackupwithholding,DHSwillnotwithholdfromsuchcompensationorpaymentsanyamount(s)tocoverContractorsfederalorstatetaxobligations.ContractorisnoteligibleforanySocialSecurity,unemploymentinsuranceorworkerscompensationbenefitsfromcompensationorpaymentspaidtoContractorunderthiscontract,exceptasaselfemployedindividual. $$  2.0  SubcontractsandAssignment;SuccessorsinInterest $&#:$$ 0  a. 0$$ContractorshallnotenterintoanysubcontractsforanyoftheWorkrequiredbythiscontract,orassign &j$; ortransferanyofitsinterestinthiscontract,withoutthepriorwrittenconsentofDHS.InadditiontoanyotherprovisionsDHSmayrequire,ContractorshallincludeinanypermittedsubcontractsunderthiscontractarequirementthatthesubcontractorbeboundbySections2,6,7,11,and15ofthisexhibitasifthesubcontractorweretheContractor.DHSsconsenttoanysubcontractshallnotrelieveContractorofanyofitsdutiesorobligationsunderthiscontract. $$ sXXX[#X[XsX?#0  b. 0$$Theprovisionsofthiscontractshallbebindinguponandshallinuretothebenefitofthepartieshereto, +(B andtheirrespectivesuccessorsandpermittedassigns,ifany. $$ &  sXXX[#X[XsXd@# 3.0  NoThirdPartyBeneficiaries. DHSandContractoraretheonlypartiestothiscontractandaretheonly ,*E parties'P,X@entitledtoenforceitsterms.Nothinginthiscontractgives,isintendedtogive,orshallbeconstruedtogiveorprovideanybenefitorright,whetherdirectly,indirectlyorotherwise,tothirdpersonsunlesssuchthirdpersonsareindividuallyidentifiedbynamehereinandexpresslydescribedasintendedbeneficiariesofthetermsofthiscontract.f/-I$$ ML M X M  sXXX[ #X[XsXC#4.0  FundsAvailableandAuthorized;Payments $$ 0  a. 0$$ContractorshallnotbecompensatedforWorkperformedunderthiscontractbyanyotheragencyor < departmentoftheStateofOregon.DHShassufficientfundscurrentlyavailableandauthorizedforexpendituretofinancethecostsofthiscontractwithinDHS'sbiennialappropriationorlimitation.ContractorunderstandsandagreesthatDHS'spaymentofamountsunderthiscontractattributabletoWorkperformedafterthelastdayofthecurrentbienniumiscontingentonDHSreceivingfromtheOregonLegislativeAssemblyappropriations,limitations,orotherexpenditureauthoritysufficienttoallowDHS,intheexerciseofitsreasonableadministrativediscretion,tocontinuetomakepaymentsunderthiscontract. $$ 0  b. 0$$DHSwillonlypayforcompletedworkthatisacceptedbyDHS."  $$ sXXX[#X[XsXcG# 5.0  RepresentationsandWarranties^  $$  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$$ContractorsLimitationofLiability :Contractorsliabilitywithrespecttoitems(5)and(6)of d  subsection5aaboveshallnotexceed:(1)twicethetotalcontractamount(includinganyamendments)or(2)$100,000whicheverisgreater. $$ sXXX[  #X[XsXM# c.0  WarrantiesCumulative :Thewarrantiessetforthinthissectionareinadditionto,andnotinlieuof, > anyotherwarrantiesprovided. $$ &  6.0  OwnershipofWorkProduct. AllworkproductofContractorthatresultsfromthiscontract("theWork   Product")isthe'zOexclusivepropertyofDHS.DHSandContractorintendthatsuchWorkProductbedeemed workmadeforhireofwhichDHSshallbedeemedtheauthor.IfforanyreasontheWorkProductisnotdeemed workmadeforhire,ContractorherebyirrevocablyassignstoDHSallofitsright,title,andinterestinandtoanyandalloftheWorkProduct,whetherarisingfromcopyright,patent,trademark,tradesecret,oranyotherstateorfederalintellectualpropertylawordoctrine.ContractorshallexecutesuchfurtherdocumentsandinstrumentsasDHSmayreasonablyrequestinordertofullyvestsuchrightsinDHS.ContractorforeverwaivesanyandallrightsrelatingtotheWorkProduct,includingwithoutlimitation,anyandallrightsarisingunder17USC106Aoranyotherrightsofidentificationofauthorshiporrightsofapproval,restrictionorlimitationonuseorsubsequentmodifications. $$ sXXX[#X[XsX{S# 7.0  Indemnity. +$$   XXXX[a.GeneralIndemnity: Contractorshalldefend,holdharmlessandindemnifytheStateofOregon,DHS (, and0  itsagencies,subdivisions,officers,employeesandagentsfromandagainstallclaims,suits,actions,losses, - damages,liabilities,costsandexpensesofanynatureresultingfrom,arisingoutof,orrelatingtotheactivitiesofContractororitsofficers,employees,subcontractors,oragentsunderthisContract. $$   b.IntellectualPropertyIndemnity: Withoutlimitingthegeneralindemnityprovision,Contractor  >1 expressly0 ` agreestodefend,holdharmlessandindemnifytheStateofOregon,DHSandits 4!2 agencies,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.#X[XXX T#v*(A` $` $ sXXX[#X[XsX|\# 8.0  Insurance+Z)C$$  0  a. 0$$DuringthetermofthiscontractContractorshallmaintaininforceatitsownexpense,eachinsurance P,)D notedbelow: $$ HX Xr D"X X` D"H0  0$$ (1) 0r$$WorkersCompensationinsuranceincompliancewithORS656.017,whichrequiressubject -4+F employerstoprovideOregonworkerscompensationcoverageforalltheirsubjectworkers. r$r$ 0  0$$ (2) 0r$$GeneralLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan f/-I $1,000,000eachoccurrenceforBodilyInjuryandPropertyDamage.Itshallincludecontractual 0-J liabilitycoveragefortheindemnityprovidedunderthiscontract.ItshallprovidethattheStateofOregon,DepartmentofHumanServices,andtheirdivisions,officersandemployeesareAdditionalInsuredsbutonlywithrespecttotheContractorsservicestobeprovidedunderthiscontract. r$r$ 0  0$$ (3) 0r$$AutomobileLiabilityinsuranceasrequiredbytheOregonFinancialResponsibilityLaw(ORS x 806.060),includingcoverageforowned,hiredornonownedvehicles,asapplicable. r$r$ 0  0$$ (4) 0r$$ProfessionalLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan R $1,000,000eachclaim,incidentoroccurrence.Thisistocoverdamagescausedbyerror,omissionornegligentactsrelatedtotheprofessionalservicestobeprovidedunderthiscontract. r$r$ 0  b. 0$$ NoticeofCancellationorChange: Thereshallbenocancellation,materialchange,reductionoflimits "   orintentnottorenewtheinsurancecoverage(s)without30dayspriorwrittennoticefromContractororitsinsurer(s)toContractsCoordinator,OregonDepartmentofHumanServices. $$ 0  c. 0$$ CertificatesofInsurance: Asevidenceoftheinsurancecoveragesrequiredbythiscontract,Contractor  B  shallfurnishacceptableinsurancecertificatestoContractsCoordinator,OregonDepartmentofHumanServicespriortocommencingtheWork.ThecertificatewillspecifyallofthepartieswhoareAdditionalInsureds.InsuringcompaniesorentitiesaresubjecttoStateacceptance.Ifrequested,completecopiesofinsurancepolicies,trustagreements,etc.,shallbeprovidedtotheState.Contractorshallbefinanciallyresponsibleforallpertinentdeductibles,selfinsuredretentionsand/orselfinsurance. $$ & x 9.0  Termination N $$ 0  a.0$$PartiesRighttoTerminateforConvenience :Thiscontractmaybeterminatedatanytimebymutual   writtenconsentoftheparties. $$ 'xNhh0  b.0$$DHSsRighttoTerminateforConvenience :DHSmay,atitssolediscretion,terminatethiscontract, n inwholeorinpart,upon30daysnoticetoContractor. $$ 0  c.0$$DHSsRighttoTerminateforCause :DHSmayterminatethiscontract,inwholeorinpart, H immediatelyuponnoticetoContractor,oratsuchlaterdateasDHSmayestablishinsuchnotice,upontheoccurrenceofanyofthefollowingevents: $$ 0  0$$(1)0r$$ DHSfailstoreceivefunding,orappropriations,limitationsorotherexpenditureauthorityatlevels   sufficienttopayforContractorsWork; r$r$ 0  0$$ $$     (2)0 r FederalorStatelaws,regulationsorguidelinesaremodifiedorinterpretedinsuchawaythateither # theWorkunderthiscontractisprohibitedorDHSisprohibitedfrompayingforsuchWorkfromtheplannedfundingsource; r$r$ 0  0$$ (3)0r$$ ContractornolongerholdsanylicenseorcertificatethatisrequiredtoperformtheWork;orj'r$r$ 0  0$$ (4) 0r$$Contractorcommitsanymaterialbreachordefaultofanycovenant,warranty,obligationor N) agreementunderthiscontract,failstoperformtheWorkunderthiscontractwithinthetimespecifiedhereinoranyextensionthereof,orsofailstopursuetheWorkastoendangerContractorsperformanceunderthiscontractinaccordancewithitsterms,andsuchbreach,defaultorfailureisnotcuredwithin10businessdaysafterdeliveryofDHSsnotice,orsuchlongerperiodasDHSmayspecifyinsuchnotice. r$r$ 0  d.0$$ContractorsRighttoTerminateforCause :Contractormayterminatethiscontractupon30days 0 noticetoDHSifDHSfailstopayContractorpursuanttothetermsofthiscontractandDHSfailstocurewithin30daysafterreceiptofContractorsnotice,orsuchlongerperiodofcureasContractormayspecifyinsuchnotice. $$   0   $$    e.0  Remedies :# 5$$ 0  0$$ (1) 0r$$IntheeventofterminationpursuanttoSections9a,9b,9c(1),9c(2)or9dofthisexhibit, #T!6 ContractorssoleremedyshallbeaclaimforthesumdesignatedforaccomplishingtheWorkmultipliedbythepercentageofWorkcompletedandacceptedbyDHS,lesspreviousamountspaidandanyclaim(s)whichStatehasagainstContractor.IfpreviousamountspaidtoContractorexceedtheamountduetoContractorunderthisSection,ContractorshallpayanyexcesstoDHSupondemand. r$r$ 0  0$$(2)0r$$ IntheeventofterminationpursuanttoSection9c(3)or9c(4)ofthisexhibit,DHSshallhaveany '%= remedyavailabletoitinlaworequity.IfitisdeterminedforanyreasonthatContractorwasnotindefaultunderSection9c(3)or9c(4)ofthisexhibit,therightsandobligationsofthepartiesshallbethesameasifthecontractwasterminatedpursuanttoSection9bofthisexhibit. r$r$    f.0  ContractorsTenderUponTermination: Uponreceivinganoticeofterminationofthiscontract, +(B Contractorshallimmediatelyceaseallactivitiesunderthiscontract,unlessDHSexpresslydirectsotherwiseinsuchnoticeoftermination.Uponterminationofthiscontract,ContractorshalldelivertoDHSalldocuments,information,worksinprogressandotherpropertythatareorwouldbedeliverableshadthecontractbeencompleted.UponDHSsrequest,ContractorshallsurrendertoanyoneDHSdesignates,alldocuments,researchorobjectsorothertangiblethingsneededtocompletetheWork. $$  10.0  LimitationofLiabilities.EXCEPTFORLIABILITYARISINGUNDERORRELATEDTO .p,H SECTION5aOR9e(2)OFTHISEXHIBIT,NEITHERPARTYSHALLBELIABLEFOR(A)ANYINDIRECT,INCIDENTAL,CONSEQUENTIALORSPECIALDAMAGESUNDERTHE 0-J N_c N  N  CONTRACTOR(B)ANYDAMAGESOFANYSORTARISINGSOLELYFROMTHETERMINATIONOFTHISCONTRACTINACCORDANCEWITHITSTERMS. $$ sXXX[#X[XsX[|# 11.0  RecordsMaintenance;Access. Contractorshallmaintainallfiscalrecordsrelatingtothiscontractin 2 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. $$ sXXX[#X[XsX6# 12.0  CompliancewithApplicableLaw. Contractorshallcomplywithallfederal,stateandlocallaws,  B  regulations,executiveordersandordinancesapplicabletotheWorkunderthiscontract.Withoutlimitingthegeneralityoftheforegoing,Contractorexpresslyagreestocomplywith:(I)TitleVIofCivilRightsActof1964;(ii)SectionVoftheRehabilitationActof1973;(iii)theAmericanswithDisabilitiesActof1990andORS659.425;(iv)allregulationsandadministrativerulesestablishedpursuanttotheforegoinglaws;and(v)allotherapplicablerequirementsoffederalandstatecivilrightsandrehabilitationstatutes,rulesandregulations.DHSsperformanceunderthiscontractisconditioneduponContractorscompliancewiththeprovisionsofORS279.312,279.314,279.316,279.320,and279.555,whichareincorporatedbyreferenceherein. $$ sXXX[#X[XsX# 13.0  ForeignContractor. IfContractorisnotdomiciledinorregisteredtodobusinessintheStateofOregon, n ContractorshallpromptlyprovidetotheOregonDepartmentofRevenueandtheSecretaryofStateCorporationDivisionallinformationrequiredbythoseagenciesrelativetothiscontract.ContractorshalldemonstrateitslegalcapacitytoperformtheWorkunderthiscontractintheStateofOregonpriortoenteringintothiscontract. $$  14.0  ForceMajeure. NeitherDHSnorContractorshallbeheldresponsiblefordelayordefaultcausedbyfire, z" riot,actsofGod,orwarwheresuchcausewasbeyondthereasonablecontrolofDHSorContractor,respectively.Contractorshall,however,makeallreasonableeffortstoremoveoreliminatesuchacauseofdelayordefaultandshall,uponthecessationofthecause,diligentlypursueperformanceofitsobligationsunderthiscontract. $$  15.0  Survival. Allrightsandobligationsshallceaseuponterminationorexpirationofthiscontract,exceptfor .% therightsandobligationssetforthintheContractSectionI.EFFECTIVEDATEANDDURATION,andinparagraphs5,6,7,11,15and21ofthisexhibit. $$  16.0  TimeisoftheEssence. Contractoragreesthattimeisoftheessenceunderthiscontract.N)$$  17.0  WrittenNotice. Allnoticesregardingthiscontractmustbegiventothepartiesinwritingbypersonal + deliveryormailingthesame,postageprepaid,tothefollowingaddresses: $$ & < 0  '<",&  ,DHS:0r$$0 r$r$DHSContractsCoordinatorordelegated. $ $      r  OregonDepartmentofHumanServices0  0$$0r$$0 r$r$500SummerStreetNE/MailingCodeE03  $ $ 0  0$$0r$$0 r$r$SalemOR973101080  $ $ 0     r  FacsimileNumber: $$      r  PhoneNumber:& A 0  Contractor:0 $$Entity# 5 $ $ 0  0$$0r$$0 r$r$Address  $ $ 0  0$$0r$$0 r$r$City,State,ZIP  $ $ '     r  FacsimileNumber:     r  PhoneNumber:0  Anynoticedeliveredbyfacsimileshallbedeemedtobegivenwhenreceiptofthetransmissionisgeneratedbythetransmittingmachine.TobeeffectiveagainstDHS,suchfacsimiletransmissionmustbeconfirmedbytelephonenoticetoDHSsContractAdministrator. $$ sXXX[#X[XsX# 18.0  Severability. Thepartiesagreethatifanytermorprovisionofthiscontractisdeclaredbyacourtof :)&? competentjurisdictiontobeillegalorinconflictwithanylaw,thevalidityoftheremainingtermsandprovisionsshallnotbeaffected,andtherightsandobligationsofthepartiesshallbeconstruedandenforcedasifthecontractdidnotcontaintheparticulartermorprovisionheldtobeinvalid. $$  19.0  Counterparts. Thiscontractmaybeexecutedinseveralcounterparts,allofwhichwhentakentogether P,)D shallconstituteoneagreementbindingonallparties,notwithstandingthatallpartiesarenotsignatoriestothesamecounterpart.Eachcopyofthecontractsoexecutedshallconstituteanoriginal. $$ & A 20.0  DisclosureofSocialSecurityNumber. ContractormustprovideContractorsSocialSecuritynumber .p,H unless'*./ContractorprovidesafederaltaxIDnumber.ThisnumberisrequestedpursuanttoORS305.385, f/-I OAR12520410(3)andOAR150305.100.SocialSecuritynumbersprovidedpursuanttothisauthoritywillbeusedfortheadministrationofstate,federalandlocaltaxlaws. $$  21.0  GoverningLaw;Venue;ConsenttoJurisdiction. Thiscontractshallbegovernedbyandconstruedin 2 accordancewiththelawsoftheStateofOregonwithoutregardtoprinciplesofconflictsoflaw.Anyclaim,action,suitorproceeding(collectively,"Claim")betweenDHS(and/oranyotheragencyordepartmentoftheStateofOregon)andContractorthatarisesfromorrelatestothiscontractshallbebroughtandconductedsolelyandexclusivelywithintheCircuitCourtofMarionCountyfortheStateofOregon;provided,however,iftheclaimmustbebroughtinafederalforum,thenitshallbebroughtandconductedsolelyandexclusivelywithintheUnitedStatesDistrictCourtfortheDistrictofOregon.CONTRACTOR,BYTHEEXECUTIONOFTHISCONTRACT,HEREBYCONSENTSTOTHEINPERSONAMJURISDICTIONOFSAIDCOURTS. $$  22.0  Amendment. Thetermsofthiscontractmaynotbewaived,altered,modified,supplementedoramended, ^   inanymannerwhatsoever,exceptbywrittenagreementsignedbytheparties.Thiscontractwillnotbeamendedaftertheexpirationdate. $$ & A 23.0  ConfidentialityofClientInformation  ~ $$ 0  a. 0$$AllinformationastopersonalfactsandcircumstancesobtainedbytheContractor'8 ݛontheclientshallbe t   treatedasprivilegedcommunications,shallbeheldconfidential,andshallnotbedivulgedwithoutthewrittenconsentoftheclient,hisorherattorney,theresponsibleparentofaminorchild,orhisorherguardianexceptasrequiredbyothertermsofthiscontract.Nothingprohibitsthedisclosureofinformationinsummaries,statistical,orotherformwhichdoesnotidentifyparticularindividuals. $$ 0  b. 0$$Theuseordisclosureofinformationconcerningclientsshallbelimitedtopersonsdirectlyconnected ( withtheadministrationofthiscontract.Confidentialitypoliciesshallbeappliedtoallrequestsfromoutsidesources. $$ 0  c. 0$$DHS,ContractorandanysubcontractorwillshareinformationasnecessarytoeffectivelyserveDHS H clients. $$ sXXX[#X[XsX# 24.0  CompliancewithApplicableFederalLaw. Contractoragreestocomplywithallfederallawsand z" regulationsapplicabletoworkperformedunderthiscontractinclusiveofbutnotlimitedto: $$ 0  a.0$$ Totheextentitisrequiredtodosobylaw,Contractorshallabidebyallmandatorystandardsand T" policieswhichrelatetoenergyefficiencyandwhicharecontainedinthestateofOregonenergyconservationplanwhichwasissuedincompliancewiththeEnergyPolicyandConservationAct(PL94-163).Allsubcontractsshallalsobeincompliancewiththeforegoing. $$ 0  b. 0$$Bysignatureonthiscontract,theundersignedcertifies,tothebestofhisorherknowledgeandbelief, j' that: $$ 0  0$$(1)0r$$ Nofederallyappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfofContractor,to D* anypersonforinfluencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththeawardingofanyfederalcontract,themakingofanyfederalgrant,themakingofanyfederalloan,theenteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodificationofanyfederalcontract,grant,loan,orcooperativeagreement. r$r$ 0  0$$ (2)0r$$ Ifanyfundsotherthanfederallyappropriatedfundshavebeenpaidorwillbepaidtoanyperson  >1 forinfluencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththisfederalcontract,grant,loan,orcooperativeagreement,ContractoragreestocompleteandsubmitStandardFormLLL"DisclosureFormtoReportLobbying,"inaccordancewithitsinstructions. r$r$ sXXX[#X[XsXo#0  0$$ (3) 0r$$Theundersignedshallrequirethatthelanguageofthiscertificationbeincludedintheaward $"8 documentsforallsubawardsatalltiers(includingsubcontracts,subgrants,andcontractsundergrants,loans,andcooperativeagreements)andthatallsubrecipientsshallcertifyanddiscloseaccordingly. r$r$ 0  0$$0r$$Thiscertificationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscertificationisaprerequisiteformakingorenteringintothistransactionimposedbysection1352,title31,U.S.Code.Anypersonwhofailstofiletherequiredcertificationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure. r$r$ 0   $$   0  c. 0$$ContractoragreestocomplywithExecutiveOrder11246entitledEqualEmploymentOpportunityas P,)D amendedbyExecutiveOrders11375and12086andassupplementedinDepartmentofLaborRegulation41CFRpart60.Allsubcontractsshallalsocomplywiththeseprovisions. $$ 0  d. 0$$Ifthesumpayableunderthiscontractexceedsormayexceed$100,000,ContractorshallprovideDHS .p,H awrittenassurancethatContractorwillcomplywithallapplicablestandards,orders,orrequirementsissuedunderSection306oftheCleanAirAct(42USC7401et.seq.),theFederalWaterPollution 0-J ControlAct,asamended(33USC1251et.seq.),Section508oftheCleanWaterAct(33USC1368),ExecutiveOrder11738andEnvironmentalProtectionAgencyregulations(40CFRPart15).ContractorfurtheragreestopromptlyreportallinfractionstotheStateofOregon,andtotheDepartmentofHealthandHumanServices,andtotheU.S.RegionalOfficeoftheEnvironmentalProtectionAgency.Allsubcontractsshallalsobeincompliancewiththeseprovisions. $$ sXXX[#X[XsXC# 25.0  Year2000ComplianceNotice .IntheeventContractorlearnsorhasreasontobelievethatDHSs   computerhardwareorsoftwareenvironmentfailstouseadataformatthatexplicitlyspecifiescenturyinanydatedata,ContractorshallpromptlyadviseDHSofsuchfailure. $$  26.0  DepartmentofJusticeApproval. Whenthecontractoramendmentstheretocausethecontractpayment ,  tobeinexcessof$75,000,theDepartmentofJusticemustapprovethecontractandanyamendmentsastoLegalSufficiency.Suchapprovalisrequiredbeforeanyworkmaybeginunderthiscontractoramendmentsthereto,orthecontractisnotbindingontheStateofOregonorDHS. $$  27.0  KeyPerson. ContractoracknowledgesandagreesthatOregonDHSselectedContractor,andisenteringinto  B  thisContract,becauseofthespecialqualificationsofContractorskeyperson(s).Inparticular,OregonDHSthroughthisContract,isengagingtheexpertise,experience,judgmentandpersonalattentionofXXXXX(KeyPersonName).ContractorsKeyPersonsshallnotdelegateperformanceoftheresponsibilitieshe/sheisrequiredtoprovideunderthisContracttoanother(other)ofContractorsemployee(s)withoutfirstobtainingthewrittenconsentofOregonDHS.Further,Contractorshallnotre-assignortransferanyKeyPersontootherdutiesorpositionssuchthatanyKeyPersonisnolongeravailabletoprovideOregonDHSwithhis/herexpertise,experience,judgment,andpersonalattention,withoutfirstobtainingOregonDHSspriorwrittenconsenttosuchre-assignmentortransfer.IntheeventContractorrequeststhatOregonDHSapproveare-assignmentortransferofanyKeyPerson,OregonDHSshallhavetherighttointerview,reviewthequalificationsof,andapproveordisapprovetheproposedreplacementfortheKeyPerson.AnyapprovedsubstituteorreplacementforaKeyPersonshallbedeemedaKeyPersonunderthisContract.Inaddition, X[XXX[theContractormustprovideareplacementforanyConsultantwhoceasesaffiliationwiththeContractor,  whomDHSdeemsisnotperformingatanacceptablelevelorishinderingthesuccessfulcompletionofassignment(s),isunabletoperformassignedwork,orasrequiredbyDHS.TransitionschedulemustbeapprovedbyDHS.IntheeventthatDHSrequiressuchreplacement,theContractorshallpromptlysubstituteorengageotherqualifiedindividuals.AllsuchreplacementsaresubjecttoDHSspriorreviewandacceptance.IntheeventthatContractorisunabletomeetitsobligationtofurnishareplacementConsultant,DHSmay,atitsoption,terminatethatportionoftheContractwithoutliability,ortocontinuetheContractwithoutreplacement.#X[XX X[ƺ# T"$$ 5  ExhibitC  X  IndependentContractorCertificationStatement   B  %X[XXX[ #X[XX%X[# XX[ThisformistobecompletedbyContractor;Corporationsarenotrequiredtocompletethisform. 2  ORS670.600IndependentContractor;standards.AsusedinvariousprovisionsofORSchapters316,656,657and701,anindividual ~ orbusinessentitythatperformslabororservicesforrenumeration'sshallbeconsideredtoperformthelabororservicesasanIndependentContractorifthestandardsofthissectionaremet: Contractorunderstandsthat: P 9XX Xr D"91.0  Theindividualorbusinessentityprovidingthelabororservicesisfreefromdirectionandcontroloverthemeansandmanner    ofprovidingthelabororservices,subjectonlytotherightoftheAgencyforwhomthelabororservicesareprovidedtospecifythedesiredresults; $$ 2.0  Theindividualorbusinessentityprovidinglabororservicesisresponsibleforobtainingallassumedbusinessregistrationsor  B  professionaloccupationlicensesrequiredbystatelaworlocalgovernmentordinancesfortheindividualorbusinessentitytoconductthebusiness; $$ 3.0  Theindividualorbusinessentityprovidinglabororservicesfurnishesthetoolsorequipmentnecessaryforperformanceofthe *  contractedlabororservices; $$ 4.0  Theindividualorbusinessentityprovidinglabororserviceshastheauthoritytohireandfireemployeestoperformthelabor   orservices; $$ 5.0  Paymentforthelabororservicesismadeuponcompletionoftheperformanceofspecificportionsoftheprojectorismadeon  thebasisofanannualperiodicretainer. $$ *XX*6.0  TheindividualorbusinessentityprovidinglabororserviceisregisteredunderORSchapter701,iftheindividualorbusiness  entityprovideslabororservicesforwhichsuchregistrationisrequired; $$ 7.0  FederalandstateincometaxreturnsinthenameofthebusinessorabusinessScheduleCorfarmScheduleFaspartofthe  personalincometaxreturnwerefiledforthepreviousyeariftheindividualorbusinessentityperformedlabororservicesasanindependentcontractorinthepreviousyear;and $$ 8.0  Theindividualorbusinessentityrepresentstothepublicthatthelabororservicesaretobeprovidedbyanindependently j! establishedbusiness.ExceptwhenanindividualorbusinessentityfilesaScheduleFaspartofthepersonalincometaxreturnsandtheindividualorbusinessentityperformsfarmlabororservicesthatarereportableonScheduleC,anindividualorbusinessentityisconsideredtobeengagedinanindependentlyestablishedbusinesswhenfourormoreofthefollowingcircumstancesexist.Contractormustmeetfour(4)ormoreofthefollowing: $$ *X*  A.0  Thelabororservicesareprimarilycarriedoutatalocationthatisseparatefromtheresidenceofanindividualwhoperforms B' thelabororservices,orareprimarilycarriedoutinaspecificportionoftheresidence,whichportionissetasideasthelocationofthebusiness; $$   B.0  Commercialadvertisingorbusinesscardsasiscustomaryinoperationofsimilarbusinessesarepurchasedforthebusiness, z+ ortheindividualorbusinessentityhasatradeassociationmembership; $$   C.0  Telephonelistingandserviceareusedforthebusinessthatisseparatefromthepersonalresidencelistingandserviceused f. byanindividualwhoperformsthelabororservices; $$   D.0  Labororservicesareperformedonlypursuanttowrittencontracts;!R1$$   E.0  Labororservicesareperformedfortwoormoredifferentpersonswithinaperiodofoneyear;or" 3$$   F.0  Theindividualorbusinessentityassumesfinancialresponsibilityfordefectiveworkmanshiporforservicenotprovidedas :$!5 evidencedbytheownershipofperformancebonds,warranties,errorsandomissioninsuranceorliabilityinsurancerelatingtothelabororservicestobeperformed. $$ 9.0  PursuanttoOAR1250200410(4),thecontractshallprovidethattheContractorisresponsibleforfederalSocialSecurity,except &r$9 thosecategoriesexcludedbylaw,andforanyfederalorstatetaxesapplicabletothecontractpayment. $$  IndependentContractorcertifieshe/shemeetstheabovestandardsandagreestoperformthelabororservicesrequiredbythiscontractasanIndependentContractor. P'  '     *   *ContractorSignature ________________________________________________Date_________________ F+(@ '   'EntityName(printedortyped): _____________________________________________________________________#X[X 7# 2-*C   -~+D Ծ0 @ ExhibitD X  7 INFORMATIONFORCRIMINALHISTORYCHECKvXX[   *eFXdd $dd $FX$X$e,m dd ,dd , dd +  % C %@] ] *** 5GvHIRINGSUPERVISORTOCOMPLETETHISSECTION #v5G#*** *  *CNameofDHSSupervisor=C $ $CAgency/Address=C   CPhoneNumber/Extension=C(    (*FdXdm dd m dd  dd FX$X$,s#dd +  !   !@ ***5Gv TOBECOMPLETEDBYAPPLICANT/EMPLOYEE #v5GM#***(H   (0X X (# 70Name(PleasePrint) Last    h First     p Middle    DateofBirth 9   AF<) xdEX 8"A  A OtherName(s)Used:(MaidenName,PreviousMarriedName(s),Aliases,LegalNameChanges,AssumedNames,etc.)#X[XvW#AF<)V' s#dEV' s#AvXX[ t  #X[Xv#N!XX[33#X[X!Ns#33vXX[Sex     SocialSecurityNumber(PerSignedConsentBelow) p     DriversLicenseNumber/Issuing   State O #X[Xv#vXX[Male#X[Xv#vXX[  Female#X[XvC#vXX[ #X[Xv#vXX[ N  AF<)Vs#dEVs#A %{VWARNING:Falselyrespondingtoanyofthequestionslistedbelowdisqualifiesyourapplicationbylaw.  { EX  X (#X X XE1.  Yes  No0 HaveyoulivedoutsidetheStateofOregonanytimeduringthefive(5)yearpriortodaysdate?+ $ $ T2.  Yes  No0 Haveyoueverbeenconvictedofanycrimelistedonthebackofthisform(orthesubstantialequivalentofanyof g thecrime(s)iftheconvictionoccurredinanotherjurisdictionorinOregonunderadifferentstatutorynameornumber)?  $ $ IfYES,placean(X)intheboxbesidethecrime(orthesubstantiallyequivalentcrime)and,onaseparatesheetofpaper,describethecircumstancesbywhichyouwereconvictedofthecrime(s)andprovideanyinformationyouhavetohelpusunderstandwhyyoubelieveyourconviction(s)WILLNOTposearisktopersonsinthecareoforreceivingservicesfromDHS,orotherpreventyoufromfulfillingtheresponsibilitiesofyourjob.3.  Yes  No0 Doyouhaveaconcealedhandgunlicense??' $ $ @ t%lG 5GvAUTHORIZATIONTODISCLOSESOCIALSECURITYNUMBER#v5G7#  l* %AtOAR410070000authorizesDHStorequestyoutovoluntarilyprovideyourSocialSecurityNumbertoDHSforuseasanidentificationnumberforcriminalrecordchecks.FailuretoprovideyourSocialSecurityNumberwillnotbeusedasabasistodenyyouanyrightorbenefit,orprivilegeprovidedbylaw.IfyouprovideyourSocialSecurityNumberandconsenttoitsuse,itwillbeusedonlyforthepurposestatedaboveandwillnotbegiventothegeneralpublic.BysigningthisconsenttodiscloseyourSocialSecurityNumber,youauthorizeDHStodiscloseyourSocialSecurityNumbertoothersifsuchdisclosureisnecessaryforthepurposestatedabove.______________________________________________________________________________________________________________________ConsultantsSignature     h      p       Date "3 %" "q @  t 5GvAFFIRMATIONOFACCURATEINFORMATION#v5G#  " 4 %#k!#F!Ihavereviewedandcompletedbothsidesofthisformasapplicabletome.Iunderstandthatsubmittingfalseinformationwilldisqualifymefromworkingat/forDHS.Bymysignaturebelow,Iherebyaffirmthatallinformationprovidedonbothsidesofthisform,andallattachmentsthereto,aretrueandaccurate.   #%"7    @  @  @ ***5Gv CONSULTANTSSIGNATUREMUSTBEWITNESSED#v5G# 󀀀*** &+$9 __________________________________________________________   '%; _______________________________________________________ConsultantsSignature    Date h     SignatureofWitness     Date C)&=              h     _______________________________________________________h           h     TitleofWitnessh*eFdds#dd s#FX$X$e,dd ,Wdd +  % k-+F %@ \***5Gv DHSPERSONNELSERVICESUSEONLY #v5GC#Ԁ*** '-w+G 'DateofLEDSCCH/WARRANTS/DMVCheck:______/______/_____  k/-I DHSPERSSVCSRECORDSSPEC: /,J   K0-J  ]4X^ ; N <u|,,Xh4!XX  X X]Conviction : ^ Yes  No ;  N Warrant:  < Yes u No |   ValidODL :YesQ<hNo X  ContinuedEmployment :  Approved N Denied  ` *xOFPdddd Wdd WFX$X$x, $dd +   X #X[Xv#@I I \ IMPORTANTNOTICETOCONSULTANT   d sXXX[YOURSIGNATUREONTHEFRONTOFTHISFORMMEANSYOUHAVEREVIEWEDTHISLISTOFCRIMESANDCHECKMARKED(4)THOSE  CRIMESFORWHICHYOUHAVEBEENCONVICTED.YOURSIGNATUREALSOGRANTSPERMISSIONFORDHSTOVERIFYANYANDALLINFORMATIONYOUHAVEPROVIDEDONTHISFORMANDATTACHEDDOCUMENTS,IFANY.#X[XsX# h  N!XX[ffӀ#X[X!N$# H ffCsXXX[SpecificCrimes:(ORS):  #X[XsX#ffff`" F X XX^ ; N <u|,,Xh4!X`vXX[( X$X$(o0 W 162.0250WuWuBribeReceiving uu o0 W 162.0650WuWuPerjuryh  uu o0 W 162.1550WuWuEscapeII  uu o0 W 162.165  EscapeI ( WuWu o W 162.185  SupplyingContraband    o0 W 162.2050WuWuFailuretoAppearI @ uu o0 W 162.2350WuWuObstructingGovernmentalorJudicialAdministration$ uu o0 W 162.2650WuWuBribingaWitness X uu o0 W 162.2750WuWuBribeReceivingByaWitness< uu o0 W 162.2850WuWuTamperingWithaWitness p uu o0 W 162.3050WuWuTamperingWithPublicRecordsT uu o0 W 162.3250WuWuHinderingProsecution uu o W 163.095  AggravatedMurder l  o W 163.115  Murder   o W 163.118  ManslaughterI , o W 163.125  ManslaughterII  o W 163.145  CriminallyNegligentHomicide D o0 W 163.1600WuWuAssaultIV(uu o W 163.165  AssaultIII \ o W 163.175  AssaultII @ o W 163.185  AssaultI t o0 W 163.1900WuWuMenacingXuu o0 W 163.1950WuWuRecklesslyEndangeringAnotheruu o W 163.200  CriminalMistreatmentII p  o W 163.205  CriminalMistreatmentI ! o W 163.225  KidnapingII 0" o W 163.235  KidnapingI # o W 163.275  Coercion H$ o W 163.355  RapeIII ,% o W 163.365  RapeII `& o W 163.375  RapeI D' o W 163.385  SodomyIII x( o W 163.395  SodomyII \) o W 163.405  SodomyI * o W 163.408  UnlawfulSexualPenetrationII t+ o W 163.411  UnlawfulSexualPenetrationI , o W 163.415  SexualAbuseIII 4- o W 163.425  SexualAbuseII . o W 163.427  SexualAbuseI L/ o W 163.435  ContributingtotheSexualDelinquencyofaMinor 00 o W 163.445  SexualMisconduct d1 o0 W 163.4550WuWuAccostingforDeviatePurposesH2uu o W 163.465  PublicIndecency |3 o W 163.515  Bigamy ` 4 o W 163.525  Incest  5 o W 163.535  AbandonmentofaChild x! 6 o W 163.545  ChildNeglectII "7 o W 163.547  ChildNeglectI "8 8 o W 163.555  CriminalNonsupport # 9 o W 163.575  EndangeringtheWelfareofaMinor #P!: o W 163.670  UsingChildinDisplayofSexuallyExplicitConduct 4$!; o W 163.6730  DealinginDepictionsofSexualConductInvolvinga $h"< Child uu o0 W 163.6750WuWuSaleofExhibitionofVisualReproductionofSexual %#> ConductbyChild uu o W 163.680  PayingforViewingSexualConduct &$@ o W 163.732  Stalking |'$%A o0 W 164.0430WuWuTheftIII(%Buu o0 W 164.0450WuWuTheftII(<&Cuu o0 W 164.0550WuWuTheftI )&Duu o0 W 164.0570WuWuAggravatedTheftI)T'Euu o W 164.075  TheftbyExtortion 8*'F o W 164.225  BurglaryI *l(G o W 164.325  ArsonI P+(H H,F$ 4 X F X XHo 9 164.395  RobberyIII +)I o 9 164.405  RobberyII h,*J o 9 164.415  RobberyI ,*K o0 9 165.01309u9uForgeryintheFirstDegree-(+Luu o0 9 165.02209u9uCriminalPossessionofaForgedInstrumentinthe  .+M FirstDegree uu BX,F$ 4 XBo0 9 165.03209u9uCriminalPossessionofaForgeryDevice$/,Ouu o0 9 165.05509u9uFraudulentUseofCreditCard(Over$750)/X-Puu o0 9 165.06509u9uNegotiatingaBadCheck(ClassFelonyClause)<0-Quu o0  165.07005&&PossessionaFraudulentCommunicationDeviceQ5&5& o0  165.07405&&UnlawfulFactoringofaCreditCardTransactionh R5&5& o0  165.08505&&SportsBribery S5&5& o0  165.09005&&SportsBribeReceiving (T5&5& o0  166.01505&&Riot U5&5& o  166.085 5 AbuseofCorpseII  @ V o  166.087 5 AbuseofCorpseI $ W o  166.155 5 IntimidationII  X X o  166.165 5 IntimidationI < Y o  166.220 5 UnlawfulUseofWeapon  p Z o  166.270 5 FeloninPossessionofFirearm T [ o0  166.27205&&UnlawfulPossessionofMachineGuns,CertainShortbarreled  \ Firearms&FirearmsSilencers 5&5& o  166.275 5 PossessionofWeaponsbyInmatesofInstitutions  ^ o  166.3700 5 DischargingFirearmatSchool/PossessionofFirearmor ,_ DangerousWeaponinPublicBuilding 5&5& o  166.382 5 PossessionofDestructiveDevice Da o  166.384 5 UnlawfulManufactureofDestructiveDevice (b o  166.429 5 UseofFirearmsinFelony \c o  166.480 5 SaleorGiftofExplosivestoChildren @d o  166.660 5 UnlawfulParamilitaryActivity te o  166.720 5 Racketeering Xf o0  167.00705&&Prostitutiong5&5& o  167.012 5 PromotingProstitution ph o  167.017 5 CompellingProstitution i o  167.0620 5 SadomasochisticAbuseorSexualConductinLiveShow#X[Xv#sXXX[(engaging 0j in)#X[XsX#vXX[k5&5& o  167.0620 5 SadomasochisticAbuseorSexualConductinLiveShow Hl (directing,managing,financing,orpresenting) 5&5& o  167.065 5 FurnishingObsceneMaterialstoMinors `n o  167.070 5 SendingObsceneMaterialstoMinors Do o  167.075 5 ExhibitinganObscenePerformancetoaMinor xp o  167.080 5 DisplayingObsceneMaterialstoMinors \q o  167.087 5 DisseminatingObsceneMaterial r o  167.090 5 PubliclyDisplayingNudityorSexforAdvertisingPurposes ts o  167.212 5 TamperingwithDrugRecords t o  167.2620 5 AdultUsingMinorinCommissionofControlledSubstance 4u Offense(LessThanFiveGramsMarijuana) 5&5& o  411.630 5 UnlawfullyObtainingofPublicAssistance Lw o  411.840 5 UnlawfullyUsingStampsorCommodities 0x o0  471.41005&&ProvidingLiquortoaPersonUnder21ortoIntoxicatedPerson; dy MandatoryMinimumPenalties 5&5& o0  475.99205&&ProhibitedActsGenerally;Penalties;AffirmativeDefensefor |{ CertainPeyoteUses 5&5& o0  475.99305&&ProhibitedActsforRegistrants;Penalties }5&5& o0  475.99405&&ProhibitedActsInvolvingRecordsandFraud;Penaltiesx! ~5&5& o0  475.99505&&DistributionofControlledSubstancetoMinors"5&5& o0  475.99605&&CrimeCategoryClassificationforViolationof475.992;Proofof "8  CommercialDrugOffense 5&5& o0  475.99905&&ManufactureorDeliveryofControlledsubstancetoMinoror #P! StudentWithin1,000FeetofSchool 5&5& o0  811.14005&&RecklessDriving$h"5&5& o0  811.18205&&CriminalDrivingWhileSuspendedorRevokedorinViolationofa L%" Permit 5&5& o0  811.54005&&FleeingorAttemptingtoEludePoliced& $5&5& o0  811.70005&&FailuretoPerformdutiesofDriverWhenPropertyisDamaged&$5&5& o0  811.70505&&HitandRunVehicle(Injury)|'$%5&5& o0  813.01005&&DrivingUndertheInfluenceof_Intoxicant#X[Xv# (%5&5& ( XuXu(   ExhibitE X ConfidentialityAgreement XX[   #X[X &#%  XH&   XX[ToallcontractorsworkingonOregonDepartmentofHumanServices(_DHS_)projects: h Forthepurposesofthiscertificatetheterm contractorwillmeanallConsultantsassignedtotheprojectbythecontractor.Oregonslawscontainprovisionsrelationtoconfidentialityofrecords,listsandinformationaboutclientapplicants/clients/recipientsandaboutStateemployees.Theselaws,andthepenaltiesforviolationofthem,pertaintoeverycontractorworkingon_DHS_Ԁprojects,atalllevelsandinanycapacity.Asaconditionofyourcontinuedworkfor_DHS_,youarerequiredtocompletetheconfidentialitytrainingexerciseandsignthiscertificateverifyingthatyouunderstandthelawsandareawareofthepenaltiesforviolation.Ifatsomefuturedate,youhavedoubtsaboutthelegalityofanactionyoumaybeabouttotake,asktherespectiveprojectmanagerforaninterpretation.Youpersonally  h  arelegallyresponsibleforanyviolationoftheselaws. | $   ConfidentialityofPersonnelInformation :_ORS_Ԁ192.500 ThePublicRecords Actcontainsanumberofexemptions   forinformationmaintainedonStateemployeesincludinga personalprivacyexemptionwhichstates: Thefollowingpublicrecordsareexemptfromdisclosure...Informationofapersonalnaturesuchasthatkeptinapersonal,medicalorsimilarfile,ifthepublicdisclosurethereofwouldconstituteanunreasonableinvasionofprivacy,unlessthepublicinterestbyclearandconvincingevidencerequiresdisclosureintheparticularinstance.Thepartyseekingdisclosureshallhavetheburdenofshowingthatpublicdisclosurewouldnotconstituteanunreasonableinvasionofprivacy.(_ORS_Ԁ196.500(2)(b)) ConfidentialityofWelfareApplicants/RecipientsInformation :_ORS_Ԁ411.300 Regulationsconcerninguseand | custodyofrecords. (1)_DHS_Ԁshallmakeandenforcereasonablerulesandregulationsgoverningthecustody,useand 8 preservationoftherecords,tapes,filesandcommunicationsof_DHS_.Theuseofsuchrecords,papers,filesandcommunicationsbyanyotheragencyordepartmentofgovernmentorpersontowhichtheymaybefurnishedshallbelimitedtothepurposesforwhichtheyarefurnishedandbytheprovisionsofthelawunderwhichtheymaybefurnished._ORS_Ԁ411.320 Disclosureanduseofrecordslimited;contentsasaprivilegedcommunication. Fortheprotection < ofclients,_DHS_Ԁcontractors...shallnotdiscloseorusethecontentsofanyrecords,files,papersorcommunicationsforpurposesotherthanthosedirectlyconnectedwiththeadministrationofthepublicassistancelawsofOregon,andtheserecords,filespapersandcommunicationareconsideredconfidentialsubjecttotherulesandregulationsof_DHS_ԀanditsDivisions,exceptasotherwiseprovidedin_ORS_Ԁ411.325to411.335.Inanyjudicialproceedings,exceptproceedingsdirectlyconnectedwiththeadministrationofpublicassistancelaws,theircontentsareconsideredprivilegedcommunications.(Note:_ORS_Ԁ421.325and411.330havebeenvoidedbycourtaction.)_ORS_Ԁ411.335 Prohibiteduseoflistsornames. Nopersonoragencyshallsolicit,disclose,receive,makeuseof,or & authorize,knowinglypermit,participateinaoracquiesceintheuseof,anylistsofnamesforcommercialorpoliticalpurposesofanynature,foranypurposenotdirectlyconnectedwiththeadministrationofpublicassistancelaws.(Note:_ORS_Ԁ411.325and41.330havebeenvoidedbycourtaction.)_ORS_Ԁ411.990 Penalties (1)Violationof_ORS_Ԁ411.320to411.335ispunishable,uponconviction,byafineofnotmore !p+ than$1,000orbyimprisonmentinthecountyjailfornotmorethan60days,orbyboth.Violationof_ORS_Ԁ192.500iscausefordisciplinaryactionunder_ORS_Ԁ240.555. Instructions: Contractorandsupervisorwillsignpriortostartofwork.Returnoriginaltothe_DHS_ԀProjectManager $`"/ ordesignee.IcertifythatIhavereadtheforegoing.MysignaturebelowmeansthatIunderstandtheprovisionsoflawpertainingtotheconfidentialityof_DHS_Ԁrecordsandinformation.IalsounderstandthattheselawsmaychangefromtimetotimeandthatitismyresponsibilitytoreadandunderstandthesechangesasIamnotifiedofthem.K%X ,X9er4 hXXK&Name(pleaseprint): ___________________________________________________________________________ )'6 Signature:_______________________________________________ p Date_____________________ ,)9 SupervisorsSignature:________________________________________________Date_____________________&#X[X &#  D.+<   @@  %X[XXX[ExhibitGPersonalServicesContract100795#X[XX%X[u=#  ProposaltoDepartmentofHumanServicesSolicitation#962DatedSeptember7,2001&SignedbySteveMacMillan  p      SeeattachedProposal.,