WPC2 dE7{Z&Zv|A SYP?Y>W߈ȴ#R{)hzM%ykcM旲ؚxkj ´i,7D q!2y ng[(@$2yx䂁 Gy#9YauBY{%-}wd1 V.jl,ioĵ o4wnW 8n#?x|}1|VNn`R<6CjLI䎘M_tg˹rd 13܂=0Qbb6vK{Luh12l@flQoo{_>ꬾ;.kn8ň7B1_׉)/#* Ac 2훏Y7tK8i^? 0C2 Mu 1iy U: 2! 1N#U:# 0$<$f/%a1%fE%aG%E[%f]%a_% 0Bs%N% 0D%M%U.%--&Z& B' D3'1(P( 1*-**;,Z, 0P .Z.UN........=/"S/S/S/S/S/S/S/S/S/S/S/S/S/S/S/S/S/S/S/S/S/S/S/ 0Wu/u/ 00000000000000000000000000000000000000000000000000000000000000000000000 C2222222222222222222f2a2\\DHR-TREE\pkwy2-ns1-p2$,,,,$0(hH  Z 6Times New Roman RegularX($ E[ Bz,\Z&$!|x(hH  Z6Times New Roman Regular(hH 9Z 6Times New Roman Regular3#37=CIQYag1.a.i.(1)(a)(i)1)a)(3$ !  #2 3\  `$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(#(#({$0  0` (#(#0 ` (#` (#0 (# (#0h(#(#0h(#h(#0(#(#2#  a  )3  0p(#(#hG_cgkosw{Bullet ListBullet List(5hCEKQW]cioAutoList11.1.1.1.1.1.1.1.(EhCEKQW]cioAutoList21.1.1.1.1.1.1.1.(CEKQW]cioAutoList3A.A.A.A.A.A.A.A.1, 2, 3,Level 1Level 2Level 3Level 4Level 5B121, 2, 3,Numbers  .0  >c$"Small Circle"0  T :1Bullet List1Bullet List  >4XX` hp x (#%>XXXW(\  `*Times New RomanTTW        W(\  `*Times New RomanTTW>4X` hp x (#>  9 Z6Times New Roman Regular      8Kl6Plain TextK+<6X9`(Courier NewKS,\  `&Times New RomanS+ `*Times New RomanTT%  d<6X9`(Courier New\  `&Times New Roman TTRX3' LetterYD3'Or Letterhead3' Letter3'Or LetterheadT O/Q+ d  _H 0uG XX  SAMPLE#X[XG H 0u7#(2C$ !  $35;AGMU]c2I.A.1.a.(1)(a)i)a)2 Ha`$"Letter Gothic ( /C)  $     zXX(H* zH4X` hp x (#XH      E1XX` hp x (#XE??US.,(XX (H*US.,??.,UXXH4XX` hp x (#%XXXH#(H* X(Xg#(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$Triangle0 %2A`ArialTT #E } /C)  X3XXk:\jhart\rfp\292\rfp292.wpd `     h      p      x   (#  %   1 X 9  #XWX37#&.%XXW dFFFF'dxd I  /C)    %XWXXX% X%XW.r#bI:\PROCURE\CENTRAL.KT\100000\101000\101917jsd.wpdrI:\PROCURE\CENTRAL.KT\100000\101000\101917jsd.wpd/  #  % 7#58  # 85E#%   (ʽCEKQW]cioAutoList51)1)1)1)1)1)1)1) #L } /C)  X3XXk:\jhart\rfp\292\rfp292.wpd `     h      p      x   (#  %   1 X 9  #XWX37#&.%XXW N  /C)    %XWXXX% X%XW.r#bI:\PROCURE\CENTRAL.KT\100000\101000\101917jsd.wpdrI:\PROCURE\CENTRAL.KT\100000\101000\101917jsd.wpd/  #  % 7#58  # 85E#%   ((3/Q$ !   d  O/Q+ d  _QH 0uG XX  SAMPLE#QX[XG H 0u7#(hH  Z 6Times New Roman Regular     ,   @0ApxTxt1ApxTxt1  XXXW(\  `*Times New RomanTTW        &&&W(\  `*Times New RomanTTWD2ApxHead3ApxHead3&    ;1` hp x (#;XXXCC%2A`ArialTTC          &&&W(\  `*Times New RomanTTW>4X` hp x (#>'   dTABLE D !  _XXXX  TRX3'"Oregon LetterheadX3' Letter3' Letter3'T8[XXdd8TRY@3'Or LetterheadX3' Letter3'Or Letterhead3'T-_.P     `     h      p      x  Contract#101917   `      `     h      p      x    StateofOregonPersonal/ProfessionalServicesContract  h   <  ThiscontractisbetweentheStateofOregonactingbyandthroughitsDepartmentofHumanServices,OfficeofInformationServices,hereinafterreferredtoas  DHS ,and ,    SBIEmerald,Inc.  2825ECottonwood,STE.480SaltLakeCity,Utah81421    hereinafterreferredtoas"Contractor. `  'X,XXX'I.0  EFFECTIVEDATEandDURATION 8%% Thiscontractshallbecomeeffectiveonthedatethiscontracthasbeensignedbyeverypartyhereto,and,whenrequired,approvedbyDepartmentofAdministrativeServicesandDepartmentofJustice.Unlessterminatedorextended,thiscontractshallexpirewhenDHSacceptsContractorscompletedperformanceoron May20,2002 , T whicheverdateoccursfirst.ExpirationshallnotextinguishorprejudiceDHSsrighttoenforcethiscontractwithrespecttoanybreachofaContractorswarrantyoranydefaultordefectinContractorperformancethathasnotbeencured. II.0  PURPOSE %% ThiscontractprovidesforInformationTechnologyservicestomanageidentified,activeprojectelementsoftheDHS,_MMIS_ԀProject III.0  STATEMENTofWORK |$%% Thestatementofwork(the Work)includingthedeliveryscheduleforsuchworkiscontainedinExhibitA,attachedandincorporatedbyreferenceintothiscontract.Contractoragreestoperformtheworkinaccordancewiththetermsandconditionsofthiscontract.  SeeExhibitAStatementofWorkonnextpage. IV.0  CONSIDERATION %%  A .0  DHSagreestopayContractorforaccomplishingtheWorkasrequiredbythiscontract,plusanyallowable   expensesandanytravelandotherexpensereimbursementwhennotedherein.Paymentforallworkperformedunderthiscontractshallbesubjecttotheprovisionsof_ORS_Ԁ293.462andshallnotexceedthetotalmaximumsumof$74,400.00tobepaidtherateof$120.00perhour. %%  &a%XXB. 0  #X[X%&a[#InterimpaymentsshallbemadetoContractorfollowingDHSsreviewandapprovalofinvoicessubmitted h$"% byContractor. %%  C .0  Contractorshallnotsubmitinvoicesfor,andDHSwillnotpay,anyamountinexcessofthemaximum ,'$( compensationamountsetforthabove.Ifthismaximumcompensationamountisincreasedbyamendmentofthiscontract,theamendmentmustbefullyeffectivebeforeContractorperformsworksubjecttotheamendment.ContractorshallnotifyDHS'sContractAdministratorinwritingthirty(30)calendardaysbeforethiscontractexpires,oftheupcomingexpirationofthecontract.Nopaymentwillbemadeforanyservicesperformedbeforethebeginningdateoraftertheexpirationdateofthiscontract,asitmaybeamendedfrom&a%XX ,`*.%% #X[X%&a#   timetotimeinaccordancewithitsterms. -L+/   .8,0 - -TRX3' LetterY@3'Or Letterhead3' Letter3'Or LetterheadT -  D. 0  Contractorshallsubmitmonthlyinvoicesforworkperformed.Theinvoicesshalldescribeallwork X performedwithparticularityandbywhomitwasperformedandshallitemizeandexplainallexpensesforwhichreimbursementisclaimed.TheinvoicesshallalsoincludethetotalamountinvoicedtodatebyContractorpriortocurrentinvoice.Contractorwillspecificallynotetheappropriateinvoicewhenonethirdandtwothirdsofthemaximumcontractamount,includingexpensereimbursement,hasbeenexpended.ContractorshallsendinvoicestoDHSsContractAdministrator(seeE.,below). %%  E. 0  TheDHSemployeeassignedtomonitorcontractcompliance,authorizepaymentandactasDHSsContract x Administratoronmattersconcerningthiscontractshallbe: %%   JimJoyce,ordelegate  OfficeofInformationServices  OregonDepartmentofHumanServices  500SummerSt,NE  SalemOR97310  &a%XX  #X[X%&a#V.0  TRAVELandPERDIEM&a%XX %%  #X[X%&a#Notravelorotherexpensesshallbepaidinadditiontothecostherein.   VI.0  CONTRACTinitsENTIRETY x%% *X,XS` XX*ThisContractconsistsofthisdocumentandincludesthefollowinglistedexhibitswhicharelistedindescendingorderofprecedenceandareattachedandincorporatedintothisContractbyreference: A. 0  ExhibitA:0S%%StatementofWork(S%S%  B. 0  ExhibitB:0S%%GeneralProvisionspS%S%  C. 0  ExhibitC:0S%%CertificationStatementforIndependentContractor`S%S%  D.   ExhibitD:0 S ConfidentialityAgreementPS%S% L 4(3 L 3   3 2  E  .3  0    ExhibitE:0S%%CriminalHistoryAgreement3 :݌@S%S% Ќ  L ((4L F.   Exhibit F:0 S Solicitation#10960S%S%  G.   ExhibitG:0 S ContractorsProposaltoSolicitation#1096  S%S%  Therearenoothercontractdocumentsunlessspecificallyreferencedandincorporatedinthecontract.&a%XX   9X,X` XX,XS` X9#X[X%&a#VII.0  MERGERCLAUSE;WAIVER  h!%% Thiscontractandattachedexhibitsconstitutetheentireagreementbetweenthepartiesonthesubjectmatterhereof.Therearenounderstandings,agreements,orrepresentations,oralorwritten,notspecifiedhereinregardingthiscontract.Nowaiver,consent,modificationorchangeoftermsofthiscontractshallbindeitherpartyunlessinwritingandsignedbybothpartiesandallnecessaryStateapprovalshavebeenobtained.Suchwaiver,consent,modificationorchange,ifmade,shallbeeffectiveonlyinthespecificinstanceandforthespecificpurposegiven.ThefailureofDHStoenforceanyprovisionofthiscontractshallnotconstituteawaiverbyDHSofthatoranyotherprovision.  4'$( &a%XXCONTRACTOR,BYEXECUTIONofTHISCONTRACT,HEREBYACKNOWLEDGESTHATCONTRACTOR  )&* HASREADTHISCONTRACT,UNDERSTANDSIT,ANDAGREESTOBEBOUNDBYITSTERMSANDCONDITIONS.#X[X%&ax##2XXXX *d(,  &a%XX#&a%%2&5{$# VIII.0  CONTRACTORDATAandCERTIFICATION;SIGNATURESn,*.%%  #X[X%&a$#XXName(exactlyasfiledwiththeIRS)________________________________________________ F-*/ 9X,XF XX,X` X9Address F ______________________________________________________________________ o.,1 9X,XFXX,XF X90   F ______________________________________________________________________X%% Telephone:()_________________Facsimile:()_________________Citizenship,ifapplicable:Nonresidentalien[]Yes[]No#X[X%#XX R XBusinessDesignation(checkone):[]Corporation(completionofExhibit C not requiredforCorporationsonly) A []ProfessionalCorporation[]Partnership[]SoleProprietorship?X ,XFXhXX,XFX?[]LimitedLiabilityCompany[]LimitedPartnership[]LimitedLiabilityPartnership#X[X<(#H&a%XX0   $$  FederalTaxID#:____________________OR_SSN_:_____________________   m  #X[X%&ab*#* XX#X[X *[+#XHXXAbovePaymentinformationmustbeprovidedpriortocontractapproval.ThisinformationwillbereportedtotheInternalRevenue    Services(IRS)underthenameandtaxpayeridentificationsubmitted.(SeeIRS1099foradditionalinstructionsregardingtaxpayerI.D.numbers.)InformationnotmatchingIRSrecordscouldsubjectContractorto31percentbackupwithholding.#X[X+#" XX#X[X "-#XX Certification: TheindividualsigningonbehalfofContractorherebycertifiesandswearsunderpenaltyofperjury:(a)thenumbershown y !  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-#+&a%XX X < , XX ,XFXhX<#X[X%&ao2#&a%XXIX. 0  CONTRACTORS:YOUWILLNOTBEPAIDFORSERVICESRENDEREDPRIORTONECESSARY A STATEAPPROVALS. %%  #X[X%&a2#^^T _XX 0 ,  X , X0#X[X _^^T3#&a%XXA.#X[X%&aa4#&a%XX0  Contractor:}%%% #X[X%&a4#^^T _XX  #X[X _^^TA5#&a%XX<  IXX ,  X<0  By: I Title:     2     Date:_______________F %% q5Ӏ#X[X%&a5#&a%XX d !  #X[X%&a6#&a%XXB.0  DepartmentofHumanServices,OfficeofInformationServices: #X[X%&a)7#^^T _XXEX<VX  IXXEQ"%% #X[X _^^T7#4&a%XX 9  e           q#X[X%&au8#XXԀChiefInformationOfficer#X[X!9#&a%XX ># EX eV7XX<VXE     I   q#X[X%&a}9#XXԀDeputyChiefInformationOfficer#X[XM:#&a%XX $ Q(  wI 2"XX eV7XQ  By:_________________________________Title:  q#X[X%&a:#XXԀComputerCenterManager#X[X;#&a%XX      Date:_______________ % #X[X%&a;#8XXT"  wX2XY"X  wI 2"XT30  Address:500SummerStNE,SalemOR97310#X[X<#&a%XXn&%% #X[X%&a=#&a%XX #X[X%&a=#&a%XXC.0  #X[X%&a&>#=&a%XXREVIEWED:#X[X%&a>#&a%XX 4(%%  #X[X%&a>#^^T _XX #X[X _^^TP?#&a%XX  By:   *      2     Date:_______________#X[X%&a?#&a%XX  *   #X[X%&aX@#zXXJohn_Dotson_,DHSContractsCoordinator,DepartmentofHumanServices,ordelegate=?#X[XzxA#     8*dXXd8   - -TRX3' LetterY@3'Or Letterhead3' Letter3'Or LetterheadT -  ExhibitA X StatementofWorkB ,XXXX[ #X[XX,XrD#AcknowledgedandAgreedbytheParties:   TheContractorshallprovidetheservicesofaProjectManagerwhoisskilledinprojectplanningandproject j management.ThetasksshallbeperformedusingestablishedDHS/OISdevelopment,maintenanceandacceptancecriteriamethodologiessetforthinDHSsInformationSystemsStandardsandProceduresManual.WrittendocumentationshallbeupdatedandstoredinestablishedDHS/OISlibrariesusingexistingDHS/OISdocumentationstandardssetforthinDHSsInformationSystemsStandardsandProceduresManual.IntheabsenceestablishedDHS/OISdevelopment,maintenanceandacceptancecriteriamethodologies,ContractorshallcompleteallworkdescribedintheStatementofWorkaccordingtomethodologiesandstandardsthatconformtodocumentationstandards,definitions,andrecommendedpracticesknowntobegenerallyacceptedintheindustry,unlessotherwiseapprovedinwritingbyDHS. (XXXX[$  H4XX` hp x (#%XH(XXX(XX|XX(XX|XXX|X|XXX|(XXXX|      $Hnof    (XXX(X(XXX(X(XXX(X(XXX(X(XXX(X XXXX    #X[XX(X׸H# ,XXXX[Worktask#1:  `     h    'X|XX,XX|XXX|X|XXX|+X XXX|  'K  X#X[X X+X?K#,XXXX['KPL݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  X'`M  #X[X X+XL#,XXXX[ MaintainMMISProjectSchedule !ProvideprojectmanagementassistancetotheMMISProjectOfficeby J makingchangestotheProjectScheduleusingtheMSProjectandotherrelatedsoftware.Coordinatechangesinactivitiesandresourcesbythestateteamand2contractorgroups.Trackscheduletomilestonesanddeliverables.Producemonthlyschedulemetricsandstatisticalreports.'`MN݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  'P  #X[X X+XGN#,XXXX['P=Q݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '?R  #X[X X+XQ#,XXXX[ Deliverable: IntegratedProjectScheduleReportMonthly'?RR݌ P Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '-T  #X[X X+XS#,XXXX[ Duration: Continuousandconstantthroughoutthelifeofthecontract.'-TT݌ D Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  ''V  #X[X X+XU#,XXXX[''VV݌̌,XXX,X,XXX,X,XXX,X,XXX,X  3r r,z h^"X3'X|XX,XX|XXX|X|XXX|+X XXX|  'W  #X[X X+XW#,XXXX[ AnticipatedHoursforCompletion:0 h 60 'WX݌h%h% Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  'Y  #X[X X+XX#,XXXX[ 'YvZ݌̌,XXX,X,XXX,X  Worktask#2: J 'X|XX,XX|XXX|X|XXX|+X XXX|  't[  X#X[X X+XZ#,XXXX['t[ \݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  X']  #X[X X+X[\#,XXXX[ProjectPlanSupport: WorkwiththeProjectOfficeteamtodevelopperiodicupdatestotheIntegratedProject ! PlanandtheassociatedProjectOfficefacilitatingplans(changecontrolplan,qualityassuranceplan,8).Planning \" effortswillincludesupportingthedevelopmentofaprojectsystemdevelopmentlifecyclemethodologywithassociatedstandardsandsupportingriskmanagementmitigationefforts.']]݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '`  #X[X X+X^#,XXXX['`a݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '!b  #X[X X+Xaa#,XXXX[ Deliverables: ProjectPlanRevisions.!Asrequired'!bb݌  & Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  ' d  #X[X X+Xb#,XXXX[    ' dd݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  'e  #X[X X+Xd#,XXXX[ Duration: Continuousthroughoutthedurationofthecontract.'eSf݌ "0 ( Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  'g  #X[X X+Xf#,XXXX['gDh݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  'Fi  #X[X X+Xh#,XXXX[ AnticipatedHoursforCompletion:0 h 60 #X[XX,Xj#,XXXX['Fii݌$$!*h%h% Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  'tk  #X[X X+Xj#,XXXX[ 'tk l݌̌,XXX,X,XXX,X  Worktask#3: &6$- 'X|XX,XX|XXX|X|XXX|+X XXX|  ' m  X#X[X X+X[l#,XXXX[' mm݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  X'n  #X[X X+Xm#,XXXX[MMISProjectFinancialAnalysis !Monitorandreporttheprojectbudgetasitrelatestoplannedactivitiesand *(%/ expenditures.PrepareanysuchdocumentsandreportsasdeemednecessarybytheMMISProjectOfficeSupportManager.'nUo݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  'Wq  #X[X X+Xo#,XXXX['Wqq݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  'r  #X[X X+X0r#,XXXX[ Deliverables: 󀀀Reportsandspreadsheetsthatdepictprojectfinancialanalysis.Monthly'rs݌ b+ )3 Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  't  #X[X X+Xs#,XXXX['tu݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  'v  #X[X X+Xu#,XXXX[ Duration: Continuousthroughoutthedurationofthecontract.'v/w݌ ,*5 Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  'x  #X[X X+Xqw#,XXXX['x y݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '0z  #X[X X+Xpy#,XXXX[ AnticipatedHoursforCompletion:0 N 60 #X[XX,X {#,XXXX['0zz݌.B,7N%N% Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '^|  #X[X X+X{#,XXXX[ '^||݌ h/-8  3   ь,XXX,X,XXX,X  Worktask#4: X 'X|XX,XX|XXX|X|XXX|+X XXX|  'D~  X#X[X X+X7}#,XXXX['D~~݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  3 X'  #X[X X+X+#,XXXX[CommunicationsPlanSupport !WorkwiththeProjectManagerandtheDHScommunicationsteamtoupdate  theMMISCommunicationsPlantomeettheongoingneedsoftheproject.Preparedraftnewsletterarticlesandwebpagesthatprovideprojectprogressinformationtotheprojectstakeholders.ManagethephasedgrowthoftheProjectwebsite.Managetheprojectwebsitetoensurecurrentprojectdocumentationforstakeholders.'݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  'p  #X[X X+X#,XXXX['p݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '   #X[X X+XI#,XXXX[ Deliverable: CommunicationsPlanupdates.Projectarticles,factsheetsandprojectwebsitepages.Asrequired.' ݌  Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '/  #X[X X+X#,XXXX['/Ƈ݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  'Ȉ  #X[X X+X#,XXXX[ Duration: Continuousthroughoutthedurationofthecontract.'Ȉ_݌  >  Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '  #X[X X+X#,XXXX['P݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '`  #X[X X+X#,XXXX[ AnticipatedHoursforCompletion:0 N 180#X[XX,X9#,XXXX['`݌2  N%N% Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '  #X[X X+X#,XXXX['#݌̌,XXX,X,XXX,X  Worktask#5:  D  'X|XX,XX|XXX|X|XXX|+X XXX|  '  X#X[X X+Xe#,XXXX['݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  X'  #X[X X+X#,XXXX[ProjectSupportProcedures !Prepareproceduresusedtoaccomplishworktasks14.Presentthoseprocedures 8  totheProjectOfficeTeam.'\݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '  #X[X X+X#,XXXX['݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '  #X[X X+Xٔ#,XXXX[ Deliverable: ProjectManagementAnalysisProceduresandpresentationmaterials.Asrequired.'0݌ J Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '  #X[X X+Xr#,XXXX['A݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  'C  #X[X X+X#,XXXX[ Duration: Continuousthroughoutthedurationofthecontract.'Cڙ݌ > Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '4  #X[X X+X#,XXXX[ '4˛݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  'ޜ  #X[X X+X#,XXXX[AnticipatedHoursforCompletion:0 N 30#X[XX,X׷#,XXXX['ޜu݌N%N% Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '  #X[X X+X(#,XXXX['݌̌,XXX,X,XXX,X  Worktask#6: D 'X|XX,XX|XXX|X|XXX|+X XXX|  '  X#X[X X+Xߟ#,XXXX['!݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  X'1  #X[X X+Xq#,XXXX[MMISPhase2ProcurementPlanning! AssistwithupdatingtheprocurementplanforPhase2oftheproject.  ThiseffortshallincludedraftingprocurementdocumentsincludingStatementsofWork(SOW)andestablishingcontractdeliverablestandards.ThistaskwillincludecoordinatingtheprocurementplanandrelateddocumentswithinputsreceivedthroughtheDHSandStateofOregonprocurementprocess.'1֢݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '  #X[X X+X#,XXXX['݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '.  #X[X X+Xn#,XXXX[ Deliverables: MMISPhase2ProcurementPlanwithupdates.ProcurementdocumentsAsrequired.'.ӧ݌ ! Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  'M  #X[X X+X#,XXXX['M݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '  #X[X X+X&#,XXXX[ Durations: Continuousthroughoutthedurationofthecontract.'}݌ *# Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '٬  #X[X X+X#,XXXX[ '٬p݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '  #X[X X+X#,XXXX[AnticipatedHoursforCompletion:0 N 210#X[XX,X\#,XXXX['݌ %N%N% Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '  #X[X X+Xί#,XXXX['C݌̌,XXX,X,XXX,X  Worktask#7: "0 ( 'X|XX,XX|XXX|X|XXX|+X XXX|  '0  X#X[X X+X#,XXXX['0Dz݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  X'׳  #X[X X+X#,XXXX[StatusReporting !Prepareaweeklyreportwhichsummarizesworkperformedduringthepreviousweekand $$!* plannedworkfortheupcomingweek.Thestatusreportshouldidentifyaccomplishments,issuesfortheMMISproject.'׳|݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  'u  #X[X X+X#,XXXX['u ݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '  #X[X X+XN#,XXXX[ Deliverable: StatusReport.Weekly.'݌ \'%. Ќ,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '  #X[X X+X#,XXXX['}݌̌,XXX,X,XXX,X,XXX,X,XXX,X  'X|XX,XX|XXX|X|XXX|+X XXX|  '  #X[X X+X#,XXXX[ Duration: Continuousthroughoutthedurationofthecontract.#X[XX,XX#'݌ (&0 Ќ,XXXX[  AnticipatedHoursforCompletion:0 h 20 X[XX,X*<(2h%h% #,XXXX[l#   X[XX,Xн#,XXXX[ܽ#TotalanticipatedHoursforCompletion:0 h 620 -t+6h%h%  *B|A%A% 0  0%% (4) 0A%%Contractorcommitsanymaterialbreachordefaultofanycovenant,warranty,obligationoragreement  X  underthiscontract,failstoperformtheWorkunderthiscontractwithinthetimespecifiedhereinoranyextensionthereof,orsofailstopursuetheWorkastoendangerContractorsperformanceunderthiscontractinaccordancewithitsterms,andsuchbreach,defaultorfailureisnotcuredwithin10businessdaysafterdeliveryofDHSsnotice,orsuchlongerperiodasDHSmayspecifyinsuchnotice. A%A% 0  d.0%%ContractorsRighttoTerminateforCause :Contractormayterminatethiscontractupon30daysnotice   toDHSifDHSfailstopayContractorpursuanttothetermsofthiscontractandDHSfailstocurewithin30daysafterreceiptofContractorsnotice,orsuchlongerperiodofcureasContractormayspecifyinsuchnotice. %%    e.0  Remedies :F%%     (1) 0 A IntheeventofterminationpursuanttoSections9a,9b,9c(1),9c(2)or9dofthisexhibit,Contractors 6t soleremedyshallbeaclaimforthesumdesignatedforaccomplishingtheWorkmultipliedbythepercentageofWorkcompletedandacceptedbyDHS,lesspreviousamountspaidandanyclaim(s)whichStatehasagainstContractor.IfpreviousamountspaidtoContractorexceedtheamountduetoContractorunderthisSection,ContractorshallpayanyexcesstoDHSupondemand. A%A%    0  (2)0A%% IntheeventofterminationpursuanttoSection9c(3)or9c(4)ofthisexhibit,DHSshallhaveany  remedyavailabletoitinlaworequity.IfitisdeterminedforanyreasonthatContractorwasnotindefaultunderSection9c(3)or9c(4)ofthisexhibit,therightsandobligationsofthepartiesshallbethesameasifthecontractwasterminatedpursuanttoSection9bofthisexhibit. A%A%    f.0  ContractorsTenderUponTermination: Uponreceivinganoticeofterminationofthiscontract, b  Contractorshallimmediatelyceaseallactivitiesunderthiscontract,unlessDHSexpresslydirectsotherwiseinsuchnoticeoftermination.Uponterminationofthiscontract,ContractorshalldelivertoDHSalldocuments,information,worksinprogressandotherpropertythatareorwouldbedeliverableshadthecontractbeencompleted.UponDHSsrequest,ContractorshallsurrendertoanyoneDHSdesignates,alldocuments,researchorobjectsorothertangiblethingsneededtocompletetheWork. %%  Xw 10.0  LimitationofLiabilities.EXCEPTFORLIABILITYARISINGUNDERORRELATEDTO %$' SECTION5aOR9e(2)OFTHISEXHIBIT,NEITHERPARTYSHALLBELIABLEFOR(A)ANYINDIRECT,INCIDENTAL,CONSEQUENTIALORSPECIALDAMAGESUNDERTHECONTRACTOR(B)ANYDAMAGESOFANYSORTARISINGSOLELYFROMTHETERMINATIONOFTHISCONTRACTINACCORDANCEWITHITSTERMS. )'+%%  11.0  RecordsMaintenance;Access. Contractorshallmaintainallfiscalrecordsrelatingtothiscontractin b+)- accordancewithgenerallyacceptedaccountingprinciples.Inaddition,ContractorshallmaintainanyotherrecordspertinenttothiscontractinsuchamannerastoclearlydocumentContractor'sperformance.ContractoracknowledgesandagreesthatDHS,theOregonSecretaryofState'sOffice,theFederalGovernment,andtheirdulyauthorizedrepresentativesshallhaveaccesstosuchfiscalrecordsandallotherbooks,documents,papers,plans,andwritingsoftheContractorthatarepertinenttothiscontractforthepurposeofperforming 0@.2 examinationsandaudits,andmakingexcerptsandtranscripts.Contractorshallretainandkeepaccessibleallsuchfiscalrecords,books,documents,papers,plans,andwritingsforaminimumofthree(3)years,orsuchlongerperiodasmayberequiredbyapplicablelaw,followingfinalpaymentandterminationofthiscontract,oruntiltheconclusionofanyaudit,controversyorlitigationarisingoutoforrelatedtothiscontract,whicheverdateislater. %%  12.0  CompliancewithApplicableLaw. Contractorshallcomplywithallfederal,stateandlocallaws,regulations, J executiveordersandordinancesapplicabletotheWorkunderthiscontract.Withoutlimitingthegeneralityoftheforegoing,Contractorexpresslyagreestocomplywith:(i)TitleVIofCivilRightsActof1964;(ii)SectionVoftheRehabilitationActof1973;(iii)theAmericanswithDisabilitiesActof1990andORS659.425;(iv)allregulationsandadministrativerulesestablishedpursuanttotheforegoinglaws;and(v)allotherapplicablerequirementsoffederalandstatecivilrightsandrehabilitationstatutes,rulesandregulations.DHSsperformanceunderthiscontractisconditioneduponContractorscompliancewiththeprovisionsofORS279.312,279.314,279.316,279.320,and279.555,whichareincorporatedbyreferenceherein. %%  13.0  ForeignContractor. IfContractorisnotdomiciledinorregisteredtodobusinessintheStateofOregon,   ContractorshallpromptlyprovidetotheOregonDepartmentofRevenueandtheSecretaryofStateCorporationDivisionallinformationrequiredbythoseagenciesrelativetothiscontract.ContractorshalldemonstrateitslegalcapacitytoperformtheWorkunderthiscontractintheStateofOregonpriortoenteringintothiscontract. %%  14.0  ForceMajeure. NeitherDHSnorContractorshallbeheldresponsiblefordelayordefaultcausedbyfire,riot, :x naturaldisasters,orwarwheresuchcausewasbeyondthereasonablecontrolofDHSorContractor,respectively.Contractorshall,however,makeallreasonableeffortstoremoveoreliminatesuchacauseofdelayordefaultandshall,uponthecessationofthecause,diligentlypursueperformanceofitsobligationsunderthiscontract. %%  15.0  Survival. Allrightsandobligationsshallceaseuponterminationorexpirationofthiscontract,exceptforthe  rightsandobligationssetforthintheContractSectionI.EFFECTIVEDATEANDDURATION,andinparagraphs5,6,7,9,10,11,15and21ofthisexhibit. %%  16.0  TimeisoftheEssence. Contractoragreesthattimeisoftheessenceunderthiscontract.z%%  17.0  WrittenNotice. Allnoticesregardingthiscontractmustbegiventothepartiesinwritingbypersonaldelivery V  ormailingthesame,postageprepaid,tothefollowingaddresses: %%   `+X 'u}L"XX 'u}L"X`  DHS:0 A   JohnDotson,ContractsCoordinator,ordelegate"\ #A%A% 0   A   OregonDepartmentofHumanServices %% 0   A   500SummerStreetNE/MailingCodeE03 %% 0   A   SalemOR973101080 %% `+X ' }L"XX 'u}L"X`   A   FacsimileNumber:5033737365   A   PhoneNumber:50394561560   %%   Contractor:   SBI Emerald,Inc. (&*   0 A 0A%A%attn:RonHittner %%   0 A 0A%A%6052LopezCt.N %%   0 A 0A%A%Keizer,Oregon97303 %% 0  Anynoticedeliveredbyfacsimileshallbedeemedtobegivenwhenreceiptofthetransmissionisgeneratedbythetransmittingmachine.TobeeffectiveagainstDHS,suchfacsimiletransmissionmustbeconfirmedbytelephonenoticetoDHSsContractAdministrator. %%   /4.2 18.0  Severability. Thepartiesagreethatifanytermorprovisionofthiscontractisdeclaredbyacourtofcompetent  jurisdictiontobeillegalorinconflictwithanylaw,thevalidityoftheremainingtermsandprovisionsshallnotbeaffected,andtherightsandobligationsofthepartiesshallbeconstruedandenforcedasifthecontractdidnotcontaintheparticulartermorprovisionheldtobeinvalid. %%  19.0  Counterparts. Thiscontractmaybeexecutedinseveralcounterparts,allofwhichwhentakentogethershall b constituteoneagreementbindingonallparties,notwithstandingthatallpartiesarenotsignatoriestothesamecounterpart.Eachcopyofthecontractsoexecutedshallconstituteanoriginal. %%  20.0  DisclosureofSocialSecurityNumber. ContractormustprovideContractorsSocialSecuritynumberunless  T  ContractorprovidesafederaltaxInumber.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,in D anymannerwhatsoever,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%%Theuseordisclosureofinformationconcerningclientsshallbelimitedtopersonsdirectlyconnectedwith "\ # theadministrationofthiscontract.Confidentialitypoliciesshallbeappliedtoallrequestsfromoutsidesources.    #8"%%% 0  c. 0%%DHS,ContractorandanysubcontractorwillshareinformationasnecessarytoeffectivelyserveDHSclients.$$#&%%  24.0  CompliancewithApplicableFederalLaw. Contractoragreestocomplywithallfederallawsandregulations &%( applicabletoworkperformedunderthiscontractinclusiveofbutnotlimitedto: %% 0  a.0%% Totheextentitisrequiredtodosobylaw,Contractorshallabidebyallmandatorystandardsandpolicies )'+ whichrelatetoenergyefficiencyandwhicharecontainedinthestateofOregonenergyconservationplanwhichwasissuedincompliancewiththeEnergyPolicyandConservationAct(PL94-163).Allsubcontractsshallalsobeincompliancewiththeforegoing. %% 0   %%  0  b. 0%%Bysignatureonthiscontract,theundersignedcertifies,tothebestofhisorherknowledgeandbelief,that:*.h,0%%  /X-1 Z[  Z,w Z  Z(X wu}L"XX u}L"XZ0  0%% (1)0%% Nofederallyappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfofContractor,toany , personforinfluencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththeawardingofanyfederalcontract,themakingofanyfederalgrant,themakingofanyfederalloan,theenteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodificationofanyfederalcontract,grant,loan,orcooperativeagreement. %% Z(X '}L"XX wu}L"XZ0  0%% (2)0A%% Ifanyfundsotherthanfederallyappropriatedfundshavebeenpaidorwillbepaidtoanypersonfor x influencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththisfederalcontract,grant,loan,orcooperativeagreement,ContractoragreestocompleteandsubmitStandardFormLLL"DisclosureFormtoReportLobbying,"inaccordancewithitsinstructions. A%A% 0  0%% (3) 0A%%Theundersignedshallrequirethatthelanguageofthiscertificationbeincludedintheawarddocuments 0   forallsubawardsatalltiers(includingsubcontracts,subgrants,andcontractsundergrants,loans,andcooperativeagreements)andthatallsubrecipientsshallcertifyanddiscloseaccordingly. A%A% 0  0%%Thiscertificationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscertificationisaprerequisiteformakingorenteringintothistransactionimposedbysection1352,title31,U.S.Code.Anypersonwhofailstofiletherequiredcertificationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure. %% 0  c. 0%%ContractoragreestocomplywithExecutiveOrder11246entitledEqualEmploymentOpportunityas l@ amendedbyExecutiveOrders11375and12086andassupplementedinDepartmentofLaborRegulation41CFRpart60.Allsubcontractsshallalsocomplywiththeseprovisions. %%    d. 0  Ifthesumpayableunderthiscontractexceedsormayexceed$100,000,ContractorshallprovideDHSa   writtenassurancethatContractorwillcomplywithallapplicablestandards,orders,orrequirementsissuedunderSection306oftheCleanAirAct(42USC7401et.seq.),theFederalWaterPollutionControlAct,asamended(33USC1251et.seq.),Section508oftheCleanWaterAct(33USC1368),ExecutiveOrder11738andEnvironmentalProtectionAgencyregulations(40CFRPart15).ContractorfurtheragreestopromptlyreportallinfractionstotheStateofOregon,andtotheDepartmentofHealthandHumanServices,andtotheU.S.RegionalOfficeoftheEnvironmentalProtectionAgency.Allsubcontractsshallalsobeincompliancewiththeseprovisions.  l"%%  25.0  DepartmentofJusticeApproval. Whenthecontractoramendmentstheretocausethecontractpaymentto p"D!$ beinexcessof$75,000,theDepartmentofJusticemustapprovethecontractandanyamendmentsastoLegalSufficiency.Suchapprovalisrequiredbeforeanyworkmaybeginunderthiscontractoramendmentsthereto,orthecontractisnotbindingontheStateofOregonorDHS. %%  26.0  KeyPerson. ContractoracknowledgesandagreesthatDHSselectedContractor,andisenteringintothis '%) Contract,becauseofthespecialqualificationsofContractors KeyPerson(s).Inparticular,DHSthroughthisContract,isengagingtheexpertise,experience,judgmentandpersonalattentionof RonHittner ( KeyPerson). ('+ ContractorsKeyPersonshallnotdelegateperformanceoftheresponsibilitieshe/sheisrequiredtoprovideunderthisContracttoanother(other)ofContractorsemployee(s)withoutfirstobtainingthewrittenconsentofDHS.Further,Contractorshallnotre-assignortransferanyKeyPersontootherdutiesorpositionssuchthatanyKeyPersonisnolongeravailabletoprovideDHSwithhis/herexpertise,experience,judgment,andpersonalattention,withoutfirstobtainingDHSspriorwrittenconsenttosuchre-assignmentortransfer.IntheeventContractorrequeststhatDHSapproveare-assignmentortransferofanyKeyPerson,DHSshallhavetherighttointerview,reviewthequalificationsof,andapproveordisapprovetheproposedreplacementfortheKeyPerson.AnyapprovedsubstituteorreplacementforaKeyPersonshallbedeemedaKeyPersonunderthis P0$/3 Contract.Inaddition, X[XX,XȵtheContractormustprovideareplacementforanyConsultantwhoceasesaffiliationwith , theContractor,whomDHSdeemsisnotperformingatanacceptablelevelorishinderingthesuccessfulcompletionofassignment(s),isunabletoperformassignedwork,orasrequiredbyDHS.TransitionschedulemustbeapprovedbyDHS.IntheeventthatDHSrequiressuchreplacement,theContractorshallpromptlysubstituteorengageotherqualifiedindividuals.AllsuchreplacementsaresubjecttoDHSspriorreviewandacceptance.IntheeventthatContractorisunabletomeetitsobligationtofurnishareplacementConsultant,DHSmay,atitsoption,terminatethatportionoftheContractwithoutliability,ortocontinuetheContractwithoutreplacement.#,XȵXX X[D# t%% XȵXX,Xȵ&%XXȵ   ExhibitC , #XȵX%&G#G#,XȵXXXȵG#  IndependentContractorCertification     ,&%X,Xȵ,X,Xȵ ThisformistobecompletedbyContractor;Corporationsarenotrequiredtocompletethisform.   ORS670.600IndependentContractor;standards.AsusedinvariousprovisionsofORSchapters316,656,657and701,anindividual zN orbusinessentitythatperformslabororservicesforrenumeration'sshallbeconsideredtoperformthelabororservicesasanIndependentContractorifthestandardsofthissectionaremet:XX Contractorunderstandsthat:   P BXX '}L"XB1.0  Theindividualorbusinessentityprovidingthelabororservicesisfreefromdirectionandcontroloverthemeansandmannerof d  providingthelabororservices,subjectonlytotherightoftheAgencyforwhomthelabororservicesareprovidedtospecifythedesiredresults; %% 2.0  Theindividualorbusinessentityprovidinglabororservicesisresponsibleforobtainingallassumedbusinessregistrationsor    professionaloccupationlicensesrequiredbystatelaworlocalgovernmentordinancesfortheindividualorbusinessentitytoconductthebusiness; %% 3.0  Theindividualorbusinessentityprovidinglabororservicesfurnishesthetoolsorequipmentnecessaryforperformanceofthe  T  contractedlabororservices; %% 4.0  Theindividualorbusinessentityprovidinglabororserviceshastheauthoritytohireandfireemployeestoperformthelaboror Z.  services; %% 5.0  Paymentforthelabororservicesismadeuponcompletionoftheperformanceofspecificportionsoftheprojectorismadeonthe 4 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 f:. individualwhoperformsthelabororservices; %%   D.0  Labororservicesareperformedonlypursuanttowrittencontracts;@ 1%%   E.0  Labororservicesareperformedfortwoormoredifferentpersonswithinaperiodofoneyear;or|!P 3%%   F.0  Theindividualorbusinessentityassumesfinancialresponsibilityfordefectiveworkmanshiporforservicenotprovidedas "!5 evidencedbytheownershipofperformancebonds,warranties,errorsandomissioninsuranceorliabilityinsurancerelatingtothelabororservicestobeperformed. %% 9.0  PursuanttoOAR1250200410(4),thecontractshallprovidethattheContractorisresponsibleforfederalSocialSecurity,except 0%$9 thosecategoriesexcludedbylaw,andforanyfederalorstatetaxesapplicabletothecontractpayment. %%  IndependentContractorcertifieshe/shemeetstheabovestandardsandagreestoperformthelabororservicesrequiredbythiscontractasanIndependentContractor. P'  '*   *ContractorSignature ________________________________________________Date_________________  *(A '   'XJHXXJHXEntityName(printedortyped): _____________________________________________________________________ +*D XH^XH^#,&%,H#H  ,l+E  ,XȵXX,Xȵ  ExhibitD , ConfidentialityAgreement#,&%X,Xȵ_#,X,Xȵ   #,&%,T`#_,X,XȵToallcontractorsworkingonOregonDepartmentofHumanServices(DHS)projects:  Forthepurposesofthiscertificatetheterm contractorwillmeanallConsultantsassignedtotheprojectbythecontractor.Oregonslawscontainprovisionsrelationtoconfidentialityofrecords,listsandinformationaboutclientapplicants/clients/recipientsandaboutStateemployees.Theselaws,andthepenaltiesforviolationofthem,pertaintoeverycontractorworkingonDHSprojects,atalllevelsandinanycapacity.AsaconditionofyourcontinuedworkforDHS,youarerequiredtocompletetheconfidentialitytrainingexerciseandsignthiscertificateverifyingthatyouunderstandthelawsandareawareofthepenaltiesforviolation.Ifatsomefuturedate,youhavedoubtsaboutthelegalityofanactionyoumaybeabouttotake,asktherespectiveprojectmanagerforaninterpretation.You V*  personallyarelegallyresponsibleforanyviolationoftheselaws.    ConfidentialityofPersonnelInformation :ORS192.500 ThePublicRecords Actcontainsanumberofexemptionsforinformation 0   maintainedonStateemployeesincludinga personalprivacyexemptionwhichstates: Thefollowingpublicrecordsareexemptfromdisclosure...Informationofapersonalnaturesuchasthatkeptinapersonal,medicalorsimilarfile,ifthepublicdisclosurethereofwouldconstituteanunreasonableinvasionofprivacy,unlessthepublicinterestbyclearandconvincingevidencerequiresdisclosureintheparticularinstance.Thepartyseekingdisclosureshallhavetheburdenofshowingthatpublicdisclosurewouldnotconstituteanunreasonableinvasionofprivacy.(ORS196.500(2)(b)) ConfidentialityofWelfareApplicants/RecipientsInformation :ORS411.300 Regulationsconcerninguseandcustodyofrecords.   V  (1)DHSshallmakeandenforcereasonablerulesandregulationsgoverningthecustody,useandpreservationoftherecords,tapes,filesandcommunicationsofDHS.Theuseofsuchrecords,papers,filesandcommunicationsbyanyotheragencyordepartmentofgovernmentorpersontowhichtheymaybefurnishedshallbelimitedtothepurposesforwhichtheyarefurnishedandbytheprovisionsofthelawunderwhichtheymaybefurnished.ORS411.320 Disclosureanduseofrecordslimited;contentsasaprivilegedcommunication. Fortheprotectionofclients,DHS 6  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$1,000or r% byimprisonmentinthecountyjailfornotmorethan60days,orbyboth.ViolationofORS192.500iscausefordisciplinaryactionunderORS240.555. Instructions: Contractorandsupervisorwillsignpriortostartofwork.ReturnoriginaltotheDHSProjectManagerordesignee. ) IcertifythatIhavereadtheforegoing.MysignaturebelowmeansthatIunderstandtheprovisionsoflawpertainingtotheconfidentialityofDHSrecordsandinformation.IalsounderstandthattheselawsmaychangefromtimetotimeandthatitismyresponsibilitytoreadandunderstandthesechangesasIamnotifiedofthem.9%X ,X9er4 hX 79  Name(pleaseprint): N ___________________________________________________________________________ h<0 Signature:_______________________________________________ 2 Date_____________________ B! 3 SupervisorsSignature:________________________________________________Date_____________________r#,&%,`#  #"7 X     @F  @r  @  @  @A  @  @  @u ,XȵXX,Xȵ0 @ #,&%X,Xȵ u# ,XȵXX,Xȵ0@%(#(# ExhibitE ,  7 INFORMATIONFORCRIMINALHISTORYCHECK#,&%X,Xȵ^u#,+#X,Xȵ   *8F9Xddd Xdd Xdd Xr%r%,m dd ,dd , dd +  %  %@j j *** 5'#,+HIRINGSUPERVISORTOCOMPLETETHISSECTION #,+#'5mw#*** * j> *_3pNameofDHSSupervisor=p_3 $: $_3pAgency/Address=p_3  : _3pPhoneNumber/Extension=p_3(:    (*:F;dXdm dd m dd  dd 8F9r%r%,s#dd +  !   !@ ***5'#,+ TOBECOMPLETEDBYAPPLICANT/EMPLOYEE #,+#'5z#***(l@   (KX X (#X ,X9er4 hXK  Name(PleasePrint) Last    h First     p Middle    DateofBirth I  AF<) xdEr#A Y OtherName(s)Used:(MaidenName,PreviousMarriedName(s),Aliases,LegalNameChanges,AssumedNames,etc.)#,&%#,+ v#,XȵXX,XȵAF<)V' s#dEV' s#A#,&%X,Xȵ|#,+#X,Xȵ^ 2 o #,&%#,+M}#,s)X,Xȵ33#,&%),s}#33},+#X,XȵSex     SocialSecurityNumber(PerSignedConsentBelow) p     DriversLicenseNumber/IssuingState } Q    #,&%#,+~#,+#X,XȵMale#,&%#,+##,+#X,Xȵ  Female#,&%#,+v#,+#X,Xȵ #,&%#,+#,+#X,Xȵ   AF<)Vs#dEVs#A %W+ 2 WARNING:Falselyrespondingtoanyofthequestionslistedbelowdisqualifiesyourapplicationbylaw.  W+  EX  X (#X X XE1.  Yes  No0 HaveyoulivedoutsidetheStateofOregonanytimeduringthefive(5)yearpriortodaysdate?  % % 2.  Yes  No0 Haveyoueverbeenconvictedofanycrimelistedonthebackofthisform(orthesubstantialequivalentofanyofthe  crime(s)iftheconvictionoccurredinanotherjurisdictionorinOregonunderadifferentstatutorynameornumber)?  % % IfYES,placean(X)intheboxbesidethecrime(orthesubstantiallyequivalentcrime)and,onaseparatesheetofpaper,describethecircumstancesbywhichyouwereconvictedofthecrime(s)andprovideanyinformationyouhavetohelpusunderstandwhyyoubelieveyourconviction(s)WILLNOTposearisktopersonsinthecareoforreceivingservicesfromDHS,orotherpreventyoufromfulfillingtheresponsibilitiesofyourjob.3.  Yes  No0 Doyouhaveaconcealedhandgunlicense?"$ % % @a a %4 5'#,+AUTHORIZATIONTODISCLOSESOCIALSECURITYNUMBER#,+#'5j#  4' %OAR410070000authorizesDHStorequestyoutovoluntarilyprovideyourSocialSecurityNumbertoDHSforuseasanidentificationnumberforcriminalrecordchecks.FailuretoprovideyourSocialSecurityNumberwillnotbeusedasabasistodenyyouanyrightorbenefit,orprivilegeprovidedbylaw.IfyouprovideyourSocialSecurityNumberandconsenttoitsuse,itwillbeusedonlyforthepurposestatedaboveandwillnotbegiventothegeneralpublic.BysigningthisconsenttodiscloseyourSocialSecurityNumber,youauthorizeDHStodiscloseyourSocialSecurityNumbertoothersifsuchdisclosureisnecessaryforthepurposestatedabove.______________________________________________________________________________________________________________________ConsultantsSignature     h      p       Date I/ % @  5'#,+AFFIRMATIONOFACCURATEINFORMATION#,+#'5#   0 %~Ihavereviewedandcompletedbothsidesofthisformasapplicabletome.Iunderstandthatsubmittingfalseinformationwilldisqualifymefromworkingat/forDHS.Bymysignaturebelow,Iherebyaffirmthatallinformationprovidedonbothsidesofthisform,andallattachmentsthereto,aretrueandaccurate.    3    @  @  @ ***5'#,+ CONSULTANTSSIGNATUREMUSTBEWITNESSED#,+#'5:# 󀀀*** G5   _________________________________________________0  0%%______________________________________________________ W7%% ConsultantsSignature    Date h   0  SignatureofWitness     Date!!8%%              h       0  0%%0 %%0 % %   h   0 % % %%   0  0%%0 %%0 % %0 % %0h%%0h%h%0%%_______________________________________________________ %% h           h   0   %%   0  0%%0 %%0 % %0 % %0h%%0h%h%0%%TitleofWitness %% hf*e=F>dds#dd s#:F;r%r%e,dd ,Wdd +  % &$C %@ i***5'#,+ DHSPERSONNELSERVICESUSEONLY #,+#'5#Ԁ*** 'h&<%D 'DateofLEDSCCH/WARRANTS/DMVCheck:______/______/_____  '&F DHSPERSSVCSRECORDSSPEC: 'n&G   ]4X^ ; N <u|,,Xh4!XX  X X]Conviction : x Yes  No U  h Warrant:  V Yes  No    ValidODL :YesQ<No )'H  ContinuedEmployment :  Approved h Denied#,&%#,+## B*)J      x    U  h  V   ,+#X,XȵԹ*xFdddd Wdd W=F>r%r%x, $dd +   .h-Q #,&%#,+L#,XȵXX,Xȵ@V V i IMPORTANTNOTICETO_CONSULTANT   .-R #,&%X,XȵB#,/X,XȵYOURSIGNATUREONTHEFRONTOFTHISFORMMEANSYOUHAVEREVIEWEDTHISLISTOFCRIMESANDCHECKMARKED(4)THOSE d CRIMESFORWHICHYOUHAVEBEENCONVICTED.YOURSIGNATUREALSOGRANTSPERMISSIONFORDHSTOVERIFYANYANDALLINFORMATIONYOUHAVEPROVIDEDONTHISFORMANDATTACHEDDOCUMENTS,IFANY.#,&%/,#,+#X,Xȵ   #,&%#,+~#,s)X,XȵffӀ#,&%),sٚ#,+#X,Xȵ  ff#,&%#,+.#,/X,XȵSpecificCrimes:(_ORS_):#,&%/,#,/X,Xȵ  #,&%/,#,XȵXX,Xȵffff`" F X XX^ ; N <u|,,Xh4!X`#,&%X,Xȵk#,+#X,Xȵ( r%r%(o0 q 162.0250ququBribeReceivinguu o0 q 162.0650ququPerjurypD uu o0 q 162.1550ququEscapeII uu o0 q 162.165  EscapeIl@ ququ o q 162.185  SupplyingContraband   o0 q 162.2050ququFailuretoAppearIh< uu o0 q 162.2350ququObstructingGovernmentalorJudicialAdministrationuu o0 q 162.2650ququBribingaWitnessd 8uu o0 q 162.2750ququBribeReceivingByaWitness uu o0 q 162.2850ququTamperingWithaWitness` 4 uu o0 q 162.3050ququTamperingWithPublicRecords uu o0 q 162.3250ququHinderingProsecution\ 0 uu o q 163.095  AggravatedMurder   o q 163.115  Murder X ,  o q 163.118  ManslaughterI   o q 163.125  ManslaughterII T (  o q 163.145  CriminallyNegligentHomicide   o0 q 163.1600ququAssaultIVP$ uu o q 163.165  AssaultIII   o q 163.175  AssaultII L  o q 163.185  AssaultI  o0 q 163.1900ququMenacingHuu o0 q 163.1950ququRecklesslyEndangeringAnotheruu o q 163.200  CriminalMistreatmentII D o q 163.205  CriminalMistreatmentI   o q 163.225  KidnapingII @! o q 163.235  KidnapingI " o q 163.275  Coercion <# o q 163.355  RapeIII $ o q 163.365  RapeII 8 % o q 163.375  RapeI & o q 163.385  SodomyIII 4' o q 163.395  SodomyII ( o q 163.405  SodomyI 0) o q 163.408  UnlawfulSexualPenetrationII * o q 163.411  UnlawfulSexualPenetrationI ,+ o q 163.415  SexualAbuseIII ~, o q 163.425  SexualAbuseII (- o q 163.427  SexualAbuseI z. o q 163.435  ContributingtotheSexualDelinquencyofaMinor $/ o q 163.445  SexualMisconduct v0 o0 q 163.4550ququAccostingforDeviatePurposes 1uu o q 163.465  PublicIndecency r2 o q 163.515  Bigamy 3 o q 163.525  Incest n4 o q 163.535  AbandonmentofaChild 5 o q 163.545  ChildNeglectII j6 o q 163.547  ChildNeglectI 7 o q 163.555  Criminal_Nonsupport_ f8 o q 163.575  EndangeringtheWelfareofaMinor 9 o q 163.670  UsingChildinDisplayofSexuallyExplicitConduct b: o q 163.6730  DealinginDepictionsofSexualConductInvolvinga  ; Child uu o0 q 163.6750ququSaleofExhibitionofVisualReproductionofSexual  = ConductbyChild uu o q 163.680  PayingforViewingSexualConduct !? o q 163.732  Stalking !V @ o0 q 164.0430ququTheftIII" Auu o0 q 164.0450ququTheftII~"R!Buu o0 q 164.0550ququTheftI"!Cuu o0 q 164.0570ququAggravatedTheftIz#N"Duu o q 164.075  TheftbyExtortion #"E o q 164.225  BurglaryI v$J#F o q 164.325  ArsonI $#G H,F$ 4 X F X XHo S 164.395  RobberyIII r%F$H o S 164.405  RobberyII %$I o S 164.415  RobberyI n&B%J o0 S 165.0130SuSuForgeryintheFirstDegree&%Kuu o0 S 165.0220SuSuCriminalPossessionofaForgedInstrumentinthe j'>&L FirstDegree uu BX,F$ 4 XBo0 S 165.0320SuSuCriminalPossessionofaForgeryDevicef(:'Nuu o0 S 165.0550SuSuFraudulentUseofCreditCard(Over$750)('Ouu o0 S 165.0650SuSuNegotiatingaBadCheck(ClassFelonyClause)b)6(Puu o0 S 165.0700SuSuPossessionaFraudulentCommunicationDevice)(Quu o0 S 165.0740SuSuUnlawfulFactoringofaCreditCardTransaction^*2)Ruu o0 S 165.0850SuSuSportsBribery*)Suu o0 S 165.0900SuSuSportsBribeReceivingZ+.*Tuu o0 S 166.0150SuSuRiot+*Uuu o S 166.085  AbuseofCorpseII V,*+V o S 166.087  AbuseofCorpseI ,+W o S 166.155  IntimidationII R-&,X o S 166.165  IntimidationI -,Y o S 166.220  UnlawfulUseofWeapon N."-Z o S 166.270  FeloninPossessionofFirearm .-[ o0 S 166.2720SuSuUnlawfulPossessionofMachineGuns,CertainShort J/.\ barreledFirearms&FirearmsSilencers uu o S 166.275  PossessionofWeaponsbyInmatesofInstitutions F0/^ o  166.3700 O DischargingFirearmatSchool/PossessionofFirearmor ^ DangerousWeaponinPublicBuilding O&O& o  166.382 O PossessionofDestructiveDevice ` o  166.384 O UnlawfulManufactureofDestructiveDevice l@a o  166.429 O UseofFirearmsinFelony b o  166.480 O SaleorGiftofExplosivestoChildren h<c o  166.660 O UnlawfulParamilitaryActivity d o  166.720 O Racketeering d 8e o0  167.0070O&&Prostitution fO&O& o  167.012 O PromotingProstitution ` 4 g o  167.017 O CompellingProstitution  h o  167.0620 O SadomasochisticAbuseorSexualConductinLiveShow#,&%#,+H#,/X,Xȵ(engaging \ 0 i in)#,&%/,#,+#X,Xȵ jO&O& o  167.0620 O SadomasochisticAbuseorSexualConductinLiveShow X , k (directing,managing,financing,orpresenting) O&O& o  167.065 O FurnishingObsceneMaterialstoMinors T ( m o  167.070 O SendingObsceneMaterialstoMinors  n o  167.075 O ExhibitinganObscenePerformancetoaMinor P$ o o  167.080 O DisplayingObsceneMaterialstoMinors  p o  167.087 O DisseminatingObsceneMaterial L q o  167.090 O PubliclyDisplayingNudityorSexforAdvertisingPurposes r o  167.212 O TamperingwithDrugRecords Hs o  167.2620 O AdultUsingMinorinCommissionofControlledSubstance t Offense(LessThanFiveGramsMarijuana) O&O& o  411.630 O UnlawfullyObtainingofPublicAssistance v o  411.840 O UnlawfullyUsingStampsorCommodities @w o0  471.4100O&&ProvidingLiquortoaPersonUnder21ortoIntoxicatedPerson; x MandatoryMinimumPenalties O&O& o0  475.9920O&&ProhibitedActsGenerally;Penalties;AffirmativeDefensefor z CertainPeyoteUses O&O& o0  475.9930O&&ProhibitedActsforRegistrants;Penalties|O&O& o0  475.9940O&&ProhibitedActsInvolvingRecordsandFraud;Penalties4}O&O& o0  475.9950O&&DistributionofControlledSubstancetoMinors~O&O& o0  475.9960O&&CrimeCategoryClassificationforViolationof475.992;Proofof 0 CommercialDrugOffense O&O& o0  475.9990O&&ManufactureorDeliveryofControlledsubstancetoMinoror , StudentWithin1,000FeetofSchool O&O& o0  811.1400O&&RecklessDriving(O&O& o0  811.1820O&&CriminalDrivingWhileSuspendedorRevokedorinViolationof z aPermit O&O& o0  811.5400O&&FleeingorAttemptingtoEludePolicevO&O& o0  811.7000O&&FailuretoPerformdutiesofDriverWhenPropertyisDamaged O&O& o0  811.7050O&&HitandRunVehicle(Injury)rO&O& o0  813.0100O&&DrivingUndertheInfluenceofIntoxicant#,&%#,+P#O&O&    O    - Q==<=  a"  $    O    t'H& ( ruru(  ,XȵXX,Xȵ%XWXX,XC?#,XC?XX%XW H##,&%X,XȵS#,XȵXX,Xȵ  X #,&%X,Xȵ#DHX,XK,XȵXX,Xȵ  %X[XX,XȵM81dd8 S    N  z Q   V    S     S    N  z Q   V      ^     J#%&a%X%X[# #,&%%%&a#&  ,X,Xȵ ,K]  #,K] #%X[XX,Xȵ#%&a%%#%XWX%%&. #%&.%X%XWJ##,&%%%&aF#'X