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Į1  /C)  _XXXX^i_.#|I:\PMO\Templates\Contract Templates\examples\sow_90954_csg.wpdI:\PMO\Templates\ContractTemplates\examples\sow_90954_csg.wpd/  #_^if#$$$%Page  2  ڈ X      `     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  >c$"Small Circle"0  (hCEKQW]cioAutoList6I.I.I.I.I.I.I.I.9 Z6Times New Roman Regular      (hCEKQW]cioAutoList7IIIIIIIIIIIIIIII+ `*Times New RomanTT(hH  Z 6Times New Roman Regular  d\  `&Times New Roman(uH Z6Times New Roman Regular(uH ZDTimes New Roman (PCL6) Regular(2C$ !  (jEGQ[eoyAutoList541.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1 $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 O /C)  XXXk:\jhart\rfp\292\rfp292.wpd `     h      p      x   (#  % #X[X7#&*%XX[ dFFFF'dxd TRX3' LetterYА3'Letterhead3' Letter<3'letterheadT    /C)    %X[XXX%X%X[.#|I:\PMO\Templates\Contract Templates\examples\sow_90954_csg.wpdI:\PMO\Templates\ContractTemplates\examples\sow_90954_csg.wpd/  #%7#5 )#)5 l#%(zEGQ[eoyAutoList551.1 1.1 1.1 1.1 1.1 1.1 1.1 1.1  XXXXX XXXX CCH DMV PERS SVCS(ʽCEKQW]cioAutoList51)1)1)1)1)1)1)1)(EGMSY_ekqAutoList53IIIIIIIIIIIIIIII  )   (uH Z DTimes New Roman (PCL6) Regular ^/Q+ d  _H 0=G XX  SAMPLE#X[XG H 0=7#<   p`(&Times New Roman         1 TABLE D XXXXX XXXX CCH DMV PERS SVCS 8EIE((3/Q$ !   d  : /C)  _X ^i_XX.#|I:\PMO\Templates\Contract Templates\examples\sow_90954_csg.wpdI:\PMO\Templates\ContractTemplates\examples\sow_90954_csg.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(EGMSY_ekqAutoList511.1.1.1.1.1.1.1.(EGMSY_ekqAutoList52IIIIIIIIIIIIIIII !  _XXXX  TRY<3'LetterheadX3' Letter3'letterhead3'TH| XXDisclaimer:Unlessotherwisespecificallystated,theinformationcontainedhereinismadeavailabletothepublicbytheDepartmentofHuman X Services(_DHS_),OfficeofInformationServices(_OIS_),ProjectManagementOffice(_PMO_),andtheOfficeofContractsand_Procurements_Ԁ(OC&P)foruseasanexampleofcontractscontentinformation.TheintentofthecontractexampleistoassiststaffwithcontractcreationbyprovidingPersonalServiceContractexamples,guidelines,andstandards.̀Neitherthe_DHS_,_OIS_,_PMO_,_OCP_,_DOJ_,DAS,_IRMD_Ԁnoranyotheragencyorentitiesthereof,assumesanylegalliabilityorresponsibilityfortheaccuracy,completeness,orusefulnessofanyinformation,productorprocessdisclosedintheseexamples.Referencehereintoanyspecificcommercialproduct,process,servicebytradename,trademark,manufacturer,vendor,orotherwise,doesnotconstituteorimplyitsendorsement,recommendation,orfavoringbytheDepartmentofHumanServices,theStateofOregon,oranyentitiesthereof.RTheviewsandopinionsoftheoriginatorsexpressedthereindonotnecessarilystateorreflectthoseofthe_DHS_,_OIS_,_PMO_,_OCP_,oranyagencyorentitiesthereof.Texttakenfromtheseexamplesandusedtodevelopsimilarsolicitationsandcontractswillnotreplacetheappropriatestepsnecessaryforapproval.#X[X#  H    H    `  `   H        `     h      p      ` Contract#90954  d       `     h      p      x    StateofOregonPersonal/ProfessionalServicesContract  l V ThiscontractisbetweentheStateofOregonactingbyandthroughitsDepartmentofHumanServices,OfficeofInformationServices,hereinafterreferredtoas  _DHS_ ,and 0 XX[Ԁ#X[Xٯ #     _CSG_ԀProfessionalServices,Inc. x 5201SW_Westgate_ԀDrive,Suite208Portland,OR97221  P    hereinafterreferredtoas"Contractor. 'X,XXX'I.0  EFFECTIVEDATEandDURATION X %% Thiscontractshallbecomeeffectiveonthedatethiscontracthasbeensignedbyeverypartyhereto,and,whenrequired,approvedbyDepartmentofAdministrativeServicesandDepartmentofJustice.Unlessterminatedorextended,thiscontractshallexpirewhen_DHS_ԀacceptsContractorscompletedperformanceoron  # November30,2001 ,whicheverdateoccursfirst.Expirationshallnotextinguishorprejudice_DHS_srightto  $ enforcethiscontractwithrespecttoanybreachofaContractorswarrantyoranydefaultordefectinContractorperformancethathasnotbeencured. II.0  PURPOSE #d!(%% TheContractorshallprovidequalityassurance,consultation,training,_mentoring_Ԁservicesandprovidingrequireddocumentation. III.0  STATEMENTofWORK D!%% Thestatementofwork(the Work)includingthedeliveryscheduleforsuchworkiscontainedinExhibitA,attachedandincorporatedbyreferenceintothiscontract.Contractoragreestoperformtheworkinaccordancewiththetermsandconditionsofthiscontract. IV.0  CONSIDERATION !&%%  A .0  _DHS_ԀagreestopayContractor$120perhourforSeniorSystemsAnalyst/MentorXXXEd_Crouser_,notto "t ' exceed600hours,foraccomplishingtheWorkasrequiredbythiscontract,plusanyallowableexpensesandanytravelandotherexpensereimbursementwhennotedherein.Task#1payment(s)shallnotexceed$14,400basedupon_DHS_ԀacceptanceandapprovalofTask#1deliverables.Task#2payment(s)shallnotexceedtheaggregateof$57,600,basedon_DHS_Ԁacceptanceandapprovalofdeliverable(s)forapprovedservicerequest(s),asdefinedinthecontextoftheprocesssetforthwithinTask#2.Paymentforallworkperformedunderthiscontractshallbesubjecttotheprovisionsof_ORS_Ԁ293.462andshallnotexceedthetotalmaximumsumof$72,000.  !&  B. 0  InterimpaymentsshallbemadetoContractorfollowing_DHS_sreviewandapprovalofinvoicessubmitted X byContractor. %%  C .0  Contractorshallnotsubmitinvoicesfor,and_DHS_Ԁwillnotpay,anyamountinexcessofthemaximum   compensationamountsetforthabove.Ifthismaximumcompensationamountisincreasedbyamendmentofthiscontract,theamendmentmustbefullyeffectivebeforeContractorperformsworksubjecttotheamendment.Contractorshallnotify_DHS_'sContractAdministratorinwritingthirty(30)calendardaysbeforethiscontractexpires,oftheupcomingexpirationofthecontract.Nopaymentwillbemadeforanyservicesperformedbeforethebeginningdateoraftertheexpirationdateofthiscontract,asitmaybeamendedfrom&*%XX[  T %% #X[X%&*#   timetotimeinaccordancewithitsterms.  @   D. 0  Contractorshallsubmitmonthlyinvoicesforworkperformed.Theinvoicesshalldescribeallwork p   performedwithparticularityandbywhomitwasperformedandshallitemizeandexplainallexpensesforwhichreimbursementisclaimed.TheinvoicesshallalsoincludethetotalamountinvoicedtodatebyContractorpriortocurrentinvoice.Contractorwillspecificallynotetheappropriateinvoicewhenonethirdandtwothirdsofthemaximumcontractamount,includingexpensereimbursement,hasbeenexpended.Contractorshallsendinvoicesto_DHS_sContractAdministrator(seeE.,below). %%  E. 0  The_DHS_Ԁemployeeassignedtomonitorcontractcompliance,authorizepaymentandactas_DHS_s  ContractAdministratoronmattersconcerningthiscontractshallbe: %%   Susan_Strohm_,ApplicationTeamManager  HealthDivision  OregonDepartmentofHumanServices  800NEOregonStreet,Suite805  Portland,OR97232  Phone:(503)7314004Ext.878  FAX:(503)7314386  &*%XX[  #X[X%&*[##V.0  TRAVELandPERDIEM&*%XX[%%  #X[X%&*##Notravelorotherexpensesshallbepaidinadditiontothecostherein.   VI.0  CONTRACTinitsENTIRETY  h!%% 3X,XS` XX,XX3ThisContractconsistsofthisdocumentandincludesthefollowinglistedexhibitswhicharelistedindescendingorderofprecedenceandareattachedandincorporatedintothisContractbyreference: A. 0  ExhibitA:0S%%StatementofWorkp$"%S%S%  B. 0  ExhibitB:0S%%GeneralProvisions`%#&S%S%  C. 0  ExhibitC:0S%%CertificationStatementforIndependentContractorP&#'S%S%  D.   ExhibitD:0 S ConfidentialityAgreement@'$(S%S% L 4(3 L 3   3'2  E  .3  0    ExhibitE:0S%%CriminalHistoryAgreement3'(݌0(%)S%S% Ќ  L ((4L F.   Exhibit F:0 S Solicitation#636 )&*S%S%  G.   ExhibitG:0 S ContractorsProposaltoSolicitation#636 *'+S%S%  Therearenoothercontractdocumentsunlessspecificallyreferencedandincorporatedinthecontract.  +)- 9X,X` XX,XS` X9  -l+/ VII.0  MERGERCLAUSE;WAIVER X%% Thiscontractandattachedexhibitsconstitutetheentireagreementbetweenthepartiesonthesubjectmatterhereof.Therearenounderstandings,agreements,orrepresentations,oralorwritten,notspecifiedhereinregardingthiscontract.Nowaiver,consent,modificationorchangeoftermsofthiscontractshallbindeitherpartyunlessinwritingandsignedbybothpartiesandallnecessaryStateapprovalshavebeenobtained.Suchwaiver,consent,modificationorchange,ifmade,shallbeeffectiveonlyinthespecificinstanceandforthespecificpurposegiven.Thefailureof_DHS_Ԁtoenforceanyprovisionofthiscontractshallnotconstituteawaiverby_DHS_Ԁofthatoranyotherprovision. 3P+CONTRACTOR,BYEXECUTIONofTHISCONTRACT,HEREBYACKNOWLEDGESTHAT  L  CONTRACTORHASREADTHISCONTRACT,UNDERSTANDSIT,ANDAGREESTOBEBOUNDBYITSTERMSANDCONDITIONS.2X%XXX[ | $     #X[XX2X%*/# VIII.0  CONTRACTORDATAandCERTIFICATION;SIGNATURESX %%  Name(exactlyasfiledwiththeIRS)%%P% 0  9X,XF XX,X` X9Address F %%P% : 9X,XFXX,XF X90   F %%P%%%  Telephone:()_________________Facsimile:()_________________Citizenship,ifapplicable:Nonresidentalien[]Yes[]NoBusinessDesignation(checkone):[]Corporation(completionofExhibit C not requiredforCorporationsonly)  []ProfessionalCorporation[]Partnership[]SoleProprietorship?X ,XFXhXX,XFX?[]LimitedLiabilityCompany[]LimitedPartnership[]LimitedLiabilityPartnership0   %%  FederalTaxID#:____________________OR_SSN_:_____________________  ^ AbovePaymentinformationmustbeprovidedpriortocontractapproval.ThisinformationwillbereportedtotheInternalRevenueServices(IRS)underthenameandtaxpayeridentificationsubmitted.(SeeIRS1099foradditionalinstructionsregardingtaxpayerI.D.numbers.)InformationnotmatchingIRSrecordscouldsubjectContractorto31percentbackupwithholding. Certification: TheindividualsigningonbehalfofContractorherebycertifiesandswearsunderpenaltyof *"% perjury:(a)thenumbershownonthisformisContractorscorrecttaxpayeridentification;(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.Z XX[ z*"(. #X[X Z5:#  R,)0 3P+ 3 3  < , XX ,XFXhX<&*%XX[IX. 0 e CONTRACTORS:YOUWILLNOTBEPAIDFORSERVICESRENDEREDPRIORTO X NECESSARYSTATEAPPROVALS. e%e%  #X[X%&*&;#^i_XX[ 0 ,  X , X0#X[X_^i<#&*%XX[A.#X[X%&*<#&*%XX[0 e Contractor:<e%e% #X[X%&*<#^i_XX[ #X[X_^ih=#&*%XX[<  IXX ,  X<0 e By:  Title:   %  }  L  - Date:_______________]e%e% =Ӏ#X[X%&*=#&*%XX[ {#  #X[X%&*>#&*%XX[B.0 e DepartmentofHumanServices,OfficeofInformationServices: #X[X%&*D?#^i_XX[EX<VX  IXXEhe%e% #X[X_^i?#<&*%XX[     F    <    V q#X[X%&*@#Z XX[ԀChiefInformationOfficer#X[X Z  applicationdesign,#X[XX-XOo#-XOXXX[developmentandimplementationusing_PowerBuilder_Ԁ6.5,PFCandSybase11.9.2#X[XX-XOo#)XOXXX[,aswell d   asinformaltrainingwhichContractormayperform.Contractorshalldevelopandmaintainateamorientedworkingrelationshipwith_DHS_s_OIS_/_ISE_Ԁstaff.KnowledgeTransfershallinclude,butnotbelimitedto:L +(()L 3   3$r2II3  0    Supportof_DHS_Ԁ_OIS_/_ISE_ԀDivisionstaffworkingontheprojects;3$rOr݌8 %% Ќ   3   3ts2II3  0    Sharingofinformationandconsiderationsnecessaryforthedevelopmentanddecisionmakingprocesses;3tss݌ %% Ќ   3   3t2II3  0    _Mentoring_Ԁof_DHS_s_OIS_/_ISE_ԀDivisionstaffindevelopmentoftheskillsneededtoperformtheProject | Tasksidentifiedby_DHS_;and3tt݌ %% Ќ   3   3nv2II3  0    Maintenanceofdocumentationofstandardsandproceduresforongoingdevelopmentandmaintenanceof p theprograms.3nvv݌ %% Ќ  )X)XO #)XOX)w#Deliverable:   Contractorshalldemonstrateto_DHS_ssatisfaction,that_DHS_Ԁ_OIS_/_ISE_ԀDivisionsstaffmembersreceivetheKnowledgeTransfer,trainingand_mentoring_Ԁnecessarytodevelopandmaintaintheidentifiedapplications#X[XX)XOEp#)XOXXX[. v Contractorshallestablishanddocumentreasonableandsatisfactoryprogress,asdefinedby_DHS_,towardthegoalofknowledgetransferandsubmitweeklyreportsto_DHS_sProjectManger._DHS_Ԁwillreviewtheprogressreportsandindicateareasoffocusforimprovement,ifany.#X[XX)XOy#,X[XXX[ԀContractorshallidentifyareaswhereadditional  trainingmaybenecessaryandmakerecommendationstotheProjectManager,ifthattrainingcannotbeaccomplishedwithinthescopeofthisContract.#X[XX,X[r{#)XOXXX[Reportsarerequiredweeklybeginningwithcontractexecution |$ andcontinuingthroughoutthetermofthecontract.#X[XX)XO|#)XOXXX[ #X[XX)XOY}#DeliverableDueDate : Knowledgetransferwillcontinueforthefulltermofthecontract. ! )XOXXX[ ProjectedNottoExceedHours:1207%NottoExceed:$14,400.00 #X[XX)XO~#)XOXXX[Ԉ *# #X[XX)XO~# %X[XXX[Task#2#X[XX%X[#%X[XXX[:   % _DHS_Ԁ#X[XX%X[Q#)XOXXX[ProjectManagerordelegate#X[XX)XO#%X[XXX[Ԁshallrequestservicesconsistentwith_Subtasks_ԀAC#X[XX%X[-#%X[XXX[.Contractorshall  & respondwithintwo(2)businessdaysofreceiptofnotification.Contractorshallrecommendresourcesrequiredandcompletiondateofeachproject.Onacceptanceof_DHS_#X[XX%X[ŀ#%X[XXX[ԀProjectManagerordelegate,Contractorshall "0 ( providequalityassuranceandexpertadviceto_DHS_Ԁidentifiedstaffandwrittenrecommendationsandjustificationsfordesignissues,functionality,codinganddebuggingproblemsinthespecificareascompensatorywiththetechnicalrequirementsofthisstatementofwork.#X[XX%X[#)XOXXX[     `     h Requestsandrecommendedresourceestimatesmaybeapprovedtentativelybytelephone,pendinghardcopyconfirmation.Requestsmustinclude:1.0  AStatementofWorkwiththerelative#X[XX)XO#%X[XXX[_Subtasks_ԀAC#X[XX%X[#)XOXXX[Ԁandoutcomeidentified;)n'1%% 2.0  Contractorsrecommendedresourceproposalandcompletiondate;*<(2%% 3.0  Requestorsnameanddateofrequest;b+ )3%% 4.0  #X[XX)XOj#%X[XXX[_DHS_#X[XX%X[#)XOXXX[ԀProjectManagerordelegateswrittenapprovalandContractorswrittenagreement.0,)4%% #X[XX)XO#)XOXXX[ԀAllWorkissubjecttoacceptanceandapprovalof#X[XX)XOՇ#%X[XXX[_DHS_#X[XX%X[J#)XOXXX[ԀProjectManageror_delegate.#X[XX)XO#%X[XXX[  -t+6 __ -t+6 _  -t+6 _Subtask_ԀA:WorkInProgress X  Providequalityassuranceandexpertadviceto_DHS_ԀassignedstaffforidentifiedClient/Serverapplications & underdevelopmentforthedesign,developmentandimplementationplans,andforthemaintenanceandenhancementofexistingapplicationsfortechnicalreasonablenessandprovidewrittenrecommendationsandjustificationsforplan/designchangesasrequired.#X[XX%X[#%X[XXX[ 8  _Subtask_ԀB#X[XX%X[#%X[XXX[: #X[XX%X[d#%X[XXX[Ԁ InventoryofApplications  , Providequalityassuranceandexpertadviceto_DHS_Ԁassignedstafffor identifiedClient/Serverapplications#X[XX%X[#%X[XXX[    pendingdeploymentincludingwrittenrecommendationsand/orjustificationsfordesignissues,functionality, p codinganddebuggingproblemstoallowassignedstafftocompletetasksandassignmentsforClient/Serverapplicationimplementation.  d   _Subtask_ԀC#X[XX%X[#%X[XXX[:HardwareConfiguration    #X[XX%X[^#%X[XXX[Provideexpertadviseandwrittenrecommendationsto_DHS_ԀassignstaffontheconfigurationofNT  v  workstationswithrespectto_PowerBuilder_,SybaseconnectivityviaOpenClient32andNTdirectorystructuresandnetworkconnectivitysoftware. #X[XX%X[֏#)XOXXX[Deliverable:    #X[XX)XO`#%X[XXX[TheContractorshalldeliverservicesconsistentwith#X[XX%X[Ƒ#%X[XXX[_Subtasks_ԀAC#X[XX%X[>#%X[XXX[Ԁandtheapproved#X[XX%X[#%X[XXX[requestforservicesas | definedinthe#X[XX%X[#%X[XXX[tasknarrativeaboveandconsistentwithrequirementsofTask#2totheProjectManagerfor J acceptanceandapproval.#X[XX%X[#%X[XXX[  p  #X[XX%X[I#%X[XXX[#X[XX%X[# )XOXXX[DeliverableDueDate :#X[XX)XO#)XOXXX[AsSpecifiedinApprovedRequest#X[XX)XOI#)XOXXX[ԀandNoLaterthanContractExpirationDate.#X[XX)XO#   )XOXXX[ ProjectedNottoExceedHours:4807%NotToExceed:$57,600.00#X[XX)XO.# NN  P   P T&ExhibitB X GeneralProvisions  D $   1.0  IndependentContractor;ResponsibilityforTaxesandWithholding %% E(X u}L"XX,XXE0  a. 0%%ContractorshallperformallrequiredWorkasanindependentcontractor.Although_DHS_Ԁreservestheright  to(1)determine(andmodify)thedeliveryschedulefortheWorktobeperformedand(2)evaluatethequalityofthecompletedperformance,_DHS_ԀcannotandwillnotcontrolthemeansormannerofContractor'sperformance.ContractorisresponsiblefordeterminingtheappropriatemeansandmannerofperformingtheWork. %% 0  b. 0%%IfContractoriscurrentlyperformingworkfortheStateofOregonorthefederalgovernment,Contractorby  (  signaturetothiscontractdeclaresandcertifiesthat: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 ,%% 0  a. 0%%ContractorshallnotenterintoanysubcontractsforanyoftheWorkrequiredbythiscontract,orassignor \ transferanyofitsinterestinthiscontract,withoutthepriorwrittenconsentof_DHS_.Inadditiontoanyotherprovisions_DHS_Ԁmayrequire,ContractorshallincludeinanypermittedsubcontractsunderthiscontractarequirementthatthesubcontractorbeboundbySections2,6,7,11,and13ofthisexhibitasifthesubcontractorweretheContractor._DHS_sconsenttoanysubcontractshallnotrelieveContractorofanyofitsdutiesorobligationsunderthiscontract. %% 0  b. 0%%Theprovisionsofthiscontractshallbebindinguponandshallinuretothebenefitofthepartieshereto,and  |! theirrespectivesuccessorsandpermittedassigns,ifany. %%  3.0  NoThirdPartyBeneficiaries. _DHS_ԀandContractoraretheonlypartiestothiscontractandaretheonlyparties #D!$ entitledtoenforceitsterms.Nothinginthiscontractgives,isintendedtogive,orshallbeconstruedtogiveorprovideanybenefitorright,whetherdirectly,indirectlyorotherwise,tothirdpersonsunlesssuchthirdpersonsareindividuallyidentifiedbynamehereinandexpresslydescribedasintendedbeneficiariesofthetermsofthiscontract. %%  4.0  FundsAvailableandAuthorized;Payments ()&*%% 0  a. 0%%ContractorshallnotbecompensatedforWorkperformedunderthiscontractbyanyotheragencyor +(, departmentoftheStateofOregon._DHS_Ԁhassufficientfundscurrentlyavailableandauthorizedforexpendituretofinancethecostsofthiscontractwithin_DHS_'sbiennialappropriationorlimitation.Contractorunderstandsandagreesthat_DHS_'spaymentofamountsunderthiscontractattributabletoWork -p+/ & & X &  performedafterthelastdayofthecurrentbienniumiscontingenton_DHS_ԀreceivingfromtheOregonLegislativeAssemblyappropriations,limitations,orotherexpenditureauthoritysufficienttoallow_DHS_,intheexerciseofitsreasonableadministrativediscretion,tocontinuetomakepaymentsunderthiscontract. %% 0  b. 0%%_DHS_Ԁwillonlypayforcompletedworkthatisacceptedby_DHS_. %%   ,   5.     0  RepresentationsandWarranties %% 0  a.0%%ContractorsRepresentationandWarranties :Contractorrepresentsandwarrantsto_DHS_Ԁthat(1)  d Contractorhasthepowerandauthoritytoenterintoandperformthiscontract,(2)thiscontract,whenexecutedanddelivered,shallbeavalidandbindingobligationofContractorenforceableinaccordancewithitsterms,(3)theWorkunderthiscontractshallbeperformedinagoodandworkmanlikemannerandinaccordancewiththehighestprofessionalstandards,(4)Contractorshall,atalltimesduringthetermofthiscontract,bequalified,professionallycompetentanddulylicensedtoperformtheWork,(5)allcomputerhardwareandsoftwaredeliveredunderthiscontractwill,individuallyandincombination,correctlyprocess,sequence,andcalculatealldateanddaterelateddataforalldatespriorto,throughandafterJanuary1,2000and(6)anysoftwareproductsdeliveredunderthiscontractthatprocessdateordaterelateddatashallrecognize,storeandtransmitdatedatainaformatwhichexplicitlyandunambiguouslyspecifiesthecorrectcentury. %% 0  b.0%%ContractorsLimitationofLiability :Contractorsliabilitywithrespecttoitems(5)and(6)ofsubsection x 5aaboveshallnotexceed:(1)twicethetotalcontractamount(includinganyamendments)or(2)$100,000whicheverisgreater. %% 0  c.0%%WarrantiesCumulative :Thewarrantiessetforthinthissectionareinadditionto,andnotinlieuof,any , otherwarrantiesprovided. %%  6.0  OwnershipofWorkProduct. AllworkproductofContractorthatresultsfromthiscontract("theWork L Product")istheexclusivepropertyof_DHS_._DHS_ԀandContractorintendthatsuchWorkProductbedeemed workmadeforhireofwhich_DHS_Ԁshallbedeemedtheauthor.IfforanyreasontheWorkProductisnotdeemed workmadeforhire,Contractorherebyirrevocablyassignsto_DHS_Ԁallofitsright,title,andinterestinandtoanyandalloftheWorkProduct,whetherarisingfromcopyright,patent,trademark,tradesecret,oranyotherstateorfederalintellectualpropertylawordoctrine.Contractorshallexecutesuchfurtherdocumentsandinstrumentsas_DHS_Ԁmayreasonablyrequestinordertofullyvestsuchrightsin_DHS_.ContractorforeverwaivesanyandallrightsrelatingtotheWorkProduct,includingwithoutlimitation,anyandallrightsarisingunder17_USC_Ԁ106Aoranyotherrightsofidentificationofauthorshiporrightsofapproval,restrictionorlimitationonuseorsubsequentmodifications. %%  7.0  Indemnity. t%#&%%   XOXXX[a.GeneralIndemnity: Contractorshalldefend,holdharmlessandindemnifytheStateofOregon,_DHS_Ԁand d& $' 0  itsagencies,subdivisions,officers,employeesandagentsfromandagainstallclaims,suits,actions,losses,damages,liabilities,costsandexpensesofanynatureresultingfrom,arisingoutof,orrelatingtotheactivitiesofContractororitsofficers,employees,subcontractors,oragentsunderthisContract. %%   b.IntellectualPropertyIndemnity: Withoutlimitingthegeneralindemnityprovision,Contractorexpressly +(, 0  agreestodefend,holdharmlessandindemnifytheStateofOregon,_DHS_Ԁanditsagencies,subdivisions,officers,employeesandagentsfromandagainstallclaims,suits,actions,losses,damages,liabilities,costsandexpensesofanynatureresultingfromorinconnectionwithanyclaimsthattheWork,Developments,SystemorDeliverablesorusethereofinfringeanypatent,copyright,tradesecret,orotherproprietaryright(referredto .`,0 _as"IntellectualPropertyRights")ofanythirdparty;provided,thatDHSshallprovideContractorwithpromptwrittennoticeofanyinfringementclaim.Contractorshallhavecontrolofthedefenseandsettlementoftheclaim;providedthattheStateofOregonorDHSmayassumeitsowndefenseandsettlementintheeventthattheStateofOregonorDHSdeterminesthatContractorisnotadequatelydefendingitsinterestorthatanimportantgovernmentalprincipleisatissueandtheStateofOregonorDHSdesirestoassumeitsowndefense.IfContractor,initssolediscretion,believesatanytimethattheWork,Developments,SystemorDeliverablesinfringeathirdparty'sIntellectualPropertyRights,Contractormay,atitsownexpenseandoptionanduponreceiptofDHS'spriorwrittenconsent,replaceaninfringingitemwithanoninfringingitemthatmeetsorexceedstheperformanceandfunctionalityofthereplaceditem.#X[XXXO&# `%%  8.0  Insurance  8 %% 0  a. 0%%DuringthetermofthiscontractContractorshallmaintaininforceatitsownexpense,eachinsurancenoted | $  below: %% ]+X 'u}L"XX u}L"X]0  0%% (1) 0'%%WorkersCompensationinsuranceincompliancewithORS656.017,whichrequiressubjectemployers X  toprovideOregonworkerscompensationcoverageforalltheirsubjectworkers. '%'%   , 0  0%% %%     (2) 0 ' GeneralLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan$1,000,000   eachoccurrenceforBodilyInjuryandPropertyDamage.Itshallincludecontractualliabilitycoveragefortheindemnityprovidedunderthiscontract.ItshallprovidethattheStateofOregon,DepartmentofHumanServices,andtheirdivisions,officersandemployeesareAdditionalInsuredsbutonlywithrespecttotheContractorsservicestobeprovidedunderthiscontract. '%'%  0    (3)0'%% AutomobileLiabilityinsuranceasrequiredbytheOregonFinancialResponsibilityLaw(ORS806.060), T includingcoverageforowned,hiredornonownedvehicles,asapplicable. &*%XX[D'%'% #X[X%&*#0    (4)0'%% ProfessionalLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan ` $1,000,000eachclaim,incidentoroccurrence.Thisistocoverdamagescausedbyerror,omissionornegligentactsrelatedtotheprofessionalservicestobeprovidedunderthiscontract. <'%'% 0  0%% %% 0  b. 0%% NoticeofCancellationorChange: Thereshallbenocancellation,materialchange,reductionoflimitsor  intentnottorenewtheinsurancecoverage(s)without30dayspriorwrittennoticefromContractororitsinsurer(s)toContractsCoordinator,OregonDepartmentofHumanServices. %% 0  c. 0%% CertificatesofInsurance: Asevidenceoftheinsurancecoveragesrequiredbythiscontract,Contractor  p! shallfurnishacceptableinsurancecertificatestoContractsCoordinator,OregonDepartmentofHumanServicespriortocommencingtheWork.ThecertificatewillspecifyallofthepartieswhoareAdditionalInsureds.InsuringcompaniesorentitiesaresubjecttoStateacceptance.Ifrequested,completecopiesofinsurancepolicies,trustagreements,etc.,shallbeprovidedtotheState.Contractorshallbefinanciallyresponsibleforallpertinentdeductibles,selfinsuredretentionsand/orselfinsurance. %%  9.0  Termination @'$(%% 0  a.0%%PartiesRighttoTerminateforConvenience :Thiscontractmaybeterminatedatanytimebymutual )&* writtenconsentoftheparties. %% 0  b.0%%DHSsRighttoTerminateforConvenience :DHSmay,atitssolediscretion,terminatethiscontract,in +)- wholeorinpart,upon30daysnoticetoContractor. %%  -d+/ 0  c.0%%DHSsRighttoTerminateforCause :DHSmayterminatethiscontract,inwholeorinpart,immediately  uponnoticetoContractor,oratsuchlaterdateasDHSmayestablishinsuchnotice,upontheoccurrenceofanyofthefollowingevents: %% 0  0%% (1)0'%% DHSfailstoreceivefunding,orappropriations,limitationsorotherexpenditureauthorityatlevels v sufficienttopayforContractorsWork; '%'% 0  0%% (2)0'%% FederalorStatelaws,regulationsorguidelinesaremodifiedorinterpretedinsuchawaythateitherthe >| WorkunderthiscontractisprohibitedorDHSisprohibitedfrompayingforsuchWorkfromtheplannedfundingsource; '%'% 0  0%% (3)0'%% ContractornolongerholdsanylicenseorcertificatethatisrequiredtoperformtheWork;or 0 '%'% 0  0%% (4) 0'%%Contractorcommitsanymaterialbreachordefaultofanycovenant,warranty,obligationoragreement   underthiscontract,failstoperformtheWorkunderthiscontractwithinthetimespecifiedhereinoranyextensionthereof,orsofailstopursuetheWorkastoendangerContractorsperformanceunderthiscontractinaccordancewithitsterms,andsuchbreach,defaultorfailureisnotcuredwithin10businessdaysafterdeliveryofDHSsnotice,orsuchlongerperiodasDHSmayspecifyinsuchnotice. '%'% 0  d.0%%ContractorsRighttoTerminateforCause :Contractormayterminatethiscontractupon30daysnotice Z toDHSifDHSfailstopayContractorpursuanttothetermsofthiscontractandDHSfailstocurewithin30daysafterreceiptofContractorsnotice,orsuchlongerperiodofcureasContractormayspecifyinsuchnotice. %%    e.0  Remedies :8%%     (1) 0 ' IntheeventofterminationpursuanttoSections9a,9b,9c(1),9c(2)or9dofthisexhibit,Contractors ( soleremedyshallbeaclaimforthesumdesignatedforaccomplishingtheWorkmultipliedbythepercentageofWorkcompletedandacceptedbyDHS,lesspreviousamountspaidandanyclaim(s)whichStatehasagainstContractor.IfpreviousamountspaidtoContractorexceedtheamountduetoContractorunderthisSection,ContractorshallpayanyexcesstoDHSupondemand. '%'%    0  (2)0'%% IntheeventofterminationpursuanttoSection9c(3)or9c(4)ofthisexhibit,DHSshallhaveany v remedyavailabletoitinlaworequity.IfitisdeterminedforanyreasonthatContractorwasnotindefaultunderSection9c(3)or9c(4)ofthisexhibit,therightsandobligationsofthepartiesshallbethesameasifthecontractwasterminatedpursuanttoSection9bofthisexhibit. '%'%    f.0  ContractorsTenderUponTermination: Uponreceivinganoticeofterminationofthiscontract, #T!$ 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. >-|+/%% _ *.h,0  11.0  RecordsMaintenance;Access. Contractorshallmaintainallfiscalrecordsrelatingtothiscontractin  accordancewithgenerallyacceptedaccountingprinciples.Inaddition,ContractorshallmaintainanyotherrecordspertinenttothiscontractinsuchamannerastoclearlydocumentContractor'sperformance.Contractoracknowledgesandagreesthat_DHS_,theOregonSecretaryofState'sOffice,theFederalGovernment,andtheirdulyauthorizedrepresentativesshallhaveaccesstosuchfiscalrecordsandallotherbooks,documents,papers,plans,andwritingsoftheContractorthatarepertinenttothiscontractforthepurposeofperformingexaminationsandaudits,andmakingexcerptsandtranscripts.Contractorshallretainandkeepaccessibleallsuchfiscalrecords,books,documents,papers,plans,andwritingsforaminimumofthree(3)years,orsuchlongerperiodasmayberequiredbyapplicablelaw,followingfinalpaymentandterminationofthiscontract,oruntiltheconclusionofanyaudit,controversyorlitigationarisingoutoforrelatedtothiscontract,whicheverdateislater. %%  12.0  CompliancewithApplicableLaw. Contractorshallcomplywithallfederal,stateandlocallaws,regulations,    executiveordersandordinancesapplicabletotheWorkunderthiscontract.Withoutlimitingthegeneralityoftheforegoing,Contractorexpresslyagreestocomplywith:(_i_)TitleVIofCivilRightsActof1964;(ii)SectionVoftheRehabilitationActof1973;(iii)theAmericanswithDisabilitiesActof1990and_ORS_Ԁ659.425;(iv)allregulationsandadministrativerulesestablishedpursuanttotheforegoinglaws;and(v)allotherapplicablerequirementsoffederalandstatecivilrightsandrehabilitationstatutes,rulesandregulations._DHS_sperformanceunderthiscontractisconditioneduponContractorscompliancewiththeprovisionsof_ORS_279.312,279.314,279.316,279.320,and279.555,whichareincorporatedbyreferenceherein. %%  13.0  ForeignContractor. IfContractorisnotdomiciledinorregisteredtodobusinessintheStateofOregon, &d ContractorshallpromptlyprovidetotheOregonDepartmentofRevenueandtheSecretaryofStateCorporationDivisionallinformationrequiredbythoseagenciesrelativetothiscontract.ContractorshalldemonstrateitslegalcapacitytoperformtheWorkunderthiscontractintheStateofOregonpriortoenteringintothiscontract. %%  14.0  ForceMajeure. Neither_DHS_ԀnorContractorshallbeheldresponsiblefordelayordefaultcausedbyfire,riot,  naturaldisasters,orwarwheresuchcausewasbeyondthereasonablecontrolof_DHS_ԀorContractor,respectively.Contractorshall,however,makeallreasonableeffortstoremoveoreliminatesuchacauseofdelayordefaultandshall,uponthecessationofthecause,diligentlypursueperformanceofitsobligationsunderthiscontract. %%  15.0  Survival. Allrightsandobligationsshallceaseuponterminationorexpirationofthiscontract,exceptforthe R  rightsandobligationssetforthintheContractSectionI.EFFECTIVEDATEANDDURATION,andinparagraphs5,6,7,9,10,11,15and21ofthisexhibit. %%  16.0  TimeisoftheEssence. Contractoragreesthattimeisoftheessenceunderthiscontract.#D!$%%  17.0  WrittenNotice. Allnoticesregardingthiscontractmustbegiventothepartiesinwritingbypersonaldelivery $ #& ormailingthesame,postageprepaid,tothefollowingaddresses: %%   `+X 'u}L"XX 'u}L"X`_DHS_:0 '   K.Renee_Shippey_,ContractsCoordinator,ordelegate&$('%'% 0   '   OregonDepartmentofHumanServices %% 0   '   500SummerStreetNE/E03 %% 0   '   SalemOR973101080 %% `+X ' }L"XX 'u}L"X`   '   FacsimileNumber:5033784324   '   PhoneNumber:5039455821  2-p+/ _0  Contractor:  CSGProfessionalServices,Inc.%%   0 ' 0'%'%5201SWWestgateDrive,Suite208 %%   0 ' 0'%'%Portland,OR97221 %%    '   FacsimileNumber:(503)2920859  0 ' 0'%'%PhoneNumber:(503)2921485 %% 0  Anynoticedeliveredbyfacsimileshallbedeemedtobegivenwhenreceiptofthetransmissionisgeneratedbythetransmittingmachine.TobeeffectiveagainstDHS,suchfacsimiletransmissionmustbeconfirmedbytelephonenoticetoDHSsContractAdministrator. %%  18.0  Severability. Thepartiesagreethatifanytermorprovisionofthiscontractisdeclaredbyacourtofcompetent  8  jurisdictiontobeillegalorinconflictwithanylaw,thevalidityoftheremainingtermsandprovisionsshallnotbeaffected,andtherightsandobligationsofthepartiesshallbeconstruedandenforcedasifthecontractdidnotcontaintheparticulartermorprovisionheldtobeinvalid. %%  19.0  Counterparts. Thiscontractmaybeexecutedinseveralcounterparts,allofwhichwhentakentogethershall   constituteoneagreementbindingonallparties,notwithstandingthatallpartiesarenotsignatoriestothesamecounterpart.Eachcopyofthecontractsoexecutedshallconstituteanoriginal. %%  20.0  DisclosureofSocialSecurityNumber. ContractormustprovideContractorsSocialSecuritynumberunless N 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 > |! anymannerwhatsoever,exceptbywrittenagreementsignedbytheparties.Thiscontractwillnotbeamendedaftertheexpirationdate. %%  23.0  ConfidentialityofClientInformation #0"%%% ](X u}L"XX ' }L"X]0  a. 0%%AllinformationastopersonalfactsandcircumstancesobtainedbytheContractorontheclientshallbe %$' treatedasprivilegedcommunications,shallbeheldconfidential,andshallnotbedivulgedwithoutthewrittenconsentoftheclient,hisorherattorney,theresponsibleparentofaminorchild,orhisorherguardianexceptasrequiredbyothertermsofthiscontract.Nothingprohibitsthedisclosureofinformationinsummaries,statistical,orotherformwhichdoesnotidentifyparticularindividuals. %% 0  b. 0%%Theuseordisclosureofinformationconcerningclientsshallbelimitedtopersonsdirectlyconnectedwith V+)- theadministrationofthiscontract.Confidentialitypoliciesshallbeappliedtoallrequestsfromoutsidesources. u   2-p+/%% 0  c. 0%%DHS,ContractorandanysubcontractorwillshareinformationasnecessarytoeffectivelyserveDHSclients..\,0%%  /L-1  24.0  CompliancewithApplicableFederalLaw. Contractoragreestocomplywithallfederallawsandregulations  applicabletoworkperformedunderthiscontractinclusiveofbutnotlimitedto: %% 0  a.0%% Totheextentitisrequiredtodosobylaw,Contractorshallabidebyallmandatorystandardsandpolicies  whichrelatetoenergyefficiencyandwhicharecontainedinthestateofOregonenergyconservationplanwhichwasissuedincompliancewiththeEnergyPolicyandConservationAct(PL94-163).Allsubcontractsshallalsobeincompliancewiththeforegoing. %% 0   %%  0  b. 0%%Bysignatureonthiscontract,theundersignedcertifies,tothebestofhisorherknowledgeandbelief,that:* h%% Z(X wu}L"XX u}L"XZ0  0%% (1)0r%% Nofederallyappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfofContractor,toany  D  personforinfluencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththeawardingofanyfederalcontract,themakingofanyfederalgrant,themakingofanyfederalloan,theenteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodificationofanyfederalcontract,grant,loan,orcooperativeagreement. r%r% Z(X '}L"XX wu}L"XZ0  0%% (2)0'%% Ifanyfundsotherthanfederallyappropriatedfundshavebeenpaidorwillbepaidtoanypersonfor ~ influencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththisfederalcontract,grant,loan,orcooperativeagreement,ContractoragreestocompleteandsubmitStandardFormLLL"DisclosureFormtoReportLobbying,"inaccordancewithitsinstructions. '%'% 0  0%% (3) 0'%%Theundersignedshallrequirethatthelanguageofthiscertificationbeincludedintheawarddocuments  H forallsubawardsatalltiers(includingsubcontracts,subgrants,andcontractsundergrants,loans,andcooperativeagreements)andthatallsubrecipientsshallcertifyanddiscloseaccordingly. '%'% 0  0%%Thiscertificationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscertificationisaprerequisiteformakingorenteringintothistransactionimposedbysection1352,title31,U.S.Code.Anypersonwhofailstofiletherequiredcertificationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure. %% 0  c. 0%%ContractoragreestocomplywithExecutiveOrder11246entitledEqualEmploymentOpportunityas F ! amendedbyExecutiveOrders11375and12086andassupplementedinDepartmentofLaborRegulation41CFRpart60.Allsubcontractsshallalsocomplywiththeseprovisions. %%    d. 0  Ifthesumpayableunderthiscontractexceedsormayexceed$100,000,ContractorshallprovideDHSa #8"% writtenassurancethatContractorwillcomplywithallapplicablestandards,orders,orrequirementsissuedunderSection306oftheCleanAirAct(42USC7401et.seq.),theFederalWaterPollutionControlAct,asamended(33USC1251et.seq.),Section508oftheCleanWaterAct(33USC1368),ExecutiveOrder11738andEnvironmentalProtectionAgencyregulations(40CFRPart15).ContractorfurtheragreestopromptlyreportallinfractionstotheStateofOregon,andtotheDepartmentofHealthandHumanServices,andtotheU.S.RegionalOfficeoftheEnvironmentalProtectionAgency.Allsubcontractsshallalsobeincompliancewiththeseprovisions. %%  25.0  Year2000. IntheeventContractorlearnsorhasreasontobelievethatDHSscomputerhardwareorsoftware J,*. environmentfailstouseadateformatthatexplicitlyspecifiescenturyinanydatedata,ContractorshallpromptlyadviseDHSofsuchfailure. %%  /P-1  26.0  DepartmentofJusticeApproval. Whenthecontractoramendmentstheretocausethecontractpaymentto  beinexcessof$75,000,theDepartmentofJusticemustapprovethecontractandanyamendmentsastoLegalSufficiency.Suchapprovalisrequiredbeforeanyworkmaybeginunderthiscontractoramendmentsthereto,orthecontractisnotbindingontheStateofOregonorDHS. %%  27.0  KeyPerson. ContractoracknowledgesandagreesthatDHSselectedContractor,andisenteringintothis b Contract,becauseofthespecialqualificationsofContractors KeyPerson(s).Inparticular,DHSthroughthisContract,isengagingtheexpertise,experience,judgmentandpersonalattentionofEdCrouser( KeyPerson).ContractorsKeyPersonshallnotdelegateperformanceoftheresponsibilitieshe/sheisrequiredtoprovideunderthisContracttoanother(other)ofContractorsemployee(s)withoutfirstobtainingthewrittenconsentofDHS.Further,Contractorshallnotre-assignortransferanyKeyPersontootherdutiesorpositionssuchthatanyKeyPersonisnolongeravailabletoprovideDHSwithhis/herexpertise,experience,judgment,andpersonalattention,withoutfirstobtainingDHSspriorwrittenconsenttosuchre-assignmentortransfer.IntheeventContractorrequeststhatDHSapproveare-assignmentortransferofanyKeyPerson,DHSshallhavetherighttointerview,reviewthequalificationsof,andapproveordisapprovetheproposedreplacementfortheKeyPerson.AnyapprovedsubstituteorreplacementforaKeyPersonshallbedeemedaKeyPersonunderthisContract.Inaddition, X[XXX[theContractormustprovideareplacementforanyConsultantwhoceasesaffiliationwith  theContractor,whomDHSdeemsisnotperformingatanacceptablelevelorishinderingthesuccessfulcompletionofassignment(s),isunabletoperformassignedwork,orasrequiredbyDHS.TransitionschedulemustbeapprovedbyDHS.IntheeventthatDHSrequiressuchreplacement,theContractorshallpromptlysubstituteorengageotherqualifiedindividuals.AllsuchreplacementsaresubjecttoDHSspriorreviewandacceptance.IntheeventthatContractorisunabletomeetitsobligationtofurnishareplacementConsultant,DHSmay,atitsoption,terminatethatportionoftheContractwithoutliability,ortocontinuetheContractwithoutreplacement.#X[XX X[U# <%% XOXXX[&H%XXO   ExhibitC  #XOX%&H##X[XXXO#  IndependentContractorCertification     &*%XX[Z XX[ ThisformistobecompletedbyContractor;Corporationsarenotrequiredtocompletethisform. r  ORS670.600IndependentContractor;standards.AsusedinvariousprovisionsofORSchapters316,656,657and701,anindividual N orbusinessentitythatperformslabororservicesforrenumeration'sshallbeconsideredtoperformthelabororservicesasanIndependentContractorifthestandardsofthissectionaremet: Contractorunderstandsthat:   P BXX '}L"XB1.0  Theindividualorbusinessentityprovidingthelabororservicesisfreefromdirectionandcontroloverthemeansandmannerof &d  providingthelabororservices,subjectonlytotherightoftheAgencyforwhomthelabororservicesareprovidedtospecifythedesiredresults; %% 2.0  Theindividualorbusinessentityprovidinglabororservicesisresponsibleforobtainingallassumedbusinessregistrationsor    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  Thelabororservicesareprimarilycarriedoutatalocationthatisseparatefromtheresidenceofanindividualwhoperforms ' thelabororservices,orareprimarilycarriedoutinaspecificportionoftheresidence,whichportionissetasideasthelocationofthebusiness; %%   B.0  Commercialadvertisingorbusinesscardsasiscustomaryinoperationofsimilarbusinessesarepurchasedforthebusiness,or "`+ theindividualorbusinessentityhasatradeassociationmembership; %%   C.0  Telephonelistingandserviceareusedforthebusinessthatisseparatefromthepersonalresidencelistingandserviceusedby :. anindividualwhoperformsthelabororservices; %%   D.0  Labororservicesareperformedonlypursuanttowrittencontracts; 1%%   E.0  Labororservicesareperformedfortwoormoredifferentpersonswithinaperiodofoneyear;or"P 3%%   F.0  Theindividualorbusinessentityassumesfinancialresponsibilityfordefectiveworkmanshiporforservicenotprovidedas N#!5 evidencedbytheownershipofperformancebonds,warranties,errorsandomissioninsuranceorliabilityinsurancerelatingtothelabororservicestobeperformed. %% 9.0  PursuanttoOAR1250200410(4),thecontractshallprovidethattheContractorisresponsibleforfederalSocialSecurity,except %$9 thosecategoriesexcludedbylaw,andforanyfederalorstatetaxesapplicabletothecontractpayment. %%  IndependentContractorcertifieshe/shemeetstheabovestandardsandagreestoperformthelabororservicesrequiredbythiscontractasanIndependentContractor. P'  '*   *ContractorSignature ________________________________________________Date_________________ *(A '   'EntityName(printedortyped): _____________________________________________________________________ ,*D #&*% Z#   .-l+E  X[XXX[  ExhibitD  ConfidentialityAgreement#&*%XX[6#Z XX[   #&*% Z 7#6Z XX[#&*% Zu7#ToallcontractorsworkingonOregonDepartmentofHumanServices(DHS)projects: 8v Forthepurposesofthiscertificatetheterm contractorwillmeanallConsultantsassignedtotheprojectbythecontractor.Oregonslawscontainprovisionsrelationtoconfidentialityofrecords,listsandinformationaboutclientapplicants/clients/recipientsandaboutStateemployees.Theselaws,andthepenaltiesforviolationofthem,pertaintoeverycontractorworkingonDHSprojects,atalllevelsandinanycapacity.AsaconditionofyourcontinuedworkforDHS,youarerequiredtocompletetheconfidentialitytrainingexerciseandsignthiscertificateverifyingthatyouunderstandthelawsandareawareofthepenaltiesforviolation.Ifatsomefuturedate,youhavedoubtsaboutthelegalityofanactionyoumaybeabouttotake,asktherespectiveprojectmanagerforaninterpretation.Youpersonallyarelegallyresponsibleforany  6  violationoftheselaws.     ConfidentialityofPersonnelInformation :ORS192.500 ThePublicRecords Actcontainsanumberofexemptionsfor   informationmaintainedonStateemployeesincludinga personalprivacyexemptionwhichstates: Thefollowingpublicrecordsareexemptfromdisclosure...Informationofapersonalnaturesuchasthatkeptinapersonal,medicalorsimilarfile,ifthepublicdisclosurethereofwouldconstituteanunreasonableinvasionofprivacy,unlessthepublicinterestbyclearandconvincingevidencerequiresdisclosureintheparticularinstance.Thepartyseekingdisclosureshallhavetheburdenofshowingthatpublicdisclosurewouldnotconstituteanunreasonableinvasionofprivacy.(ORS196.500(2)(b)) ConfidentialityofWelfareApplicants/RecipientsInformation :ORS411.300 Regulationsconcerninguseandcustody l ofrecords. (1)DHSshallmakeandenforcereasonablerulesandregulationsgoverningthecustody,useandpreservation H oftherecords,tapes,filesandcommunicationsofDHS.Theuseofsuchrecords,papers,filesandcommunicationsbyanyotheragencyordepartmentofgovernmentorpersontowhichtheymaybefurnishedshallbelimitedtothepurposesforwhichtheyarefurnishedandbytheprovisionsofthelawunderwhichtheymaybefurnished.ORS411.320 Disclosureanduseofrecordslimited;contentsasaprivilegedcommunication. Fortheprotectionof  clients,DHScontractors...shallnotdiscloseorusethecontentsofanyrecords,files,papersorcommunicationsforpurposesotherthanthosedirectlyconnectedwiththeadministrationofthepublicassistancelawsofOregon,andtheserecords,filespapersandcommunicationareconsideredconfidentialsubjecttotherulesandregulationsofDHSanditsDivisions,exceptasotherwiseprovidedinORS411.325to411.335.Inanyjudicialproceedings,exceptproceedingsdirectlyconnectedwiththeadministrationofpublicassistancelaws,theircontentsareconsideredprivilegedcommunications.(Note:ORS421.325and411.330havebeenvoidedbycourtaction.)ORS411.335 Prohibiteduseoflistsornames. Nopersonoragencyshallsolicit,disclose,receive,makeuseof,or H# authorize,knowinglypermit,participateinaoracquiesceintheuseof,anylistsofnamesforcommercialorpoliticalpurposesofanynature,foranypurposenotdirectlyconnectedwiththeadministrationofpublicassistancelaws.(Note:ORS411.325and41.330havebeenvoidedbycourtaction.)ORS411.990 Penalties (1)ViolationofORS411.320to411.335ispunishable,uponconviction,byafineofnotmorethan #!( $1,000orbyimprisonmentinthecountyjailfornotmorethan60days,orbyboth.ViolationofORS192.500iscausefordisciplinaryactionunderORS240.555. Instructions: Contractorandsupervisorwillsignpriortostartofwork.ReturnoriginaltotheDHSProjectManageror &&%, designee.IcertifythatIhavereadtheforegoing.MysignaturebelowmeansthatIunderstandtheprovisionsoflawpertainingtotheconfidentialityofDHSrecordsandinformation.IalsounderstandthattheselawsmaychangefromtimetotimeandthatitismyresponsibilitytoreadandunderstandthesechangesasIamnotifiedofthem.9%X ,X9er4 hX 79  Name(pleaseprint):%%P% +:*2 Signature: r  4     h      p     Date:%%P% @-~+4 SupervisorsSignature:򀀀    h      p     Date:%%P% .,6 II  /.8    ]E @F  @r  @  @  @A  @  @  @u X[XXX[0 @ #&*%XX[`L# X[XXX[0@%(#(# ExhibitE   7 INFORMATIONFORCRIMINALHISTORYCHECK#&*%XX[L#XX[   *8F9Xddd Xdd Xdd XX%X%,m dd ,dd , dd +  % F %@] ] *** 5HIRINGSUPERVISORTOCOMPLETETHISSECTION #5N#*** *  *0NameofDHSSupervisor=0 $ $0Agency/Address=0   0PhoneNumber/Extension=0(    (*:F;dXdm dd m dd  dd 8F9X%X%,s#dd +  !   !@ ***5 TOBECOMPLETEDBYAPPLICANT/EMPLOYEE #5mQ#***($   (KX X (#X ,X9er4 hXK  Name(PleasePrint) Last    h First     p Middle    DateofBirth   AF<) xdEX: (#A ; y OtherName(s)Used:(MaidenName,PreviousMarriedName(s),Aliases,LegalNameChanges,AssumedNames,etc.)#&*%aM#X[XXX[AF<)V' s#dEV' s#A#&*%XX[T#XX[ G F #&*%٣T#.YXX[33#&*%.YT#33UXX[Sex     SocialSecurityNumber(PerSignedConsentBelow) p     DriversLicenseNumber/IssuingState  V  g  #&*%gU#XX[Male#&*%yV#XX[  Female#&*%V#XX[ #&*%+W#XX[   AF<)Vs#dEVs#A %:WARNING:Falselyrespondingtoanyofthequestionslistedbelowdisqualifiesyourapplicationbylaw.  : EX  X (#X X XE1.  Yes  No0 HaveyoulivedoutsidetheStateofOregonanytimeduringthefive(5)yearpriortodaysdate? % % X2.  Yes  No0 Haveyoueverbeenconvictedofanycrimelistedonthebackofthisform(orthesubstantialequivalentofanyofthe  crime(s)iftheconvictionoccurredinanotherjurisdictionorinOregonunderadifferentstatutorynameornumber)?  % % IfYES,placean(X)intheboxbesidethecrime(orthesubstantiallyequivalentcrime)and,onaseparatesheetofpaper,describethecircumstancesbywhichyouwereconvictedofthecrime(s)andprovideanyinformationyouhavetohelpusunderstandwhyyoubelieveyourconviction(s)WILLNOTposearisktopersonsinthecareoforreceivingservicesfromDHS,orotherpreventyoufromfulfillingtheresponsibilitiesofyourjob.3.  Yes  No0 Doyouhaveaconcealedhandgunlicense?N$ % % @T T %p 5AUTHORIZATIONTODISCLOSESOCIALSECURITYNUMBER#5]#  ' %nIOAR410070000authorizesDHStorequestyoutovoluntarilyprovideyourSocialSecurityNumbertoDHSforuseasanidentificationnumberforcriminalrecordchecks.FailuretoprovideyourSocialSecurityNumberwillnotbeusedasabasistodenyyouanyrightorbenefit,orprivilegeprovidedbylaw.IfyouprovideyourSocialSecurityNumberandconsenttoitsuse,itwillbeusedonlyforthepurposestatedaboveandwillnotbegiventothegeneralpublic.BysigningthisconsenttodiscloseyourSocialSecurityNumber,youauthorizeDHStodiscloseyourSocialSecurityNumbertoothersifsuchdisclosureisnecessaryforthepurposestatedabove.______________________________________________________________________________________________________________________ConsultantsSignature     h      p       Date > |/ %!Q ,@  5AFFIRMATIONOFACCURATEINFORMATION#5Vb#  !Q0 %!* ! Ihavereviewedandcompletedbothsidesofthisformasapplicabletome.Iunderstandthatsubmittingfalseinformationwilldisqualifymefromworkingat/forDHS.Bymysignaturebelow,Iherebyaffirmthatallinformationprovidedonbothsidesofthisform,andallattachmentsthereto,aretrueandaccurate.    L#!3    @  @  @ ***5 CONSULTANTSSIGNATUREMUSTBEWITNESSED#5d# 󀀀*** $"5   _________________________________________________0  0%%______________________________________________________&N$7%% 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 %% hh*e=F>dds#dd s#:F;X%X%e,dd ,Wdd +  % +2*C %@ \***5 DHSPERSONNELSERVICESUSEONLY #5k#Ԁ*** 'X,*D 'DateofLEDSCCH/WARRANTS/DMVCheck:______/______/_____  -6,F DHSPERSSVCSRECORDSSPEC: -+G   ]4X^ ; N <u|,,Xh4!XX  X X]Conviction : ^ Yes  No ;  N Warrant:  < Yes u No |   ValidODL :YesQ<hNo 0/n-H  ContinuedEmployment :  Approved N Denied#&*%yW# r      ^    ;  N  <  u XX[Թ*xFdddd Wdd W=F>X%X%x, $dd +    #&*%٢n#X[XXX[@I I \ IMPORTANTNOTICETOCONSULTANT    \  #&*%XX[o#XX[YOURSIGNATUREONTHEFRONTOFTHISFORMMEANSYOUHAVEREVIEWEDTHISLISTOFCRIMESANDCHECKMARKED(4)THOSE    CRIMESFORWHICHYOUHAVEBEENCONVICTED.YOURSIGNATUREALSOGRANTSPERMISSIONFORDHSTOVERIFYANYANDALLINFORMATIONYOUHAVEPROVIDEDONTHISFORMANDATTACHEDDOCUMENTS,IFANY.#&*%.p#XX[  T   #&*%ٰq#.YXX[ffӀ#&*%.Y r#XX[  "  ff*r#&*%`r#XX[SpecificCrimes:(ORS):#&*%r#XX[ A  #&*%&s#X[XXX[ffffs`" F X XX^ ; N <u|,,Xh4!X`#&*%XX[}s#XX[( X%X%(o0 W 162.0250WuWuBribeReceiving= uu o0 W 162.0650WuWuPerjury uu o0 W 162.1550WuWuEscapeIIUuu o0 W 162.165  EscapeIWuWu o W 162.185  SupplyingContraband /m o0 W 162.2050WuWuFailuretoAppearIuu o0 W 162.2350WuWuObstructingGovernmentalorJudicialAdministrationGuu o0 W 162.2650WuWuBribingaWitnessuu o0 W 162.2750WuWuBribeReceivingByaWitness_uu o0 W 162.2850WuWuTamperingWithaWitness)uu o0 W 162.3050WuWuTamperingWithPublicRecordswuu o0 W 162.3250WuWuHinderingProsecutionAuu o W 163.095  AggravatedMurder  o W 163.115  Murder Y o W 163.118  ManslaughterI  o W 163.125  ManslaughterII 3q  o W 163.145  CriminallyNegligentHomicide ! o0 W 163.1600WuWuAssaultIVK"uu o W 163.165  AssaultIII # o W 163.175  AssaultII c$ o W 163.185  AssaultI -% o0 W 163.1900WuWuMenacing{&uu o0 W 163.1950WuWuRecklesslyEndangeringAnotherE'uu o W 163.200  CriminalMistreatmentII ( o W 163.205  CriminalMistreatmentI ]) o W 163.225  KidnapingII * o W 163.235  KidnapingI 7u+ o W 163.275  Coercion , o W 163.355  RapeIII O- o W 163.365  RapeII . o W 163.375  RapeI g/ o W 163.385  SodomyIII 10 o W 163.395  SodomyII  1 o W 163.405  SodomyI  !I2 o W 163.408  UnlawfulSexualPenetrationII !3 o W 163.411  UnlawfulSexualPenetrationI #"a 4 o W 163.415  SexualAbuseIII " 5 o W 163.425  SexualAbuseII ;#y!6 o W 163.427  SexualAbuseI #"7 o W 163.435  ContributingtotheSexualDelinquencyofaMinor S$"8 o W 163.445  SexualMisconduct $#9 o0 W 163.4550WuWuAccostingforDeviatePurposesk%#:uu o W 163.465  PublicIndecency %5$; o W 163.515  Bigamy &$< o W 163.525  Incest 'M%= o W 163.535  AbandonmentofaChild '%> o W 163.545  ChildNeglectII '(e&? o W 163.547  ChildNeglectI (&@ o W 163.555  CriminalNonsupport ?)}'A o W 163.575  EndangeringtheWelfareofaMinor ) (B o W 163.670  UsingChildinDisplayofSexuallyExplicitConduct W*(C o W 163.6730  DealinginDepictionsofSexualConductInvolvinga *!)D Child uu o0 W 163.6750WuWuSaleofExhibitionofVisualReproductionofSexual +9*F ConductbyChild uu o W 163.680  PayingforViewingSexualConduct -Q+H o W 163.732  Stalking -+I o0 W 164.0430WuWuTheftIII+.i,Juu o0 W 164.0450WuWuTheftII.,Kuu o0 W 164.0550WuWuTheftIC/-Luu o0 W 164.0570WuWuAggravatedTheftI/ .Muu o  164.075 5 TheftbyExtortion = M o  164.225 5 BurglaryI  N o  164.325 5 ArsonI UO H,F$ 4 X F X XHo  164.395 5 RobberyIII P o  164.405 5 RobberyII /mQ o  164.415 5 RobberyI R o0  165.01305&&ForgeryintheFirstDegreeGS5&5& o0  165.02205&&CriminalPossessionofaForgedInstrumentintheFirstDegreeT5&5& BX,F$ 4 XBo0  165.03205&&CriminalPossessionofaForgeryDevice_U5&5& o0  165.05505&&FraudulentUseofCreditCard(Over$750))V5&5& o0  165.06505&&NegotiatingaBadCheck(ClassFelonyClause)wW5&5& o0  165.07005&&PossessionaFraudulentCommunicationDeviceAX5&5& o0  165.07405&&UnlawfulFactoringofaCreditCardTransactionY5&5& o0  165.08505&&SportsBriberyYZ5&5& o0  165.09005&&SportsBribeReceiving[5&5& o0  166.01505&&Riot3q\5&5& o  166.085 5 AbuseofCorpseII ] o  166.087 5 AbuseofCorpseI K^ o  166.155 5 IntimidationII _ o  166.165 5 IntimidationI c` o  166.220 5 UnlawfulUseofWeapon -a o  166.270 5 FeloninPossessionofFirearm {b o0  166.27205&&UnlawfulPossessionofMachineGuns,CertainShortbarreled Ec Firearms&FirearmsSilencers 5&5& o  166.275 5 PossessionofWeaponsbyInmatesofInstitutions ]e o  166.3700 5 DischargingFirearmatSchool/PossessionofFirearmor f DangerousWeaponinPublicBuilding 5&5& o  166.382 5 PossessionofDestructiveDevice h o  166.384 5 UnlawfulManufactureofDestructiveDevice Oi o  166.429 5 UseofFirearmsinFelony j o  166.480 5 SaleorGiftofExplosivestoChildren gk o  166.660 5 UnlawfulParamilitaryActivity 1l o  166.720 5 Racketeering  m o0  167.00705&&Prostitution !In5&5& o  167.012 5 PromotingProstitution !o o  167.017 5 CompellingProstitution #"a p o  167.0620 5 SadomasochisticAbuseorSexualConductinLiveShow#&*%Zt#XX[(engaging " q in)#&*%#XX[;#y!r5&5& o  167.0620 5 SadomasochisticAbuseorSexualConductinLiveShow #!s (directing,managing,financing,orpresenting) 5&5& o  167.065 5 FurnishingObsceneMaterialstoMinors $#u o  167.070 5 SendingObsceneMaterialstoMinors ]%#v o  167.075 5 ExhibitinganObscenePerformancetoaMinor %'$w o  167.080 5 DisplayingObsceneMaterialstoMinors u&$x o  167.087 5 DisseminatingObsceneMaterial '?%y o  167.090 5 PubliclyDisplayingNudityorSexforAdvertisingPurposes '%z o  167.212 5 TamperingwithDrugRecords (W&{ o  167.2620 5 AdultUsingMinorinCommissionofControlledSubstance (&| Offense(LessThanFiveGramsMarijuana) 5&5& o  411.630 5 UnlawfullyObtainingofPublicAssistance )'~ o  411.840 5 UnlawfullyUsingStampsorCommodities I*( o0  471.41005&&ProvidingLiquortoaPersonUnder21ortoIntoxicatedPerson; *) MandatoryMinimumPenalties 5&5& o0  475.99205&&ProhibitedActsGenerally;Penalties;AffirmativeDefensefor ++* CertainPeyoteUses 5&5& o0  475.99305&&ProhibitedActsforRegistrants;Penalties-C+5&5& o0  475.99405&&ProhibitedActsInvolvingRecordsandFraud;Penalties-+5&5& o0  475.99505&&DistributionofControlledSubstancetoMinors.[,5&5& o0  475.99605&&CrimeCategoryClassificationforViolationof475.992;Proofof ., CommercialDrugOffense 5/s-5&5& o0 9 475.99909u9uManufactureorDeliveryofControlledsubstanceto X MinororStudentWithin1,000FeetofSchool uu o0 9 811.14009u9uRecklessDrivingpuu o0 9 811.18209u9uCriminalDrivingWhileSuspendedorRevokedorin  ViolationofaPermit uu o0 9 811.54009u9uFleeingorAttemptingtoEludePoliceuu o0 9 811.70009u9uFailuretoPerformdutiesofDriverWhenPropertyis H Damaged uu o0 9 811.70509u9uHitandRunVehicle(Injury)`uu o0 9 813.01009u9uDrivingUndertheInfluenceofIntoxicant#&*%!#%tD uu  9    4  ` Qp p p  <    9    4  9    X ( XuXu(  X[XXX[ExhibitF T #&*%XX[b#X[XXX[%X[XXX[Solicitation636#X[XX%X[##&*%XX[¢#X[XXX[  @ #&*%XX[V#  8dXXd8' hX,XX'XXwX[XXX[%X[XXX[   TheStateofOregon  # DepartmentofHumanServices P!% IssuestheFollowing T# ' InformalSolicitation D&#* for )&, @@=  #%&*%X%X[A#%-'X%X[TechnicalMentoringServices#%&*%'%-#X[XXX[ <,)/   Solicitation#636  <.+1 ]E ]E<IE ]  f#X[XX%X[`#DateofIssuance:      ` November8,2000  ProposalsDue:0  0` %%3:00P.M.,November16,2000attheissuingoffice` %` %    (      ` Note:PostmarkswillnotbeconsideredIssuingOffice:   ` StateofOregon,DepartmentofHumanServices  L     ( 0     ` DHSContractsCoordinator %% 0  0(%%0(%(%   ` 500SummerSt.,NE,E03 %% 0  0(%%0(%(%   ` Portland,OR973011080 %%    (      ` Voice:0 0 5039455821T 0 %0 %    (      ` Fax:0  0 5033784324@  % % ,X[XXX[#,&*%X,X[#-'XX[IncompliancewiththeAmericanswithDisabilitiesAct,thisdocumentisavailableinalternate \ formats,suchasBraille,largeprint,audiotape,oralpresentationandelectronicformat.TorequestanalternateformatcalltheStateofOregon,DepartmentofHumanServices,ContractsandProcurementUnitat(503)945-5818or_TTY_Ԁ(503)945-5928.#-'',-[##&*%'-#X[XXX[  #&*%XX[#fI   X[XXX[INDEX #&*%XX[ #    X[XXX[4Xh40XXhS$X,XX0Section1.0:Purpose/Overview$$M$.  "4 |   1.1 ( PurposeofthisSolicitation h   1.20 ( Overview/TechnicalEnvironmentT(%(%   1.3 ( UseofSubcontractors @ Section2.0:ProcurementSchedule$$M$.P P &4 p   Section3.0:StatementofWork$$M$.8 8 #4 H"" Section4.0:ProposalRequirements$$M$. '5  $!$   4.10 ( GeneralRequirements %"%(%(%   4.20 ( TechnicalProposal%#&(%(%   4.30 ( CostProposal&$'(%(% Section5.0:EvaluationofProposals$$M$. )6 (d&)   5.10 ( PhaseI:EvaluationofMinimumRequirements)P'*(%(%   5.20 ( PhaseII:EvaluationandScoringofTechnicalProposal*<(+(%(%   5.30 ( EvaluationofCostProposal+(),(%(% Section6.0:EvaluationCriteriaofTechnicalProposal$$M$.FF;7 X-+.  D.+/ Section7.0:ProposalPreparationandSubmission$$M$.58 X Section8.0:AddendatotheSolicitation$$M$.-9 0 Section9.0:InquiriesRelatingtothisSolicitation$$M$.99  Section10.0:ReservationofDHSRights/RighttoAward,RejectorNegotiate$$M$.P9  Section11.0:AwardNotice"$"$L$.  10  ` Section12.0:ReleaseofInformation"$"$L$. )10  8  Section13.0:PublicInformation"$"$L$. %10 h   Section14.0:CostofProposals"$"$L$.. . $10 @  Section15.0:RecyclableProducts"$"$L$.  &10  Section16.0:WithdrawalofProposals"$"$L$.nn*10  Section17.0:ContractualObligation"$"$L$. )10 p ExhibitA:0 S StatementofWork"$"$L$.E E 11HS%S% ExhibitB:0 S ContractualTermsandConditions"$"$L$./14x S%S%    (  S GeneralContractProvisionsExhibitC:0 S IndependentContractorCertification"$"$L$.324<S%S% ExhibitD:0 S CriminalHistoryAgreement"$"$L$.EE)25S%S% ExhibitE:0 S ConfidentialityAgreement"$"$L$.(27#&*%XX[w#ԈS%S% Attachment1:0 S ProposalCoverSheet2$2$L$. #28 X!S%S% Attachment2:0 S AssurancesForm2$2$L$.U U 29 `" #S%S% :XXXhS$ˮ: X[XXX[PF+hiX,XX+Section1:0  Purpose/OverviewX%% 1.10  PurposeofthisSolicitation D%% #&*%XX[#X[XXX[%X[XXX[TheStateofOregon,actingbyandthroughitsDepartmentofHumanServices(DHS),OfficeofInformation 0 Services(OIS)#X[XX%X[#,issuesthisSolicitationonbehalfofitsHealthDivision(_OHD_)hereinafterreferredtoas  Division.#&*%XX[Ǽ#X[XXX[ThepurposeofthisSolicitationisto-XOXXX[solicittheconsultation,trainingand_mentoring_Ԁservicesneededto1) t enhancetheknowledgebaseof_OIS_Ԁemployees#X[XX-XO#%X[XXX[Ԁthroughtrainingand_mentoring_Ԁinthetechnicalareasof ` #X[XX%X[#-XOXXX[Client/Serverapplicationdesign,#X[XX-XOp#-XOXXX[developmentandimplementationusing_PowerBuilder_Ԁ6.5,PFC,Sybase11.9.2  L and#X[XX-XO#%X[XXX[ԀconfigurationofNTworkstationswithrespectto_PowerBuilder_,SybaseconnectivityviaOpenClient32,and  8  NTdirectorystructuresandnetworkconnectivitysoftware#X[XX%X[#-XOXXX[,2)#X[XX-XO#%X[XXX[reviewthemaintenance,enhancement,design, | $  developmentandimplementationtasks/projectplansfortheDivisionsClient/ServerapplicationsandrecommendadjustmentstoassurethatthesystemsareefficientandtakefulladvantageofthefunctionalityavailableforaClient/Serverapplication.#%&*%X%X[r#X[XXX[DHSanticipatesenteringintoacontractwiththesuccessfulfirmtoprovideservicesinthePortlandHealth   DivisionofficesbeginninginNovember2000andcontinuingforaperiodofapproximatelyone(1)yearforapproximately1216hoursperweek,nottoexceed12to16hoursperweek,nottoexceed60hourspermonthor600hoursoverthelifeofthecontract.#X[XX%X[#%X[XXX[ #X[XX%X[@##&*%XX[z#X[XXX[ p  1.20  Overview/TechnicalEnvironment L%% #&*%XX[#X[XXX[,X[XXX[TheDivisionsCentershaveseveralapplicationsystemseitherunderdevelopmentorinmaintenancesupporton |$ theDHSSun_Solaris_ԀUnixplatformusing_PowerBuilder_Ԁ6.5andSybase11.9.2.#X[XX,X[v#,X[XXX[ԀToensurethesuccessful h completionoftheseapplicationsandmaintenancesupportefforts,theDHSOIS/_ISE_ԀDivisionstaffrequirestrainingand_mentoring_Ԁservicesinthe#X[XX,X[#-XOXXX[ԀareasofClient/Serverapplicationmaintenance,debug,design, @ developmentandimplementationusing_PowerBuilder_Ԁ6.5andPFCwithaSybase11.9.2_backend_Ԁand#X[XX-XO #,X[XXX[ , configurationofNTworkstationswithrespectto_PowerBuilder_,SybaseconnectivityviaOpenClient32,andNTdirectorystructuresandnetworkconnectivitysoftware#X[XX,X[>#-XOXXX[.  #X[XX-XOW##&*%XX[V#1  X[XXX[1.3  UseofSubcontractors  p #&*%XX[#X[XXX[IntheeventofaProposalsubmittedjointlybymorethanoneorganization,oneorganizationmustbedesignated \ astheprimeContractor,andtheprimeContractorwillbesolelyresponsibleforassuringtheperformanceofallaspectsofresultantContracts.AllotherparticipantsshallbedesignatedasSubcontractors.#&*%XX[o#  4! XX[#&*%#X[XXX[TheselectedProposer,asPrimeContractor,shallberequiredtoassumeresponsibilityforallservicesoutlined ("# inthisSolicitationandanyresultingContracts,whethertheProposer,representative,subsidiaryorSubcontractorprovidesthem.#&*%XX[[# $!% 1,he  1  1,he  X[XXX[ , @,  X 2.0  ProcurementSchedule#&*%XX[#  %#' X[XXX[Thefollowingrepresentstheproposedtimelineforthisproject.Pleasenote:Thesedatesrepresentatentative &l$( scheduleofevents.DHSreservestherighttomodifythesedatesatanytime,withappropriatenoticetoprospectiveproposers.AlltimesarePacificTime.#&*%XX[# (D&* XX[#&*%9# X[XXX[Activity  (      `   0 Date/Time #&*%XX[# 8*', X[XXX[SolicitationRelease `  0 0 0 0 %0 %   h November8,2000$+(- % % #&*%XX[8#X[XXX[Preproposalquestionsdue 0 0    h November13,2000(3:00PM)#&*%XX[ #X[XXX[,). % % Preproposalquestions&answersissued h November14,2000(3:00PM)#&*%XX[#X[XXX[ ,*/ ProposalsDue   `   0  0 0   0h % %November16,2000(3:00PM)-+0h%h% AwardAnnouncement ` 0 00 % %0 0 %0 %0 % %0h%%November21,2000(approximately)#&*%XX[c#.|,1h%h% XX[#&*%;# X[XXX[3.0   StatementofWork#&*%XX[#   X[XXX[InformationTechnologyservicesrequiredinclude,butarenotlimitedto,1)enhancetheknowledgebaseofOIS  employees#&*%XX[#X[XXX[,2)reviewtasks/projectplans,and3)recommendadjustments.#&*%XX[#X[XXX[Additionaldetailisprovidedin  ExhibitA,StatementofWork.#&*%XX[W#X[XXX[Ԁ#&*%XX[#  x  XX[4Xhܻ4<XXhhX<#&*%J# X[XXX[4.00  ProposalRequirements #&*%XX[#l%% X[XXX[Readallinstructionscarefully,asproposalsmustaddressalltheproposalandsubmissionrequirementsincludedinthisRFP.Assembleallmaterialsintheorderlistedbelow.Unlessotherwisespecified,noparticularformisrequired.ProposalswillbeevaluatedonoverallqualityofcontentandresponsivenesstothepurposeandspecificationsofthisRFP.#&*%XX[#X[XXX[   #&*%XX[4#X[XXX[ 4.10  GeneralRequirements#&*%XX[# %%  X[XXX[Proposalsshallinclude:#&*%XX[# t  X[XXX[4.1.10 ( CompleteallsectionsoftheProposalCoverSheet(Attachment#1),andincludeitasthetoppateofthe `  proposal; (%(% 4.1.20 ( SignanddatetheAssurancesForm(Attachment#2),thisformmustbesignedbyanofficialauthorized 8 tobindyouragency,bysigningthispage,theofficialverifiesthatallofthestatementsontheformaretrue;#&*%XX[#h(%(% X[XXX[4.1.30 ( AstatementindicatingthattheProposerisalegalentity,authorizedtoenterintoaContractandthe T Proposersregisteredbusinessname; (%(% 4.1.40 ( AstatementidentifyingtheindividualswhopreparedtheproposaltoSolicitation636;,(%(% 4.1.5#&*%XX[#X[XXX[0 ( Astatementofthefirmsgeneralapproachanddetailplanstomeettherequirementsofthe  Solicitation; (%(% 4.1.6#&*%XX[(#X[XXX[ ( ProposedtimelinesforcompletionofeachtaskanddeliverabledefinedintheStatementofWork;#&*%XX[#X[XXX[  4.1.70 ( StatementsorspecificstipulationofacceptanceofALLtermsandconditionscontainedandthat  Proposerwillperformpursuanttoandagreestothetermsandconditionstherein; (%(% 4.1.80 ( AstatementindicatingacceptanceofStateofOregonbillingterms;\(%(% 4.1.90 ( AstatementofacceptancethatConsultantsprovidedbyProposershallsubmittoaCriminalHistory H checkatDHSsrequest; (%(% 4.1.100 ( AstatementofacceptancethatConsultantsprovidedbyProposershallexecuteaconfidentialityclause x  atDHSsrequest;and (%(% #&*%XX[#X[XXX[4.1.110 ( AstatementidentifyinganySubcontractorsthatmaybeengaged,withthenamesoftheConsultants#&*%XX[#XX[ P ! #&*%٢#X[XXX[andthenamesandcontactinformation(name,addressandtelephonenumber)ofSubcontractor  employerstoprovideOregonworkerscompensationcoverageforalltheirsubjectworkers. %% 0  0(%% (2) 0(%(%GeneralLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan$1,000,000    eachoccurrenceforBodilyInjuryandPropertyDamage.Itshallincludecontractualliabilitycoveragefortheindemnityprovidedunderthiscontract.ItshallprovidethattheStateofOregon,DepartmentofHumanServices,andtheirdivisions,officersandemployeesareAdditionalInsuredsbutonlywithrespecttotheContractorsservicestobeprovidedunderthiscontract. %% 0  0(%% (3) 0(%(%AutomobileLiabilityinsuranceasrequiredbytheOregonFinancialResponsibilityLaw(ORS   806.060),includingcoverageforowned,hiredornonownedvehicles,asapplicable. %% 0  0(%% (4) 0(%(%ProfessionalLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan gZ $1,000,000eachclaim,incidentoroccurrence.Thisistocoverdamagescausedbyerror,omissionornegligentactsrelatedtotheprofessionalservicestobeprovidedunderthiscontract. %% 0  b. 0(%% NoticeofCancellationorChange: Thereshallbenocancellation,materialchange,reductionoflimits  orintentnottorenewtheinsurancecoverage(s)without30dayspriorwrittennoticefromContractororitsinsurer(s)toContractsCoordinator,OregonDepartmentofHumanServices. (%(% 0  c. 0(%% CertificatesofInsurance: Asevidenceoftheinsurancecoveragesrequiredbythiscontract,Contractor  shallfurnishacceptableinsurancecertificatestoContractsCoordinator,OregonDepartmentofHumanServicespriortocommencingtheWork.ThecertificatewillspecifyallofthepartieswhoareAdditionalInsureds.InsuringcompaniesorentitiesaresubjecttoStateacceptance.Ifrequested,completecopiesofinsurancepolicies,trustagreements,etc.,shallbeprovidedtotheState.Contractorshallbefinanciallyresponsibleforallpertinentdeductibles,selfinsuredretentionsand/orselfinsurance. (%(% &  9.0  Termination [N %% 0  a.0(%%PartiesRighttoTerminateforConvenience :Thiscontractmaybeterminatedatanytimebymutual G :! writtenconsentoftheparties. (%(% '[0  b.0(%%DHSsRighttoTerminateforConvenience :DHSmay,atitssolediscretion,terminatethiscontract,in #!$ wholeorinpart,upon30daysnoticetoContractor. (%(% 0  c.0(%%DHSsRighttoTerminateforCause :DHSmayterminatethiscontract,inwholeorinpart,immediately %#' uponnoticetoContractor,oratsuchlaterdateasDHSmayestablishinsuchnotice,upontheoccurrenceofanyofthefollowingevents: (%(% 0  0(%%(1)0(%(% DHSfailstoreceivefunding,orappropriations,limitationsorotherexpenditureauthorityatlevels )~'+ sufficienttopayforContractorsWork; %% 0  0(%% (%(%    ( (2)0  FederalorStatelaws,regulationsorguidelinesaremodifiedorinterpretedinsuchawaythateither S,F*. theWorkunderthiscontractisprohibitedorDHSisprohibitedfrompayingforsuchWorkfromtheplannedfundingsource; %%  /-1 0  0(%% (3)0(%(% ContractornolongerholdsanylicenseorcertificatethatisrequiredtoperformtheWork;or %% 0  0(%% (4) 0(%(%Contractorcommitsanymaterialbreachordefaultofanycovenant,warranty,obligationoragreement  underthiscontract,failstoperformtheWorkunderthiscontractwithinthetimespecifiedhereinoranyextensionthereof,orsofailstopursuetheWorkastoendangerContractorsperformanceunderthiscontractinaccordancewithitsterms,andsuchbreach,defaultorfailureisnotcuredwithin10businessdaysafterdeliveryofDHSsnotice,orsuchlongerperiodasDHSmayspecifyinsuchnotice. %% 0  d.0(%%ContractorsRighttoTerminateforCause :Contractormayterminatethiscontractupon30daysnotice a T  toDHSifDHSfailstopayContractorpursuanttothetermsofthiscontractandDHSfailstocurewithin30daysafterreceiptofContractorsnotice,orsuchlongerperiodofcureasContractormayspecifyinsuchnotice. (%(%   0 (  (%(%    e.0 ( Remedies : (%(% 0  0(%% (1) 0(%(%IntheeventofterminationpursuanttoSections9a,9b,9c(1),9c(2)or9dofthisexhibit,Contractors   soleremedyshallbeaclaimforthesumdesignatedforaccomplishingtheWorkmultipliedbythepercentageofWorkcompletedandacceptedbyDHS,lesspreviousamountspaidandanyclaim(s)whichStatehasagainstContractor.IfpreviousamountspaidtoContractorexceedtheamountduetoContractorunderthisSection,ContractorshallpayanyexcesstoDHSupondemand. %% 0  0(%%(2)0(%(% IntheeventofterminationpursuanttoSection9c(3)or9c(4)ofthisexhibit,DHSshallhaveany }p remedyavailabletoitinlaworequity.IfitisdeterminedforanyreasonthatContractorwasnotindefaultunderSection9c(3)or9c(4)ofthisexhibit,therightsandobligationsofthepartiesshallbethesameasifthecontractwasterminatedpursuanttoSection9bofthisexhibit. %%    f.0 ( ContractorsTenderUponTermination: Uponreceivinganoticeofterminationofthiscontract,  Contractorshallimmediatelyceaseallactivitiesunderthiscontract,unlessDHSexpresslydirectsotherwiseinsuchnoticeoftermination.Uponterminationofthiscontract,ContractorshalldelivertoDHSalldocuments,information,worksinprogressandotherpropertythatareorwouldbedeliverableshadthecontractbeencompleted.UponDHSsrequest,ContractorshallsurrendertoanyoneDHSdesignates,alldocuments,researchorobjectsorothertangiblethingsneededtocompletetheWork. (%(%  10.0  LimitationofLiabilities.EXCEPTFORLIABILITYARISINGUNDERORRELATEDTO   SECTION5aOR9e(2)OFTHISEXHIBIT,NEITHERPARTYSHALLBELIABLEFOR(A)ANYINDIRECT,INCIDENTAL,CONSEQUENTIALORSPECIALDAMAGESUNDERTHECONTRACTOR(B)ANYDAMAGESOFANYSORTARISINGSOLELYFROMTHETERMINATIONOFTHISCONTRACTINACCORDANCEWITHITSTERMS. Y#L!$%% #&*%XX[#XX[#&*%#X[XXX[ 11.0  RecordsMaintenance;Access. Contractorshallmaintainallfiscalrecordsrelatingtothiscontractin $"& accordancewithgenerallyacceptedaccountingprinciples.Inaddition,ContractorshallmaintainanyotherrecordspertinenttothiscontractinsuchamannerastoclearlydocumentContractor'sperformance.ContractoracknowledgesandagreesthatDHS,theOregonSecretaryofState'sOffice,theFederalGovernment,andtheirdulyauthorizedrepresentativesshallhaveaccesstosuchfiscalrecordsandallotherbooks,documents,papers,plans,andwritingsoftheContractorthatarepertinenttothiscontractforthepurposeofperformingexaminationsandaudits,andmakingexcerptsandtranscripts.Contractorshallretainandkeepaccessibleallsuchfiscalrecords,books,documents,papers,plans,andwritingsforaminimumofthree(3)years,orsuchlongerperiodasmayberequiredbyapplicablelaw,followingfinalpaymentandterminationofthiscontract,oruntiltheconclusionofanyaudit,controversyorlitigationarisingoutoforrelatedtothiscontract,whicheverdateislater. %% #&*%XX[,#XX[  /,1 #&*%#X[XXX[ 12.0  CompliancewithApplicableLaw. Contractorshallcomplywithallfederal,stateandlocallaws,regulations,   executiveordersandordinancesapplicabletotheWorkunderthiscontract.Withoutlimitingthegeneralityoftheforegoing,Contractorexpresslyagreestocomplywith:(I)TitleVIofCivilRightsActof1964;(ii)SectionVoftheRehabilitationActof1973;(iii)theAmericanswithDisabilitiesActof1990andORS659.425;(iv)allregulationsandadministrativerulesestablishedpursuanttotheforegoinglaws;and(v)allotherapplicablerequirementsoffederalandstatecivilrightsandrehabilitationstatutes,rulesandregulations.DHSsperformanceunderthiscontractisconditioneduponContractorscompliancewiththeprovisionsofORS279.312,279.314,279.316,279.320,and279.555,whichareincorporatedbyreferenceherein. %% #&*%XX[g#XX[#&*%U#X[XXX[ 13.0  ForeignContractor. IfContractorisnotdomiciledinorregisteredtodobusinessintheStateofOregon,    ContractorshallpromptlyprovidetotheOregonDepartmentofRevenueandtheSecretaryofStateCorporationDivisionallinformationrequiredbythoseagenciesrelativetothiscontract.ContractorshalldemonstrateitslegalcapacitytoperformtheWorkunderthiscontractintheStateofOregonpriortoenteringintothiscontract. %%  14.0  ForceMajeure. NeitherDHSnorContractorshallbeheldresponsiblefordelayordefaultcausedbyfire,riot,   actsofGod,orwarwheresuchcausewasbeyondthereasonablecontrolofDHSorContractor,respectively.Contractorshall,however,makeallreasonableeffortstoremoveoreliminatesuchacauseofdelayordefaultandshall,uponthecessationofthecause,diligentlypursueperformanceofitsobligationsunderthiscontract. %%  15.0  Survival. Allrightsandobligationsshallceaseuponterminationorexpirationofthiscontract,exceptforthe OB rightsandobligationssetforthintheContractSectionI.EFFECTIVEDATEANDDURATION,andinparagraphs5,6,7,11,15and21ofthisexhibit. %%  16.0  TimeisoftheEssence. Contractoragreesthattimeisoftheessenceunderthiscontract.%%  17.0  WrittenNotice. Allnoticesregardingthiscontractmustbegiventothepartiesinwritingbypersonaldelivery  ormailingthesame,postageprepaid,tothefollowingaddresses: %% &  0  '{&  DHS:0%%0%%DHSContractsCoordinatorordelegate%%    (     OregonDepartmentofHumanServices0  0(%%0(%(%0%%500SummerStreetNE/MailingCodeE03 %% 0  0(%%0(%(%0%%SalemOR973101080 %% 0   (     FacsimileNumber: %%    (     PhoneNumber:& A$ 0  Contractor:0%%Entity" #%% 0  0(%%0(%(%0%%Address %% 0  0(%%0(%(%0%%City,State,ZIP %% '$    (     FacsimileNumber:   (     PhoneNumber:0  Anynoticedeliveredbyfacsimileshallbedeemedtobegivenwhenreceiptofthetransmissionisgeneratedbythetransmittingmachine.TobeeffectiveagainstDHS,suchfacsimiletransmissionmustbeconfirmedbytelephonenoticetoDHSsContractAdministrator. %% #&*%XX[#XX[#&*%#X[XXX[ 18.0  Severability. Thepartiesagreethatifanytermorprovisionofthiscontractisdeclaredbyacourtofcompetent +(- jurisdictiontobeillegalorinconflictwithanylaw,thevalidityoftheremainingtermsandprovisionsshallnotbeaffected,andtherightsandobligationsofthepartiesshallbeconstruedandenforcedasifthecontractdidnotcontaintheparticulartermorprovisionheldtobeinvalid. %%  .,1  19.0  Counterparts. Thiscontractmaybeexecutedinseveralcounterparts,allofwhichwhentakentogethershall   constituteoneagreementbindingonallparties,notwithstandingthatallpartiesarenotsignatoriestothesamecounterpart.Eachcopyofthecontractsoexecutedshallconstituteanoriginal. %% & A 20.0  DisclosureofSocialSecurityNumber. ContractormustprovideContractorsSocialSecuritynumberunless  ' ContractorprovidesafederaltaxIDnumber.ThisnumberisrequestedpursuanttoORS305.385,OAR12520410(3)andOAR150305.100.SocialSecuritynumbersprovidedpursuanttothisauthoritywillbeusedfortheadministrationofstate,federalandlocaltaxlaws. %%  21.0  GoverningLaw;Venue;ConsenttoJurisdiction. Thiscontractshallbegovernedbyandconstruedin u h accordancewiththelawsoftheStateofOregonwithoutregardtoprinciplesofconflictsoflaw.Anyclaim,action,suitorproceeding(collectively,"Claim")betweenDHS(and/oranyotheragencyordepartmentoftheStateofOregon)andContractorthatarisesfromorrelatestothiscontractshallbebroughtandconductedsolelyandexclusivelywithintheCircuitCourtofMarionCountyfortheStateofOregon;provided,however,iftheclaimmustbebroughtinafederalforum,thenitshallbebroughtandconductedsolelyandexclusivelywithintheUnitedStatesDistrictCourtfortheDistrictofOregon.CONTRACTOR,BYTHEEXECUTIONOFTHISCONTRACT,HEREBYCONSENTSTOTHEINPERSONAMJURISDICTIONOFSAIDCOURTS. %%  22.0  Amendment. Thetermsofthiscontractmaynotbewaived,altered,modified,supplementedoramended,in  anymannerwhatsoever,exceptbywrittenagreementsignedbytheparties.Thiscontractwillnotbeamendedaftertheexpirationdate. %% & A 23.0  ConfidentialityofClientInformation yl%% 0  a. 0(%%AllinformationastopersonalfactsandcircumstancesobtainedbytheContractor'xontheclientshallbe eX treatedasprivilegedcommunications,shallbeheldconfidential,andshallnotbedivulgedwithoutthewrittenconsentoftheclient,hisorherattorney,theresponsibleparentofaminorchild,orhisorherguardianexceptasrequiredbyothertermsofthiscontract.Nothingprohibitsthedisclosureofinformationinsummaries,statistical,orotherformwhichdoesnotidentifyparticularindividuals. (%(% 0  b. 0(%%Theuseordisclosureofinformationconcerningclientsshallbelimitedtopersonsdirectlyconnectedwith  theadministrationofthiscontract.Confidentialitypoliciesshallbeappliedtoallrequestsfromoutsidesources. (%(% 0  c. 0(%%DHS,ContractorandanysubcontractorwillshareinformationasnecessarytoeffectivelyserveDHS   clients. (%(% #&*%XX[_#XX[#&*%_#X[XXX[ 24.0  CompliancewithApplicableFederalLaw. Contractoragreestocomplywithallfederallawsandregulations " # applicabletoworkperformedunderthiscontractinclusiveofbutnotlimitedto: %% 0  a.0(%% Totheextentitisrequiredtodosobylaw,Contractorshallabidebyallmandatorystandardsandpolicies $"& whichrelatetoenergyefficiencyandwhicharecontainedinthestateofOregonenergyconservationplanwhichwasissuedincompliancewiththeEnergyPolicyandConservationAct(PL94-163).Allsubcontractsshallalsobeincompliancewiththeforegoing. (%(% 0  b. 0(%%Bysignatureonthiscontract,theundersignedcertifies,tothebestofhisorherknowledgeandbelief,that:)z'+(%(% 0  0(%%(1)0(%(% Nofederallyappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfofContractor,toany c+V)- personforinfluencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththeawardingofanyfederalcontract,themakingofanyfederalgrant,themakingofanyfederalloan,theenteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodificationofanyfederalcontract,grant,loan,orcooperativeagreement.0-2%% Ї0  0(%% (2)0(%(% Ifanyfundsotherthanfederallyappropriatedfundshavebeenpaidorwillbepaidtoanypersonfor   influencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththisfederalcontract,grant,loan,orcooperativeagreement,ContractoragreestocompleteandsubmitStandardFormLLL"DisclosureFormtoReportLobbying,"inaccordancewithitsinstructions. %% #&*%XX[#XX[#&*%k#X[XXX[0  0(%% (3) 0(%(%Theundersignedshallrequirethatthelanguageofthiscertificationbeincludedintheaward K> documentsforallsubawardsatalltiers(includingsubcontracts,subgrants,andcontractsundergrants,loans,andcooperativeagreements)andthatallsubrecipientsshallcertifyanddiscloseaccordingly. %% 0  0(%%0(%(%Thiscertificationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscertificationisaprerequisiteformakingorenteringintothistransactionimposedbysection1352,title31,U.S.Code.Anypersonwhofailstofiletherequiredcertificationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure. %% 0   %%   0  c. 0(%%ContractoragreestocomplywithExecutiveOrder11246entitledEqualEmploymentOpportunityas sf amendedbyExecutiveOrders11375and12086andassupplementedinDepartmentofLaborRegulation41CFRpart60.Allsubcontractsshallalsocomplywiththeseprovisions. (%(% 0  d. 0(%%Ifthesumpayableunderthiscontractexceedsormayexceed$100,000,ContractorshallprovideDHSa ' writtenassurancethatContractorwillcomplywithallapplicablestandards,orders,orrequirementsissuedunderSection306oftheCleanAirAct(42USC7401et.seq.),theFederalWaterPollutionControlAct,asamended(33USC1251et.seq.),Section508oftheCleanWaterAct(33USC1368),ExecutiveOrder11738andEnvironmentalProtectionAgencyregulations(40CFRPart15).ContractorfurtheragreestopromptlyreportallinfractionstotheStateofOregon,andtotheDepartmentofHealthandHumanServices,andtotheU.S.RegionalOfficeoftheEnvironmentalProtectionAgency.Allsubcontractsshallalsobeincompliancewiththeseprovisions. (%(% #&*%XX[#XX[#&*%m'#X[XXX[ 25.0  Year2000ComplianceNotice .IntheeventContractorlearnsorhasreasontobelievethatDHSscomputer ) hardwareorsoftwareenvironmentfailstouseadataformatthatexplicitlyspecifiescenturyinanydatedata,ContractorshallpromptlyadviseDHSofsuchfailure. %%  26.0  DepartmentofJusticeApproval. Whenthecontractoramendmentstheretocausethecontractpaymentto  " beinexcessof$75,000,theDepartmentofJusticemustapprovethecontractandanyamendmentsastoLegalSufficiency.Suchapprovalisrequiredbeforeanyworkmaybeginunderthiscontractoramendmentsthereto,orthecontractisnotbindingontheStateofOregonorDHS. %%  27.0  KeyPerson. ContractoracknowledgesandagreesthatOregonDHSselectedContractor,andisenteringinto }%p#' thisContract,becauseofthespecialqualificationsofContractorskeyperson(s).Inparticular,OregonDHSthroughthisContract,isengagingtheexpertise,experience,judgmentandpersonalattentionofXXXXX(KeyPersonName).ContractorsKeyPersonsshallnotdelegateperformanceoftheresponsibilitieshe/sheisrequiredtoprovideunderthisContracttoanother(other)ofContractorsemployee(s)withoutfirstobtainingthewrittenconsentofOregonDHS.Further,Contractorshallnotre-assignortransferanyKeyPersontootherdutiesorpositionssuchthatanyKeyPersonisnolongeravailabletoprovideOregonDHSwithhis/herexpertise,experience,judgment,andpersonalattention,withoutfirstobtainingOregonDHSspriorwrittenconsenttosuchre-assignmentortransfer.IntheeventContractorrequeststhatOregonDHSapproveare-assignmentortransferofanyKeyPerson,OregonDHSshallhavetherighttointerview,reviewthequalificationsof,andapproveordisapprovetheproposedreplacementfortheKeyPerson.AnyapprovedsubstituteorreplacementforaKeyPersonshallbedeemedaKeyPersonunderthisContract.Inaddition, X[XXX[the /-2 ContractormustprovideareplacementforanyConsultantwhoceasesaffiliationwiththeContractor,whomDHSdeemsisnotperformingatanacceptablelevelorishinderingthesuccessfulcompletionof_assignment(s),isunabletoperformassignedwork,orasrequiredbyDHS.TransitionschedulemustbeapprovedbyDHS.IntheeventthatDHSrequiressuchreplacement,theContractorshallpromptlysubstituteorengageotherqualifiedindividuals.AllsuchreplacementsaresubjecttoDHSspriorreviewandacceptance.IntheeventthatContractorisunabletomeetitsobligationtofurnishareplacementConsultant,DHSmay,atitsoption,terminatethatportionoftheContractwithoutliability,ortocontinuetheContractwithoutreplacement.#X[XX X[0# %%   ExhibitC     IndependentContractorCertificationStatement     %X[XXX[ #X[XX%X[4##&*%XX['#Z XX[ThisformistobecompletedbyContractor;Corporationsarenotrequiredtocompletethisform.   _ORS_Ԁ670.600IndependentContractor;standards.Asusedinvariousprovisionsof_ORS_Ԁchapters316,656,657and701,anindividual uh orbusinessentitythatperformslabororservicesfor_renumeration_'sshallbeconsideredtoperformthelabororservicesasanIndependentContractorifthestandardsofthissectionaremet: Contractorunderstandsthat: P 1.0  Theindividualorbusinessentityprovidingthelabororservicesisfreefromdirectionandcontroloverthemeansandmannerof   providingthelabororservices,subjectonlytotherightoftheAgencyforwhomthelabororservicesareprovidedtospecifythedesiredresults; %% 2.0  Theindividualorbusinessentityprovidinglabororservicesisresponsibleforobtainingallassumedbusinessregistrationsor 9 ,  professionaloccupationlicensesrequiredbystatelaworlocalgovernmentordinancesfortheindividualorbusinessentitytoconductthebusiness; %% 3.0  Theindividualorbusinessentityprovidinglabororservicesfurnishesthetoolsorequipmentnecessaryforperformanceofthe   contractedlabororservices; %% 4.0  Theindividualorbusinessentityprovidinglabororserviceshastheauthoritytohireandfireemployeestoperformthelaboror   services; %% 5.0  Paymentforthelabororservicesismadeuponcompletionoftheperformanceofspecificportionsoftheprojectorismadeonthe  basisofanannualperiodicretainer. %% 6.0  Theindividualorbusinessentityprovidinglabororserviceisregisteredunder_ORS_Ԁchapter701,iftheindividualorbusinessentity  provideslabororservicesforwhichsuchregistrationisrequired; %% 7.0  FederalandstateincometaxreturnsinthenameofthebusinessorabusinessScheduleCorfarmScheduleFaspartofthepersonal yl incometaxreturnwerefiledforthepreviousyeariftheindividualorbusinessentityperformedlabororservicesasanindependentcontractorinthepreviousyear;and %% 8.0  Theindividualorbusinessentityrepresentstothepublicthatthelabororservicesaretobeprovidedbyanindependentlyestablished  ! business.ExceptwhenanindividualorbusinessentityfilesaScheduleFaspartofthepersonalincometaxreturnsandtheindividualorbusinessentityperformsfarmlabororservicesthatarereportableonScheduleC,anindividualorbusinessentityisconsideredtobeengagedinanindependentlyestablishedbusinesswhenfourormoreofthefollowingcircumstancesexist.Contractormustmeetfour(4)ormoreofthefollowing: %%   A.0 ( Thelabororservicesareprimarilycarriedoutatalocationthatisseparatefromtheresidenceofanindividualwhoperforms ' thelabororservices,orareprimarilycarriedoutinaspecificportionoftheresidence,whichportionissetasideasthelocationofthebusiness; (%(%   B.0 ( Commercialadvertisingorbusinesscardsasiscustomaryinoperationofsimilarbusinessesarepurchasedforthebusiness, qd+ ortheindividualorbusinessentityhasatradeassociationmembership; (%(%   C.0 ( Telephonelistingandserviceareusedforthebusinessthatisseparatefromthepersonalresidencelistingandserviceusedby ] P. anindividualwhoperformsthelabororservices; (%(%   D.0 ( Labororservicesareperformedonlypursuanttowrittencontracts;I"< 1(%(%   E.0 ( Labororservicesareperformedfortwoormoredifferentpersonswithinaperiodofoneyear;or#!3(%(%   F.0 ( Theindividualorbusinessentityassumesfinancialresponsibilityfordefectiveworkmanshiporforservicenotprovidedas $"5 evidencedbytheownershipofperformancebonds,warranties,errorsandomissioninsuranceorliabilityinsurancerelatingtothelabororservicestobeperformed. (%(% 9.0  PursuanttoOAR1250200410(4),thecontractshallprovidethattheContractorisresponsibleforfederalSocialSecurity,except i'\%9 thosecategoriesexcludedbylaw,andforanyfederalorstatetaxesapplicabletothecontractpayment. %%  IndependentContractorcertifieshe/shemeetstheabovestandardsandagreestoperformthelabororservicesrequiredbythiscontractasanIndependentContractor. P   (   ContractorSignature  ________________________________________________Date_________________ +)@ EntityName(printedortyped): _____________________________________________________________________#&*% Z4#X[XXX[ -+C 򀀀  6/)-E 0 @ ExhibitD    7 INFORMATIONFORCRIMINALHISTORYCHECK#&*%XX[[J#XX[     *eFXdd $dd $FX%X%e,m dd ,dd , dd +  % PC %@] ] *** 5HIRINGSUPERVISORTOCOMPLETETHISSECTION #5MM#*** *  *NameofDHSSupervisor= $ $Agency/Address=   PhoneNumber/Extension=(    (*FdXdm dd m dd  dd FX%X%,s#dd +  !   !@ ***5 TOBECOMPLETEDBYAPPLICANT/EMPLOYEE #5O#***(   (Name(PleasePrint)  Last `   0 First    h Middle 8   DateofBirth   AF<) xdEX (#A N A OtherName(s)Used:(MaidenName,PreviousMarriedName(s),Aliases,LegalNameChanges,AssumedNames,etc.)#&*%L#X[XXX[AF<)V' s#dEV' s#A#&*%XX[RR#XX[ t #&*%R#.YXX[33#&*%.Y/S#33NSXX[Sex   (   SocialSecurityNumber(PerSignedConsentBelow)     p DriversLicenseNumber/IssuingState    TG #&*%ٚS#XX[Male#&*%٬T#XX[ ( Female#&*%T#XX[  _#&*%^U#XX[_ SF  AF<)Vs#dEVs#A %WARNING:Falselyrespondingtoanyofthequestionslistedbelowdisqualifiesyourapplicationbylaw.   1.  Yes  No0 ` HaveyoulivedoutsidetheStateofOregonanytimeduringthefive(5)yearpriortodaysdate?{` %` % V2.  Yes  No0 ` Haveyoueverbeenconvictedofanycrimelistedonthebackofthisform(orthesubstantialequivalentofanyofthe l_ crime(s)iftheconvictionoccurredinanotherjurisdictionorinOregonunderadifferentstatutorynameornumber)? ` %` % oKIfYES,placean(X)intheboxbesidethecrime(orthesubstantiallyequivalentcrime)and,onaseparatesheetofpaper,describethecircumstancesbywhichyouwereconvictedofthecrime(s)andprovideanyinformationyouhavetohelpusunderstandwhyyoubelieveyourconviction(s)WILLNOTposearisktopersonsinthecareoforreceivingservicesfromDHS,orotherpreventyoufromfulfillingtheresponsibilitiesofyourjob.3.  Yes  No0 ` Doyouhaveaconcealedhandgunlicense?</$` %` % @T T %i\D7 5AUTHORIZATIONTODISCLOSESOCIALSECURITYNUMBER#5[#  i\' %>1 OAR410070000authorizesDHStorequestyoutovoluntarilyprovideyourSocialSecurityNumbertoDHSforuseasanidentificationnumberforcriminalrecordchecks.FailuretoprovideyourSocialSecurityNumberwillnotbeusedasabasistodenyyouanyrightorbenefit,orprivilegeprovidedbylaw.IfyouprovideyourSocialSecurityNumberandconsenttoitsuse,itwillbeusedonlyforthepurposestatedaboveandwillnotbegiventothegeneralpublic.BysigningthisconsenttodiscloseyourSocialSecurityNumber,youauthorizeDHStodiscloseyourSocialSecurityNumbertoothersifsuchdisclosureisnecessaryforthepurposestatedabove.______________________________________________________________________________________________________________________ConsultantsSignature   `   0     h    8   Date / %@  5AFFIRMATIONOFACCURATEINFORMATION#5t`#  0 %  Ihavereviewedandcompletedbothsidesofthisformasapplicabletome.Iunderstandthatsubmittingfalseinformationwilldisqualifymefromworkingat/forDHS.Bymysignaturebelow,Iherebyaffirmthatallinformationprovidedonbothsidesofthisform,andallattachmentsthereto,aretrueandaccurate.   `  " 3    @  @  @ ***5 CONSULTANTSSIGNATUREMUSTBEWITNESSED#5b# 󀀀*** x#k!5 ub__________________________________________________________  _______________________________________________________ $"7 ConsultantsSignature   `  Date 0    SignatureofWitness     p Date %{#8      (      `   0    _______________________________________________________h   (      `   0    TitleofWitnesshbe*eFdds#dd s#FX%X%e,dd ,Wdd +  % X)K'@ %@ \***5 DHSPERSONNELSERVICESUSEONLY #5f#Ԁ*** ')'A 'DateofLEDS_CCH_/WARRANTS/_DMV_ԀCheck:______/______/_____  X+K)C DHS_PERS_Ԁ_SVCS_ԀRECORDSSPEC: +(D   Conviction :  Yes ` No 0  Warrant:  h Yes 8 No   p Valid_ODL_ :Yes  No ,*E  ContinuedEmployment : ` Approved Denied  -+G V0!*xWFXdddd Wdd WFX%X%x, $dd +     #&*%ټU#X[XXX[@I I \ IMPORTANTNOTICETOCONSULTANT   qd #&*%XX[k#XX[YOURSIGNATUREONTHEFRONTOFTHISFORMMEANSYOUHAVEREVIEWEDTHISLISTOFCRIMESANDCHECKMARKED(4)THOSE  CRIMESFORWHICHYOUHAVEBEENCONVICTED.YOURSIGNATUREALSOGRANTSPERMISSIONFORDHSTOVERIFYANYANDALLINFORMATIONYOUHAVEPROVIDEDONTHISFORMANDATTACHEDDOCUMENTS,IFANY.#&*%k#X[XXX[ uh  #&*%XX[*m#.YXX[ffӀ#&*%.Ym#X[XXX[ UH ffm#&*%XX[m#XX[SpecificCrimes:(_ORS_):  #&*%Gn#X[XXX[ffffn#&*%XX[n#XX[( X%X%(o0  162.0250uuBribeReceiving uu o0  162.0650uuPerjury  uu o0  162.1550uuEscapeII  uu o0  162.165  EscapeI5 ( uu o  162.185  SupplyingContraband    o0  162.2050uuFailuretoAppearIM @ uu o0  162.2350uuObstructingGovernmentalorJudicial   Administration uu o0  162.2650uuBribingaWitness uu o0  162.2750uuBribeReceivingByaWitness} p uu o0  162.2850uuTamperingWithaWitness  uu o0  162.3050uuTamperingWithPublicRecords uu o0  162.3250uuHinderingProsecution! uu o  163.095  AggravatedMurder   o  163.115  Murder 9, o  163.118  ManslaughterI  o  163.125  ManslaughterII QD o  163.145  CriminallyNegligentHomicide  o0  163.1600uuAssaultIVi\uu o  163.165  AssaultIII  o  163.175  AssaultII t o  163.185  AssaultI   o0  163.1900uuMenacinguu o0  163.1950uuRecklesslyEndangeringAnother% uu o  163.200  CriminalMistreatmentII ! o  163.205  CriminalMistreatmentI =0" o  163.225  KidnapingII # o  163.235  KidnapingI UH$ o  163.275  Coercion % o  163.355  RapeIII m`& o  163.365  RapeII ' o  163.375  RapeI x( o  163.385  SodomyIII ) o  163.395  SodomyII * o  163.405  SodomyI )+ o  163.408  UnlawfulSexualPenetrationII , o  163.411  UnlawfulSexualPenetrationI A4- o  163.415  SexualAbuseIII . o  163.425  SexualAbuseII YL/ o  163.427  SexualAbuseI 0 o  163.435  ContributingtotheSexualDelinquencyofa qd1 Minoro  163.445  SexualMisconduct |3 o0  163.4550uuAccostingforDeviatePurposes 4uu o  163.465  PublicIndecency  5 o  163.515  Bigamy -! 6 o  163.525  Incest !7 o  163.535  AbandonmentofaChild E"8 8 o  163.545  ChildNeglectII " 9 o  163.547  ChildNeglectI ]#P!: o  163.555  Criminal_Nonsupport_ #!; o  163.575  EndangeringtheWelfareofaMinor u$h"< o  163.670  UsingChildinDisplayofSexuallyExplicit %"= Conducto  163.6730  DealinginDepictionsofSexualConduct & $? InvolvingaChild uu o0  163.6750uuSaleofExhibitionofVisualReproductionof 1'$%A SexualConductbyChild uu o  163.680  PayingforViewingSexualConduct I(<&C o  163.732  Stalking (&D o0  164.0430uuTheftIIIa)T'Euu o0  164.0450uuTheftII)'Fuu o0  164.0550uuTheftIy*l(Guu o0  164.0570uuAggravatedTheftI+(Huu o  164.075  TheftbyExtortion +)I o  164.225  BurglaryI ,*J o  164.325  ArsonI ,*K o  164.395  RobberyIII 5-(+L o  164.405  RobberyII -+M o  164.415  RobberyI M.@,N o0  165.0130uuForgeryintheFirstDegree.,Ouu o0  165.0220uuCriminalPossessionofaForgedInstrumentinthe e/X-P FirstDegree/-Quu o0 s 165.0320Cs&s&CriminalPossessionofaForgeryDeviceQC&C& o0 s 165.0550Cs&s&FraudulentUseofCreditCard(Over$750) RC&C& o0 s 165.0650Cs&s&NegotiatingaBadCheck(ClassFelonyClause) SC&C& o0 s 165.0700Cs&s&PossessionaFraudulentCommunicationDevice5 (TC&C& o0 s 165.0740Cs&s&UnlawfulFactoringofaCreditCardTransaction UC&C& o0 s 165.0850Cs&s&SportsBriberyM @ VC&C& o0 s 165.0900Cs&s&SportsBribeReceiving WC&C& o0 s 166.0150Cs&s&Riote X XC&C& o s 166.085 C AbuseofCorpseII  Y o s 166.087 C AbuseofCorpseI } p Z o s 166.155 C IntimidationII   [ o s 166.165 C IntimidationI  \ o s 166.220 C UnlawfulUseofWeapon ! ] o s 166.270 C FeloninPossessionofFirearm  ^ o0 s 166.2720Cs&s&UnlawfulPossessionofMachineGuns,CertainShortbarreled 9,_ Firearms&FirearmsSilencers C&C& o s 166.275 C PossessionofWeaponsbyInmatesofInstitutions QDa o s 166.3700 C DischargingFirearmatSchool/PossessionofFirearmor b DangerousWeaponinPublicBuilding C&C& o s 166.382 C PossessionofDestructiveDevice d o s 166.384 C UnlawfulManufactureofDestructiveDevice te o s 166.429 C UseofFirearmsinFelony  f o s 166.480 C SaleorGiftofExplosivestoChildren g o s 166.660 C UnlawfulParamilitaryActivity %h o s 166.720 C Racketeering i o0 s 167.0070Cs&s&Prostitution=0jC&C& o s 167.012 C PromotingProstitution k o s 167.017 C CompellingProstitution UHl o s 167.0620 C SadomasochisticAbuseorSexualConductinLiveShow m #&*%Ro#XX[(engagingin)#&*%#XX[m`nC&C& o s 167.0620 C SadomasochisticAbuseorSexualConductinLiveShow o (directing,managing,financing,orpresenting) C&C& o s 167.065 C FurnishingObsceneMaterialstoMinors q o s 167.070 C SendingObsceneMaterialstoMinors r o s 167.075 C ExhibitinganObscenePerformancetoaMinor )s o s 167.080 C DisplayingObsceneMaterialstoMinors t o s 167.087 C DisseminatingObsceneMaterial A4u o s 167.090 C PubliclyDisplayingNudityorSexforAdvertisingPurposes v o s 167.212 C TamperingwithDrugRecords YLw o s 167.2620 C AdultUsingMinorinCommissionofControlledSubstance x Offense(LessThanFiveGramsMarijuana) C&C& o s 411.630 C UnlawfullyObtainingofPublicAssistance z o s 411.840 C UnlawfullyUsingStampsorCommodities |{ o0 s 471.4100Cs&s&ProvidingLiquortoaPersonUnder21ortoIntoxicated  | Person;MandatoryMinimumPenalties C&C& o0 s 475.9920Cs&s&ProhibitedActsGenerally;Penalties;AffirmativeDefensefor -! ~ CertainPeyoteUses C&C& o0 s 475.9930Cs&s&ProhibitedActsforRegistrants;PenaltiesE"8 C&C& o0 s 475.9940Cs&s&ProhibitedActsInvolvingRecordsandFraud;Penalties" C&C& o0 s 475.9950Cs&s&DistributionofControlledSubstancetoMinors]#P!C&C& o0 s 475.9960Cs&s&CrimeCategoryClassificationforViolationof475.992;Proof #! ofCommercialDrugOffense C&C& o0 s 475.9990Cs&s&ManufactureorDeliveryofControlledsubstancetoMinoror %" StudentWithin1,000FeetofSchool C&C& o0 s 811.1400Cs&s&RecklessDriving& $C&C& o0 s 811.1820Cs&s&CriminalDrivingWhileSuspendedorRevokedorin &$ ViolationofaPermit C&C& o0 s 811.5400Cs&s&FleeingorAttemptingtoEludePolice'%C&C& o0 s 811.7000Cs&s&FailuretoPerformdutiesofDriverWhenPropertyis I(<& Damaged C&C& o0 s 811.7050Cs&s&HitandRunVehicle(Injury)a)T'C&C& o0 s 813.0100Cs&s&DrivingUndertheInfluenceofIntoxicant#&*%Ϗ#X[XXX[ )'C&C& V0!, V1) V  o( XuXu(   ExhibitE   ConfidentialityAgreement#&*%XX[#Z XX[   #&*% Z#X[XXX[  XX  #&*%XX[C#Z XX[ToallcontractorsworkingonOregonDepartmentofHumanServices(DHS)projects:  Forthepurposesofthiscertificatetheterm contractorwillmeanallConsultantsassignedtotheprojectbythecontractor.Oregonslawscontainprovisionsrelationtoconfidentialityofrecords,listsandinformationaboutclientapplicants/clients/recipientsandaboutStateemployees.Theselaws,andthepenaltiesforviolationofthem,pertaintoeverycontractorworkingonDHSprojects,atalllevelsandinanycapacity.AsaconditionofyourcontinuedworkforDHS,youarerequiredtocompletetheconfidentialitytrainingexerciseandsignthiscertificateverifyingthatyouunderstandthelawsandareawareofthepenaltiesforviolation.Ifatsomefuturedate,youhavedoubtsaboutthelegalityofanactionyoumaybeabouttotake,asktherespectiveprojectmanagerforaninterpretation.Youpersonally u h  arelegallyresponsibleforanyviolationoftheselaws. 1 $   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)DHSshallmakeandenforcereasonablerulesandregulationsgoverningthecustody,useand E8 preservationoftherecords,tapes,filesandcommunicationsofDHS.Theuseofsuchrecords,papers,filesandcommunicationsbyanyotheragencyordepartmentofgovernmentorpersontowhichtheymaybefurnishedshallbelimitedtothepurposesforwhichtheyarefurnishedandbytheprovisionsofthelawunderwhichtheymaybefurnished._ORS_Ԁ411.320 Disclosureanduseofrecordslimited;contentsasaprivilegedcommunication. Fortheprotection  ofclients,DHScontractors...shallnotdiscloseorusethecontentsofanyrecords,files,papersorcommunicationsforpurposesotherthanthosedirectlyconnectedwiththeadministrationofthepublicassistancelawsofOregon,andtheserecords,filespapersandcommunicationareconsideredconfidentialsubjecttotherulesandregulationsofDHSanditsDivisions,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$1,000orbyimprisonmentinthecountyjailfornotmorethan60days,orbyboth.Violationof_ORS_Ԁ192.500iscausefordisciplinaryactionunder_ORS_Ԁ240.555. Instructions: Contractorandsupervisorwillsignpriortostartofwork.ReturnoriginaltotheDHSProjectManager m$`"/ ordesignee.IcertifythatIhavereadtheforegoing.MysignaturebelowmeansthatIunderstandtheprovisionsoflawpertainingtotheconfidentialityofDHSrecordsandinformation.IalsounderstandthattheselawsmaychangefromtimetotimeandthatitismyresponsibilitytoreadandunderstandthesechangesasIamnotifiedofthem.  Name(pleaseprint): P ___________________________________________________________________________ )'6 Signature:_______________________________________________ ` Date_____________________ +)9 SupervisorsSignature:________________________________________________Date_____________________4#&*% Z؝#X[XXX[ e/X->   #&*%XX[#-'XX[``>(# ATTACHMENT#1       OregonHealthDivision 3& RequestforProposals#636:Technical_Mentoring_ԀServicesProposalCoverSheet γ 5GX5@ ProposerInformation    @ 1111!@AgencyName:(#(#K(#   Address:(#(#K(#   City,State,Zip:(#(#K(# M@  Telephone:  Fax:(#(#K(#  Nameandtitleoftheperson(s)authorizedtorepresenttheProposerinanynegotiationsandsignanycontractthatmayresult:Name:     P  Title:(#(#K(# TG Name:     P  Title:(#(#K(#   5GX5@!ContactInformation  VI @1111!@PrimaryContactPerson:    Title:(#(#K(#  AgencyName:(#(#K(# H ;  Address:(#(#K(# !" City,State,Zip:(#(#K(# ~#q!$ Telephone:  0 P Fax:(#(#K(#P (#P (# % #& EmailAddress:(#(#K(# &$(  5GX5@ ProposalInformation  *(, @`+S)1111!u@TotalBudgetAmountRequested:$    (     r,e*.  @***THISPAGEMUSTBETHETOPPAGEOFTHEPROPOSAL ***#&*%'-R#X[XXX[Ԉ  .,0  ~~>(#ATTACHMENT#2       OregonHealthDivision  RequestforProposals#636:Technical_Mentoring_ԀServices#&*%XX[#-'XX[  Assurances #&*%'-L#X[XXX[  AF<) xdExA  ThispagemustbesignedanddatedbyanofficialauthorizedtobindtheProposer.Bysigningthispage,theofficialverifiesthatthefollowingstatementsaretrue:1.0  NoattempthasbeenmadeorwillbemadebytheProposertoinduceanyotherpersonor   organizationtosubmitornotsubmitaproposal. (#(# 2.0  Proposerdoesnotdiscriminateinitsemploymentpracticeswithregardtorace,creed,age, sf  religiousaffiliation,sex,disability,sexualorientationornationalorigin. (#(# 3.0  Informationandcostsincludedinthisproposalshallremainvalidforsixty(60)daysafterthe 7* proposalduedateoruntilacontractisapproved,whichevercomesfirst. (#(# 4.0  ThestatementscontainedinthisproposalaretrueandcompletetothebestoftheProposers  knowledgeandacceptsasaconditionofthecontract,theobligationtocomplywiththeapplicablestateandfederalrequirements,policies,standards,andregulations.Theundersignedrecognizesthatthisisapublicdocumentandopentopublicinspection. (#(# Signature:   P       Date:(#(#K(# G:       (OfficialAuthorizedtoBindProposer)NameandTitle(typed):(#(#K(##&*%XX[#%X[XXX[%X[XX%X[Ԉ        #%&*%X%X[l##&*%%%&*M#   "   @@ X[XXX[ %X[XXX[ExhibitGPersonalServicesContract90954#X[XX%X[W#  ProposaltoDepartmentofHumanServicesSolicitation#636#&*%XX[5#X[XXX[ t DatedNovember16,2000&SignedbyDonA.Lewis #&*%XX[:# m`