WPC)\ u{F›ȌSc\f}8̓^ ݍ̝.S_iEJRfh4 c1yLOf͋ Z %g'گխl.ff-p2 Sڧ"=!ܩQɂMꊭՁ9S(6RVdf}{]  PϢO$B.ʒj^>>-,d_߄BB!C 4BXl{⿄[qp }@$C Q;c<I{k[ܯ&fvu$dy] muM}Gp#CI&t?'ZXЙNr6\a ZF?lJ~0əsؖZ!:` 5/l0AX8|PƃqBx>]͏ĜӪf_^B^;4.$(g`y?dbHufc7OWPh5=G?+ɛ#!D UNe % 0(w@4!5UNDUN 1uNU 0DW^ LU<7 0 c9 m 0w 0* 0 0T 0 0 0 1 1  1 1. 0s{" 0Le \-fU5N"UBUN[ B 1a-h 0C}!! 1i!U:H"" 1"U :# 0Y#<=$fy$a{$f$a$E$f$a$ 0B$N$ 0D%ME%U.I%-w%% B+' D3H'{''q)-+h3+,, 0_. 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XXXSw\  `&Times New RomanS  >4XX` hp x (#%>6J=4heading 5  /%X Xp x (#%/     /%X Xp x (#%/<:endnote refe:V8Body Text 3  /%X Xp x (#%/  XXX  /%X Xp x (#%/<n:Body Text In  X >4X` hp x (#%>  >4XX` hp x (#%>XXX  %2A`Arial6sz4heading 6  ?}%2A`Arial?   XXXSw\  `&Times New RomanS    /C)  _wXeXXXX ,K7X` hp x (#%XK @ , N4*X*4 <DL!T$X,XN.#|I:\PROCURE\CONTRACT\CONSHARE\Rlong\Contracts\102822\102822.wpdI:\PROCURE\CONTRACT\CONSHARE\Rlong\Contracts\102822\102822.wpd/   /Q+ d  _  H G XXSAMPLE#Xe_XG H C#((3/Q$ !   d 6Jw4Body Text  ?}%2A`Arial?Sw\  `&Times New RomanS  8ow6Plain Text  K<6X9`(Courier NewKXXXSw\  `&Times New RomanS  <6X9`(Courier New   TABLE CTABLE ATABLE ETABLE D dTABLE D !  _XXXX  8e_XXdd8TRY$3'letterheadX3' Letter3'letterhead3'T+Da` XXDisclaimer:Unlessotherwisespecificallystated,theinformationcontainedhereinismadeavailabletothepublicbytheDepartmentofHuman X Services(_DHS_),OfficeofInformationServices(_OIS_),ProjectManagementOffice(_PMO_),andtheOfficeofContractsand_Procurements_Ԁ(OC&P)foruseasanexampleofcontractscontentinformation.TheintentofthecontractexampleistoassiststaffwithcontractcreationbyprovidingPersonalServiceContractexamples,guidelines,andstandards.̀Neitherthe_DHS_,_OIS_,_PMO_,_OCP_,_DOJ_,DAS,_IRMD_Ԁnoranyotheragencyorentitiesthereof,assumesanylegalliabilityorresponsibilityfortheaccuracy,completeness,orusefulnessofanyinformation,productorprocessdisclosedintheseexamples.Referencehereintoanyspecificcommercialproduct,process,servicebytradename,trademark,manufacturer,vendor,orotherwise,doesnotconstituteorimplyitsendorsement,recommendation,orfavoringbytheDepartmentofHumanServices,theStateofOregon,oranyentitiesthereof.Theviewsandopinionsoftheoriginatorsexpressedthereindonotnecessarilystateorreflectthoseofthe_DHS_,_OIS_,_PMO_,_OCP_,oranyagencyorentitiesthereof.Texttakenfromtheseexamplesandusedtodevelopsimilarsolicitationsandcontractswillnotreplacetheappropriatestepsnecessaryforapproval.#Xe_X# H    `a      @*a     `     h      p _bb_     ` Contract#102822  d       `     h      p      x    StateofOregonPersonal/ProfessionalServicesContract  l l   ThiscontractisbetweentheStateofOregonactingbyandthroughitsDepartmentofHumanServices,OfficeofInformationServices,hereinafterreferredtoas  _DHS_ ,and 0 XXe_Ԁ#Xe_X #     _SBI_ԀEmerald,Inc. x 320SWOakStreet,SecondFloorPortland,OR97204  P  )  hereinafterreferredtoas"Contractor. 'X,XXX'I.0  EFFECTIVEDATEandDURATION X %% Thiscontractshallbecomeeffectiveonthedatethiscontracthasbeensignedbyeverypartyhereto,and,whenrequired,approvedbyDepartmentofAdministrativeServicesandDepartmentofJustice.Unlessterminatedorextended,thiscontractshallexpirewhen_DHS_ԀacceptsContractorscompletedperformanceoron October31, # 2002 ,whicheverdateoccursfirst.Expirationshallnotextinguishorprejudice_DHS_srighttoenforcethiscontract  $ withrespecttoanybreachofaContractorswarrantyoranydefaultordefectinContractorperformancethathasnotbeencured. II.0  PURPOSE#h!(%%  wXcXXXe_ThisContractprovidesforahighlyskilledBusinessProcessEngineeringAnalysttoperformakeyroleinthe $T") identificationofbusinessprocessesandthegatheringanddocumentationofbusinessrequirementsforaScreening,Assessment,andReferralSystem.Thetasksshallbeperformedusingestablished_DHS_/_OIS_ԀProjectManagement,development,maintenanceandacceptancecriteriamethodologiessetforthin_DHS_sInformationSystemsStandardsandProceduresManual.Documentationshallbeupdatedandstoredinestablished_DHS_/_OIS_Ԁlibrariesusingexisting_DHS_/_OIS__documentationstandardssetforthin_DHS_sInformationSystemsStandardsandProceduresManualandtheProjectManagementGuide.#Xe_XXwXcu#wXcXXXe_  ,)1  #Xe_XXwXc#wXcXXXe_MQP*  dd,*M9SDL!X,XX9 ,*2 +Da + XTRX3' LetterY$3'letterhead3' Letter3'letterheadT   +  _]=S <DL!!&)\+-SDX]TheservicesaretobeprovidedattheDHSofficeslocatedattheParkwayBuilding(2850BroadwaySt.NE,Salem,    OR).Officespace,equipment,andtherequiredsoftwaretoolswillbeprovidedasdetailedinStatementofWork,ExhibitA,Attachment1.#Xe_XXwXc#wXcXXXe_  #Xe_XXwXc)# III.0  STATEMENTofWORK %% Thestatementofwork(the Work)includingthedeliveryscheduleforsuchworkiscontainedinExhibitA,attachedandincorporatedbyreferenceintothiscontract.Contractoragreestoperformtheworkinaccordancewiththetermsandconditionsofthiscontract. m `  IV.0  CONSIDERATION Y L %%  A .0  DHSagreestopayContractorforaccomplishingtheWorkasrequiredbythiscontract,plusanyallowable E 8  expensesandanytravelandotherexpensereimbursementwhennotedherein.PaymentforallworkperformedunderthiscontractshallbesubjecttotheprovisionsofORS293.462andshallnotexceedthetotalmaximumnottoexceedsumof $72,000.00 basedonanhourlyrateof $100.00 ,althoughtheproposedestimatedhourly    breakdownfortasks/subtasksmaywindupbeingdifferentthanproposed. %%  &%XXe_B.) 0  #Xe_X%&#InterimpaymentsshallbemadetoContractorfollowingDHSsreviewandapprovalofinvoicessubmittedby  Contractor. %%   C .0  Contractorshallnotsubmitinvoicesfor,andDHSwillnotpay,anyamountinexcessofthemaximum  compensationamountsetforthabove.Ifthismaximumcompensationamountisincreasedbyamendmentofthiscontract,theamendmentmustbefullyeffectivebeforeContractorperformsworksubjecttotheamendment.ContractorshallnotifyDHS'sContractAdministratorinwritingthirty(30)calendardaysbeforethiscontractexpires,oftheupcomingexpirationofthecontract.Nopaymentwillbemadeforanyservicesperformedbeforethebeginningdateoraftertheexpirationdateofthiscontract,asitmaybeamendedfrom&%XXe_ 9,%% #Xe_X%&,"#   timetotimeinaccordancewithitsterms. %  D. 0  Contractorshallsubmitmonthlyinvoicesforworkperformed.Theinvoicesshalldescribeallworkperformed  withparticularityandbywhomitwasperformedandshallitemizeandexplainallexpensesforwhichreimbursementisclaimed.TheinvoicesshallalsoincludethetotalamountinvoicedtodatebyContractorpriortocurrentinvoice.Contractorwillspecificallynotetheappropriateinvoicewhenonethirdandtwothirdsofthemaximumcontractamount,includingexpensereimbursement,hasbeenexpended.ContractorshallsendinvoicestoDHSsContractAdministrator(seeE.,below). %%  E. 0  TheDHSemployeeassignedtomonitorcontractcompliance,authorizepaymentandactasDHSsContract u!h" Administratoronmattersconcerningthiscontractshallbe: %%   DebraHerrli,ordelegate  OIS/ISEProjectManager  OfficeofInformationServices  OregonDepartmentofHumanServices  500summerStreetNE/MailingCodeE03  Salem,OR973101080  (&*   &%XXe_ ' #Xe_X%&'#V.0  TRAVELandPERDIEM&%XXe_*(,%%  #Xe_X%&'#Notravelorotherexpensesshallbepaidinadditiontothecostherein. +|)-   VI.0  CONTRACTinitsENTIRETY a-T+/%% ?X,XS` X S X!&X?ThisContractconsistsofthisdocumentandincludesthefollowinglistedexhibitswhicharelistedindescending orderofprecedenceandareattachedandincorporatedintothisContractbyreference: A. 0  ExhibitA:0S%%StatementofWork)'+S%S%  B. 0  ExhibitB:0S%%GeneralProvisions*(,S%S%  C. 0  ExhibitC:0S%%CertificationStatementforIndependentContractor+)-S%S%  D.   ExhibitD:0 S ConfidentialityAgreement,t*.S%S% L 4(3 L 3   3~%2  E  .3  0    ExhibitE:0S%%CriminalHistoryAgreement3~%%݌q-d+/S%S% Ќ  L ((4L F.   Exhibit F:0 S Solicitation#1168 S%S%  G.   ExhibitG:0 S ContractorsProposaltoSolicitation#1168S%S%  Therearenoothercontractdocumentsunlessspecificallyreferencedandincorporatedinthecontract.&yW%XXe   9X,X` XX,XS` X9#XeX%&yW3(#VII.0  MERGERCLAUSE;WAIVER %% Thiscontractandattachedexhibitsconstitutetheentireagreementbetweenthepartiesonthesubjectmatterhereof.Therearenounderstandings,agreements,orrepresentations,oralorwritten,notspecifiedhereinregardingthiscontract.Nowaiver,consent,modificationorchangeoftermsofthiscontractshallbindeitherpartyunlessinwritingandsignedbybothpartiesandallnecessaryStateapprovalshavebeenobtained.Suchwaiver,consent,modificationorchange,ifmade,shallbeeffectiveonlyinthespecificinstanceandforthespecificpurposegiven.Thefailureof_DHS_Ԁtoenforceanyprovisionofthiscontractshallnotconstituteawaiverby_DHS_Ԁofthatoranyotherprovision.&yW%XXe      #XeX%&yW,#6X,XeS` XX,X` X6&yW%XXe3P+CONTRACTOR,BYEXECUTIONofTHISCONTRACT,HEREBYACKNOWLEDGESTHATCONTRACTOR   HASREADTHISCONTRACT,UNDERSTANDSIT,ANDAGREESTOBEBOUNDBYITSTERMSANDCONDITIONS.#XeX%&yW,#2XbXXXe x  2&}* %X2Xb#&yW% %2&}*-# VIII.0 e CONTRACTORDATAandCERTIFICATION;SIGNATURES#e%e%  #XeX%&yW.# XXeName(exactlyasfiledwiththeIRS)________________________________________________  9X,XF XX,XeS` X9Address F ______________________________________________________________________ $ 9X,XFXX,XF X90   F ______________________________________________________________________M@%% Telephone:()_________________Facsimile:()_________________Citizenship,ifapplicable:Nonresidentalien[]Yes[]No#XeX .# XXe  XBusinessDesignation(checkone):[]Corporation(completionofExhibit C not requiredforCorporationsonly)  []ProfessionalCorporation[]Partnership[]SoleProprietorship?X ,XFXhXX,XFX?[]LimitedLiabilityCompany[]LimitedPartnership[]LimitedLiabilityPartnership#XeX 1#H&yW%XXe FederalTaxID#:____________________OR_SSN_:_____________________  " #XeX%&yW3#5l XXe#XeX 5l4#XH XXeAbovePaymentinformationmustbeprovidedpriortocontractapproval.ThisinformationwillbereportedtotheInternalRevenue $ Services(IRS)underthenameandtaxpayeridentificationsubmitted.(SeeIRS1099foradditionalinstructionsregardingtaxpayerI.D.numbers.)InformationnotmatchingIRSrecordscouldsubjectContractorto31percentbackupwithholding.#XeX 4#CyXXe#XeXCy6# XXe Certification: TheindividualsigningonbehalfofContractorherebycertifiesandswearsunderpenaltyofperjury:(a)thenumbershown \ O( onthisformisContractorscorrecttaxpayeridentification;(b)Contractorisnotsubjecttobackupwithholdingbecause(_i_)Contractorisexemptfrombackupwithholding,(ii)ContractorhasnotbeennotifiedbytheIRSthatContractorissubjecttobackupwithholdingasaresultofafailuretoreportallinterestordividends,or(iii)theIRShasnotifiedContractorthatContractorisnolongersubjecttobackupwithholding;(c)s/heisauthorizedtoactonbehalfofContractor,s/hehasauthorityandknowledgeregardingContractorspaymentoftaxes,andtothebestofher/hisknowledge,ContractorisnotinviolationofanyOregontaxlawsasdefinedinOAR150305.385,referencedinExhibitB,paragraph12ofthiscontract;(d)Contractorisanindependentcontractorasdefinedin_ORS_Ԁ670.600;and(e)theaboveContractordataistrueandaccurate.#XeX 6#4&yW%XXe X < , XX ,XFXhX<#XeX%&yW;#&yW%XXeIX. 0  CONTRACTORS:YOUWILLNOTBEPAIDFORSERVICESRENDEREDPRIORTONECESSARY $&$1 STATEAPPROVALS. %%  #XeX%&yW2<#^ _XXe 0 ,  X , X0#XeX_^ =#A.0  &yW%XXeContractor:#XeX%&yW=#&yW%XXe`(S&4%% #XeX%&yW>#^ _XXe  #XeX_^ t>#&yW%XXe<  IXX ,  X<0  By:_____________________________Title: I      2 Date:_______________________*(7%% >Ӏ#XeX%&yW>#&yW%XXe ]+P)8  #XeX%&yW@#&yW%XXeB.0  DepartmentofHumanServices,OfficeofInformationServices: #XeX%&yWi@#^ _XXeEX<VX  IXXEJ,=*9%% #XeX_^ @#=&yW%XXe 9  e           #XeX%&yWA#&yW%XXeEX eV7XX<VXE     I   q#XeX%&yW]B# XXeԀChiefInformationOfficer#XeX C#&yW%XXe .,; Q(  wI 2"XX eV7XQ  By:_________________________________Title:q#XeX%&yWuC# XXeԀDep.ChiefInformationOfficer#XeX XD#&yW%XXeԀDate:_______________ .,< 3P+ 3 3  #XeX%&yWD#A XXeT"  wX2XY"X  wI 2"XT30  #XeX E#&yW%XXe %% #XeX%&yW:F#XXe E#XeX挔F#D.0  FReviewed: %%     XXe  #XeXiG# By:򀀀  Date:_______________   XXe0 Y Y%Y%   RayLong,_DHS_ԀContractsConsultant,DepartmentofHumanServices,ordelegate#XeX @H# tg  &yW%XXe#XeX%&yW;I#&yW%XXe #XeX%&yW~I#   8ZdXXd8   z  ExhibitAStatementofWorkIAcknowledgedandAgreedbytheParties:    }X'XXXeI)  #XeXX}X'J#Overview E8  7XXeW+ 4 <DL!  wX2XY"XWO[GP8(Z******d dd[  V77  7V7OK  dwj  #XeX78K# mdAProjecthasbeencharteredinsupportoftheDepartmentsReorganizationtodesignthefirstphaseofanintegratedservicedeliverysystemfortheOregonDepartmentofHumanServices(_DHS_).OKnL݌̌TQP1  dd?? 2::ddTTXeXXXeXeXXXe   md  XXXXe}X'XXX  #VXeXX}X'OL#XeXXVXeN  d ? 2 mdWorkersdonothaveanintegratedsystemtolookupandenterclientinformationanddoscreening,assessment,andreferral.Currently,theymustuseseveraldifferentsystemsandprocesses,impactingtheirabilitytoserve_DHS_clientsinanintegratedfashion.NSO݌̌XeXXXeXeXXXe   md  d q d   mdTosupporttheDepartmentofHumanServicesgoaltoimproveservicestoclients,familiesandcommunitiesby   providinga nowrongdoorpolicy,itiscriticaltohaveanintegratedservicedeliverysystemtoassistcaseworkersinmakingscreeningandassessmentdecisions. md& 2 ~  7XXes7}s    #V7}4O#7V7~R  d  XeX7 mdPrimaryObjectivesandBenefits~RS \SԌ   Ќ XeXXXeXeXXXeXeXXXeXeXXXe   md#7XXeS#XeX7O[GP8(Z******d dd9,[  XXXXeVXeXXX  #VXeXXVXeS#XeXXVXeOkU  d  #7XXeLU#XeX7 mdTheprimaryobjectiveoftheProjectistodesignafrontendscreeningandassessmentsystem,toincludebroadinitial  screeningtoidentifythepotentialprogramareasforwhichaclientmaybeeligible.Theintentwouldbetoidentifytheclient,seeiftheyarealreadyinthesystem,addifnecessary,screen,broadlyassess,andpassappropriateinformationbackintotheexistingsystems.Akeypointinscreeningwouldbetodetermineiftheclienthasjustasingleormultipleissues.InadditiontothescreeningdonebyIntakestaff,someminorselfassessmentmayalsobeconsidered.(Thiscouldbeveryhighlevel,anddoneonlyonequipmentinthelocaloffice.)'2ROkUmV݌̌TQP1  dd::ddTTXeXXXeXeXXXe   md  O[GP8(Z******d dd[  XXXXeVXeXXX  #VXeXXVXeNV#XeXXVXeOZ  deX  #7XXeV#XeX7 mdFollowingassessment,referraloftheclientaspartofthisprocesswillalsobeconsidered.OZ[݌ eX ЌTQP1  dd0!::ddTTXeXXXeXeXXXe   md#7XXe\#XeX7d_R  #7XXe]#XeX7 mdTherewouldbenointenttodesignawaytoestablishorpaybenefitsinthisfirstphase.#7XXe)^# 7 dmd _R  d#7 ^#XeX7  XXXXe}X'XXX  #VXeXX}X'[#XeXXVXe}_  `L4` <DL!!&)\+- 0d247X`TheobjectofthisStatementofWorkistoestablishtheresponsibilitiesandmeasurementsofsuccessforaBusiness  ProcessEngineeringAnalysttoperformakeyroleintheidentificationofbusinessprocessesandthegatheringanddocumentingofbusinessrequirementsforaScreening,Assessment,andReferralsystem.}_$`݌̌XeXXXeXeXXXe   #7XXe^_#Q+ 4 <DL!, X!&XQXeX7#7XXeb#XeX7  XXXXe}X'XXX  #VXeXX}X'`#XeXXVXe>c  ?+ 4 <DL!X?  II)  #7XXec#XeX7KeyAssumptions e X >cc݌̌XeXXXeXeXXXe   #7XXed#XeX7  XXXXe}X'XXX  #VXeXX}X'c#XeXXVXe{e  X?(4 4 <DL!4X?A) e Thiscontractrequiresaconsultantthatisaneffectivecommunicator,bothorallyandinwriting,ishighly " organized,hasknowledgeofsoftwaredevelopmentmethodologiesandprocesses,hasexperienceinbusinessprocessmodelingandusecasedevelopment,andisexperiencedandskilledingatheringbusinessrequirementstodrivethedesignanddevelopmentofacomputersystem.  {e"f݌̌XeXXXeXeXXXe       XXXXe}X'XXX  #VXeXX}X'f#XeXXVXeh  B) e Thepersonselectedwillbeexpectedtofunctioneffectivelyinaleadroleonateamofbusinessanalystsand &#$ systemanalystsandhavetheabilitytointeractsuccessfullywithbusinessrepresentatives.  &$% hbi݌̌XeXXXeXeXXXe     XXXXe}X'XXX  #VXeXX}X'Ci#XeXXVXej  C) e _DHS_ԀwillprovideresourcestotheContractorasdescribedinAttachment A. q(d&'  jk݌̌XeXXXeXeXXXe   #7XXe\e#XeX7     XXe  I OI  #V Ok#  V$m  <(4 4 <DL!44X<#7 l#XeX7D) e #7XXen#XeX7TheworkdefinedinthissolicitationisexpectedtobeginonoraboutMay1,2002,orassoonthereafteras  *() possible,andcontinueforaperiodofapproximatelysixmonths#7XXen#ԀXeX7onavariableschedulethatcontemplates *(* somewhatlessthanfulltimework.  $m n݌ w,j*, ЌXeXXXeXeXXXeXeXXXeXeXXXe        XXe  I OI  #V Om#  V@q  #7 o#XeX7 E) e Anyappropriatepreviousexperienceorfamiliaritygainedwith_DHS_Ԁapplicationsandprogramareaswillbe   consideredinthissolicitationprocess. #7XXegr# XeX7@q%r݌ XeXXXeXeXXXeXeXXXeXeXXXe   #7XXes#XeX7    XXXXe}X'XXX  #VXeXX}X'r#XeXXVXet  ,X?+ 4 <DL!44X?III) e #7XXet#XeX7ContractorResponsibilityt_u݌ wj ЌXeXXXeXeXXXe   #7XXeu# X,?(4 4 <DL!4X?XeX7#bbddContractoragreestoaccomplishtheworkunderthiscontractasfollows: E8    #7XXe,w##ddbbXeX7 X?+ 4 <DL!44X?|  XH4X` hp x (#%XH7XXe77  |~x  #77x#XeX7Workwith_DHS_ԀbusinessanalyststoidentifyanddocumenttheessentialrequirementsofaScreening,  Assessment,andReferralsystem.ThiscourseofactionmayincludereviewingcurrentbusinessprocessesandsuggestingprocesschangestobettermeetthegoalsoftheDepartment.#7XXe{y#|~x9y݌ }p Ќ X XXXXeX7     |  XH4X` hp x (#%XH7XXe  |{   XeX7Thisworkincludesthefollowingtasks:#7XXeo|#|{B|݌    Ќ X XXXXeX7     B.4 <DL!XB C R $(C  1. 9 Leadingagroupof_DHS_Ԁbusinessanalystsinareviewofbusinessprocessesandathoroughdiscoveryand    analysisofbusinessrequirements.  2. 9 Identifyingandassistingintheresolutionofconflictingprocessesandrequirements.  v    3. 9 Verifyingandrefiningtheprocessesandrequirements,thenrecordingtheminoneconcisebusinessprocessand Q D  requirementsdocumentthatcanbeusedbythedesignteamforsystemdesign.  4. 9 Assistingintheestablishmentofamethodtoprovideiterativevalidationofprocessesandrequirementsby   stakeholderstoallowforstrongerbusinessinvolvementandcontinuousfeedback. XXe E+` ` <DL!4XE#aadd |  #XeX :##ddaa& 8 E+ 4 <DL!` ` XEy  9%X Xp x (#%X9    yu    IV)  DeliverablesandAcceptanceCriteria WJ  ContractorwillbedeterminedtohavesuccessfullycompletedtherequirementsoutlinedinthisStatementofWork % whenthefollowingdeliverableshavebeenprovidedormet._ #bbddyu ͂Ԍ  Ќ_ _  * XXXpX*  #ddbb _?+ 4 <DL!X?'8W <(` ` <DL!X< 1)  Task1:Participationontheprojectteamasabusinessprocessengineerandrequirementsteammember.  Attendanceatscheduledprojectandrequirementsmeetings.Identificationoftasksnecessaryforreviewingbusinessprocessesandgatheringrequirementsbyboththecontractorandassignedbusinessanalysts.Assistancetobusinessanalystsduringbusinessprocessandrequirementsgatheringasneeded,toincludebutnotlimitedtoprovidingguidanceinthebusinessengineeringandanalysisprocessandcreationofrelateddocumentation.Creatingroughdraftprocessandrequirementsdocuments.Gatheringroughdraftprocessandrequirementsdocumentsfrombusinessanalysts.ApprovalofalldocumentsbytheProjectManagerordesignee.2)  Task2:Identifyinganddocumentingconflictingrequirementsandbusinessprocesses.Assistingwith  theidentificationofalternativesandcompromiseswiththeassistanceofthebusinessrepresentativesandbusinessanalysts.BringingthoseconflictingprocessesandrequirementsthatcannotberesolvedtotheattentionoftheProjectManagerforresolution. #bbdd i\"  #ddbb3)  Task3:Deliveryofacomprehensiveandconcisebusinessprocessandrequirementsdocumentthatcan 7*# beusedtodesignaScreening,Assessment,andReferralsystem.ApprovalofthedocumentbytheProjectManagerordesignee. #bbdd %  #ddbb4)  Task4:Definitionofameanstovalidaterequirementsonaniterativebasisbystakeholders.Thismay  & include,butisnotlimitedto,organizingtherequirementsintosmallerunitsofwork,oriterations,thatcanbedevelopedandimplementedinphases. #bbdd ="0 (  ,B+ 4 <DL!` ` XB&   #!* '#h  9  e  OVERALLDELIVERABLEDUEDATE:October31,2002  $"+  9  e  OVERALL_NOT_TO_EXCEED_ԀDOLLARS:$72,000.00athourlyrateof$100/hr.  u%h#, <%X Xp x (#%4X<  C&6$- #VXeXXXe@u#wXeXXVXeR  R>  w,E% Xp x (#%XXpXEwXeXXwXeXXXwXewXeXXX  XwN.X` p x (#%XpXN#VXeXXwXe#wXeXXVXe R>Y݌ '%. Ќ  R  R  wXN% Xp x (#% X` pXN  wN.9X9` p x (#%XpXNR)݌ '%/ Ќ    ]4XX` hp x (#%9 X9` pX]#VXeXXwXe#wXeXXVXe  (&0 H4XX` hp x (#%XXXH {)n'1 eGPUUUU:*******d ddI*<(e  #VXeXXwXeߒ#wXeXXVXe  +)3  eGPUUUU:*******d dd,*66``Te#VXeXXwXe #wXeXXVXe Y-L+4   H4XX` hp x (#%XXXH#VXeXXwXeה#wXeXXVXe m`  #VXeXXwXe#  H4XX` hp x (#%XXXHwXeXXVXe  ExhibitA   #VXeXXwXe7#wXeXXVXeH4XX` hp x (#%XXXHӀ @   #VXeXXwXe#XeXXVXeAttachment A    _DHS_ԀProvidedResources        XXXXe}X'XXX  #VXeXX}X'N#XeXXVXe    Forthepurposesofthisproject,_DHS_ԀwillprovidethefollowingresourcestoContractor:݌ 9 , ЌXeXXXeXeXXXe    [ N  ,B.4 <DL!XXXBC R $$RC--2  1  .3   9 _Workspace_Ԁforone(1)staff.The_workspace_Ԁwillbeequippedwith: } p  L h$RL_ _ 9 Apersonalcomputeradequateforthepositionwitha17monitor,Windows2000operatingsystem,and   MicrosoftOfficeSuite._ _ 9 AconnectiontotheDivisionsNovelllocalareanetworkwithInternetaccessandNovells_Groupwise_Ԁe   mailaccess._ _ 9 Atelephonewithvoicemail. r  _ _ 9 Filingcabinetspace.  2. 9 Limitedclericalsupport.  3. 9 Projectrelatedcostsforuseofthefax,copier,andlimitedlongdistancetelecommunication(voiceand  facsimile)services.Note:Copiercostswillnotbecoveredforproductionofdeliverables.#VXeXXXe#wXeXXVXe  *K14 <DL!T$4XK          9 #VXeXXwXe# %XeXXVXe ]P  #VXeXX%Xe# r II  (XeXXVXe   ! #VXeXX(Xe[#G G  9      A     I   ١ǡ)XeXXVXe #VXeXX)Xez#  !   "   $"  ]%P#   &$   T&'/VExhibitB m` GeneralProvisions     2   1.0 9 IndependentContractor;ResponsibilityforTaxesandWithholding - 9%9% <(X u}L"XX<0  a. 0e%%ContractorshallperformallrequiredWorkasanindependentcontractor.Although_DHS_Ԁreservestherightto m` (1)determine(andmodify)thedeliveryschedulefortheWorktobeperformedand(2)evaluatethequalityofthecompletedperformance,_DHS_ԀcannotandwillnotcontrolthemeansormannerofContractor'sperformance.ContractorisresponsiblefordeterminingtheappropriatemeansandmannerofperformingtheWork. e%e%  u h  0  b. 0e%%IfContractoriscurrentlyperformingworkfortheStateofOregonorthefederalgovernment,Contractorby   signaturetothiscontractdeclaresandcertifiesthat:ContractorsWorktobeperformedunderthiscontractcreatesnopotentialoractualconflictofinterestasdefinedby_ORS_Ԁ244andnorulesorregulationsofContractorsemployingagency(stateorfederal)wouldprohibitContractorsWorkunderthiscontract.Contractorisnotan officer, employee,or agentof_DHS_,asthosetermsareusedin_ORS_Ԁ30.265. e%e%   0  c. 0e%%Contractorshallberesponsibleforallfederalorstatetaxesapplicabletocompensationorpaymentspaidto  Contractorunderthiscontractand,unlessContractorissubjecttobackupwithholding,_DHS_Ԁwillnotwithholdfromsuchcompensationorpaymentsanyamount(s)tocoverContractorsfederalorstatetaxobligations.ContractorisnoteligibleforanySocialSecurity,unemploymentinsuranceorworkerscompensationbenefitsfromcompensationorpaymentspaidtoContractorunderthiscontract,exceptasaselfemployedindividual. e%e%    2.0  SubcontractsandAssignment;SuccessorsinInterest %%  ]P 0  a. 0e%%ContractorshallnotenterintoanysubcontractsforanyoftheWorkrequiredbythiscontract,orassignor  transferanyofitsinterestinthiscontract,withoutthepriorwrittenconsentof_DHS_.Inadditiontoanyotherprovisions_DHS_Ԁmayrequire,ContractorshallincludeinanypermittedsubcontractsunderthiscontractarequirementthatthesubcontractorbeboundbySections2,6,7,11,and13ofthisexhibitasifthesubcontractorweretheContractor._DHS_sconsenttoanysubcontractshallnotrelieveContractorofanyofitsdutiesorobligationsunderthiscontract. e%e%  }!p 0  b. 0e%%Theprovisionsofthiscontractshallbebindinguponandshallinuretothebenefitofthepartieshereto,andtheir "  respectivesuccessorsandpermittedassigns,ifany. e%e%  $"   3.0  NoThirdPartyBeneficiaries. _DHS_ԀandContractoraretheonlypartiestothiscontractandaretheonlyparties -& $! entitledtoenforceitsterms.Nothinginthiscontractgives,isintendedtogive,orshallbeconstruedtogiveorprovideanybenefitorright,whetherdirectly,indirectlyorotherwise,tothirdpersonsunlesssuchthirdpersonsareindividuallyidentifiedbynamehereinandexpresslydescribedasintendedbeneficiariesofthetermsofthiscontract. %%  5*((%  4.0  FundsAvailableandAuthorized;Payments u+h)&%% 0  a. 0e%%ContractorshallnotbecompensatedforWorkperformedunderthiscontractbyanyotheragencyordepartment ,*' oftheStateofOregon._DHS_Ԁhassufficientfundscurrentlyavailableandauthorizedforexpendituretofinancethecostsofthiscontractwithin_DHS_'sbiennialappropriationorlimitation.Contractorunderstandsandagrees .,) &  & X &  _thatDHS'spaymentofamountsunderthiscontractattributabletoWorkperformedafterthelastdayofthecurrentbienniumiscontingentonDHSreceivingfromtheOregonLegislativeAssemblyappropriations,limitations,orotherexpenditureauthoritysufficienttoallowDHS,intheexerciseofitsreasonableadministrativediscretion,tocontinuetomakepaymentsunderthiscontract. e%e% 0  b. 0e%%DHSwillonlypayforcompletedworkthatisacceptedbyDHS. qde%e%    @   5.   e  0 e RepresentationsandWarranties e%e%   a.0 e ContractorsRepresentationandWarranties :ContractorrepresentsandwarrantstoDHSthat(1)Contractor 5 ( hasthepowerandauthoritytoenterintoandperformthiscontract,(2)thiscontract,whenexecutedanddelivered,shallbeavalidandbindingobligationofContractorenforceableinaccordancewithitsterms,(3)theWorkunderthiscontractshallbeperformedinagoodandworkmanlikemannerandinaccordancewiththehighestprofessionalstandards,(4)Contractorshall,atalltimesduringthetermofthiscontract,bequalified,professionallycompetentanddulylicensedtoperformtheWork,(5)allcomputerhardwareandsoftwaredeliveredunderthiscontractwill,individuallyandincombination,correctlyprocess,sequence,andcalculatealldateanddaterelateddataforalldatespriorto,throughandafterJanuary1,2000and(6)anysoftwareproductsdeliveredunderthiscontractthatprocessdateordaterelateddatashallrecognize,storeandtransmitdatedatainaformatwhichexplicitlyandunambiguouslyspecifiesthecorrectcentury. e%e%   0  b.0e%%ContractorsLimitationofLiability :Contractorsliabilitywithrespecttoitems(5)and(6)ofsubsection5a  aboveshallnotexceed:(1)twicethetotalcontractamount(includinganyamendments)or(2)$100,000whicheverisgreater. e%e%  ! 0  c.0e%%WarrantiesCumulative :Thewarrantiessetforthinthissectionareinadditionto,andnotinlieuof,anyother aT warrantiesprovided. e%e%    6.0  OwnershipofWorkProduct. AllworkproductofContractorthatresultsfromthiscontract("theWorkProduct")  istheexclusivepropertyofDHS.DHSandContractorintendthatsuchWorkProductbedeemed workmadeforhireofwhichDHSshallbedeemedtheauthor.IfforanyreasontheWorkProductisnotdeemed workmadeforhire,ContractorherebyirrevocablyassignstoDHSallofitsright,title,andinterestinandtoanyandalloftheWorkProduct,whetherarisingfromcopyright,patent,trademark,tradesecret,oranyotherstateorfederalintellectualpropertylawordoctrine.ContractorshallexecutesuchfurtherdocumentsandinstrumentsasDHSmayreasonablyrequestinordertofullyvestsuchrightsinDHS.ContractorforeverwaivesanyandallrightsrelatingtotheWorkProduct,includingwithoutlimitation,anyandallrightsarisingunder17USC106Aoranyotherrightsofidentificationofauthorshiporrightsofapproval,restrictionorlimitationonuseorsubsequentmodifications. %%  u%h#"  7.0  Indemnity. &$#%%   XeXXVXea.GeneralIndemnity: Contractorshalldefend,holdharmlessandindemnifytheStateofOregon,DHSand '%$ 0 e itsagencies,subdivisions,officers,employeesandagentsfromandagainstallclaims,suits,actions,losses,damages,liabilities,costsandexpensesofanynatureresultingfrom,arisingoutof,orrelatingtotheactivitiesofContractororitsofficers,employees,subcontractors,oragentsunderthisContract. e%e%  ,)(   b.IntellectualPropertyIndemnity: Withoutlimitingthegeneralindemnityprovision,Contractorexpressly A-4+) 0 e agreestodefend,holdharmlessandindemnifytheStateofOregon,DHSanditsagencies,subdivisions,officers,employeesandagentsfromandagainstallclaims,suits,actions,losses,damages,liabilities,costsand /-+ expensesofanynatureresultingfromorinconnectionwithanyclaimsthattheWork,Developments,SystemorDeliverablesorusethereofinfringeanypatent,copyright,tradesecret,orotherproprietaryright(referredtoas"IntellectualPropertyRights")ofanythirdparty;provided,thatDHSshallprovideContractorwithpromptwrittennoticeofanyinfringementclaim.Contractorshallhavecontrolofthedefenseandsettlementoftheclaim;providedthattheStateofOregonorDHSmayassumeitsowndefenseandsettlementintheeventthattheStateofOregonorDHSdeterminesthatContractorisnotadequatelydefendingitsinterestorthatanimportantgovernmentalprincipleisatissueandtheStateofOregonorDHSdesirestoassumeitsowndefense.IfContractor,initssolediscretion,believesatanytimethattheWork,Developments,SystemorDeliverablesinfringeathirdparty'sIntellectualPropertyRights,Contractormay,atitsownexpenseandoptionanduponreceiptofDHS'spriorwrittenconsent,replaceaninfringingitemwithanoninfringingitemthatmeetsorexceedstheperformanceandfunctionalityofthereplaceditem.#VXeXXXep# e%e%     8.0  Insurance: % %% 0  a. 0e%%DuringthetermofthiscontractContractorshallmaintaininforceatitsownexpense,eachinsurancenoted eX  below: e%e% ]+X 'u}L"XX u}L"X]0  0e%% (1) 0e%e%WorkersCompensationinsuranceincompliancewithORS656.017,whichrequiressubjectemployersto  provideOregonworkerscompensationcoverageforalltheirsubjectworkers. %%  @ 0  0e%% e%e%    e (2) 0  GeneralLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan$1,000,000each  occurrenceforBodilyInjuryandPropertyDamage.Itshallincludecontractualliabilitycoveragefortheindemnityprovidedunderthiscontract.ItshallprovidethattheStateofOregon,DepartmentofHumanServices,andtheirdivisions,officersandemployeesareAdditionalInsuredsbutonlywithrespecttotheContractorsservicestobeprovidedunderthiscontract. %%    0   e (3)0%% AutomobileLiabilityinsuranceasrequiredbytheOregonFinancialResponsibilityLaw(ORS806.060), 9, includingcoverageforowned,hiredornonownedvehicles,asapplicable. V&yW%XVXe)%%  i\ #VXeX%V&yW#0   e (4)0%% ProfessionalLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan$1,000,000  eachclaim,incidentoroccurrence.Thisistocoverdamagescausedbyerror,omissionornegligentactsrelatedtotheprofessionalservicestobeprovidedunderthiscontract. q d%% 0  0e%% e%e% 0  b. 0e%% NoticeofCancellationorChange: Thereshallbenocancellation,materialchange,reductionoflimitsorintent "  nottorenewtheinsurancecoverage(s)without30dayspriorwrittennoticefromContractororitsinsurer(s)toContractsCoordinator,OregonDepartmentofHumanServices. e%e%   &$" 0  c. 0e%% CertificatesofInsurance: Asevidenceoftheinsurancecoveragesrequiredbythiscontract,Contractorshall M'@%# furnishacceptableinsurancecertificatestoContractsCoordinator,OregonDepartmentofHumanServicespriortocommencingtheWork.ThecertificatewillspecifyallofthepartieswhoareAdditionalInsureds.InsuringcompaniesorentitiesaresubjecttoStateacceptance.Ifrequested,completecopiesofinsurancepolicies,trustagreements,etc.,shallbeprovidedtotheState.Contractorshallbefinanciallyresponsibleforallpertinentdeductibles,selfinsuredretentionsand/orselfinsurance. e%e%  -- +)  9.0  Termination m.`,*%% Ї0  a.0e%%PartiesRighttoTerminateforConvenience :Thiscontractmaybeterminatedatanytimebymutualwritten m` consentoftheparties. e%e%   0  b.0e%%DHSsRighttoTerminateforConvenience :DHSmay,atitssolediscretion,terminatethiscontract,inwhole  orinpart,upon30daysnoticetoContractor. e%e%    0  c.0e%%DHSsRighttoTerminateforCause :DHSmayterminatethiscontract,inwholeorinpart,immediatelyupon M @ noticetoContractor,oratsuchlaterdateasDHSmayestablishinsuchnotice,upontheoccurrenceofanyofthefollowingevents: e%e%  i \  0  0e%% (1)0e%e% DHSfailstoreceivefunding,orappropriations,limitationsorotherexpenditureauthorityatlevelssufficient   topayforContractorsWork; %%    0  0e%% (2)0e%e% FederalorStatelaws,regulationsorguidelinesaremodifiedorinterpretedinsuchawaythateitherthe    WorkunderthiscontractisprohibitedorDHSisprohibitedfrompayingforsuchWorkfromtheplannedfundingsource; %%  5( 0  0e%% (3)0e%e% ContractornolongerholdsanylicenseorcertificatethatisrequiredtoperformtheWork;oruh%%   0  0e%% (4) 0e%e%Contractorcommitsanymaterialbreachordefaultofanycovenant,warranty,obligationoragreementunder  thiscontract,failstoperformtheWorkunderthiscontractwithinthetimespecifiedhereinoranyextensionthereof,orsofailstopursuetheWorkastoendangerContractorsperformanceunderthiscontractinaccordancewithitsterms,andsuchbreach,defaultorfailureisnotcuredwithin10businessdaysafterdeliveryofDHSsnotice,orsuchlongerperiodasDHSmayspecifyinsuchnotice. %%   0  d.0e%%ContractorsRighttoTerminateforCause :Contractormayterminatethiscontractupon30daysnoticeto -  DHSifDHSfailstopayContractorpursuanttothetermsofthiscontractandDHSfailstocurewithin30daysafterreceiptofContractorsnotice,orsuchlongerperiodofcureasContractormayspecifyinsuchnotice. e%e%  I!<    e.0 e Remedies :"| e%e%    e (1) 0  IntheeventofterminationpursuanttoSections9a,9b,9c(1),9c(2)or9dofthisexhibit,Contractorssole #! remedyshallbeaclaimforthesumdesignatedforaccomplishingtheWorkmultipliedbythepercentageofWorkcompletedandacceptedbyDHS,lesspreviousamountspaidandanyclaim(s)whichStatehasagainstContractor.IfpreviousamountspaidtoContractorexceedtheamountduetoContractorunderthisSection,ContractorshallpayanyexcesstoDHSupondemand. %%  (&#    0 e (2)0e%e% IntheeventofterminationpursuanttoSection9c(3)or9c(4)ofthisexhibit,DHSshallhaveanyremedy *'$ availabletoitinlaworequity.IfitisdeterminedforanyreasonthatContractorwasnotindefaultunderSection9c(3)or9c(4)ofthisexhibit,therightsandobligationsofthepartiesshallbethesameasifthecontractwasterminatedpursuanttoSection9bofthisexhibit. %%    .+( '/V  'X  '    f.0 e ContractorsTenderUponTermination: Uponreceivinganoticeofterminationofthiscontract,Contractor "`  shallimmediatelyceaseallactivitiesunderthiscontract,unlessDHSexpresslydirectsotherwiseinsuchnoticeoftermination.Uponterminationofthiscontract,ContractorshalldelivertoDHSalldocuments,information,worksinprogressandotherpropertythatareorwouldbedeliverableshadthecontractbeencompleted.UponDHSsrequest,ContractorshallsurrendertoanyoneDHSdesignates,alldocuments,researchorobjectsorothertangiblethingsneededtocompletetheWork. e%e%   @  wX10.0 e LimitationofLiabilities.EXCEPTFORLIABILITYARISINGUNDERORRELATEDTO B  SECTION5aOR9e(2)OFTHISEXHIBIT,NEITHERPARTYSHALLBELIABLEFOR(A)ANYINDIRECT,INCIDENTAL,CONSEQUENTIALORSPECIALDAMAGESUNDERTHECONTRACTOR(B)ANYDAMAGESOFANYSORTARISINGSOLELYFROMTHETERMINATIONOFTHISCONTRACTINACCORDANCEWITHITSTERMS.  0 e%e%  2p   11.0 e RecordsMaintenance;Access. Contractorshallmaintainallfiscalrecordsrelatingtothiscontractin r  accordancewithgenerallyacceptedaccountingprinciples.Inaddition,ContractorshallmaintainanyotherrecordspertinenttothiscontractinsuchamannerastoclearlydocumentContractor'sperformance.ContractoracknowledgesandagreesthatDHS,theOregonSecretaryofState'sOffice,theFederalGovernment,andtheirdulyauthorizedrepresentativesshallhaveaccesstosuchfiscalrecordsandallotherbooks,documents,papers,plans,andwritingsoftheContractorthatarepertinenttothiscontractforthepurposeofperformingexaminationsandaudits,andmakingexcerptsandtranscripts. e%e%  >|    e Contractorshallretainandkeepaccessibleallsuchfiscalrecords,books,documents,papers,plans,andwritings e foraminimumofthree(3)years,orsuchlongerperiodasmayberequiredbyapplicablelaw,followingfinal e paymentandterminationofthiscontract,oruntiltheconclusionofanyaudit,controversyorlitigationarising e outoforrelatedtothiscontract,whicheverdateislater.   12.0 e 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. e%e%  z$""  13.0 e ForeignContractor. IfContractorisnotdomiciledinorregisteredtodobusinessintheStateofOregon, %## ContractorshallpromptlyprovidetotheOregonDepartmentofRevenueandtheSecretaryofStateCorporationDivisionallinformationrequiredbythoseagenciesrelativetothiscontract.ContractorshalldemonstrateitslegalcapacitytoperformtheWorkunderthiscontractintheStateofOregonpriortoenteringintothiscontract. e%e%  )('  14.0 e ForceMajeure. NeitherDHSnorContractorshallbeheldresponsiblefordelayordefaultcausedbyfire,riot, +@)( naturaldisasters,orwarwheresuchcausewasbeyondthereasonablecontrolofDHSorContractor,respectively.Contractorshall,however,makeallreasonableeffortstoremoveoreliminatesuchacauseofdelayordefaultandshall,uponthecessationofthecause,diligentlypursueperformanceofitsobligationsunder thiscontract..,,e%e% Ї 15.0 e Survival. Allrightsandobligationsshallceaseuponterminationorexpirationofthiscontract,exceptforthe ` rightsandobligationssetforthintheContractSectionI.EFFECTIVEDATEANDDURATION,andinparagraphs5,6,7,9,10,11,15and21ofthisexhibit. e%e%  |  16.0 e TimeisoftheEssence. Contractoragreesthattimeisoftheessenceunderthiscontract.e%e%  X  17.0 e WrittenNotice. Allnoticesregardingthiscontractmustbegiventothepartiesinwritingbypersonaldelivery  @ ormailingthesame,postageprepaid,tothefollowingaddresses: e%e%   `+X 'u}L"XX 'u}L"X`DHS:0 e   RayLong,ContractsConsultant,ordelegate p e%e% 0   e   OregonDepartmentofHumanServices %% 0   e   500SummerStreetNE/MailingCodeE03 %% 0   e   SalemOR973101080 %% `+X ' }L"XX 'u}L"X`   e   FacsimileNumber:5033737889   e   PhoneNumber:50394754060   %%   Contractor:  TracieBjugan  0    e   SBIEmerald,Inc. p    e   320SWOakStreet,SecondFloor   e   Portland,OR97204  0 e 0e%e%PhoneNumber:5037052207 %%   0 e 0e%e%FacsimileNumber:5036251228     ^ p%%   0  Anynoticedeliveredbyfacsimileshallbedeemedtobegivenwhenreceiptofthetransmissionisgeneratedbythetransmittingmachine.TobeeffectiveagainstDHS,suchfacsimiletransmissionmustbeconfirmedbytelephonenoticetoDHSsContractAdministrator. %%  `   X18.0 e Severability. Thepartiesagreethatifanytermorprovisionofthiscontractisdeclaredbyacourtofcompetent !H jurisdictiontobeillegalorinconflictwithanylaw,thevalidityoftheremainingtermsandprovisionsshallnotbeaffected,andtherightsandobligationsofthepartiesshallbeconstruedandenforcedasifthecontractdidnotcontaintheparticulartermorprovisionheldtobeinvalid. e%e%  %P#  19.0 e Counterparts. Thiscontractmaybeexecutedinseveralcounterparts,allofwhichwhentakentogethershall &$ constituteoneagreementbindingonallparties,notwithstandingthatallpartiesarenotsignatoriestothesamecounterpart.Eachcopyofthecontractsoexecutedshallconstituteanoriginal. e%e%   *'" 20.0 e DisclosureofSocialSecurityNumber. ContractormustprovideContractorsSocialSecuritynumberunless D+(# ContractorprovidesafederaltaxIDnumber.ThisnumberisrequestedpursuanttoORS305.385,OAR12520410(3)andOAR150305.100.SocialSecuritynumbersprovidedpursuanttothisauthoritywillbeusedfortheadministrationofstate,federalandlocaltaxlaws. e%e%  L/,'  21.0 e GoverningLaw;Venue;ConsenttoJurisdiction. Thiscontractshallbegovernedbyandconstruedin ` accordancewiththelawsoftheStateofOregonwithoutregardtoprinciplesofconflictsoflaw.Anyclaim,action,suitorproceeding(collectively,"Claim")betweenDHS(and/oranyotheragencyordepartmentoftheStateofOregon)andContractorthatarisesfromorrelatestothiscontractshallbebroughtandconductedsolelyandexclusivelywithintheCircuitCourtofMarionCountyfortheStateofOregon;provided,however,iftheclaimmustbebroughtinafederalforum,thenitshallbebroughtandconductedsolelyandexclusivelywithintheUnitedStatesDistrictCourtfortheDistrictofOregon.CONTRACTOR,BYTHEEXECUTIONOFTHISCONTRACT,HEREBYCONSENTSTOTHEINPERSONAMJURISDICTIONOFSAIDCOURTS. e%e%  p   22.0 e Amendment. Thetermsofthiscontractmaynotbewaived,altered,modified,supplementedoramended,in  X  anymannerwhatsoever,exceptbywrittenagreementsignedbytheparties.Thiscontractwillnotbeamendedaftertheexpirationdate. e%e%   t  23.0 e ConfidentialityofClientInformation   e%e%  L ](X u}L"XX ' }L"X]0  a. 0e%%AllinformationastopersonalfactsandcircumstancesobtainedbytheContractorontheclientshallbetreated 4 asprivilegedcommunications,shallbeheldconfidential,andshallnotbedivulgedwithoutthewrittenconsentoftheclient,hisorherattorney,theresponsibleparentofaminorchild,orhisorherguardianexceptasrequiredbyothertermsofthiscontract.Nothingprohibitsthedisclosureofinformationinsummaries,statistical,orotherformwhichdoesnotidentifyparticularindividuals. e%e%  ( 0  b. 0e%%Theuseordisclosureofinformationconcerningclientsshallbelimitedtopersonsdirectlyconnectedwiththe h administrationofthiscontract.Confidentialitypoliciesshallbeappliedtoallrequestsfromoutsidesources.   V  e%e% 0  c. 0e%%DHS,ContractorandanysubcontractorwillshareinformationasnecessarytoeffectivelyserveDHSclients.e%e%     24.0 e CompliancewithApplicableFederalLaw. Contractoragreestocomplywithallfederallawsandregulations ` applicabletoworkperformedunderthiscontractinclusiveofbutnotlimitedto: e%e%   8 0  a.0e%% Totheextentitisrequiredtodosobylaw,Contractorshallabidebyallmandatorystandardsandpolicieswhich !x relatetoenergyefficiencyandwhicharecontainedinthestateofOregonenergyconservationplanwhichwasissuedincompliancewiththeEnergyPolicyandConservationAct(PL94-163).Allsubcontractsshallalsobeincompliancewiththeforegoing. e%e% 0   %%  0  b. 0e%%Bysignatureonthiscontract,theundersignedcertifies,tothebestofhisorherknowledgeandbelief,that:'$"e%e%  \(&# Z(X wu}L"XX u}L"XZ0  0e%% (1)0e%e% Nofederallyappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfofContractor,toanyperson )D'$ forinfluencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththeawardingofanyfederalcontract,themakingofanyfederalgrant,themakingofanyfederalloan,theenteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodificationofanyfederalcontract,grant,loan,orcooperativeagreement. %%  |/$-* Z(X '}L"XX wu}L"XZ0  0e%% (2)0e%e% Ifanyfundsotherthanfederallyappropriatedfundshavebeenpaidorwillbepaidtoanypersonfor ` influencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththisfederalcontract,grant,loan,orcooperativeagreement,ContractoragreestocompleteandsubmitStandardFormLLL"DisclosureFormtoReportLobbying,"inaccordancewithitsinstructions. %%  T 0  0e%% (3) 0e%e%Theundersignedshallrequirethatthelanguageofthiscertificationbeincludedintheawarddocumentsfor  allsubawardsatalltiers(includingsubcontracts,subgrants,andcontractsundergrants,loans,andcooperativeagreements)andthatallsubrecipientsshallcertifyanddiscloseaccordingly. %%    0  0e%%Thiscertificationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscertificationisaprerequisiteformakingorenteringintothistransactionimposedbysection1352,title31,U.S.Code.Anypersonwhofailstofiletherequiredcertificationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure. e%e%  L 0  c. 0e%%ContractoragreestocomplywithExecutiveOrder11246entitledEqualEmploymentOpportunityasamended 4 byExecutiveOrders11375and12086andassupplementedinDepartmentofLaborRegulation41CFRpart60.Allsubcontractsshallalsocomplywiththeseprovisions. e%e%   P   d. 0 e Ifthesumpayableunderthiscontractexceedsormayexceed$100,000,ContractorshallprovideDHSawritten  assurancethatContractorwillcomplywithallapplicablestandards,orders,orrequirementsissuedunderSection306oftheCleanAirAct(42USC7401et.seq.),theFederalWaterPollutionControlAct,asamended(33USC1251et.seq.),Section508oftheCleanWaterAct(33USC1368),ExecutiveOrder11738andEnvironmentalProtectionAgencyregulations(40CFRPart15).ContractorfurtheragreestopromptlyreportallinfractionstotheStateofOregon,andtotheDepartmentofHealthandHumanServices,andtotheU.S.RegionalOfficeoftheEnvironmentalProtectionAgency.Allsubcontractsshallalsobeincompliancewiththeseprovisions. e%e%  H  25.0 e Year2000. IntheeventContractorlearnsorhasreasontobelievethatDHSscomputerhardwareorsoftware  environmentfailstouseadateformatthatexplicitlyspecifiescenturyinanydatedata,ContractorshallpromptlyadviseDHSofsuchfailure. e%e%  "   26.0 e DepartmentofJusticeApproval. Whenthecontractoramendmentstheretocausethecontractpaymentto <$!  beinexcessof$75,000,theDepartmentofJusticemustapprovethecontractandanyamendmentsastoLegalSufficiency.Suchapprovalisrequiredbeforeanyworkmaybeginunderthiscontractoramendmentsthereto,orthecontractisnotbindingontheStateofOregonorDHS. e%e%  D(%$  27.0 e KeyPerson. ContractoracknowledgesandagreesthatDHSselectedContractor,andisenteringintothis ),'% Contract,becauseofthespecialqualificationsofContractors KeyPerson(s).Inparticular,DHSthroughthisContract,isengagingtheexpertise,experience,judgmentandpersonalattentionofTracieBjugan( KeyPerson).ContractorsKeyPersonshallnotdelegateperformanceoftheresponsibilitieshe/sheisrequiredtoprovideunderthisContracttoanother(other)ofContractorsemployee(s)withoutfirstobtainingthewrittenconsentofDHS.Further,Contractorshallnotre-assignortransferanyKeyPersontootherdutiesorpositionssuchthatanyKeyPersonisnolongeravailabletoprovideDHSwithhis/herexpertise,experience,judgment, /,+ andpersonalattention,withoutfirstobtainingDHSspriorwrittenconsenttosuchre-assignmentortransfer.IntheeventContractorrequeststhatDHSapproveare-assignmentortransferofanyKeyPerson,DHSshallhavetherighttointerview,reviewthequalificationsof,andapproveordisapprovetheproposedreplacementfortheKeyPerson.AnyapprovedsubstituteorreplacementforaKeyPersonshallbedeemedaKeyPersonunderthisContract. e%e%   0  Inaddition, XeXXVXetheContractormustprovideareplacementforanyConsultantwhoceasesaffiliationwiththeContractor,  whomDHSdeemsisnotperformingatanacceptablelevelorishinderingthesuccessfulcompletionofassignment(s),isunabletoperformassignedwork,orasrequiredbyDHS.TransitionschedulemustbeapprovedbyDHS.IntheeventthatDHSrequiressuchreplacement,theContractorshallpromptlysubstituteorengageotherqualifiedindividuals.AllsuchreplacementsaresubjecttoDHSspriorreviewandacceptance.IntheeventthatContractorisunabletomeetitsobligationtofurnishareplacementConsultant,DHSmay,atitsoption,terminatethatportionoftheContractwithoutliability,ortocontinuetheContractwithoutreplacement.#VXeXX Xe^.# p %% XeXXVXe&yW%XXe   ExhibitC ` #XeX%&yW1# 2#VXeXXXe1#  IndependentContractorCertification      $ V&yW%XVXeV %V&yW ThisformistobecompletedbyContractor;Corporationsarenotrequiredtocompletethisform. d   ORS670.600IndependentContractor;standards.AsusedinvariousprovisionsofORSchapters316,656,657and701,anindividualor V businessentitythatperformslabororservicesforrenumeration'sshallbeconsideredtoperformthelabororservicesasanIndependentContractorifthestandardsofthissectionaremet:X  Contractorunderstandsthat:  ,  P BXX '}L"XB1.0  Theindividualorbusinessentityprovidingthelabororservicesisfreefromdirectionandcontroloverthemeansandmannerofproviding v  thelabororservices,subjectonlytotherightoftheAgencyforwhomthelabororservicesareprovidedtospecifythedesiredresults; %% 2.0  Theindividualorbusinessentityprovidinglabororservicesisresponsibleforobtainingallassumedbusinessregistrationsorprofessional   occupationlicensesrequiredbystatelaworlocalgovernmentordinancesfortheindividualorbusinessentitytoconductthebusiness; %% 3.0  Theindividualorbusinessentityprovidinglabororservicesfurnishesthetoolsorequipmentnecessaryforperformanceofthecontracted  >  labororservices; %% 4.0  Theindividualorbusinessentityprovidinglabororserviceshastheauthoritytohireandfireemployeestoperformthelabororservices;& %% 5.0  Paymentforthelabororservicesismadeuponcompletionoftheperformanceofspecificportionsoftheprojectorismadeonthebasis   ofanannualperiodicretainer. %% *XX*6.0  TheindividualorbusinessentityprovidinglabororserviceisregisteredunderORSchapter701,iftheindividualorbusinessentity P provideslabororservicesforwhichsuchregistrationisrequired; %% 7.0  FederalandstateincometaxreturnsinthenameofthebusinessorabusinessScheduleCorfarmScheduleFaspartofthepersonal 8 incometaxreturnwerefiledforthepreviousyeariftheindividualorbusinessentityperformedlabororservicesasanindependentcontractorinthepreviousyear;and %% 8.0  Theindividualorbusinessentityrepresentstothepublicthatthelabororservicesaretobeprovidedbyanindependentlyestablished f business.ExceptwhenanindividualorbusinessentityfilesaScheduleFaspartofthepersonalincometaxreturnsandtheindividualorbusinessentityperformsfarmlabororservicesthatarereportableonScheduleC,anindividualorbusinessentityisconsideredtobeengagedinanindependentlyestablishedbusinesswhenfourormoreofthefollowingcircumstancesexist.Contractormustmeetfour(4)ormoreofthefollowing: %% *X*  A.0  Thelabororservicesareprimarilycarriedoutatalocationthatisseparatefromtheresidenceofanindividualwhoperformsthelabor x orservices,orareprimarilycarriedoutinaspecificportionoftheresidence,whichportionissetasideasthelocationofthebusiness; %%   B.0  Commercialadvertisingorbusinesscardsasiscustomaryinoperationofsimilarbusinessesarepurchasedforthebusiness,orthe ` individualorbusinessentityhasatradeassociationmembership; %%   C.0  Telephonelistingandserviceareusedforthebusinessthatisseparatefromthepersonalresidencelistingandserviceusedbyan  individualwhoperformsthelabororservices; %%   D.0  Labororservicesareperformedonlypursuanttowrittencontracts;(!%%   E.0  Labororservicesareperformedfortwoormoredifferentpersonswithinaperiodofoneyear;orr"%%   F.0  Theindividualorbusinessentityassumesfinancialresponsibilityfordefectiveworkmanshiporforservicenotprovidedasevidenced d # bytheownershipofperformancebonds,warranties,errorsandomissioninsuranceorliabilityinsurancerelatingtothelabororservicestobeperformed. %% 9.0  PursuanttoOAR1250200410(4),thecontractshallprovidethattheContractorisresponsibleforfederalSocialSecurity,exceptthose !:& categoriesexcludedbylaw,andforanyfederalorstatetaxesapplicabletothecontractpayment.0"'%%  IndependentContractorcertifieshe/shemeetstheabovestandardsandagreestoperformthelabororservicesrequiredbythiscontractasanIndependentContractor. P-  -ContractorSignature ________________________________________________Date_________________ &>$, '   ' '5H X5HXEntityName(printedortyped): _____________________________________________________________________ z("&.  HHXHH#V&yW% V3#:3  l)'/  VXeX%V&yW  ExhibitD ` ConfidentialityAgreement#V&yW%XVXeI#V %V&yW   #V&yW% VJ#JV %V&yWToallcontractorsworkingonOregonDepartmentofHumanServices(DHS)projects: 8 Forthepurposesofthiscertificatetheterm contractorwillmeanallConsultantsassignedtotheprojectbythecontractor.Oregonslawscontainprovisionsrelationtoconfidentialityofrecords,listsandinformationaboutclientapplicants/clients/recipientsandaboutStateemployees.Theselaws,andthepenaltiesforviolationofthem,pertaintoeverycontractorworkingonDHSprojects,atalllevelsandinanycapacity.AsaconditionofyourcontinuedworkforDHS,youarerequiredtocompletetheconfidentialitytrainingexerciseandsignthiscertificateverifyingthatyouunderstandthelawsandareawareofthepenaltiesforviolation.Ifatsomefuturedate,youhavedoubtsaboutthelegalityofanactionyoumaybeabouttotake,asktherespectiveprojectmanagerforaninterpretation.Youpersonallyarelegallyresponsibleforanyviolationoftheselaws. ConfidentialityofPersonnelInformation :ORS192.500 ThePublicRecords Actcontainsanumberofexemptionsforinformation   maintainedonStateemployeesincludinga personalprivacyexemptionwhichstates: Thefollowingpublicrecordsareexemptfromdisclosure...Informationofapersonalnaturesuchasthatkeptinapersonal,medicalorsimilarfile,ifthepublicdisclosurethereofwouldconstituteanunreasonableinvasionofprivacy,unlessthepublicinterestbyclearandconvincingevidencerequiresdisclosureintheparticularinstance.Thepartyseekingdisclosureshallhavetheburdenofshowingthatpublicdisclosurewouldnotconstituteanunreasonableinvasionofprivacy.(ORS196.500(2)(b))    ConfidentialityofWelfareApplicants/RecipientsInformation :ORS411.300 Regulationsconcerninguseandcustodyofrecords.   (1)DHSshallmakeandenforcereasonablerulesandregulationsgoverningthecustody,useandpreservationoftherecords,tapes,filesandcommunicationsofDHS.Theuseofsuchrecords,papers,filesandcommunicationsbyanyotheragencyordepartmentofgovernmentorpersontowhichtheymaybefurnishedshallbelimitedtothepurposesforwhichtheyarefurnishedandbytheprovisionsofthelawunderwhichtheymaybefurnished.ORS411.320 Disclosureanduseofrecordslimited;contentsasaprivilegedcommunication. Fortheprotectionofclients,DHS ^ contractors...shallnotdiscloseorusethecontentsofanyrecords,files,papersorcommunicationsforpurposesotherthanthosedirectlyconnectedwiththeadministrationofthepublicassistancelawsofOregon,andtheserecords,filespapersandcommunicationareconsideredconfidentialsubjecttotherulesandregulationsofDHSanditsDivisions,exceptasotherwiseprovidedinORS411.325to411.335.Inanyjudicialproceedings,exceptproceedingsdirectlyconnectedwiththeadministrationofpublicassistancelaws,theircontentsareconsideredprivilegedcommunications.(Note:ORS421.325and411.330havebeenvoidedbycourtaction.)ORS411.335 Prohibiteduseoflistsornames. Nopersonoragencyshallsolicit,disclose,receive,makeuseof,orauthorize,knowingly X  permit,participateinaoracquiesceintheuseof,anylistsofnamesforcommercialorpoliticalpurposesofanynature,foranypurposenotdirectlyconnectedwiththeadministrationofpublicassistancelaws.(Note:ORS411.325and41.330havebeenvoidedbycourtaction.)ORS411.990 Penalties (1)ViolationofORS411.320to411.335ispunishable,uponconviction,byafineofnotmorethan$1,000or % byimprisonmentinthecountyjailfornotmorethan60days,orbyboth.ViolationofORS192.500iscausefordisciplinaryactionunderORS240.555. R '  Instructions: Contractorandsupervisorwillsignpriortostartofwork.ReturnoriginaltotheDHSProjectManagerordesignee. 6") IcertifythatIhavereadtheforegoing.MysignaturebelowmeansthatIunderstandtheprovisionsoflawpertainingtotheconfidentialityofDHSrecordsandinformation.IalsounderstandthattheselawsmaychangefromtimetotimeandthatitismyresponsibilitytoreadandunderstandthesechangesasIamnotifiedofthem.9%X ,X9er4 hX 79  Name(pleaseprint):  ___________________________________________________________________________ ,(%0 Signature:_______________________________________________  Date_____________________ +(3 SupervisorsSignature:________________________________________________Date_____________________]#V&yW% VJ#  .r,7 X     @F  @r  @  @  @A  @  @  @u VXeX%V&yW0 @ #V&yW%XVXe>_# VXeX%V&yW0@%(#(# ExhibitE `  7 INFORMATIONFORCRIMINALHISTORYCHECK#V&yW%XVXe_#V%V&yW  R *8F9Xddd Xdd Xdd X%%,m dd ,dd , dd +  % B %@* * *** 5s9#VHIRINGSUPERVISORTOCOMPLETETHISSECTION #V#5s9a#*** * ^ *PNameofDHSSupervisor=P $B  $PAgency/Address=P  B  PPhoneNumber/Extension=P(B     (*:F;dXdm dd m dd  dd 8F9%%,s#dd +  !  x  !@ ***5s9#V TOBECOMPLETEDBYAPPLICANT/EMPLOYEE #V#5s9Ed#***( <   (KX X (#X ,X9er4 hXK  Name(PleasePrint) Last    h First     p Middle    DateofBirth  -  AF<) xdE!A i  OtherName(s)Used:(MaidenName,PreviousMarriedName(s),Aliases,LegalNameChanges,AssumedNames,etc.) [ #V&yW%V<`#VXeX%V&yWAF<)V' s#dEV' s#A#V&yW%XVXeg#V%V&yW##V&yW%V挕g#V&%V&yW33#V&yW%&Vg#33 hV%V&yWSex     SocialSecurityNumber(PerSignedConsentBelow) p     DriversLicenseNumber/IssuingState Y K#V&yW%VYh#V%V&yWMale#V&yW%Vki#V%V&yW  Female#V&yW%V挾i#V%V&yW #V&yW%Vj#V%V&yW v AF<)Vs#dEVs#A %ZWARNING:Falselyrespondingtoanyofthequestionslistedbelowdisqualifiesyourapplicationbylaw.   EX  X (#X X XE1.  Yes  No0 HaveyoulivedoutsidetheStateofOregonanytimeduringthefive(5)yearpriortodaysdate?q % % k2.  Yes  No0 Haveyoueverbeenconvictedofanycrimelistedonthebackofthisform(orthesubstantialequivalentofanyofthe H crime(s)iftheconvictionoccurredinanotherjurisdictionorinOregonunderadifferentstatutorynameornumber)?  % % IfYES,placean(X)intheboxbesidethecrime(orthesubstantiallyequivalentcrime)and,onaseparatesheetofpaper,describethecircumstancesbywhichyouwereconvictedofthecrime(s)andprovideanyinformationyouhavetohelpusunderstandwhyyoubelieveyourconviction(s)WILLNOTposearisktopersonsinthecareoforreceivingservicesfromDHS,orotherpreventyoufromfulfillingtheresponsibilitiesofyourjob.3.  Yes  No0 Doyouhaveaconcealedhandgunlicense?B"$ % % @  %P$!+$! 5s9#VAUTHORIZATIONTODISCLOSESOCIALSECURITYNUMBER#V#5s9p#  P$!' %g%#B%"OAR410070000authorizesDHStorequestyoutovoluntarilyprovideyourSocialSecurityNumbertoDHSforuseasanidentificationnumberforcriminalrecordchecks.FailuretoprovideyourSocialSecurityNumberwillnotbeusedasabasistodenyyouanyrightorbenefit,orprivilegeprovidedbylaw.IfyouprovideyourSocialSecurityNumberandconsenttoitsuse,itwillbeusedonlyforthepurposestatedaboveandwillnotbegiventothegeneralpublic.BysigningthisconsenttodiscloseyourSocialSecurityNumber,youauthorizeDHStodiscloseyourSocialSecurityNumbertoothersifsuchdisclosureisnecessaryforthepurposestatedabove.______________________________________________________________________________________________________________________ConsultantsSignature     h      p       Date S+(0 %j,*E,)@II 5s9#VAFFIRMATIONOFACCURATEINFORMATION#V#5s9[u#  j,*1 %-)+\-+Ihavereviewedandcompletedbothsidesofthisformasapplicabletome.Iunderstandthatsubmittingfalseinformationwilldisqualifymefromworkingat/forDHS.Bymysignaturebelow,Iherebyaffirmthatallinformationprovidedonbothsidesofthisform,andallattachmentsthereto,aretrueandaccurate.   .e,4  /W-5    @  @  @ ***5s9#V CONSULTANTSSIGNATUREMUSTBEWITNESSED#V#5s9w# 󀀀*** `   _________________________________________________0  0%%______________________________________________________D%% ConsultantsSignature    Date h   0  SignatureofWitness     Date6%%            h      p   0  0 %%0 % %0 % % h     0p%% p%p%   0  0 %%0 % %0 % %0h%%0h%h%0%%0p%%_______________________________________________________ p%p% h         h     0 p  p%p%   0  0 %%0 % %0 % %0h%%0h%h%0%%0p%%TitleofWitness  p%p% h{*e=F>dds#dd s#:F;%%e,dd ,Wdd +  % h  %@ ***5s9#V DHSPERSONNELSERVICESUSEONLY #V#5s9@~#Ԁ*** ',  'DateofLEDSCCH/WARRANTS/DMVCheck:______/______/_____  m DHSPERSSVCSRECORDSSPEC:    ]4X^ ; N <u|,,Xh4!XX  X X]Conviction :  Yes - No g  z Warrant:  h Yes  No    ValidODL :YesQ?No F  ContinuedEmployment : - Approved z Denied#V&yW%Vkj# *    2    -  g  z  h   V%V&yWԹ*xFdddd Wdd W=F>%%x, $dd +   , #V&yW%VӁ#VXeX%V&yW@  IMPORTANTNOTICETOCONSULTANT    #V&yW%XVXeɂ#VCy%V&yWYOURSIGNATUREONTHEFRONTOFTHISFORMMEANSYOUHAVEREVIEWEDTHISLISTOFCRIMESANDCHECKMARKED(4)THOSE  CRIMESFORWHICHYOUHAVEBEENCONVICTED.YOURSIGNATUREALSOGRANTSPERMISSIONFORDHSTOVERIFYANYANDALLINFORMATIONYOUHAVEPROVIDEDONTHISFORMANDATTACHEDDOCUMENTS,IFANY.#V&yW%VCyb#V%V&yW "#  #V&yW%V#V&%V&yWffӀ#V&yW%&V?#V%V&yW #8!# ff^#V&yW%V挔#VCy%V&yWSpecificCrimes:(ORS):#V&yW%VCy#VCy%V&yW #$!$ #V&yW%VCyZ#VXeX%V&yWffffІ`" F X XX^ ; N <u|,,Xh4!X`#V&yW%XVXe#V%V&yW( %%(o0  162.0250uuBribeReceiving&#&uu o0  162.0650uuPerjury&$'uu o0  162.1550uuEscapeII'`%(uu o0  162.165  EscapeI(2&)uu o  162.185  SupplyingContraband \)'* o0  162.2050uuFailuretoAppearI.*'+uu o0  162.2350uuObstructingGovernmentalorJudicial +(, Administration uu o0  162.2650uuBribingaWitnessP,).uu o0  162.2750uuBribeReceivingByaWitness"-*/uu o0  162.2850uuTamperingWithaWitness-+0uu o0  162.3050uuTamperingWithPublicRecords.n,1uu  o0  162.3250uuHinderingProsecution/@-2uu o 6 163.095 a AggravatedMurder   o 6 163.115 a Murder &$3 o 6 163.118 a ManslaughterI '`%4 o 6 163.125 a ManslaughterII (2&5 o 6 163.145 a CriminallyNegligentHomicide \)'6 o0 6 163.1600a6&6&AssaultIV.*'7a&a& o 6 163.165 a AssaultIII +(8 o 6 163.175 a AssaultII +z)9 o 6 163.185 a AssaultI ,L*: o0 6 163.1900a6&6&Menacingv-+;a&a& o0 6 163.1950a6&6&RecklesslyEndangeringAnotherH.+<a&a& o 6 163.200 a CriminalMistreatmentII /,= o 6 163.205 a CriminalMistreatmentI /-> o  163.225  KidnapingII ` o  163.235  KidnapingI 2 o  163.275  Coercion \ o  163.355  RapeIII . o  163.365  RapeII  o  163.375  RapeI z o  163.385  SodomyIII L o  163.395  SodomyII v o  163.405  SodomyI H  o  163.408  UnlawfulSexualPenetrationII    o  163.411  UnlawfulSexualPenetrationI    o  163.415  SexualAbuseIII  f  o  163.425  SexualAbuseII  8  o  163.427  SexualAbuseI b  o  163.435  ContributingtotheSexualDelinquencyofaMinor 4  o  163.445  SexualMisconduct   o0  163.4550uuAccostingforDeviatePurposes uu o  163.465  PublicIndecency R o  163.515  Bigamy |$ o  163.525  Incest N o  163.535  AbandonmentofaChild   o  163.545  ChildNeglectII  o  163.547  ChildNeglectI l o  163.555  CriminalNonsupport > o  163.575  EndangeringtheWelfareofaMinor h o  163.670  UsingChildinDisplayofSexuallyExplicit : Conducto  163.6730  DealinginDepictionsofSexualConductInvolving 2 aChild uu o0  163.6750uuSaleofExhibitionofVisualReproductionof  SexualConductbyChild uu o  163.680  PayingforViewingSexualConduct * o  163.732  Stalking   o0  164.0430uuTheftIIIv!uu o0  164.0450uuTheftIIH"uu o0  164.0550uuTheftIr#uu o0  164.0570uuAggravatedTheftID$uu o  164.075  TheftbyExtortion  % o  164.225  BurglaryI  & o  164.325  ArsonI !b' H,F$ 4 X F X XHo e 164.395  RobberyIII "4 ( o e 164.405  RobberyII ^#!) o e 164.415  RobberyI 0$!* o0 e 165.0130eueuForgeryintheFirstDegree%"+uu o0 e 165.0220eueuCriminalPossessionofaForgedInstrumentinthe %|#, FirstDegree uu BX,F$ 4 XBo0 e 165.0320eueuCriminalPossessionofaForgeryDevice$'$.uu o0 e 165.0550eueuFraudulentUseofCreditCard(Over$750)'%/uu o0 e 165.0650eueuNegotiatingaBadCheck(ClassFelonyClause)(p&0uu o0 e 165.0700eueuPossessionaFraudulentCommunicationDevice)B'1uu o0 e 165.0740eueuUnlawfulFactoringofaCreditCardTransactionl*(2uu o0 e 165.0850eueuSportsBribery>+(3uu o0 e 165.0900eueuSportsBribeReceiving,)4uu o0 e 166.0150eueuRiot,*5uu o e 166.085  AbuseofCorpseII -\+6 o e 166.087  AbuseofCorpseI ..,7 o e 166.155  IntimidationII X/-8 o e 166.165  IntimidationI *0-9 o  166.220 a UnlawfulUseofWeapon `9 o  166.270 a FeloninPossessionofFirearm 2: o0  166.2720a&&UnlawfulPossessionofMachineGuns,CertainShortbarreled \; Firearms&FirearmsSilencers a&a& o  166.275 a PossessionofWeaponsbyInmatesofInstitutions T= o  166.3700 a DischargingFirearmatSchool/PossessionofFirearmor ~&> DangerousWeaponinPublicBuilding a&a& o  166.382 a PossessionofDestructiveDevice v@ o  166.384 a UnlawfulManufactureofDestructiveDevice HA o  166.429 a UseofFirearmsinFelony r B o  166.480 a SaleorGiftofExplosivestoChildren D C o  166.660 a UnlawfulParamilitaryActivity  D o  166.720 a Racketeering  E o0  167.0070a&&Prostitution b Fa&a& o  167.012 a PromotingProstitution  4 G o  167.017 a CompellingProstitution ^ H o  167.0620 a SadomasochisticAbuseorSexualConductinLiveShow 0 I #V&yW%V挎#VCy%V&yW(engagingin)#V&yW%VCy9#V%V&yWV Ja&a& o  167.0620 a SadomasochisticAbuseorSexualConductinLiveShow (K (directing,managing,financing,orpresenting) a&a& o  167.065 a FurnishingObsceneMaterialstoMinors xM o  167.070 a SendingObsceneMaterialstoMinors JN o  167.075 a ExhibitinganObscenePerformancetoaMinor tO o  167.080 a DisplayingObsceneMaterialstoMinors FP o  167.087 a DisseminatingObsceneMaterial Q o  167.090 a PubliclyDisplayingNudityorSexforAdvertisingPurposes R o  167.212 a TamperingwithDrugRecords dS o  167.2620 a AdultUsingMinorinCommissionofControlledSubstance 6T Offense(LessThanFiveGramsMarijuana) a&a& o  411.630 a UnlawfullyObtainingofPublicAssistance V o  411.840 a UnlawfullyUsingStampsorCommodities XW o0  471.4100a&&ProvidingLiquortoaPersonUnder21ortoIntoxicated *X Person;MandatoryMinimumPenalties a&a& o0  475.9920a&&ProhibitedActsGenerally;Penalties;AffirmativeDefensefor zZ CertainPeyoteUses a&a& o0  475.9930a&&ProhibitedActsforRegistrants;Penalties"\a&a& o0  475.9940a&&ProhibitedActsInvolvingRecordsandFraud;Penalties]a&a& o0  475.9950a&&DistributionofControlledSubstancetoMinorsn^a&a& o0  475.9960a&&CrimeCategoryClassificationforViolationof475.992;Proof @_ ofCommercialDrugOffense a&a& o0  475.9990a&&ManufactureorDeliveryofControlledsubstancetoMinoror  a StudentWithin1,000FeetofSchool a&a& o0  811.1400a&&RecklessDriving8"ca&a& o0  811.1820a&&CriminalDrivingWhileSuspendedorRevokedorinViolation  # d ofaPermit a&a& o0  811.5400a&&FleeingorAttemptingtoEludePoliceZ$"fa&a& o0  811.7000a&&FailuretoPerformdutiesofDriverWhenPropertyisDamaged,%"ga&a& o0  811.7050a&&HitandRunVehicle(Injury)%#ha&a& o0  813.0100a&&DrivingUndertheInfluenceofIntoxicant#V&yW%V挈#Y&x$ia&a&    a    ? QOO>O !  s#  %    a  /-s Ї e  H   ` ( uu(DVXeX%V&yW%XeXXVXeH8dd8   @9  @  @4  @` Q@p p p  @<  @ #VXeXX%Xeߵ#ExhibitF D  #V&yW%XVXe#VXeX%V&yW%XeXXVXeSolicitation1168 #VXeXX%Xe6#%XeXXVXe#%&yW%X%Xe#%XeX%%&yW 6  #%&yW%X%Xeѷ##V&yW%%%&yW#VXeX%V&yW-0Xw$  %XeXXVXei e    `  Q   h    e    `  Q   #VXeXX%Xe#k%XeXXVXemш h      p      x  e    e    `  Q   h      p   TheStateofOregon | DepartmentofHumanServices ` IssuestheFollowing D InformalSolicitation r for V @@=#VXeXX%XeĹ#ݺ%XeXXVXe  ConsultingBusinessProcessEngineeringAnalystServicesforDHSReorganization , SolicitationRFP1168  ! #VXeXX%Xe #XeXXVXeX<XX z XX<DateofIssuance: @ @  @  @z April10,2002ProposalsDue:0 @ 0@z % %3:00P.M.,Tuesday,April23,2002#VXeXXXe#XeXXVXeԀattheissuingoffice 'V%%  @`  @  @  @z Note:PostmarkswillnotbeconsideredIssuingOffice: @ 0 @ 0@z % %StateofOregon,DepartmentofHumanServices @`  @ 0 @  @z RayLLong,DHSContractsConsultant0 @` 0@ ` %` %0@ % % @z 500SummerStreetNE/MailingCodeE030 @` 0@ ` %` %0@ % % @z SalemOregon9731010809XX z pXXX z X9 @`  @  @  @z Voice:0 @ 5039475406 @`  @  @  @z Fax: @ 5033737889 >/,- ;1DH-0$ikm; DE HDIE` -H.I 0-J.` $0hJ i$jh` kilj mknl` m  Xon 9X,Xr` XXX z pX9#VXeXXXe # XeXXVXe &yW%XXe @  @r  @`  @  @  @h  @ #XeX%&yWu#Attachments &yW%XXe R   6X,X'` XX,Xr` X6#XeX%&yW#ExhibitA#VXeXXXeS#XeXXVXe:0 S #VXeXXXe#XeXXVXeStatementofWorkDS%S% ExhibitB#VXeXXXe1#XeXXVXe:0 S #VXeXXXe#XeXXVXeContractualTermsandConditions6S%S% ExhibitC#VXeXXXe#XeXXVXe:0 S #VXeXXXe#XeXXVXeIndependentContractorCertification(S%S% ExhibitD:0 S CriminalHistoryAgreementrS%S% ExhibitE:0 S ConfidentialityAgreementd S%S% &yW%XXe  #XeX%&yW##VXeXXXe#XeXXVXe #VXeXXXeE#XeXXVXe&yW%XXe  :   6X,XF'` XX,X'` X6#V&yW%%&yW#&yW%%V&yW #XeX%&yW#p]rpSection1:0 S Purpose`S%S% #VXeXXXe:#wXeXXVXe  w,]=SS <DL!!&)\+-X,XF'` X] 1.1  PurposeofthisSolicitation  R   w  ESDL!S S X!&XETheStateofOregon,DepartmentofHumanServices(DHS),OfficeofInformationServices(OIS),seeksahighlyskilledBusinessProcessEngineeringAnalysttoperformakeyroleintheidentificationofbusinessprocessesandthegatheringanddocumentationofbusinessrequirementsforaScreening,Assessment,andReferralSystem.eGPUUUU:*******d ddp66``Te  O[GP8(Z******d dd(66``T [  XXXwXeVXeXXX  O  #VXeXXVXe#wXeXXVXeMQP*  dd,::ddT M    ]=S <DL!!&)\+-SDX]TheservicesaretobeprovidedattheDHSofficeslocatedattheParkwayBuilding(2850BroadwaySt.NE,Salem,OR.Officespace,equipment,andtherequiredsoftwaretoolswillbeprovidedasdetailedinStatementofWork,ExhibitA,Attachment1.O݌̌lGPUUUUA*******d dd@ J lwXeXXwXewXeXXwXe   wf=SS <DL!!&)\+- S X!&Xf  1.2  Approach       wf=S <DL!!&)\+-S S X!&XfTheprojectconsistsofthetasksdefinedinExhibitA,StatementofWork.ThetasksshallbeperformedusingestablishedDHS/OISProjectManagement,development,maintenanceandacceptancecriteriamethodologiessetforthinDHSsInformationSystemsStandardsandProceduresManual.DocumentationshallbeupdatedandstoredinestablishedDHS/OISlibrariesusingexistingDHS/OISdocumentationstandardssetforthinDHSsInformationSystemsStandardsandProceduresManualandtheProjectManagementGuide.ThecontractresultantofthisSolicitationisanticipatedtoextendthroughOctober31,2002.DHSsProjectManagerand/orTechnicalLeadwillassignallWorkTasks.However,thereisnoguaranteeofanyminimumnumberofhoursavailabletoanyProposer.w&yW%XwXe#V&yW%%w&yW# &yW%%V&yW#V&yW%%&yWW#?X,Xw'` X S X!&X?1  &yW%%V&yW #XeX%&yW#1.3  UseofSubcontractors  b  IntheeventofaProposalsubmittedjointlybymorethanoneorganization,oneorganizationmustbedesignatedastheprimeContractor,andtheprimeContractorwillbesolelyresponsibleforassuringtheperformanceofallaspectsofresultantContracts.AllotherparticipantsshallbedesignatedasSubcontractors.&yW%XXe 8 #XeX%&yW#XXe#V##VXeXV #XeXXVXeTheselectedProposer,asPrimeContractor,shallberequiredtoassumeresponsibilityforallservicesoutlinedinthis t SolicitationandanyresultingContracts,whethertheProposer,representative,subsidiaryorSubcontractorprovidesthem.&yW%XXe X 1,he  #V&yW%%&yWp#&yW%%V&yWQ1XXF4` hp x X,Xw'` XQ1  1,he  #XeX%&yW#6XX, XXXF, X6 @  X 2.0  ProcurementSchedule&yW%XXe  < #XeX%&yWb#Thefollowingrepresentstheproposedtimelineforthisproject.Pleasenote:Thesedatesrepresentatentativeschedule . ofevents.DHSreservestherighttomodifythesedatesatanytime,withappropriatenoticetoprospectiveproposers.AlltimesarePacificTime.&yW%XXe j! #V&yW%%&yW#&yW%%V&yW#XeX%&yW#XXe#XeXx##VXeXXXe6#XeXXVXe Activity    4  `     h Date/Time &yW%XXe N# #XeX%&yWb#SolicitationRelease `     h April10,2002 @$ #VXeXXXe#XeXXVXePreproposalquestionsdue    h April15,2002(3:00PM)#VXeXXXeC#XeXXVXe  2% Preproposalquestions&answersissued#VXeXXXe#XeXXVXe0 h April17,2002(3:00PM)#VXeXXXeZ#XeXXVXe|!$&h%h% ProposalsDue#VXeXXXe#XeXXVXe   4  `  `    0 h April23,2002(3:00PM)n" 'h%h% AwardAnnouncement ` 4  `  `    `    May1,2002(approximately)&yW%XXe `#!( #V&yW%%&yW/#&yW%%V&yW#XeX%&yW#XXe#XeX0##VXeXXXe#3X,X` XXX, X3 XeXXVXe3.0   StatementofWork D%"*  #VXeXXXe#XeXXVXeSeeExhibitA,Statementofwork. 6&#+ #VXeXXXeS#XeXXVXe 4.00  ProposalRequirements (%-%% #VXeXXXe#XeXXVXeProposersmayrespondtothisSolicitationwithaproposalthatincludes:  )&. 1)0  aQualificationsandTechnicalProposal,whichincludestheresumesandqualificationsofproposedConsultants#VXeXXXeW#XeXXVXe; )'/ and %% 2)0  aCostProposal,whichidentifiesthehourlybillingratesforeachConsultant#VXeXXXes#XeXXVXe,andthebillingratetimesthe +6)1 Projectednottoexceedhoursforthestatedtasktoarriveattheoverallnottoexceedcostfortheproject#VXeXXXeB#XeXXVXe.,,)2%% #VXeXXXe&#%XeXXVXe0X,X XX,X` X0Ataminimum,QualificationsandTechnicalProposalstothisSolicitationshallinclude:%&yW%X%Xe#V&yW%%%&yW#%&yW%%V&yW -*3 6X,X9 XX,X X6#V&yW%%%&yWq#&yW%%V&yW#XeX%&yW/#Ԁ#VXeXXXe#XeXXVXe  .+4 #VXeXXXed#XeXXVXe4.10  QualificationsProposal#VXeXXXe#XeXXVXe/,5%%  QualificationsProposalsshallinclude: ` 4.1.10  E"X X'` X"X,X9 XEThefirmname,addressandtelephonenumber,andthename,address,telephonenumber,EMailandfax R numberofthepersonauthorizedtoreceiveandrespondtoinquiriesandnoticesregardingthisSolicitationandpersonauthorizedtoexecuteanyresultantcontracts; %% KX X,'` X"X X'` X"K4.1.20  AstatementindicatingthattheProposerisalegalentity,authorizedtoenterintoaContractandtheProposers  registeredbusinessname; %% 4.1.30  AstatementidentifyingtheindividualswhopreparedtheproposaltoSolicitation1168;h%% 4.1.40  AcoverlettersummarizingthefirmsinterestinSolicitation1168;Z%% 4.1.5#VXeXXXe&#XeXXVXe  AstatementofthefirmsgeneralapproachanddetailplanstomeettherequirementsoftheSolicitation; L  4.1.#VXeXXXej#XeXXVXe6#VXeXXXe=#XeXXVXe  Astatementofcommitmenttoresponsetimesandcontracthours;#VXeXXXe#XeXXVXe >   4.1.70  AstatementthatnoattempthasbeenmadeorwillbemadebytheProposertoinduceanyotherpersonorfirm 0   tosubmitornotsubmitaproposal; %% 4.1.8#VXeXXXe #XeXXVXe0  AstatementofAffirmativeActionthatProposerdoesnotdiscriminateinitsemploymentpracticeswithregard  h  torace,creed,age,sex,disabilityornationalorigin; %% 4.1.9#VXeXXXe5#XeXXVXe0  Astatementthatanyresponsesubmitted,includingcostsandstaffingshallremainvalidforsixty(60)calendar P  daysafterduedateoruntilContractsareapprovedandexecuted,whichevercomesfirst; %% 4.1.10#VXeXXXeY#XeXXVXe0  StatementsorspecificstipulationofacceptanceofALLtermsandconditionscontainedandthatProposerwill   performpursuanttoandagreestothetermsandconditionstherein; %% 4.1.11#VXeXXXe#XeXXVXe0  AstatementindicatingacceptanceofStateofOregonbillingterms;p%% 4.1.#VXeXXXe#XeXXVXe120  AstatementofacceptancethatConsultantsprovidedbyProposershallsubmittoaCriminalHistorycheckat b  DHSsrequest; %% 4.1.#VXeXXXe#XeXXVXe130  AstatementofacceptancethatConsultantsprovidedbyProposershallexecuteaconfidentialityclauseat  DHSsrequest; %% #VXeXXXe#XeXXVXe4.1.#VXeXXXex#XeXXVXe140  AstatementidentifyinganySubcontractorsthatmaybeengaged,withthenamesoftheConsultantsXXe#V挾#VԀ#XeXL#andthe * namesandcontactinformation(name,addressandtelephonenumber)ofSubcontractoraffiliation,ifany,ofeachConsultant,clearlyidentified. %% #VXeXXXe#XeXXVXe#VXeXXXe#XeXXVXe 4.20  TechnicalProposalJ%%  #VXeXXXe#XeXXVXeTechnicalProposalsshallinclude: < EXX` D"X X,'` X"E4.2.10  #VXeXXXe#%XeXXVXeAproposalwhich:.%% EX XA " D"XX` D"E    1)  addressesallrequirementsofExhibitA:StatementofWork,4.1and4.2,TechnicalProposal,and x  0  0%%2)0%%proposingfirms#VXeXX%XeS#%XeXXVXeԀ#VXeXX%Xe#SXeXXVXedocumentedexperienceinsuccessfullycompletingprojectsofasimilarsizeandscope j tothoserequiredbythisSolicitation#VXeXXSXe1#%XeXXVXeԀandthe#VXeXX%Xe#XeXXVXeresumesofeachKeyPerson#VXeXXXeN#%XeXXVXerelatingtotheperformanceof   similarworkasrequiredbytheSolicitation#VXeXX%Xe#XeXXVXe,includingqualificationsandrelevantindividualexperience. N! Resumesshallincludeatleastthree(3)references(telephonenumberandcontactname),whichDHS,atitsdiscretion,maycontact#VXeXXXeL#%XeXXVXe.#VXeXX%Xec#XeXXVXe HX XFA " D"X XA " D"H#%% 4.3  CostProposal  n% #VXeXXXe#XeXXVXe Acompletedcostproposalfortheproposedservicesisrequiredandmustbesubmittedseparatelyfromtherestofthe !`& Proposal.ThecostproposalshallidentifythehourlybillingratesfortheservicesofeachConsultantproposed,thetotalcostforeachtask,#VXeXXXe#XeXXVXeԀandtheoverallcostfortheprojectbasedonthenumberofhoursprojected.Allhourlyratesmust " ( befullyloadedandincludeallexpenses.#VXeXXXe#XeXXVXeԀDHSreservestherighttoreviewallaspectsofCostProposalstothis #:!) SolicitationforreasonablenessandtorequestclarificationofanyProposalwheretheCostProposal(s)showsignificantandunsupporteddeviationfromindustrystandardsorinareaswheredetailedpricingisrequired.#VXeXXXe#XeXXVXe Thecontract,ifany, $v"+ includingamendments,resultantofthisSolicitationshallnotexceedanaggregateof$75,000.00perOAR1250200330.&yW%XXe#V&yW%%&yW=#&yW%%V&yW   &#- #V&yW%%&yWF#&yW%%V&yW #XeX%&yW#XXe#XeX##VXeXXXe#XeXXVXe 5.00  EvaluationofProposals '%/%% Proposalswillbeevaluatedonthecompletenessandqualityofcontentinthreephases:K"X X4` D%X XFA " D"K1)EvaluationofQualificationsandTechnicalProposal,and2)ScoringofTechnicalProposaland3)EvaluationandscoringofCostProposal.#VXeXXXeK#XeXXVXeAnevaluationcommitteewillbeestablishedtoevaluateandscoreproposalssubmitted.Responseswillbereviewed p*(2 bythecommitteetodetermineiftheyarecomplete.AProposersfailuretocomplywiththeinstructionsortosubmitacompleteresponsewillresultintheresponsebeingdeemednonresponsive,exceptthatDHSreservestherighttowaiveminorirregularities.AnyproposalthatisincompleteorcontainssignificantinaccuraciesorinconsistenciesmayberejectedinwholeorinpartbyDHS.DHSreservestherighttorejectallproposalsifitisinthebestinterestofthepublictodoso.#VXeXXXe #XeXXVXe ?XX,X%XX,X%? x. ,8 p] p X p  5.10  0%%PhaseI:EvaluationofQualificationsProposalm`%%  ThepurposeofthisphaseistodetermineiftheproposalmeetstheSolicitationmandatoryrequirementsofthis _R Solicitation.#VXeXXXe #XeXXVXeProposalsareevaluatedona Pass/FailbasisinPhaseI.Proposalsthatdonotmeettheminimumrequirementsmay  bedisqualified,exceptthatDHSreservestherighttowaiveminorirregularities.#VXeXXXe#XeXXVXeProposalsthatareevaluatedasresponsiveinPhaseIwillqualifyforevaluationandscoringoftechnicalproposalsin r PhaseIIoftheevaluation.#VXeXXXe#XeXXVXeXXe#XeX##VXeXXXe#XeXXVXe 5.2    PhaseII: EvaluationandScoringofTechnicalProposal    EvaluationandscoringofTechnicalProposalswillbebasedcriteriadescribedinSection6.Themaximumpossiblenumberofpointsisstatedforeachcategoryandfortheoveralltotalnumberofpoints.Technicalevaluationpointsthataregivenbyeachevaluatorwillbesummedanddividedbythenumberofevaluatorstocomputeanaveragetechnicalscoreforeachproposedproposal.ThemaximumnumberofpointsthatmaybeawardedinthisPhaseis 110 .   #VXeXXXeI#XeXXVXeDHSreservestherighttorequireverbaland/orwrittenverificationoftheexperience,skillsandreferences,and/or   CriminalHistorychecksofconsultantsproposedtoperformwork,toassistintheevaluationofproposals,including,butnotlimitedto,telephoneand/orinpersoninterviewsandreferencechecks.Referencechecksmaybeperformed,includingbutnotlimitedto,requestsforinformationonprojectdescriptionandbackground,functionalandtechnicalabilities,communicationskillsandtimeliness,costandscheduleestimatesandaccuracy,anyproblemsencountered,andoverallperformance.Corporateandpersonnelreferencechecksmaynotbelimitedtospecificcustomerreferencescitedintheproposal.#VXeXXXe#TXeXXVXeConsultantsproposed#VXeXXTXe#TXeXXVXeԀtodotheworkandtheirreferencesmustbeavailablefortelephoneinterviewsandreference eX checks,respectively,ifrequiredbyDHS,andattimesasdesignatedbyDHS,whichshallbebetweenthehoursof8:00AMand5:00PMPacificTime,duringMondaythroughFridayandexcludingstateholidays,oratsuchothertimesasisagreeabletoDHS.#VXeXXTXef#XeXXVXeԀDHSreservestherighttorejectanyproposalfortheconsultantproposedtodotheworkwho ?2 isnotavailableforinterviewsasrequired,orforwhomreferencesarenotavailable.#VXeXXXe#TXeXXVXeԀProposerisresponsiblefor  arrangingandprovidingsuchcommunications(attheircost),asarenecessaryforinterviewsandreferencechecksrequiredbyDHSforproposedConsultantsandreferenceswhoarelocatedoutsidetheUnitedStatesofAmerica.#VXeXXTXe!#XeXXVXe   #VXeXXXes#XeXXVXeProposalselectionswillbemadebytheevaluationcommitteebasedupontheinformationreceivedinthe   QualificationsandProposals,CostProposals,evaluations,resultsofinterviews,ifrequiredbyDHS,andfromreferencechecks,ifperformedbyDHS.#VXeXXXe#XeXXVXeDHSreservestherighttoinvestigatethereferencesandthepastperformanceofanyProposerorconsultantproposed 9, todotheworkwithrespecttoitssuccessfulperformanceofsimilarservices,compliancewithspecificationsandcontractualobligations,anditslawfulpaymentofsuppliers,sub-contractors,andworkers.DHSmaypostponetheawardorexecutionofContractsaftertheannouncementoftheapparentsuccessfulproposers,inordertocompleteitsinvestigation.DHSreservestherighttorejectanyproposalortorejectallproposalsatanytimepriortoState'sexecutionofContracts.#VXeXXXe #XeXXVXe ?XX4,X%XX,X%?5.3  EvaluationofCostProposal  %& uRX,9rS -Y(#%'0*,.8135@8:<H?XX4,X%uCostpointswillbeawardedbaseduponthetotalcostforeachproposal.#VXeXXXe#XeXXVXeԀEachcorrespondingcostproposalwillbe  ' awardedapercentageofthecostpointsavailablebasedonthepercentageoftheproposalpriceasrelatedtothelowestproposalpriceafterPhaseIusingthefollowingformula:UX,9rS -Y(#%'0*,.8135@8:<H?X,9rS -Y(#X(L/X)*Y=A r Where:  S   X=Totalprojectcostbeingscored E!8*  9    r  S    L=Lowesttotalprojectcost 9    r  S    A=Awardedpoints̀ 9    r  S    Y=TotalPointsPossible 35  $"- UX,9rS -Y(#%'0*,.8135@8:<H?X,9rS -Y(#XAlthoughpriceisaconsiderationwhenawardingacontract,theintentistoprovideDHSwithqualifications,performancehistory,expertise,knowledgeandskillsrequiredtoprovidethedeliverablesidentifiedinExhibitA.Theseareprimaryconsiderationsintheselectionprocess.Theproposalwiththelowestcostwillnotnecessarilybeselected.DHSreservesthesolerighttomakethisdeterminationinthebestinterestoftheState.TheaggregatelimitofthevalueoftheContractresultantofthisSolicitation#VXeXXXeY!#XeXXVXe,includinganyamendments,is$75,000.00perOAR125020 'x%2 0330.#VXeXXXeq'#XeXXVXe #(&3 XX,X9FN hp x (#%'0*,.8135@8:<H?X,9rS -Y(#X #VXeXXXe(#XeXXVXe6.00  EvaluationCriteriaofTechnicalProposal*(6%%  EvaluationandscoringofTechnicalProposalswillbebasedonthescoringcriteriadefined.Themaximumnumber +)7 ofpointsthatmaybeawardedinthisPhaseis 110.  ,|*8 #VXeXXXe(#BX X,4` Xuxf!X,XFN XBXeXXVXe#VXeXXXe*#XeXXVXe {-n+9 #VXeXXXe*#XeXXVXe0  X 1)  #VXeXXXeL+#XeXXVXe ProposerFirm'sexperiencewithsimilarprojects.#VXeXXXe+#XeXXVXem.`,:%% #VXeXXXe.,#XeXXVXeHX X,` XXf!X X,4` XuxH  PointsPossible: 10#VXeXXXe,#XeXXVXe  _/R-; ЇK"X XFr` XXf!X X,` XXf!K#VXeXXXe;-#XeXXVXe2)0 9 09%9%#VXeXXXe-#XeXXVXe Theproposedresource'sexperience:m`%%  9    F #VXeXXXeF.#wXeXXVXeԹ  T(` ` <DL!X XFr` XXf!T #VXeXXwXe.#}X'XXVXe1)  #VXeXX}X'/#XeXXVXeExperienceinbusinessprocessmodelingandusecasedevelopment. 30 Points.  QD  2)  Experienceingatheringanddocumentingbusinessrequirementstodrivethedesignofasystem,knowledge C6 ofsoftwaredevelopmentmethodologiesandprocesses,strongwrittenandoralcommunicationskills,abilitytoworkinanorganizedfashion#ddbb. 40 Points #bbdd r  #ddbb3)  Abilitytofunctioneffectivelyinaleadroleonateamofbusinessandtechnicalpeople. 20 Points #bbddkVPXeX7\  `.Times New Roman TURXXe0kwXeXXVXe qd hX  #ddbbB+ 4 <DL!` ` XB  4)PreviousexperienceorfamiliaritygainedwithDHSapplicationsandprogramareas. 10 Points cV XhB3 E1   <DL!!XE   #VXeXXwXe3#XeXXVXe 0  0` %%MaximumOverallTechnicalPoints:0` %` %0 %%0x % % 110   x%x%    ` MinimumOverallTechnicalPointstoQualifyforConsideration:0 x 60 #VXeXXXe4#XeXXVXe   x%x%   0 ` Ifateamapproachisproposedeachmemberoftheteamwillbeevaluatedandtheir   awardedpointswillbeaveraged.#VXeXXXe*6#XeXXVXe#VXeXXXe97#XeXXVXe g Z ` %` % KX X9e ` XXf!   XLX!K  S   #VXeXXXe7#XeXXVXe#VXeXXXeL8#XeXXVXe 7.0   #VXeXXXe8#XeXXVXe ProposalPreparationandSubmission K>   TheOregonDepartmentofHumanServices,500SummerStreetNE,MailingCode#VXeXXXe8#XeXXVXeԀE03,Salem, =0 Oregon973101080,Attention:RayL.Long,DHSContractsConsultant,isthesolepointofcontactwithinStategovernmentforthepurposeofsubmittalofthisSolicitation.ProposalsmustbereceivedbytheDHSContractsandProcurementUnit,nolaterthantheduedateandtimespecifiedinSection2.ProposalsmaybedeliveredviaU.S.Mailorcourierto500SummerStreetNE,MailingCode#VXeXXXe9#XeXXVXeԀE03,Salem,OR973101080,orfaxedto5033737889,and  mustreferenceDHSSolicitation#1168.#VXeXXXe;# XeXXVXeԀNeitherlatenorelectronicproposalstoSolicitation#1100 7* willbeaccepted;postmarkswillnotbeconsidered.#VXeXX Xe`<# XeXXVXeProposalsshallbesubmittedastwo(2)separatedocuments:1)0 S QualificationsandTechnicalProposal;andS%S% 2)0 S CostProposal.#VXeXX Xe(=# XeXXVXeS%S% #VXeXX Xe># XeXXVXeBothpartsoftheproposalshallbesignedbytheProposeroranauthorizedrepresentative.#VXeXX Xe{>#XeXXVXe  #VXeXXXe?# XeXXVXeProposalsnotincompliancewithSection4through4.3maybeconsiderednonresponsiveand -  rejected,atDHSssolediscretion.Anyproposalsubmitted,unlesswithdrawnbeforetheProposalduedatespecifiedinthisSection,shallremainavalidproposal,bindingontheContractorandirrevocable,forsixty(60)daysaftertheproposaldeadlineoruntilagreement(s)areapprovedandexecuted,whichevercomesfirst.Thisperiodmaybeextendeduponmutualagreementoftheparties.#VXeXX Xeo?#(XeXXVXe#VXeXX(XeA#XeXXVXe 8.0 0  AddendatotheSolicitation ' %%% AnyAddendawillbeissuedbytheContractsandProcurementUnitofDHS.Anyinterpretation,correction,orchangetothisSolicitationwillbemadebywrittenAddenda.Interpretations,corrections,orchangestothisSolicitationmadeinanyothermannerwillnotbebindingandProposersshallnotrelyuponsuchinterpretation,corrections,orchanges.ProposersmaynotconsideranycommunicationsinterpretingorclarifyingprovisionsofthisSolicitationwithanyperson,Statesdesignatedrepresentativeorotherwise,unlessintheformofofficialwrittenAddendatotheProposal.XXe#XeX挹D##VXeXXXeA#XeXXVXe 9.00  InquiriesRelatingtothisSolicitation &$.%% Inquiries,includingrequestsforexplanationsofthemeaningorinterpretationofprovisionsofthisSolicitationmustberequestedbyProposersinwriting,andmustarriveattheIssuingOfficebytheduedatenotedinSection2.0,ProcurementSchedule.QuestionsmaybesubmittedtoDwightEndicott,#VXeXXXeE#XeXXVXeԀtransmittedviafaxto5033737365,orEmailtorobert.endicott@state.or.us. })p'2 XXe#XeXnG##VXeXXXeF#XeXXVXe 10.00  ReservationofDHSRights/RighttoAward,RejectorNegotiate a+T)4%% #VXeXXXeG# XeXXVXeDHSreservesallrightsregardingthisSolicitation,including,withoutlimitation,theright: S,F*5 HX Xr4,D"X X9e ` XXf!H1)0  #VXeXX XeH#XeXXVXetoamendorcancelthisSolicitationandresultingcontract,ifany,#VXeXXXeI#XeXXVXeԀwithoutliabilityifitisinthe E-8+6 bestinterestofthepublictodoso#VXeXXXeJ# XeXXVXe-+7%%  2)0  #VXeXX XeJ# XeXXVXetoextendthedeadlineforsubmittingproposals;.,8%% rp r  )   r  3)0  #VXeXX Xe1K#XeXXVXeseekclarificationsofeachproposal,and/ortoawardacontractswithoutfurtherdiscussionof m`  theproposalssubmitted.DHSreservestherighttomodifytheproposedSolicitationrequirementspriortoissuingacontractforexecutionwithsuccessfulproposerstothisSolicitation,andmaynegotiateadditionalchangeswiththoseproposers; %% #VXeXXXe?L# XeXXVXe4)0  #VXeXX Xe N#XeXXVXetorejectaProposaliftheProposerattemptstoomitormodifyanyofthetermsandconditions 9, withoutproperexplanation; %% #VXeXXXe\N#XeXXVXe5)0  torejectanyandallproposalsreceivedbyreasonofthisrequest,ortonegotiateseparatelyin  anymannernecessarytoservethebestinterestofthepublic#VXeXXXeDO# XeXXVXe;gZ%% 6)0  todetermine,initssolediscretion,whetheraproposaldoesordoesnot,substantiallycomply YL withtherequirementsofthisSolicitation; %% #VXeXX XeGP# XeXXVXe7)0  towaiveanyminorirregularity,informality,ornonconformancewiththeprovisionsor    proceduresofthisSolicitation; %% #VXeXX XemQ# XeXXVXe8)0  atanytimepriortoenteringintoaContract,ifany,(includingafterannouncementofthe y l  apparentsuccessfulContractor(s)): %% EXX,` D"X Xr4,D"E0  a)torejectanyproposalthatfailstosubstantiallycomplywithallprescribedsolicitationproceduresandrequirements;and %% 0  b)torejectallproposalsreceivedorcancelthisSolicitationuponafindingbyDHSthatitisinthepublicinteresttodoso; %% EX X` D"XX,` D"E9)  toengageContractorsbyselectionorprocurementindependentofthisSolicitationprocess,or )   theContractsestablishedunderit;#VXeXX Xe`R# XeXXVXe10) r 0  torequireContractortoreplace(withoutanyContractorrecourse)anyKeyPersonengagedby  ContractatanytimeduringtheContractperiodwhoceasesaffiliationwiththeContractor,whomDHSdeemsisnotperformingatanacceptablelevelorishinderingthesuccessfulcompletionofassignment(s),isunabletoperformassignedwork,orasrequiredbyDHS. %% #VXeXX XeU# XeXXVXeHX X,` D"X X` D"H11.00  AwardNotice wj%% PerOregonAdministrativeRule1250200360#VXeXXXeW#XeXXVXe,everyProposerwhosubmitsaproposalshallbe i\ notifiedofitsselectionstatus.#VXeXXXeX#XeXXVXeProposedtermsandconditionswhichmayapplytoacontract  resultingfromthisSolicitationarefurtherdefinedin ExhibitBContractualTermsand  Conditions. DHSreservestherighttomodifytheseproposedtermsandconditionspriorto C6 issuingacontractforexecutionwithsuccessfulproposerstothis#VXeXXXejY#XeXXVXeSolicitation#VXeXXXe"[#XeXXVXe,andmaynegotiate  additionalchangeswiththoseproposers. 12.00  #VXeXXXep[#XeXXVXeReleaseofInformationcV!%%  NoinformationshallbegiventoanyProposer(oranyotherindividual)relativetoHis/Her UH" standingwithotherProposersduringtheSolicitationprocess.NoProposer(oranyotherindividual)shallbeadvisedofthepricesproposedbyotherOfferorsduringtheSolicitationprocess. 13.00  PublicInformation  '%% Allproposalsarepublicinformationaftertheproposalshavebeenopenedandallprotestsarepublicinformationaftertheprotestperiodends.Copiesofpublicinformationmayberequestedbyanyperson.Ifanypartofaproposalorprotestisconsideredatradesecret,theProposermustclearlydesignatethatportionasconfidentialinordertoobtainprotection,ifany,fromdisclosureatthetimeofsubmission.SeeOregonRevisedStatutes(ORS)192.501(2);ORS646.461to646.475.ApplicationoftheOregonPublicRecordsLawshalldetermineiftheconfidentialinformationclaimedtobeexemptisinfactexemptfromdisclosure.Intheeventofapublicrecordsrequest,Proposerswillbenotifiedpriortothereleaseofanyinformation. 14.00  CostofProposals )'3%% AllcostsincurredinpreparingandsubmittingaproposalinresponsetothisSolicitationaretheresponsibilityoftheProposerandshallnotbereimbursedbyDHS. 15.0  RecyclableProducts ,*7  Contractorsshalluserecyclableproductstothemaximumextenteconomicallyfeasibleinthe -x+8 performanceofthecontractworksetforthinthisdocument. /-:  16.00  #VXeXXXe\# XeXXVXeWithdrawalofProposals m`%% IfaProposerwishestowithdrawasubmittedproposal,itmustbewithdrawnpriortotheproposalduedateindicatedinSection2.0.AwrittenrequesttowithdrawmustbesignedbytheProposerandsubmittedtothenameandaddressspecifiedforsubmittingproposals.   Ѐ#VXeXX Xec#XeXXVXe  m` #VXeXXXed#XeXXVXe  ExhibitA _R StatementofWorkeӀAcknowledgedandAgreedbytheParties:  5( #VXeXXXed#XeXXVXe#VXeXXXee#wXeXXVXe  Q+ 4 <DL!XX,` D"QO[GP8(Z******d dd 66``T [  XXXwXeVXeXXX  Of  d { n  ,?+ 4 <DL!X?  md#VXeXXVXef#}X'XXVXeI)  #VXeXX}X'*h#XeXXVXeOverviewOfSg݌   ЌlGPUUUUA*******d ddT@E 8 ::ddT lwXeXXXewXeXXwXe   #VXeXXwXeh#XeXXVXe md  7XXeB+ 4 <DL!4XBO[GP8(Z******d dd 66``T[  s7V7s  #V7V7i#7V7Ocj  d   #XeX7j# mdAProjecthasbeencharteredinsupportoftheDepartmentsReorganizationtodesignthefirstphaseofanintegratedservicedeliverysystemfortheOregonDepartmentofHumanServices(DHS).Ocjek݌̌lGPUUUUA*******d ddT@ ::ddTlXeXXXeXeXXXe   md  XXXXe}X'XXX  #VXeXX}X'Fk#XeXXVXem  d qd  mdWorkersdonothaveanintegratedsystemtolookupandenterclientinformationanddoscreening,assessment,andreferral.Currently,theymustuseseveraldifferentsystemsandprocesses,impactingtheirabilitytoserveDHSclientsinanintegratedfashion.mBn݌̌XeXXXeXeXXXe   md  dgZ  mdTosupporttheDepartmentofHumanServicesgoaltoimproveservicestoclients,familiesand   communitiesbyprovidinga nowrongdoorpolicy,itiscriticaltohaveanintegratedservicedeliverysystemtoassistcaseworkersinmakingscreeningandassessmentdecisions. md&  ~  7XXes7}s    #V7}#n#7V7~q  d]PXeX7 mdPrimaryObjectivesandBenefits~qr +rԌ  Ќ XeXXXeXeXXXeXeXXXeXeXXXe   md#7XXer#XeX7O[GP8(Z******d dd#66``T[  XXXXeVXeXXX  #VXeXXVXefr#XeXXVXeO:t  dz  #7XXet#XeX7 mdTheprimaryobjectiveoftheProjectistodesignafrontendscreeningandassessmentsystem,toinclude  broadinitialscreeningtoidentifythepotentialprogramareasforwhichaclientmaybeeligible.Theintentwouldbetoidentifytheclient,seeiftheyarealreadyinthesystem,addifnecessary,screen,broadlyassess,andpassappropriateinformationbackintotheexistingsystems.Akeypointinscreeningwouldbetodetermineiftheclienthasjustasingleormultipleissues.InadditiontothescreeningdonebyIntakestaff,someminorselfassessmentmayalsobeconsidered.(Thiscouldbeveryhighlevel,anddoneonlyonequipmentinthelocaloffice.)']qO:t(( andsystemanalystsandhavetheabilitytointeractsuccessfullywithbusinessrepresentatives.  *() a݌̌XeXXXeXeXXXe     XXXXe}X'XXX  #VXeXX}X'B#XeXXVXe  C)  DHSwillprovideresourcestotheContractorasdescribedinAttachment A. y,l*+  ݌̌XeXXXeXeXXXe   #7XXe[#XeX7     XXe  I OI  #V O#  V  <(4 4 <DL!44X<#7 ؋#XeX7D)  #7XXef#XeX7TheworkdefinedinthissolicitationisexpectedtobeginonoraboutMay1,2002,orassoonthereafter  .+-  aspossible,andcontinueforaperiodofapproximatelysixmonths#7XXe#ԀXeX7onavariableschedulethat .,. contemplatessomewhatlessthanfulltimework. ݌ XeXXXeXeXXXeXeXXXeXeXXXe        XXe  I OI  #V OɌ#  V  #7 Ǝ#XeX7 E)  AnyappropriatepreviousexperienceorfamiliaritygainedwithDHSapplicationsandprogramareaswill  beconsideredinthissolicitationprocess. #7XXe<# XeX7݌̌XeXXXeXeXXXeXeXXXeXeXXXe   #7XXeI#XeX7    XXXXe}X'XXX  #VXeXX}X'ې#XeXXVXec  ,X?+ 4 <DL!44X?III)  #7XXe8#XeX7ContractorResponsibilityc ݌ + ЌXeXXXeXeXXXe   #7XXe# X,?(4 4 <DL!4X?XeX7#bbddContractoragreestoaccomplishtheworkunderthiscontractasfollows:     #7XXeו##ddbbXeX7 X?+ 4 <DL!44X?|  XH4X` hp x (#%XH7XXe77  |)  #77#XeX7WorkwithDHSbusinessanalyststoidentifyanddocumenttheessentialrequirementsofaScreening,   Assessment,andReferralsystem.ThiscourseofactionmayincludereviewingcurrentbusinessprocessesandsuggestingprocesschangestobettermeetthegoalsoftheDepartment.#7XXe&#|)݌ = 0  Ќ X XXXXeX7     |  XH4X` hp x (#%XH7XXe  |1   XeX7Thisworkincludesthefollowingtasks:#7XXe#|1͚݌   Ќ X XXXXeX7     B.4 <DL!XB C R $hC X 2  2  .3    LeadingagroupofDHSbusinessanalystsinareviewofbusinessprocessesandathoroughdiscoveryand   analysisofbusinessrequirements. X 2  3  .3    Identifyingandassistingintheresolutionofconflictingprocessesandrequirements. OB   X 2  4  .3    Verifyingandrefiningtheprocessesandrequirements,thenrecordingtheminoneconcisebusinessprocess A4  andrequirementsdocumentthatcanbeusedbythedesignteamforsystemdesign. X 2  5  .3    Assistingintheestablishmentofamethodtoprovideiterativevalidationofprocessesandrequirementsby  stakeholderstoallowforstrongerbusinessinvolvementandcontinuousfeedback. XXe E+` ` <DL!4XE#aadd aT  #XeX ♠##ddaa&  E+ 4 <DL!` ` XEy  9%X Xp x (#%X9    yԡ    IV)  DeliverablesandAcceptanceCriteria SF  ContractorwillbedeterminedtohavesuccessfullycompletedtherequirementsoutlinedinthisStatementof  Workwhenthefollowingdeliverableshavebeenprovidedormet. #bbddyԡD ,Ԍ  Ќ_ _  * XXXpX*  #ddbb ?+ 4 <DL!X?'Su <(` ` <DL!X< 1)  Task1:Participationontheprojectteamasabusinessprocessengineerandrequirementsteam sf member.Attendanceatscheduledprojectandrequirementsmeetings.Identificationoftasksnecessaryforreviewingbusinessprocessesandgatheringrequirementsbyboththecontractorandassignedbusinessanalysts.Assistancetobusinessanalystsduringbusinessprocessandrequirementsgatheringasneeded,toincludebutnotlimitedtoprovidingguidanceinthebusinessengineeringandanalysisprocessandcreationofrelateddocumentation.Creatingroughdraftprocessandrequirementsdocuments.Gatheringroughdraftprocessandrequirementsdocumentsfrombusinessanalysts.ApprovalofalldocumentsbytheProjectManagerordesignee.2)  Task2:Identifyinganddocumentingconflictingrequirementsandbusinessprocesses.Assisting ! withtheidentificationofalternativesandcompromiseswiththeassistanceofthebusinessrepresentativesandbusinessanalysts.BringingthoseconflictingprocessesandrequirementsthatcannotberesolvedtotheattentionoftheProjectManagerforresolution. #bbdd $  #ddbb3)  Task3:Deliveryofacomprehensiveandconcisebusinessprocessandrequirementsdocumentthat v% canbeusedtodesignaScreening,Assessment,andReferralsystem.ApprovalofthedocumentbytheProjectManagerordesignee. #bbdd '  #ddbb4)  Task4:Definitionofameanstovalidaterequirementsonaniterativebasisbystakeholders.This  ( mayinclude,butisnotlimitedto,organizingtherequirementsintosmallerunitsofwork,oriterations,thatcanbedevelopedandimplementedinphases. #bbdd !*  ,B+ 4 <DL!` ` XB&   }#p!,  ,  B+ 4 <DL!4XB'}#  o$b"-  Attachment A m`  _R DHSProvidedResources    C6   XXXXe}X'XXX  #VXeXX}X'#XeXXVXe˭   X Forthepurposesofthisproject,DHSwillprovidethefollowingresourcestoContractor:˭r݌ 5( ЌXeXXXeXeXXXe    '  ,B.4 <DL!XBC R $$RC--2  1  .3    Workspaceforone(1)staff.Theworkspacewillbeequippedwith:   L h$RL   Apersonalcomputeradequateforthepositionwitha17monitor,Windows2000operatingsystem,and   MicrosoftOfficeSuite.   AconnectiontotheDivisionsNovelllocalareanetworkwithInternetaccessandNovellsGroupwisee    mailaccess.   Atelephonewithvoicemail. +      Filingcabinetspace.    2.  Limitedclericalsupport.   3.  Projectrelatedcostsforuseofthefax,copier,andlimitedlongdistancetelecommunication(voiceand   facsimile)services.Note:Copiercostswillnotbecoveredforproductionofdeliverables. H.4 <DL!4XHӀ#VXeXXXeS#  #ddbbXeXXVXe#VXeXXXe#X(XeXXVXe( X(Xe_  (XeX ((XeXX(Xe(XeXX(Xe(XeXX(XeXXX(XeXXXXXXXX(XeXXX      _M     ( X(Xe(  ((  ((  ((  ((  ((  ((  (    #(XeX (.##VXeXX(Xe#to   ?%X X` D"(#%, X?z  V7XVXew7V7zjplet  #wXeXw7##VXeXXwXe#wXeXXVXe w,c7X` hp x (#%X X,` D"(#Xc wN4XX` hp x (#%XXN   #VXeXXwXe-#wXeXXVXeR  Rp  w9% Xp x (#%XXX9  XwN.X` p x (#%XpXNRp݌̌  Q( Xp x (#% X` pXQ#VXeXXwXeP#wXeXXVXe#VXeXXwXe# XZ7FXF` hp x (#%XpXZ wXeXXVXe    Q4XX` hp x (#%FXFXQ  eGPUUUU:*******d dd66``Te  #VXeXXwXe#wXeXXVXeH4XX` hp x (#%XXXHR  R[  w9% Xp x (#%XXX9  K+ X` p x (#%XpXKR[v݌ UH Ќ    wW4XX` hp x (#%XXpXW#VXeXXwXe#wXeXXVXe G: #VXeXXwXe#wXeXXVXeH4XX` hp x (#%XXXHӀ 9,  + eGPUUUU:*******d dd) 66``Te  #VXeXXwXeW#wXeXXVXe {!n! #VXeXXwXe#wXeXXVXe m"` "   R  R  w  ݀R2݌̌    w#VXeXXwXe# ut E14 <DL!T$XXXE G GXeXXVXe     `  K9#VXeXXXea#(XeXXVXeԹ  #VXeXX(Xe#XeXXVXeExhibitB  C%6#%  Personal/ProfessionalServicesTermsandConditions  5&($&   #VXeXXXeJ#XeXXVXeI.0  EFFECTIVEDATEandDURATION ( &(5%5% Thiscontractshallbecomeeffectiveonthedatethiscontracthasbeensignedbyeverypartyhereto,and,whenrequired,approvedbyDepartmentofAdministrativeServicesandDepartmentofJustice.Unlessterminatedorextended,thiscontractshallexpirewhenDHSacceptsContractorscompletedperformanceoron October31, G*:(+ 2002 ,whicheverdateoccursfirst.ExpirationshallnotextinguishorprejudiceDHSsrighttoenforcethiscontract *(, withrespecttoanybreachofaContractorswarrantyoranydefaultordefectinContractorperformancethathasnotbeencured. II.0  PURPOSE .+05%5% ThiscontractprovidesforBusinessProcessEngineeringAnalyst_services. .,1 Ї III.0  STATEMENTofWORK m`5%5% Thestatementofwork(the Work)includingthedeliveryscheduleforsuchworkiscontainedinExhibitA,attachedandincorporatedbyreferenceintothiscontract.Contractoragreestoperformtheworkinaccordancewiththetermsandconditionsofthiscontract. IV.0  CONSIDERATION r5%5%  A .0  _DHS_ԀagreestopayContractorforaccomplishingtheWorkasrequiredbythiscontract,plusanyallowable qd expensesandanytravelandotherexpensereimbursementwhennotedherein.Paymentforallworkperformedunderthiscontractshallbesubjecttotheprovisionsof_ORS_Ԁ293.462andshallnotexceedthetotalmaximumsumof_XXXXX_. 5%5%   XXeB.) 0  #XeX 0#InterimpaymentsshallbemadetoContractorfollowing_DHS_sreviewandapprovalofinvoicessubmitted / "  byContractor. 5%5%   C .0  Contractorshallnotsubmitinvoicesfor,and_DHS_Ԁwillnotpay,anyamountinexcessofthemaximum   compensationamountsetforthabove.Ifthismaximumcompensationamountisincreasedbyamendmentofthiscontract,theamendmentmustbefullyeffectivebeforeContractorperformsworksubjecttotheamendment.Contractorshallnotify_DHS_'sContractAdministratorinwritingthirty(30)calendardaysbeforethiscontractexpires,oftheupcomingexpirationofthecontract.Nopaymentwillbemadeforanyservicesperformedbeforethebeginningdateoraftertheexpirationdateofthiscontract,asitmaybeamendedfrom XXe eX5%5% #XeX 1#   timetotimeinaccordancewithitsterms. WJ  D. 0  Contractorshallsubmitmonthlyinvoicesforworkperformed.Theinvoicesshalldescribeallwork ;. performedwithparticularityandbywhomitwasperformedandshallitemizeandexplainallexpensesforwhichreimbursementisclaimed.TheinvoicesshallalsoincludethetotalamountinvoicedtodatebyContractorpriortocurrentinvoice.Contractorwillspecificallynotetheappropriateinvoicewhenonethirdandtwothirdsofthemaximumcontractamount,includingexpensereimbursement,hasbeenexpended.Contractorshallsendinvoicesto_DHS_sContractAdministrator(seeE.,below). 5%5%  E. 0  The_DHS_Ԁemployeeassignedtomonitorcontractcompliance,authorizepaymentandactas_DHS_sContract 5( Administratoronmattersconcerningthiscontractshallbe: 5%5%   vL_c  _XXXX_Ԁordelegate  OfficeofInformationServices  OregonDepartmentofHumanServices  500SummerSt,NE  SalemOR97310   XXe  #XeX #V.0  TRAVELandPERDIEM XXec!V'5%5%  #XeX ?#Notravelorotherexpensesshallbepaidinadditiontothecostherein. U"H (  VI.0  CONTRACTinitsENTIRETY 9$,"*5%5% *X,XS` XX*ThisContractconsistsofthisdocumentandincludesthefollowinglistedexhibitswhicharelistedindescendingorderofprecedenceandareattachedandincorporatedintothisContractbyreference: A. 0  ExhibitA:0S5%5%StatementofWork'%.S5%S5%  B. 0  ExhibitB:0S5%5%GeneralProvisions(&/S5%S5%  C. 0  ExhibitC:0S5%5%CertificationStatementforIndependentContractor)'0S5%S5%  D.   ExhibitD:0 S ConfidentialityAgreement*v(1S5%S5% L 4(hL 3   3W2  E  .3  0    ExhibitE:0S5%5%CriminalHistoryAgreement3W݌u+h)2S5%S5% Ќ  L ((4L F.   Exhibit F:0 S Solicitation#1168g,Z*3S5%S5%  G.   ExhibitG:0 S ContractorsProposaltoSolicitation#1168 Y-L+4S5%S5%   K.>,5 vL" v X v  _Therearenoothercontractdocumentsunlessspecificallyreferencedandincorporatedinthecontract. XXe  m`  9X,X` XX,XS` X9#XeX #VII.0  MERGERCLAUSE;WAIVER QD5%5% Thiscontractandattachedexhibitsconstitutetheentireagreementbetweenthepartiesonthesubjectmatterhereof.Therearenounderstandings,agreements,orrepresentations,oralorwritten,notspecifiedhereinregardingthiscontract.Nowaiver,consent,modificationorchangeoftermsofthiscontractshallbindeitherpartyunlessinwritingandsignedbybothpartiesandallnecessaryStateapprovalshavebeenobtained.Suchwaiver,consent,modificationorchange,ifmade,shallbeeffectiveonlyinthespecificinstanceandforthespecificpurposegiven.ThefailureofDHStoenforceanyprovisionofthiscontractshallnotconstituteawaiverbyDHSofthatoranyotherprovision.#VXeXXXe#XeXXVXe    - 4XX,X` X-  GeneralContractProvisions#VXeXXXeJ#XeXXVXe  9^ _XXe #XeX_^ Y#THEFOLLOWINGARETHESTANDARDPROVISIONSWITHINCONTRACTSFORTHE   STATEOFOREGONINTHEEVENTACONTRACTISOFFERED. #VXeXXXe#XeXXVXe^ _XXe#V^ __^ P#^ __V^  #XeX_^ o#1.0  IndependentContractor;ResponsibilityforTaxesandWithholding 3&5%5% 6X X` D"4X6  0  a. 05%5%ContractorshallperformallrequiredWorkasanindependentcontractor.AlthoughDHSreservestheright % to(1)determine(andmodify)thedeliveryschedulefortheWorktobeperformedand(2)evaluatethequalityofthecompletedperformance,DHScannotandwillnotcontrolthemeansormannerofContractor'sperformance.ContractorisresponsiblefordeterminingtheappropriatemeansandmannerofperformingtheWork. 5%5% #VXeXXXe#XeXXVXe#VXeXXXe#XeXXVXe0  b. 05%5%IfContractoriscurrentlyperformingworkfortheStateofOregonorthefederalgovernment,Contractor t bysignaturetothiscontractdeclaresandcertifiesthat:ContractorsWorktobeperformedunderthiscontractcreatesnopotentialoractualconflictofinterestasdefinedbyORS244andnorulesorregulationsofContractorsemployingagency(stateorfederal)wouldprohibitContractorsWorkunderthiscontract.Contractorisnotan officer, employee,or agentofDHS,asthosetermsareusedinORS30.265. 5%5% 0  c. 05%5%Contractorshallberesponsibleforallfederalorstatetaxesapplicabletocompensationorpaymentspaid {n toContractorunderthiscontractand,unlessContractorissubjecttobackupwithholding,DHSwillnotwithholdfromsuchcompensationorpaymentsanyamount(s)tocoverContractorsfederalorstatetaxobligations.ContractorisnoteligibleforanySocialSecurity,unemploymentinsuranceorworkerscompensationbenefitsfromcompensationorpaymentspaidtoContractorunderthiscontract,exceptasaselfemployedindividual. 5%5% #VXeXXXe #XeXXVXe#VXeXXXeE#XeXXVXe 2.0  SubcontractsandAssignment;SuccessorsinInterest uh&5%5% 0  a. 05%5%ContractorshallnotenterintoanysubcontractsforanyoftheWorkrequiredbythiscontract,orassign g Z' ortransferanyofitsinterestinthiscontract,withoutthepriorwrittenconsentofDHS.InadditiontoanyotherprovisionsDHSmayrequire,ContractorshallincludeinanypermittedsubcontractsunderthiscontractarequirementthatthesubcontractorbeboundbySections2,6,7,11,and15ofthisexhibitasifthesubcontractorweretheContractor.DHSsconsenttoanysubcontractshallnotrelieveContractorofanyofitsdutiesorobligationsunderthiscontract. 5%5% #VXeXXXe#XeXXVXeCyXXe#XeXCy##VXeXXXe#XeXXVXe0  b. 05%5%Theprovisionsofthiscontractshallbebindinguponandshallinuretothebenefitofthepartieshereto, a%T#. andtheirrespectivesuccessorsandpermittedassigns,ifany. 5%5% & . #VXeXXXeU#XeXXVXeCyXXe#XeXCy##VXeXXXe#XeXXVXe 3.0  NoThirdPartyBeneficiaries. DHSandContractoraretheonlypartiestothiscontractandaretheonly '%1 parties'.&qentitledtoenforceitsterms.Nothinginthiscontractgives,isintendedtogive,orshallbeconstruedtogiveorprovideanybenefitorright,whetherdirectly,indirectlyorotherwise,tothirdpersonsunlesssuchthirdpersonsareindividuallyidentifiedbynamehereinandexpresslydescribedasintendedbeneficiariesofthetermsofthiscontract. 5%5% CyXXe #XeXCyl#4.0  FundsAvailableandAuthorized;Payments ?,2*75%5% 0  a. 05%5%ContractorshallnotbecompensatedforWorkperformedunderthiscontractbyanyotheragencyor 1-$+8 departmentoftheStateofOregon.DHShassufficientfundscurrentlyavailableandauthorizedforexpendituretofinancethecostsofthiscontractwithinDHS'sbiennialappropriationorlimitation.ContractorunderstandsandagreesthatDHS'spaymentofamountsunderthiscontractattributabletoWork  /,; performedafterthelastdayofthecurrentbienniumiscontingentonDHSreceivingfromtheOregonLegislativeAssemblyappropriations,limitations,orotherexpenditureauthoritysufficienttoallowDHS,intheexerciseofitsreasonableadministrativediscretion,tocontinuetomakepaymentsunderthiscontract. 5%5% 0  b. 05%5%DHSwillonlypayforcompletedworkthatisacceptedbyDHS.+5%5% #VXeXXXe%#XeXXVXeCyXXe#XeXCy ##VXeXXXe#XeXXVXe 5.0  RepresentationsandWarranties5%5%  0  a.05%5%ContractorsRepresentationandWarranties :ContractorrepresentsandwarrantstoDHSthat(1)   Contractorhasthepowerandauthoritytoenterintoandperformthiscontract,(2)thiscontract,whenexecutedanddelivered,shallbeavalidandbindingobligationofContractorenforceableinaccordancewithitsterms,(3)theWorkunderthiscontractshallbeperformedinaccordancewiththenormalskillandcareandprofessionalstandardsofotherprofessionalsperformingsimilarservicesundersimilarconditions,(4)Contractorshall,atalltimesduringthetermofthiscontract,bequalified,professionallycompetentanddulylicensedtoperformtheWork,(5)allcomputerhardwareandsoftwaredeliveredunderthiscontractwill,individuallyandincombination,correctlyprocess,sequence,andcalculatealldateanddaterelateddataforalldatespriorto,throughandafterJanuary1,2000and(6)anysoftwareproductsdeliveredunderthiscontractthatprocessdateordaterelateddatashallrecognize,storeandtransmitdatedatainaformatwhichexplicitlyandunambiguouslyspecifiesthecorrectcentury. 5%5% #VXeXXXeo#XeXXVXe#VXeXXXe#XeXXVXe0  b.05%5%ContractorsLimitationofLiability :Contractorsliabilitywithrespecttoitems(5)and(6)ofsubsection  5aaboveshallnotexceed:(1)twicethetotalcontractamount(includinganyamendments)or(2)$100,000whicheverisgreater. 5%5% #VXeXXXe#XeXXVXeCyXXe  #XeXCy##VXeXXXe#XeXXVXe c.0  WarrantiesCumulative :Thewarrantiessetforthinthissectionareinadditionto,andnotinlieuof,any ?2 otherwarrantiesprovided. 5%5% & . #VXeXXXe#XeXXVXe#VXeXXXe0#XeXXVXe 6.0  OwnershipofWorkProduct. AllworkproductofContractorthatresultsfromthiscontract("theWork  Product")isthe'.exclusivepropertyofDHS.DHSandContractorintendthatsuchWorkProductbedeemed workmadeforhireofwhichDHSshallbedeemedtheauthor.IfforanyreasontheWorkProductisnotdeemed workmadeforhire,ContractorherebyirrevocablyassignstoDHSallofitsright,title,andinterestinandtoanyandalloftheWorkProduct,whetherarisingfromcopyright,patent,trademark,tradesecret,oranyotherstateorfederalintellectualpropertylawordoctrine.ContractorshallexecutesuchfurtherdocumentsandinstrumentsasDHSmayreasonablyrequestinordertofullyvestsuchrightsinDHS.ContractorforeverwaivesanyandallrightsrelatingtotheWorkProduct,includingwithoutlimitation,anyandallrightsarisingunder17USC106Aoranyotherrightsofidentificationofauthorshiporrightsofapproval,restrictionorlimitationonuseorsubsequentmodifications. 5%5% #VXeXXXes#XeXXVXeCyXXe#XeXCy2##VXeXXXe#XeXXVXe 7.0  Indemnity. 3&%5%5%   #VXeXXXe#XeXXVXea.GeneralIndemnity: Contractorshalldefend,holdharmlessandindemnifytheStateofOregon,DHSand %& 0  itsagencies,subdivisions,officers,employeesandagentsfromandagainstallclaims,suits,actions,losses,damages,liabilities,costsandexpensesofanynatureresultingfrom,arisingoutof,orrelatingtotheactivitiesofContractororitsofficers,employees,subcontractors,oragentsunderthisContract. 5%5%   b.IntellectualPropertyIndemnity: Withoutlimitingthegeneralindemnityprovision,Contractorexpressly !+ 0  agreestodefend,holdharmlessandindemnifytheStateofOregon,DHSanditsagencies,subdivisions,officers,employeesandagentsfromandagainstallclaims,suits,actions,losses,damages,liabilities,costsandexpensesofanynatureresultingfromorinconnectionwithanyclaimsthattheWork,Developments,SystemorDeliverablesorusethereofinfringeanypatent,copyright,tradesecret,orotherproprietaryright(referredtoas"IntellectualPropertyRights")ofanythirdparty;provided,thatDHSshallprovideContractorwithpromptwrittennoticeofanyinfringementclaim.Contractorshallhavecontrolofthedefenseandsettlementoftheclaim;providedthattheStateofOregonorDHSmayassumeitsowndefenseandsettlementintheeventthattheStateofOregonorDHSdeterminesthatContractorisnotadequatelydefendingitsinterestorthatanimportantgovernmentalprincipleisatissueandtheStateofOregonorDHSdesirestoassumeitsowndefense.IfContractor,initssolediscretion,believesatanytimethattheWork,Developments,SystemorDeliverablesinfringeathirdparty'sIntellectualPropertyRights,Contractormay,atitsownexpenseandoptionanduponreceiptofDHS'spriorwrittenconsent,replaceaninfringingitemwithanoninfringingitemthatmeetsorexceedstheperformanceandfunctionalityofthereplaceditem.#VXeXXXe'#XeXXVXe)'85%5% #VXeXXXeS#XeXXVXeCyXXe#XeXCy##VXeXXXe#XeXXVXe 8.0  Insurance+):5%5%  0  a. 05%5%DuringthetermofthiscontractContractorshallmaintaininforceatitsownexpense,eachinsurancenoted ,*; below: 5%5% HX Xr D"X X` D"H0  05%5% (1) 0r5%5%WorkersCompensationinsuranceincompliancewithORS656.017,whichrequiressubject O.B,= employerstoprovideOregonworkerscompensationcoverageforalltheirsubjectworkers..,>r5%r5% _c$     0  05%5% (2) 0r5%5%GeneralLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan _R $1,000,000eachoccurrenceforBodilyInjuryandPropertyDamage.Itshallincludecontractualliabilitycoveragefortheindemnityprovidedunderthiscontract.ItshallprovidethattheStateofOregon,DepartmentofHumanServices,andtheirdivisions,officersandemployeesareAdditionalInsuredsbutonlywithrespecttotheContractorsservicestobeprovidedunderthiscontract. r5%r5% 0  05%5% (3) 0r5%5%AutomobileLiabilityinsuranceasrequiredbytheOregonFinancialResponsibilityLaw(ORS  806.060),includingcoverageforowned,hiredornonownedvehicles,asapplicable. r5%r5% #VXeXXXe9#XeXXVXe0  05%5% (4) 0r5%5%ProfessionalLiabilityinsurancewithacombinedsinglelimit,ortheequivalent,ofnotlessthan / "  $1,000,000eachclaim,incidentoroccurrence.Thisistocoverdamagescausedbyerror,omissionornegligentactsrelatedtotheprofessionalservicestobeprovidedunderthiscontract. r5%r5% #VXeXXXe#XeXXVXe0  b. 05%5% NoticeofCancellationorChange: Thereshallbenocancellation,materialchange,reductionoflimits OB  orintentnottorenewtheinsurancecoverage(s)without30dayspriorwrittennoticefromContractororitsinsurer(s)toContractsCoordinator,OregonDepartmentofHumanServices. 5%5% 0  c. 05%5% CertificatesofInsurance: Asevidenceoftheinsurancecoveragesrequiredbythiscontract,Contractor ob shallfurnishacceptableinsurancecertificatestoContractsCoordinator,OregonDepartmentofHumanServicespriortocommencingtheWork.ThecertificatewillspecifyallofthepartieswhoareAdditionalInsureds.InsuringcompaniesorentitiesaresubjecttoStateacceptance.Ifrequested,completecopiesofinsurancepolicies,trustagreements,etc.,shallbeprovidedtotheState.Contractorshallbefinanciallyresponsibleforallpertinentdeductibles,selfinsuredretentionsand/orselfinsurance. 5%5% &   9.0  Termination wj5%5% 0  a.05%5%PartiesRighttoTerminateforConvenience :Thiscontractmaybeterminatedatanytimebymutual i\ writtenconsentoftheparties. 5%5% ' w#VXeXXXee#XeXXVXe#VXeXXXe#XeXXVXe0  b.05%5%DHSsRighttoTerminateforConvenience :DHSmay,atitssolediscretion,terminatethiscontract,  inwholeorinpart,upon30daysnoticetoContractor. 5%5% #VXeXXXeZ#XeXXVXe#VXeXXXe #XeXXVXe0  c.05%5%DHSsRighttoTerminateforCause :DHSmayterminatethiscontract,inwholeorinpart,immediately m`  uponnoticetoContractor,oratsuchlaterdateasDHSmayestablishinsuchnotice,upontheoccurrenceofanyofthefollowingevents: 5%5% #VXeXXXe #XeXXVXe#VXeXXXeW"#XeXXVXe0  05%5%(1)0r5%5% DHSfailstoreceivefunding,orappropriations,limitationsorotherexpenditureauthorityatlevels $ sufficienttopayforContractorsWork; r5%r5% 0  05%5% 5%5%     (2)0 r FederalorStatelaws,regulationsorguidelinesaremodifiedorinterpretedinsuchawaythateither !' theWorkunderthiscontractisprohibitedorDHSisprohibitedfrompayingforsuchWorkfromtheplannedfundingsource; r5%r5% 0  05%5% (3)0r5%5% ContractornolongerholdsanylicenseorcertificatethatisrequiredtoperformtheWork;or/$""+r5%r5% 0  05%5% (4) 0r5%5%Contractorcommitsanymaterialbreachordefaultofanycovenant,warranty,obligationoragreement &$- underthiscontract,failstoperformtheWorkunderthiscontractwithinthetimespecifiedhereinoranyextensionthereof,orsofailstopursuetheWorkastoendangerContractorsperformanceunderthiscontractinaccordancewithitsterms,andsuchbreach,defaultorfailureisnotcuredwithin10businessdaysafterdeliveryofDHSsnotice,orsuchlongerperiodasDHSmayspecifyinsuchnotice. r5%r5% #VXeXXXe"#XeXXVXe#VXeXXXel(#XeXXVXe0  d.05%5%ContractorsRighttoTerminateforCause :Contractormayterminatethiscontractupon30daysnotice  +)4 toDHSifDHSfailstopayContractorpursuanttothetermsofthiscontractandDHSfailstocurewithin30daysafterreceiptofContractorsnotice,orsuchlongerperiodofcureasContractormayspecifyinsuchnotice. 5%5%   0   5%5%    e.0  Remedies :.,95%5% 0  05%5% (1) 0r5%5%IntheeventofterminationpursuanttoSections9a,9b,9c(1),9c(2)or9dofthisexhibit,Contractors m`  soleremedyshallbeaclaimforthesumdesignatedforaccomplishingtheWorkmultipliedbythepercentageofWorkcompletedandacceptedbyDHS,lesspreviousamountspaidandanyclaim(s)whichStatehasagainstContractor.IfpreviousamountspaidtoContractorexceedtheamountduetoContractorunderthisSection,ContractorshallpayanyexcesstoDHSupondemand. r5%r5% #VXeXXXe(#XeXXVXe#VXeXXXei-#XeXXVXe0  05%5%(2)0r5%5% IntheeventofterminationpursuanttoSection9c(3)or9c(4)ofthisexhibit,DHSshallhaveany  remedyavailabletoitinlaworequity.IfitisdeterminedforanyreasonthatContractorwasnotindefaultunderSection9c(3)or9c(4)ofthisexhibit,therightsandobligationsofthepartiesshallbethesameasifthecontractwasterminatedpursuanttoSection9bofthisexhibit. r5%r5%    f.0  ContractorsTenderUponTermination: Uponreceivinganoticeofterminationofthiscontract,  z  Contractorshallimmediatelyceaseallactivitiesunderthiscontract,unlessDHSexpresslydirectsotherwiseinsuchnoticeoftermination.Uponterminationofthiscontract,ContractorshalldelivertoDHSalldocuments,information,worksinprogressandotherpropertythatareorwouldbedeliverableshadthecontractbeencompleted.UponDHSsrequest,ContractorshallsurrendertoanyoneDHSdesignates,alldocuments,researchorobjectsorothertangiblethingsneededtocompletetheWork. 5%5%  10.0  LimitationofLiabilities.EXCEPTFORLIABILITYARISINGUNDERORRELATEDTO   SECTION5aOR9e(2)OFTHISEXHIBIT,NEITHERPARTYSHALLBELIABLEFOR(A)ANYINDIRECT,INCIDENTAL,CONSEQUENTIALORSPECIALDAMAGESUNDERTHECONTRACTOR(B)ANYDAMAGESOFANYSORTARISINGSOLELYFROMTHETERMINATIONOFTHISCONTRACTINACCORDANCEWITHITSTERMS. 5%5% #VXeXXXe-#XeXXVXeCyXXe#XeXCyC4##VXeXXXe$4#XeXXVXe 11.0  RecordsMaintenance;Access. Contractorshallmaintainallfiscalrecordsrelatingtothiscontractin  accordancewithgenerallyacceptedaccountingprinciples.Inaddition,ContractorshallmaintainanyotherrecordspertinenttothiscontractinsuchamannerastoclearlydocumentContractor'sperformance.ContractoracknowledgesandagreesthatDHS,theOregonSecretaryofState'sOffice,theFederalGovernment,andtheirdulyauthorizedrepresentativesshallhaveaccesstosuchfiscalrecordsandallotherbooks,documents,papers,plans,andwritingsoftheContractorthatarepertinenttothiscontractforthepurposeofperformingexaminationsandaudits,andmakingexcerptsandtranscripts.Contractorshallretainandkeepaccessibleallsuchfiscalrecords,books,documents,papers,plans,andwritingsforaminimumofthree(3)years,orsuchlongerperiodasmayberequiredbyapplicablelaw,followingfinalpaymentandterminationofthiscontract,oruntiltheconclusionofanyaudit,controversyorlitigationarisingoutoforrelatedtothiscontract,whicheverdateislater. 5%5% #VXeXXXe4#XeXXVXeCyXXe#XeXCy9##VXeXXXe9#XeXXVXe 12.0  CompliancewithApplicableLaw. Contractorshallcomplywithallfederal,stateandlocallaws,regulations, # executiveordersandordinancesapplicabletotheWorkunderthiscontract.Withoutlimitingthegeneralityoftheforegoing,Contractorexpresslyagreestocomplywith:(I)TitleVIofCivilRightsActof1964;(ii)SectionVoftheRehabilitationActof1973;(iii)theAmericanswithDisabilitiesActof1990andORS659.425;(iv)allregulationsandadministrativerulesestablishedpursuanttotheforegoinglaws;and(v)allotherapplicablerequirementsoffederalandstatecivilrightsandrehabilitationstatutes,rulesandregulations.DHSsperformanceunderthiscontractisconditioneduponContractorscompliancewiththeprovisionsofORS279.312,279.314,279.316,279.320,and279.555,whichareincorporatedbyreferenceherein. 5%5% #VXeXXXe:#XeXXVXeCyXXe#XeXCy >##VXeXXXe=#XeXXVXe 13.0  ForeignContractor. IfContractorisnotdomiciledinorregisteredtodobusinessintheStateofOregon, 1!$, ContractorshallpromptlyprovidetotheOregonDepartmentofRevenueandtheSecretaryofStateCorporationDivisionallinformationrequiredbythoseagenciesrelativetothiscontract.ContractorshalldemonstrateitslegalcapacitytoperformtheWorkunderthiscontractintheStateofOregonpriortoenteringintothiscontract. 5%5%  14.0  ForceMajeure. NeitherDHSnorContractorshallbeheldresponsiblefordelayordefaultcausedbyfire,riot, %#2 actsofGod,orwarwheresuchcausewasbeyondthereasonablecontrolofDHSorContractor,respectively.Contractorshall,however,makeallreasonableeffortstoremoveoreliminatesuchacauseofdelayordefaultandshall,uponthecessationofthecause,diligentlypursueperformanceofitsobligationsunderthiscontract. 5%5% #VXeXXXeq>#XeXXVXe#VXeXXXeB#XeXXVXe 15.0  Survival. Allrightsandobligationsshallceaseuponterminationorexpirationofthiscontract,exceptforthe =*0(8 rightsandobligationssetforthintheContractSectionI.EFFECTIVEDATEANDDURATION,andinparagraphs5,6,7,11,15and21ofthisexhibit. 5%5% #VXeXXXeB#XeXXVXe#VXeXXXexD#XeXXVXe 16.0  TimeisoftheEssence. Contractoragreesthattimeisoftheessenceunderthiscontract.]-P+<5%5%   O.B,= 17.0  WrittenNotice. Allnoticesregardingthiscontractmustbegiventothepartiesinwritingbypersonal m`  deliveryormailingthesame,postageprepaid,tothefollowingaddresses: 5%5% &  #VXeXXXeD#XeXXVXe#VXeXXXeF#XeXXVXe0  'F&  #VXeXXXeF#XeXXVXeDHS:0r5%5%0 r5%r5%#VXeXXXedG#XeXXVXeDHSContractsCoordinator#VXeXXXeG#XeXXVXeԀordelegate 5% 5%      r  OregonDepartmentofHumanServices0  05%5%0r5%5%0 r5%r5%500SummerStreetNE#VXeXXXe-H#XeXXVXe/MailingCode#VXeXXXeKI#XeXXVXeԀE03#VXeXXXeI#XeXXVXe 5% 5% 0  05%5%0r5%5%0 r5%r5%SalemOR973101080  5% 5% 0     r  #VXeXXXeI#XeXXVXeFacsimileNumber:5%5%      r  PhoneNumber:#VXeXXXeJ#XeXXVXe   & A 0  Contractor:0 5%5%Entity  5% 5% 0  05%5%0r5%5%0 r5%r5%Address  5% 5% 0  05%5%0r5%5%0 r5%r5%City,State,ZIP  5% 5% ' K#VXeXXXeK#XeXXVXe     r  FacsimileNumber: cV       r  PhoneNumber:#VXeXXXe.M#XeXXVXe UH  #VXeXXXeN#XeXXVXe#VXeXXXeZN#XeXXVXe0  Anynoticedeliveredbyfacsimileshallbedeemedtobegivenwhenreceiptofthetransmissionisgenerated 9, bythetransmittingmachine.TobeeffectiveagainstDHS,suchfacsimiletransmissionmustbeconfirmedbytelephonenoticetoDHSsContractAdministrator. 5%5% #VXeXXXeN#XeXXVXeCyXXe#XeXCyAP##VXeXXXe"P#XeXXVXe 18.0  Severability. Thepartiesagreethatifanytermorprovisionofthiscontractisdeclaredbyacourtof YL competentjurisdictiontobeillegalorinconflictwithanylaw,thevalidityoftheremainingtermsandprovisionsshallnotbeaffected,andtherightsandobligationsofthepartiesshallbeconstruedandenforcedasifthecontractdidnotcontaintheparticulartermorprovisionheldtobeinvalid. 5%5% #VXeXXXeP#XeXXVXe#VXeXXXeR#XeXXVXe 19.0  Counterparts. Thiscontractmaybeexecutedinseveralcounterparts,allofwhichwhentakentogethershall   constituteoneagreementbindingonallparties,notwithstandingthatallpartiesarenotsignatoriestothesamecounterpart.Eachcopyofthecontractsoexecutedshallconstituteanoriginal. 5%5% & . #VXeXXXeS#XeXXVXe#VXeXXXeT#XeXXVXe 20.0  DisclosureofSocialSecurityNumber. ContractormustprovideContractorsSocialSecuritynumberunless 7* '.ETContractorprovidesafederaltaxIDnumber.ThisnumberisrequestedpursuanttoORS305.385,OAR12520410(3)andOAR150305.100.SocialSecuritynumbersprovidedpursuanttothisauthoritywillbeusedfortheadministrationofstate,federalandlocaltaxlaws. 5%5% #VXeXXXeU#XeXXVXe#VXeXXXeW#XeXXVXe 21.0  GoverningLaw;Venue;ConsenttoJurisdiction. Thiscontractshallbegovernedbyandconstruedin " accordancewiththelawsoftheStateofOregonwithoutregardtoprinciplesofconflictsoflaw.Anyclaim,action,suitorproceeding(collectively,"Claim")betweenDHS(and/oranyotheragencyordepartmentoftheStateofOregon)andContractorthatarisesfromorrelatestothiscontractshallbebroughtandconductedsolelyandexclusivelywithintheCircuitCourtofMarionCountyfortheStateofOregon;provided,however,iftheclaimmustbebroughtinafederalforum,thenitshallbebroughtandconductedsolelyandexclusivelywithintheUnitedStatesDistrictCourtfortheDistrictofOregon.CONTRACTOR,BYTHEEXECUTIONOFTHISCONTRACT,HEREBYCONSENTSTOTHEINPERSONAMJURISDICTIONOFSAIDCOURTS. 5%5%  22.0  Amendment. Thetermsofthiscontractmaynotbewaived,altered,modified,supplementedoramended, %#, inanymannerwhatsoever,exceptbywrittenagreementsignedbytheparties.Thiscontractwillnotbeamendedaftertheexpirationdate. 5%5% &  23.0  ConfidentialityofClientInformation (&05%5% 0  a. 05%5%AllinformationastopersonalfactsandcircumstancesobtainedbytheContractor''%\ontheclientshallbe )'1 treatedasprivilegedcommunications,shallbeheldconfidential,andshallnotbedivulgedwithoutthewrittenconsentoftheclient,hisorherattorney,theresponsibleparentofaminorchild,orhisorherguardianexceptasrequiredbyothertermsofthiscontract.Nothingprohibitsthedisclosureofinformationinsummaries,statistical,orotherformwhichdoesnotidentifyparticularindividuals. 5%5% #VXeXXXe[W#XeXXVXe#VXeXXXe_#XeXXVXe0  b. 05%5%Theuseordisclosureofinformationconcerningclientsshallbelimitedtopersonsdirectlyconnectedwith 7.*,7 theadministrationofthiscontract.Confidentialitypoliciesshallbeappliedtoallrequestsfromoutsidesources._s/f-95%5% #VXeXXXeY_#XeXXVXe#VXeXXXe`#XeXXVXe0  c. 05%5%_DHS_,Contractorandanysubcontractorwillshareinformationasnecessarytoeffectivelyserve_DHS_ _R clients. 5%5% #VXeXXXe,a#XeXXVXeCyXXe#XeXCyb##VXeXXXelb#XeXXVXe 24.0  CompliancewithApplicableFederalLaw. Contractoragreestocomplywithallfederallawsand  regulationsapplicabletoworkperformedunderthiscontractinclusiveofbutnotlimitedto: 5%5% #VXeXXXeb#XeXXVXe#VXeXXXe/d#XeXXVXe0  a.05%5% Totheextentitisrequiredtodosobylaw,Contractorshallabidebyallmandatorystandardsandpolicies cV whichrelatetoenergyefficiencyandwhicharecontainedinthestateofOregonenergyconservationplanwhichwasissuedincompliancewiththeEnergyPolicyandConservationAct(PL94-163).Allsubcontractsshallalsobeincompliancewiththeforegoing. 5%5% #VXeXXXerd#XeXXVXe#VXeXXXevf#XeXXVXe0  b. 05%5%Bysignatureonthiscontract,theundersignedcertifies,tothebestofhisorherknowledgeandbelief,that:!  5%5% #VXeXXXef#XeXXVXe#VXeXXXeg#XeXXVXe0  05%5%(1)0r5%5% Nofederallyappropriatedfundshavebeenpaidorwillbepaid,byoronbehalfofContractor,toany   personforinfluencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththeawardingofanyfederalcontract,themakingofanyfederalgrant,themakingofanyfederalloan,theenteringintoofanycooperativeagreement,andtheextension,continuation,renewal,amendment,ormodificationofanyfederalcontract,grant,loan,orcooperativeagreement. r5%r5% #VXeXXXeg#XeXXVXe#VXeXXXej#XeXXVXe0  05%5% (2)0r5%5% Ifanyfundsotherthanfederallyappropriatedfundshavebeenpaidorwillbepaidtoanypersonfor  influencingorattemptingtoinfluenceanofficeroremployeeofanyagency,amemberofCongress,anofficeroremployeeofCongress,oranemployeeofamemberofCongressinconnectionwiththisfederalcontract,grant,loan,orcooperativeagreement,ContractoragreestocompleteandsubmitStandardForm_LLL_Ԁ"DisclosureFormtoReportLobbying,"inaccordancewithitsinstructions. r5%r5% #VXeXXXe.k#XeXXVXeCyXXe#XeXCyn##VXeXXXem#XeXXVXe0  05%5% (3) 0r5%5%Theundersignedshallrequirethatthelanguageofthiscertificationbeincludedintheaward [N documentsforall_subawards_Ԁatalltiers(includingsubcontracts,_subgrants_,andcontractsundergrants,loans,andcooperativeagreements)andthatall_subrecipients_Ԁshallcertifyanddiscloseaccordingly. r5%r5% 0  05%5%0r5%5%Thiscertificationisamaterialrepresentationoffactuponwhichreliancewasplacedwhenthistransactionwasmadeorenteredinto.Submissionofthiscertificationisaprerequisiteformakingorenteringintothistransactionimposedbysection1352,title31,U.S.Code.Anypersonwhofailstofiletherequiredcertificationshallbesubjecttoacivilpenaltyofnotlessthan$10,000andnotmorethan$100,000foreachsuchfailure. r5%r5% 0   5%5%   0  c. 05%5%ContractoragreestocomplywithExecutiveOrder11246entitledEqualEmploymentOpportunityas  ' amendedbyExecutiveOrders11375and12086andassupplementedinDepartmentofLaborRegulation41_CFR_Ԁpart60.Allsubcontractsshallalsocomplywiththeseprovisions. 5%5% #VXeXXXegn#XeXXVXe#VXeXXXeXt#XeXXVXe0  d. 05%5%Ifthesumpayableunderthiscontractexceedsormayexceed$100,000,Contractorshallprovide_DHS_Ԁa #!+ writtenassurancethatContractorwillcomplywithallapplicablestandards,orders,orrequirementsissuedunderSection306oftheCleanAirAct(42_USC_Ԁ7401_et.seq_.),theFederalWaterPollutionControlAct,asamended(33_USC_Ԁ1251_et.seq_.),Section508oftheCleanWaterAct(33_USC_Ԁ1368),ExecutiveOrder11738andEnvironmentalProtectionAgencyregulations(40_CFR_ԀPart15).ContractorfurtheragreestopromptlyreportallinfractionstotheStateofOregon,andtotheDepartmentofHealthandHumanServices,andtotheU.S.RegionalOfficeoftheEnvironmentalProtectionAgency.Allsubcontractsshallalsobeincompliancewiththeseprovisions. 5%5% #VXeXXXet#XeXXVXeCyXXe#XeXCy*y##VXeXXXe y#XeXXVXe 25.0  Year2000ComplianceNotice .IntheeventContractorlearnsorhasreasontobelievethat_DHS_scomputer *(4 hardwareorsoftwareenvironmentfailstouseadataformatthatexplicitlyspecifiescenturyinanydatedata,Contractorshallpromptlyadvise_DHS_Ԁofsuchfailure. 5%5%  26.0  DepartmentofJusticeApproval. Whenthecontractoramendmentstheretocausethecontractpaymentto 1-$+8 beinexcessof$75,000,theDepartmentofJusticemustapprovethecontractandanyamendmentsastoLegalSufficiency.Suchapprovalisrequiredbeforeanyworkmaybeginunderthiscontractoramendmentsthereto, orthecontractisnotbindingontheStateofOregonor_DHS_. /,;5%5%  #VXeXXXey#XeXXVXe 27.0  KeyPerson. ContractoracknowledgesandagreesthatOregon_DHS_ԀselectedContractor,andisenteringinto _R thisContract,becauseofthespecialqualificationsofContractorskeyperson(s).Inparticular,Oregon_DHS_throughthisContract,isengagingtheexpertise,experience,judgmentandpersonalattentionof_XXXXX_Ԁ(KeyPersonName)#VXeXXXeX}#XeXXVXe.ContractorsKeyPersonsshallnotdelegateperformanceoftheresponsibilitieshe/sheis 9, requiredtoprovideunderthisContracttoanother(other)ofContractorsemployee(s)withoutfirstobtainingthewrittenconsentofOregon_DHS_.Further,Contractorshallnotre-assignortransferanyKeyPersontootherdutiesorpositionssuchthatanyKeyPersonisnolongeravailabletoprovideOregon_DHS_Ԁwithhis/herexpertise,experience,judgment,andpersonalattention,withoutfirstobtainingOregon_DHS_spriorwrittenconsenttosuchre-assignmentortransfer.IntheeventContractorrequeststhatOregon_DHS_Ԁapproveare-assignmentortransferofanyKeyPerson,Oregon_DHS_Ԁshallhavetherighttointerview,reviewthequalificationsof,andapproveordisapprovetheproposedreplacementfortheKeyPerson.AnyapprovedsubstituteorreplacementforaKeyPersonshallbedeemedaKeyPersonunderthisContract.#VXeXXXe}#XeXXVXeԀInaddition,#VXeXXXe# XeXXVXethe )   ContractormustprovideareplacementforanyConsultantwhoceasesaffiliationwiththeContractor,whom_DHS_Ԁdeemsisnotperformingatanacceptablelevelorishinderingthesuccessfulcompletionofassignment(s),isunabletoperformassignedwork,orasrequiredby_DHS_.Transitionschedulemustbeapprovedby_DHS_.Intheeventthat_DHS_Ԁrequiressuchreplacement,theContractorshallpromptlysubstituteorengageotherqualifiedindividuals.Allsuchreplacementsaresubjectto_DHS_spriorreviewandacceptance.IntheeventthatContractorisunabletomeetitsobligationtofurnishareplacementConsultant,_DHS_Ԁmay,atitsoption,terminatethatportionoftheContractwithoutliability,ortocontinuetheContractwithoutreplacement.#VXeXX Xeh#XeXXVXe  5%5%   #VXeXXXeu#XeXXVXe ExhibitC  m`  IndependentContractorCertificationStatement  _R È  #VXeXXXe#%XeXXVXe #VXeXX%XeƉ#XeXXVXe XXeThisformistobecompletedbyContractor;Corporationsarenotrequiredtocompletethisform. C6  _ORS_Ԁ670.600IndependentContractor;standards.Asusedinvariousprovisionsof_ORS_Ԁchapters316,656,657and701,anindividual ;. orbusinessentitythatperformslabororservicesfor_renumeration_'sshallbeconsideredtoperformthelabororservicesasanIndependentContractorifthestandardsofthissectionaremet: Contractorunderstandsthat: {n  P 9XX Xr D"91.0  Theindividualorbusinessentityprovidingthelabororservicesisfreefromdirectionandcontroloverthemeansandmannerof s f providingthelabororservices,subjectonlytotherightoftheAgencyforwhomthelabororservicesareprovidedtospecifythedesiredresults; 5%5% 2.0  Theindividualorbusinessentityprovidinglabororservicesisresponsibleforobtainingallassumedbusinessregistrationsor   professionaloccupationlicensesrequiredbystatelaworlocalgovernmentordinancesfortheindividualorbusinessentitytoconductthebusiness; 5%5% 3.0  Theindividualorbusinessentityprovidinglabororservicesfurnishesthetoolsorequipmentnecessaryforperformanceofthe   contractedlabororservices; 5%5% 4.0  Theindividualorbusinessentityprovidinglabororserviceshastheauthoritytohireandfireemployeestoperformthelaboror   services; 5%5% 5.0  Paymentforthelabororservicesismadeuponcompletionoftheperformanceofspecificportionsoftheprojectorismadeonthe + basisofanannualperiodicretainer. 5%5% *XX*6.0  Theindividualorbusinessentityprovidinglabororserviceisregisteredunder_ORS_Ԁchapter701,iftheindividualorbusinessentity  provideslabororservicesforwhichsuchregistrationisrequired; 5%5% 7.0  FederalandstateincometaxreturnsinthenameofthebusinessorabusinessScheduleCorfarmScheduleFaspartofthepersonal cV incometaxreturnwerefiledforthepreviousyeariftheindividualorbusinessentityperformedlabororservicesasanindependentcontractorinthepreviousyear;and 5%5% 8.0  Theindividualorbusinessentityrepresentstothepublicthatthelabororservicesaretobeprovidedbyanindependently  establishedbusiness.ExceptwhenanindividualorbusinessentityfilesaScheduleFaspartofthepersonalincometaxreturnsandtheindividualorbusinessentityperformsfarmlabororservicesthatarereportableonScheduleC,anindividualorbusinessentityisconsideredtobeengagedinanindependentlyestablishedbusinesswhenfourormoreofthefollowingcircumstancesexist.Contractormustmeetfour(4)ormoreofthefollowing: 5%5% *X*  A.0  Thelabororservicesareprimarilycarriedoutatalocationthatisseparatefromtheresidenceofanindividualwhoperforms + thelabororservices,orareprimarilycarriedoutinaspecificportionoftheresidence,whichportionissetasideasthelocationofthebusiness; 5%5%   B.0  Commercialadvertisingorbusinesscardsasiscustomaryinoperationofsimilarbusinessesarepurchasedforthebusiness, k^! ortheindividualorbusinessentityhasatradeassociationmembership; 5%5%   C.0  Telephonelistingandserviceareusedforthebusinessthatisseparatefromthepersonalresidencelistingandserviceusedby # anindividualwhoperformsthelabororservices; 5%5%   D.0  Labororservicesareperformedonlypursuanttowrittencontracts;%5%5%   E.0  Labororservicesareperformedfortwoormoredifferentpersonswithinaperiodofoneyear;or &5%5%   F.0  Theindividualorbusinessentityassumesfinancialresponsibilityfordefectiveworkmanshiporforservicenotprovidedas !' evidencedbytheownershipofperformancebonds,warranties,errorsandomissioninsuranceorliabilityinsurancerelatingtothelabororservicestobeperformed. 5%5% 9.0  PursuanttoOAR1250200410(4),thecontractshallprovidethattheContractorisresponsibleforfederalSocialSecurity,except #!* thosecategoriesexcludedbylaw,andforanyfederalorstatetaxesapplicabletothecontractpayment. 5%5%  IndependentContractorcertifieshe/shemeetstheabovestandardsandagreestoperformthelabororservicesrequiredbythiscontractasanIndependentContractor. P'  '     *   *ContractorSignature ________________________________________________Date_________________ )'1 '   'EntityName(printedortyped): _____________________________________________________________________#V  ##VXeX V<#XeXXVXe ,*4 #VXeXXXe1#XeXXVXe  -+5 #VXeXXXe#XeXXVXe0 @ ExhibitD m`  7 INFORMATIONFORCRIMINALHISTORYCHECKXXe  u 4*eFXdd $dd $FX5%X5%e,m dd ,dd , dd +  %  %@] ] *** #V#5s9#VHIRINGSUPERVISORTOCOMPLETETHISSECTION #V#5s9#V*** * |o *C6sNameof_DHS_ԀSupervisor=sC6 $  $C6sAgency/Address=sC6    C6sPhoneNumber/Extension=sC6(     (*FdXdm dd m dd  dd FX5%X5%,s#dd +  ! 5 (  !@ ***#V挆#5s9#V TOBECOMPLETEDBYAPPLICANT/EMPLOYEE #V#5s9"#V***(   (0X X (# 70Name(PleasePrint) Last    h First     p Middle    DateofBirth   AF<) xdEXz"A   OtherName(s)Used:(MaidenName,PreviousMarriedName(s),Aliases,LegalNameChanges,AssumedNames,etc.)#XeX挧#AF<)V' s#dEV' s#AXXe #XeX#&XXe33#XeX&g#33XXeSex     SocialSecurityNumber(PerSignedConsentBelow) p     DriversLicenseNumber/Issuing TG State#V挑#V#XeXҪ#XXeMale#V#V#XeX&#XXe  Female#XeX挻#XXe#Vy#V #V\##VXeXV#XeXXVXeXXe  AF<)Vs#dEVs#A %WARNING:Falselyrespondingtoanyofthequestionslistedbelowdisqualifiesyourapplicationbylaw.   EX  X (#X X XE1.  Yes  No0 HaveyoulivedoutsidetheStateofOregonanytimeduringthefive(5)yearpriortodaysdate? 5% 5% P2.  Yes  No0 Haveyoueverbeenconvictedofanycrimelistedonthebackofthisform(orthesubstantialequivalentofanyofthe  crime(s)iftheconvictionoccurredinanotherjurisdictionorinOregonunderadifferentstatutorynameornumber)?  5% 5% IfYES,placean(X)intheboxbesidethecrime(orthesubstantiallyequivalentcrime)and,onaseparatesheetofpaper,describethecircumstancesbywhichyouwereconvictedofthecrime(s)andprovideanyinformationyouhavetohelpusunderstandwhyyoubelieveyourconviction(s)WILLNOTposearisktopersonsinthecareoforreceivingservicesfrom_DHS_,orotherpreventyoufromfulfillingtheresponsibilitiesofyourjob.3.  Yes  No0 Doyouhaveaconcealedhandgunlicense?$"% 5% 5% @. . % '$&$ #Vͭ#5s9#VAUTHORIZATIONTODISCLOSESOCIALSECURITYNUMBER#V#5s9v#V   '$( %2(%& (&OAR410070000authorizes_DHS_ԀtorequestyoutovoluntarilyprovideyourSocialSecurityNumberto_DHS_Ԁforuseasanidentificationnumberforcriminalrecordchecks.FailuretoprovideyourSocialSecurityNumberwillnotbeusedasabasistodenyyouanyrightorbenefit,orprivilegeprovidedbylaw.IfyouprovideyourSocialSecurityNumberandconsenttoitsuse,itwillbeusedonlyforthepurposestatedaboveandwillnotbegiventothegeneralpublic.BysigningthisconsenttodiscloseyourSocialSecurityNumber,youauthorize_DHS_ԀtodiscloseyourSocialSecurityNumbertoothersifsuchdisclosureisnecessaryforthepurposestatedabove.______________________________________________________________________________________________________________________ ConsultantsSignature     h      p       Date .,1 %m`@j j  #V#5s9#VAFFIRMATIONOFACCURATEINFORMATION#V#5s9#V    %Ihavereviewedandcompletedbothsidesofthisformasapplicabletome.Iunderstandthatsubmittingfalseinformationwilldisqualifymefromworkingat/for_DHS_.Bymysignaturebelow,Iherebyaffirmthatallinformationprovidedonbothsidesofthisform,andallattachmentsthereto,aretrueandaccurate.       @  @  @ ***#V#5s9#V CONSULTANTSSIGNATUREMUSTBEWITNESSED#V#5s9^#V 󀀀***  __________________________________________________________   ' _______________________________________________________ConsultantsSignature    Date h     SignatureofWitness     Date   #Vϼ#V             h     _______________________________________________________h           h     TitleofWitnesshu*eFdds#dd s#FX5%X5%e,dd ,Wdd +  %  %@ \***#V挣#5s9#V _DHS_ԀPERSONNELSERVICESUSEONLY #V#5s9#VԀ*** 'sf 'DateofLEDS_CCH_/WARRANTS/_DMV_ԀCheck:______/______/_____   _DHS_Ԁ_PERS_Ԁ_SVCS_ԀRECORDSSPEC: wj   ]4X^ ; N <u|,,Xh4!XX  X X]Conviction : ^ Yes  No ;  N Warrant:  < Yes u No |   Valid_ODL_ :YesQ<hNo   ContinuedEmployment :  Approved N Denied  # *xFdddd Wdd WFX5%X5%x, $dd +   m` #XeX#@I I \ IMPORTANTNOTICETOCONSULTANT   1$ CyXXeYOURSIGNATUREONTHEFRONTOFTHISFORMMEANSYOUHAVEREVIEWEDTHISLISTOFCRIMESANDCHECKMARKED(4)THOSE 5( CRIMESFORWHICHYOUHAVEBEENCONVICTED.YOURSIGNATUREALSOGRANTSPERMISSIONFOR_DHS_ԀTOVERIFYANYANDALLINFORMATIONYOUHAVEPROVIDEDONTHISFORMANDATTACHEDDOCUMENTS,IFANY.#XeXCyN#   &XXeffӀ#XeX& # = 0 ff(CyXXeSpecificCrimes:(_ORS_):   #XeXCy#ffff X`" F X XX^ ; N <u|,,Xh4!X`XXe(  5% 5%(o0  162.02507 * *BribeReceiving 7*7* o0  162.06507 * *Perjury 7*7* o0  162.15507 * *EscapeII 7*7* o0  162.165 7 EscapeIt  * * o  162.185 7 SupplyingContraband aT  o0  162.20507 * *FailuretoAppearIA47*7* o0  162.23507 * *ObstructingGovernmentalorJudicialAdministration!7*7* o0  162.26507 * *BribingaWitness7*7* o0  162.27507 * *BribeReceivingByaWitness7*7* o0  162.28507 * *TamperingWithaWitness7*7* o0  162.30507 * *TamperingWithPublicRecords7*7* o0  162.32507 * *HinderingProsecutiont7*7* o  163.095 7 AggravatedMurder aT o  163.115 7 Murder A4 o  163.118 7 ManslaughterI ! o  163.125 7 ManslaughterII  o  163.145 7 CriminallyNegligentHomicide  o0  163.16007 * *AssaultIV7*7* o  163.165 7 AssaultIII  o  163.175 7 AssaultII t o  163.185 7 AssaultI aT o0  163.19007 * *MenacingA47*7* o0  163.19507 * *RecklesslyEndangeringAnother! 7*7* o  163.200 7 CriminalMistreatmentII !  o  163.205 7 CriminalMistreatmentI !! o  163.225 7 KidnapingII " " o  163.235 7 KidnapingI #!# o  163.275 7 Coercion $t"$ o  163.355 7 RapeIII a%T#% o  163.365 7 RapeII A&4$& o  163.375 7 RapeI !'%' o  163.385 7 SodomyIII (%( o  163.395 7 SodomyII (&) o  163.405 7 SodomyI )'* o  163.408 7 UnlawfulSexualPenetrationII *(+ o  163.411 7 UnlawfulSexualPenetrationI +t), o  163.415 7 SexualAbuseIII a,T*- o  163.425 7 SexualAbuseII A-4+. o  163.427 7 SexualAbuseI !.,/  o  163.435 7 ContributingtotheSexualDelinquencyofaMinor /,0 o  163.445  SexualMisconduct  0  o0  163.4550%%AccostingforDeviatePurposes 1%% o  163.465  PublicIndecency  2 o  163.515  Bigamy t 3 o  163.525  Incest aT4 o  163.535  AbandonmentofaChild A45 o  163.545  ChildNeglectII !6 o  163.547  ChildNeglectI 7 o  163.555  Criminal_Nonsupport_ 8 o  163.575  EndangeringtheWelfareofaMinor 9 o  163.670  UsingChildinDisplayofSexuallyExplicitConduct : o  163.6730  DealinginDepictionsofSexualConductInvolvingaChildt;%% o0  163.6750%%SaleofExhibitionofVisualReproductionofSexualConductby aT< Child %% o  163.680  PayingforViewingSexualConduct > o  163.732  Stalking ? o0  164.0430%%TheftIII@%% o0  164.0450%%TheftIIm`A%% o0  164.0550%%TheftIM@B%% o0  164.0570%%AggravatedTheftI- C%% o  164.075  TheftbyExtortion  D o  164.225  BurglaryI E o  164.325  ArsonI F H,F$ 4 X F X XHo  164.395  RobberyIII  G o  164.405  RobberyII !H o  164.415  RobberyI m"` I o0  165.0130%%ForgeryintheFirstDegreeM#@!J%% o0  165.0220%%CriminalPossessionofaForgedInstrumentintheFirstDegree-$ "K%% BX,F$ 4 XBo0  165.0320%%CriminalPossessionofaForgeryDevice %#L%% o0  165.0550%%FraudulentUseofCreditCard(Over$750)%#M%% o0  165.0650%%NegotiatingaBadCheck(ClassFelonyClause)&$N%% o0  165.0700%%PossessionaFraudulentCommunicationDevice'%O%% o0  165.0740%%UnlawfulFactoringofaCreditCardTransaction(&P%% o0  165.0850%%SportsBriberym)`'Q%% o0  165.0900%%SportsBribeReceivingM*@(R%% o0  166.0150%%Riot-+ )S%% o  166.085  AbuseofCorpseII  ,*T o  166.087  AbuseofCorpseI ,*U o  166.155  IntimidationII -+V o  166.165  IntimidationI .,W o  166.220  UnlawfulUseofWeapon /-X o  166.270 7 FeloninPossessionofFirearm m` o0  166.27207**UnlawfulPossessionofMachineGuns,CertainShort M@ barreledFirearms&FirearmsSilencers 7*7* o  166.275 7 PossessionofWeaponsbyInmatesofInstitutions  o  166.3700 7 DischargingFirearmatSchool/PossessionofFirearm  orDangerousWeaponinPublicBuilding 7*7* o  166.382 7 PossessionofDestructiveDevice  o  166.384 7 UnlawfulManufactureofDestructiveDevice  o  166.429 7 UseofFirearmsinFelony  o  166.480 7 SaleorGiftofExplosivestoChildren    o  166.660 7 UnlawfulParamilitaryActivity  x  o  166.720 7 Racketeering e X  o0  167.00707**ProstitutionE 8 7*7* o  167.012 7 PromotingProstitution %   o  167.017 7 CompellingProstitution   o  167.0620 7 SadomasochisticAbuseorSexualConductinLive   Show#XeX#CyXXe(engagingin)#XeXCyb#XXeqd 7*7* o  167.0620 7 SadomasochisticAbuseorSexualConductinLive QD Show(directing,managing,financing,orpresenting) 7*7* o  167.065 7 FurnishingObsceneMaterialstoMinors  o  167.070 7 SendingObsceneMaterialstoMinors  o  167.075 7 ExhibitinganObscenePerformancetoaMinor }p o  167.080 7 DisplayingObsceneMaterialstoMinors ]P o  167.087 7 DisseminatingObsceneMaterial =0 o  167.090 7 PubliclyDisplayingNudityorSexforAdvertising  Purposeso  167.212 7 TamperingwithDrugRecords | o  167.2620 7 AdultUsingMinorinCommissionofControlled i\ SubstanceOffense(LessThanFiveGramsMarijuana) 7*7* o  411.630 7 UnlawfullyObtainingofPublicAssistance  o  411.840 7 UnlawfullyUsingStampsorCommodities  o0  471.41007**ProvidingLiquortoaPersonUnder21orto  IntoxicatedPerson;MandatoryMinimumPenalties 7*7* o0  475.99207**ProhibitedActsGenerally;Penalties;Affirmative ! DefenseforCertainPeyoteUses 7*7* o0  475.99307**ProhibitedActsforRegistrants;Penaltiesm`#7*7* o0  475.99407**ProhibitedActsInvolvingRecordsandFraud; M@$ Penalties 7*7* o0  475.99507**DistributionofControlledSubstancetoMinors &7*7* o0  475.99607**CrimeCategoryClassificationforViolationof !' 475.992;ProofofCommercialDrugOffense 7*7* o0  475.99907**ManufactureorDeliveryofControlledsubstanceto # ) MinororStudentWithin1,000FeetofSchool 7*7* o0  811.14007**RecklessDrivingq$d"+7*7* o0  811.18207**CriminalDrivingWhileSuspendedorRevokedorin Q%D#, ViolationofaPermit 7*7* o0  811.54007**FleeingorAttemptingtoEludePolice&$.7*7* o0  811.70007**FailuretoPerformdutiesofDriverWhenPropertyis '%/ Damaged 7*7* o0  811.70507**HitandRunVehicle(Injury) )&17*7* o0  813.01007**DrivingUndertheInfluenceofIntoxicant#XeX挱##VXeXXXe#XeXXVXe)'27*7*  m`2 (  * *(     ,)2  /-5 ЇExhibitEConfidentialityAgreement XXe  qd #V  ##VXeX V#d  XeXXVXe M   XXeToallcontractorsworkingonOregonDepartmentofHumanServices(_DHS_)#V  Y#  VԀprojects: yl Forthepurposesofthiscertificatetheterm contractorwillmeanallConsultantsassignedtotheprojectbythecontractor.Oregonslawscontainprovisionsrelationtoconfidentialityofrecords,listsandinformationaboutclientapplicants/clients/recipientsandaboutStateemployees.Theselaws,andthepenaltiesforviolationofthem,pertaintoeverycontractorworkingon_DHS_Ԁprojects,atalllevelsandinanycapacity.Asaconditionofyourcontinuedworkfor_DHS_,youarerequiredtocompletetheconfidentialitytrainingexerciseandsignthiscertificateverifyingthatyouunderstandthelawsandareawareofthepenaltiesforviolation.Ifatsomefuturedate,youhavedoubtsaboutthelegalityofanactionyoumaybeabouttotake,asktherespectiveprojectmanagerforaninterpretation.Youpersonally   arelegallyresponsibleforanyviolationoftheselaws.    ConfidentialityofPersonnelInformation :_ORS_Ԁ192.500 ThePublicRecords Actcontainsanumberofexemptions   forinformationmaintainedonStateemployeesincludinga personalprivacyexemptionwhichstates: Thefollowingpublicrecordsareexemptfromdisclosure...Informationofapersonalnaturesuchasthatkeptinapersonal,medicalorsimilarfile,ifthepublicdisclosurethereofwouldconstituteanunreasonableinvasionofprivacy,unlessthepublicinterestbyclearandconvincingevidencerequiresdisclosureintheparticularinstance.Thepartyseekingdisclosureshallhavetheburdenofshowingthatpublicdisclosurewouldnotconstituteanunreasonableinvasionofprivacy.(_ORS_Ԁ196.500(2)(b)) ConfidentialityofWelfareApplicants/RecipientsInformation :_ORS_Ԁ411.300 Regulationsconcerninguseand E8 custodyofrecords. (1)_DHS_Ԁshallmakeandenforcereasonablerulesandregulationsgoverningthecustody,useand  preservationoftherecords,tapes,filesandcommunicationsof_DHS_.Theuseofsuchrecords,papers,filesandcommunicationsbyanyotheragencyordepartmentofgovernmentorpersontowhichtheymaybefurnishedshallbelimitedtothepurposesforwhichtheyarefurnishedandbytheprovisionsofthelawunderwhichtheymaybefurnished._ORS_Ԁ411.320 Disclosureanduseofrecordslimited;contentsasaprivilegedcommunication. Fortheprotection E8 ofclients,_DHS_Ԁcontractors...shallnotdiscloseorusethecontentsofanyrecords,files,papersorcommunicationsforpurposesotherthanthosedirectlyconnectedwiththeadministrationofthepublicassistancelawsofOregon,andtheserecords,filespapersandcommunicationareconsideredconfidentialsubjecttotherulesandregulationsof_DHS_ԀanditsDivisions,exceptasotherwiseprovidedin_ORS_Ԁ411.325to411.335.Inanyjudicialproceedings,exceptproceedingsdirectlyconnectedwiththeadministrationofpublicassistancelaws,theircontentsareconsideredprivilegedcommunications.(Note:_ORS_Ԁ421.325and411.330havebeenvoidedbycourtaction.)VV_ORS_Ԁ411.335 Prohibiteduseoflistsornames. Nopersonoragencyshallsolicit,disclose,receive,makeuseof,or   authorize,knowinglypermit,participateinaoracquiesceintheuseof,anylistsofnamesforcommercialorpoliticalpurposesofanynature,foranypurposenotdirectlyconnectedwiththeadministrationofpublicassistancelaws.(Note:_ORS_Ԁ411.325and41.330havebeenvoidedbycourtaction.)WW_ORS_Ԁ411.990 Penalties (1)Violationof_ORS_Ԁ411.320to411.335ispunishable,uponconviction,byafineofnotmore  $ than$1,000orbyimprisonmentinthecountyjailfornotmorethan60days,orbyboth.Violationof_ORS_Ԁ192.500iscausefordisciplinaryactionunder_ORS_Ԁ240.555.XX Instructions: Contractorandsupervisorwillsignpriortostartofwork.Returnoriginaltothe_DHS_ԀProjectManager "| ' ordesignee.IcertifythatIhavereadtheforegoing.MysignaturebelowmeansthatIunderstandtheprovisionsoflawpertainingtotheconfidentialityof_DHS_Ԁrecordsandinformation.IalsounderstandthattheselawsmaychangefromtimetotimeandthatitismyresponsibilitytoreadandunderstandthesechangesasIamnotifiedofthem.K%X ,X9er4 hXXKName(pleaseprint): ___________________________________________________________________________ (&. Signature:_______________________________________________ p Date_____________________ -, *1 SupervisorsSignature:________________________________________________Date_____________________#V  h##VXeX V#%XeXXVXe  ]/P-4 #VXeXX%Xe# %XeXXVXe     S       I ZYExhibitYZ[[\ \]ExhibitG m` _]^  _^__SBI_ԀEmeraldProposaltoSolicitation_RFP_Ԁ_1168_\ \[[_ uh  @  @  @  @  @S  @  @ #VXeXX%Xe#K%XeXXVXeM @  @I  @  @  @p  @  @   @  @  @  @ #VXeXX%Xed# &  ?XX ,X9er4 hX?`%XeXXVXeb_^  ^_ @  @  @  @  @`  @  @ #VXeXX%Xe#d%XeXXVXef @h  @  @  @p  @  @   @x  @  @ #VXeXX%Xe#[V&yW%XVXe[XW_[#VXeX%V&yW#[%XeXXVXe_Y @  @  @`  @  @  @h  @  @  @  @  @  @`  @  @ #VXeXX%Xe#[%XeXXVXe] @h  @  @  @p  @  @   @x  @  @  @  @  @`  @  @  @h  @  @  @p  @ #VXeXX%Xe#' D&   XX