Request for Professional Services Proposals (RFP) Grants Management and Online Application Submission System Software. For the City of St.
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- Nickolas Ray
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1 Request fr Prfessinal Services Prpsals (RFP) Grants Management and Online Applicatin Submissin System Sftware Fr the City f St. Luis Issued by: City f St. Luis, Cmmunity Develpment Administratin (CDA) Issuance Date: March 26, 2015 Prpsal Due: 4:00 p.m. n April 27, 2015 Intrductin The City f St. Luis is requesting prpsals frm qualified cnsultants fr either a Sftware as a Service (SAAS) cnfiguratins (preferable) r traditinal in huse installatin f Grants Management System and assciated implementatin services fr imprved grant making efficiencies fr members f the public, recipients f funds, and CDA staff. Cntract term desired is fr a perid f five (5) years. The City f St. Luis will award a cntract t the lwest and mst respnsive prpsal. Prject selectin is subject t federal funding and is at the sle discretin f the City f St. Luis. Backgrund CDA manages ver 150 grant/lan awards a year, receiving ver 200 applicatins fr funding fr the fllwing U.S. Department f Husing and Urban Develpment prgrams: Cmmunity Develpment Blck Grant HOME Investment Partnership Neighbrhd Stabilizatin Prgram CDA emplys apprximately 30 permanent emplyees t administer and versee these grant/lan prgrams. We anticipate there will be apprximately annual users in the cmmunity wh will be using the grants management system t apply fr funds and manage their prject/assistance. We are lking fr a sftware as a service grants management system t help us versee and manage the funding that CDA distributes. Technlgy Envirnment CDA is lcated at 1520 Market Street Suite 2000 (63103) and huses all staff. The ffice is netwrked t the City and has Internet access. The Infrmatin Technlgy Services Agency maintains the cmputing envirnment fr City ffices. The City has standardized n Micrsft technlgies, including: Micrsft Windws 7 PCs, with Micrsft Office 2002 r later; Micrsft Active Directry n Windws Server 2008 R2; Micrsft SQL Server 2008 R2; Micrsft 2012 R2 Hyper V based virtual file, applicatin and web servers. Ggle Apps fr Gvernment is utilized fr . Page 1 f 15
2 Prject Timeline CDA wuld like t achieve the fllwing schedule: Activity Testing/Interviews with Prspective Vendrs Awarding with Selected Vendr Start Build Out f Site Cmplete Online Applicatin and Applicatin Review Sectins f the Site & Achieve Full Functinality Tentative Timeframe Within 2 Weeks f Applicatin Submissin Within 3 Weeks f Applicatin Submissin Within 4 Weeks f Applicatin Submissin By June 30, 2015 Training fr City f St. Luis Staff n Applicatin and Applicatin Review Sectins By July 10, 2015 Cmplete Site & Achieve Full Functinality Onsite Training n Full Site fr City f St. Luis Staff and grant recipients Within 6 Weeks f Cntract Signing Within 8 Weeks f Cntract Signing Onging Supprt and Mdificatins As needed (within Cntract Parameters) Prject Apprach The City is seeking prpsals frm qualified vendrs t prvide a cmplete grants management slutin t meet the fllwing needs: Online Applicatins Allws nn fr prfits, businesses, develpers, and ther cmmunity stakehlders t submit applicatins fr funding nline. Has custmized nline applicatin frms with City f St. Luis Seal. Include file uplads, drp dwns, checkbxes, and text fields in applicatin fields. Lets applicants lgin, save their applicatin, and return. Multiple users fr an applicant may lgin and wrk n ne r mre applicatins. Lets applicants view their status nline. Page 2 f 15
3 Prvides spell check fr applicants. Prvides fields that will autmatically calculate certain items (like Ttal f expenses). Allws manual input f paper applicatins withut lgging int a separate interface as an applicant. Lets the City f St. Luis staff update and create new nline applicatins withut additinal charges. Generates alerts t City f St. Luis staff when key dcuments are upladed r cmpleted. Supprts multiple applicatin stages, including an autmatically scred eligibility quiz, a Letter Of Intent stage, a mre detailed prpsal stage and as many ther stages as needed. Autmatically pulls data frm nline applicatins int the cre grants management system n dwnlad r uplad f data files is required. Carries ver sme data fr an rganizatin r grant frm ne applicatin frm t anther fr example, a narrative entered in a Letter f Intent desn t have t be reentered in a prpsal. Allw bth applicants and grant makers t quickly and easily reset lst credentials wither nline thrugh r security questins. Lets the City f St. Luis custmize a cnfirmatin message t be sent upn submissin f an applicatin. Will autmatically generate warnings based n grant criteria (such as n mre than % can be spent n salaries). Autmatically saves data intermittently thrughut a web sessin in case f system crash, r at a minimum prmpts user t save data regularly. Prvides "character cunter" in size limited fields, s that the end user is aware f hw much space is left in the field. The system shuld prvide a methd fr electrnic signature r certificatin f submitted dcuments. Once submitted, the system shuld be able t prevent further mdificatins t an applicatin r ther submissin, unless apprved by an administratr (date/time stamps fr revisins wuld be ideal). Applicatin Review The system shuld prvide cnfirmatin/acknwledgement t the applicant and the City that an applicatin r reprt was received r successfully submitted. Assigns a reviewer number Page 3 f 15
4 Lets multiple reviewers each numerically rate an applicatin n a number f different factrs, and add cmments. Supprts different infrmatin r scring schemes fr different prgrams. Supprts nline viewing and reviewing f applicatins, allwing the City the ptin t allw reviewers see each ther s cmments and grades. Prvides spell check fr reviewers. Lets yu view numeric review scres and reprt them as summary statistics fr example, average scre. Prpsal wner and management staff can be autmatically ntified when reviews are cmpleted. Lets yu define autmatic steps and rules, r wrkflw, fr the grants review prcess Internal Tracking Lets yu see a histry f a relatinship with prspective grantees fr example, what grants they ve applied fr r been given in the past. Lets reviewers easily print grant summaries. Prvides a stripped dwn prtal interface t allw reviewers t see and review grant applicatins withut navigating the full grants management interface. Supprts checklist functinality t define what infrmatin r dcuments yu require frm prspective grantees. OR, prvides strng nline applicatin functinality, including the ability t repen nline applicatins nce they ve been submitted if mre infrmatin is required frm the applicant. Can track a grant award by name, request amunt, and rganizatin and ther assciated infrmatin. Can track bth different award types including: Grants t Nn fr prfits Grants t Develpers Can link prject infrmatin tgether thrugh its entire lifecycle. Can prvide basic data integrity checks t prvide pprtunities fr applicants/grantees t make crrectins. Can easily retrieve grant infrmatin and status. Lets yu easily update basic grant infrmatin like prject names r cdes thrughut the prcess. Lets yu easily attach external dcuments t a grant recrd, with interfaces fr bth Page 4 f 15
5 grantees and City Staff. Lets yu define custm categrizatin cdes fr searching, tracking, and reprting, including but nt limited t: Year Grant Type Gegraphic Cde Ppulatin Cde Grantee Name EIN Applicatin ID Census Track Prject Address Lets yu perfrm batch updates f defined cding and ther fields. The system stres attached dcuments in the database as bjects rather than links OR the system uplads attached dcuments t the server and stres a link t that upladed file in the database. Autmatically saves data intermittently thrughut a web sessin in case f system crash, r at a minimum prmpts user t save data regularly. The system shuld prvide a methd fr electrnic signature r certificatin f submitted dcuments. Allws fr tracking f multiple awards t a single grantee with different duratins and reprting requirements. Has the ability t generate reprts n "missing" dcuments (grantee has failed t submit) fr a given time perid. The system will be cnfigured t prvide secure access t grantees and t prhibit unauthrized users frm accessing infrmatin in the system. Cntracting & Cmmunicatins Lets yu create templates that include mail merged infrmatin abut grants and rganizatins, and lets yu custmize their fnts, clrs, and lgs in the grants sftware (withut pening anther sftware). Dcuments will include, but are nt limited t: Award Letters Cntracts Invitatins t Cntracting Sessins Page 5 f 15
6 s/Reminders Letter t Prceed Mnitring Letters Lets yu review, mdify, and print letters, summaries, r ther dcuments either individually r fr a series f grants r grant applicatins in a single step. Lets yu view and custmize individual letters befre printing them. Prvides spell check fr letters and dcuments. Lets yu create e mail t individuals and grups based n templates that include bth standard text and mail merge type inserted data. Lets yu set up and send scheduled reminders t applicants and grantees Prvides reprting n delivery, including pen and click rates (brken ut by each grantee). Prvides spell check fr s. Relatinship Management Reprting Lets yu assciate multiple cntacts with an rganizatin, and define their relatinships t yu and t a specific grant. Autmatically stres a recrd f all system generated dcuments and e mails fr each grant. Lets yu keep a lg f cmmunicatins such as phne calls and e mails with a particular cntact at a grantee rganizatin. Allws yu t autmatically synchrnize cntacts with Ggle Cntacts OR Lets yu autmatically capture s frm external systems int grantee r rganizatin recrds. Lets yu search r filter t find a particular set f grants based n status, prgram, and cycle, and view pre packaged reprts based n this custmized set f grants. Lets yu save reprts that yu create r mdify. Supprts ad hc reprts within the system, which can include custm data clumns, datasets, srting, gruping, lgs, and headers. Can make small updates t standard reprts. Lets yu quickly view favrite reprts withut navigating a much larger set. Lets yu Page 6 f 15
7 save ad hc reprts that yu create r mdify. Lets yu search the cntents f file attachments. Virtually all system data including the data entered int nline applicatins, review frms, and grantee prgress reprts, if supprted can be included in reprts. Grantee Cmpliance & Evaluatin Lets yu define a default set f grant requirements and custmize them fr individual grantees. Lets grantees view grant requirement deadlines nline. Can autmatically e mail grantees t remind them abut upcming deadlines. Lets grantees submit prgress reprt infrmatin thrugh nline data fields, which yu can then summarize acrss grantees in reprts. Lets yu create custm nline prgress reprt frms (fr example, crrespnding t different prgrams) withut paying additinal fees. Rles and Permissins Lets yu define user r grup permissins n a field by field basis. Prvides dashbard views that summarize the grants and tasks currently relevant t each individual user. Lets yu assign tasks, such as the review f a prgress reprt, t particular users thrugh wrkflw functinality. Prvides a standard fcused, rles based view fr management and allws the assignment f tasks t users based n rules and rles. Recrds a number f specific actins fr example, grant apprvals, status changes, and new grantee recrds in a system audit lg. Lets yu grant individuals granular access t view, edit, r delete data fr a wide variety f system functins. The system must be easy fr staff t custmize, withut interventin frm a vendr r technical staff, minimally in the fllwing ways: Mdify r create new fields fr data capture Mdify r create new nline frms Mdify r create new reprts Add/remve/mdify users at each permissin level Page 7 f 15
8 Data Access Allws the City t access data frm the system, at will. Allws the City t migrate data, at will. Allws the City t fully exprt all grant data and all attached files t a standardized frmat, at will. Mnitring Lets staff cmplete grantee inspectins and nsite mnitring checklists n tablets and laptps remtely thrugh the grants management system. Allws staff t create and mdify mnitring checklists thrughut cntract at n additinal charge. Links results frm mnitring checklist int mnitring crrespndence and letters thrugh mail merges in the grants management system (see Cntracting & Cmmunicatins). Includes an appintment scheduler that allws grantees t select dates and times fr mnitring visits and ther ne n ne meetings. Autmatically updates available list (in real time), as slts are selected and n lnger available. 501(c)(3) Status & Debarment Listing (OPTIONAL) Training & Technical Supprt Lets yu click n rganizatins t view their Recrd and tax status in a standard registry f 501(c)(3) nnprfits, such as: Guide Star Duns Number Federal Debarment List The City f St. Luis is requesting prpsals frm a vendr that will: Prvide nsite, nline, and in persn training at prject startup fr all CDA Staff (apprximately 30 persns); Prvide nsite, nline, and in persn training fr grant recipients; Make vide f trainings readily accessible nline t CDA staff and grant recipients; Develp a User Manual fr City f St. Luis utlining all system functins; Develp a draft User Manual fr grant recipients utlining all system functins, which can be mdified by City staff and distributed t ptential applicants; and Page 8 f 15
9 Vendr Submissin Prvide nging supprt and technical assistance thrughut the grant. The deadline fr the submissin f prpsals is 4:00 p.m. n April 27, Respnses shuld be addressed t: Ms. Alana Green Directr f Administratin Cmmunity Develpment Administratin 1520 Market Suite 2000 St. Luis, MO T be cnsidered respnsive, a prpsal must cntain the fllwing, prefaced by a table f cntents, referenced by number and in the rder belw: 1. A brief descriptin f the histry and rganizatin f the bidder s firm, and a detailed list and descriptin f any prpsed subcntractr. 2. A written descriptin f the features and functinality the vendr prpses fr the grant management system. Bidders are encuraged t be clear and cncise and t avid verly cmplex technical discussins r a heavy reliance n jargn. Please include a general descriptin f the techniques, appraches and methds t be used in cmpleting the prject. 3. A ne page Blue print f the system architecture shwing all system cmpnents and all system levels, including minimum netwrk cmmunicatin thrughut requirements. 4. Bidder s experience in terms f the develpment and delivery f the system specified. The list shuld include at a minimum the fllwing infrmatin; years invlved in the industry, key custmers and the size and type f systems delivered within the past five years, and perfrmance criteria fr thse systems. 5. List f the prgramming language(s) used t write the sftware applicatin and its capabilities in the fllwing areas: service supprt, n site, via telephne, and via Internet, key persnnel with level and type f experience, and lcal supprt staff, if any. 6. List f all system implementatin stages (frm prject cmmencement thrugh testing, acceptance, training, warranty, and maintenance). 7. Applicatin security dcumentatin, including public Internet and city netwrk access, cmmunicatin and integratin. 8. Qualificatins, backgrund and experience f the prject directr and ther staff prpsed t wrk n the prject. 9. Cpies f prfessinal certificatins r ther credentials, tgether with evidence that bidder, if a crpratin, is qualified t cnduct business in Missuri. 10. The mst recent year s annual reprts, r cmparable dcument, including detailed current prfit and lss, assets and liabilities, and ther relevant financial data. 11. A descriptin f at least three (3) similar prjects cmpleted by the bidder within the past three (3) years. Include persnal references with cntact infrmatin fr each. PLEASE NOTE: As part f the Page 9 f 15
10 evaluatin prcess described belw, City f St. Luis fficials may be interested in seeing live demnstratins f the prduct in use by current clients. 12. A detailed cst prpsal, including, separately as apprpriate: licensing, implementatin, sftware custmizatin csts and training. There must be a line fr Ttal Cntract Cst which shall include implementatin csts fr all licenses, hardware, sftware, hsting, training, and labr/serviceriented items required t deply the hardware and sftware cmpnents f the system. 13. Recmmendatins and estimated csts fr third party supplies and hardware, if any. 14. Detailed timeline fr cmpletin f fully functining grants management system and any applicable training. The City f St. Luis reserves the right t have discussins with thse bidders falling within a cmpetitive range, and t request revised pricing ffers frm them and t make an award r cnduct negtiatins thereafter. Submissin Requirements Frmat Summary The narrative shall nt be mre than fifty (50) pages. Prpsals shuld be prepared simply and ecnmically, prviding a straightfrward and cncise descriptin f the Bidder s ability t meet the requirements f this RFP. Emphasis shuld be n cmpleteness and clarity f cntent. 1. Deliver six (6) physical prpsal hardcpies. 2. Each set shuld include all cmpnents requested, including cpies f any attachments. 3. Deliver electrnically with the abve, ne.pdf versin f the full prpsal (n CD ROM, DVD, r USB flash drive). If specific submissin requirements are particularly large and self cntained they may be included in a separate appendix rather than in the bdy f the prpsal. Submittals shuld nt direct the evaluatin team t general brchures, marketing materials r websites t btain infrmatin related t the specific submissin requirements; submittals that utilize references t external materials as an answer will be cnsidered nn respnsive. Submittals shuld prvide straightfrward and cncise infrmatin that fulfill the requirements f the RFP. Emphasis shuld be placed n brevity, cnfrmity t the RFP s instructins, and cmpleteness and clarity f cntent. Prpsals shuld nt include generic prmtinal materials and graphics that increase page cunt and PDF file size withut addressing substantive cntent. Hard cpy brchures and marketing materials may be included as a supplement if desired. Prpsals that fail t address each f the submissin requirements abve may be deemed nnrespnsive and will nt be further cnsidered. The City f St. Luis, slely upn its wn discretin, will judge vendrs n their verall cmpliance, and may judge a vendr t be materially cmpliant, even if that vendr is nn cmpliant t a particular requirement f the RFP. Selectin Prcess and Criteria A cmmittee will review respnses and determine which, if any, bidders are qualified t perfrm the wrk and evaluate the submitted prpsals. The cmmittee shall chse the lwest, mst respnsive, and mst respnsible bidder fr negtiatin f a cntract frm these qualified bidders. The cmmittee Page 10 f 15
11 shall als rank remaining qualified bidders in rder f preference. If the City determines that it is nt pssible t successfully negtiate a cntract with the successful bidder, the City shall discntinue negtiatins and attempt t negtiate a cntract with the next lwest, mst respnsive, mst respnsible bidder. This prcess shall cntinue until negtiatin f a cntract is successful, all qualified bidders have been exhausted, r the City vids this RFP. The fllwing criteria will be used in reviewing and cmparing the prpsals: Evaluatin Criteria Respnsiveness t and cmpliance with the RFP and submissin requirements. Ability and reliability f the sftware (bth system and applicatin) t meet the functinal requirements defined in this RFP. The technical ability, capacity, and flexibility f the bidder t perfrm the cntract in a timely manner and n budget, as verified by, e.g., the quality f any demnstratin, client references, demnstrated success in prjects with similar requirements and any ther cntracts with the City f St. Luis. The reasnability f the cst f the prpsal slutin. Csts shuld be itemized by type t allw the City f St. Luis t implement the slutin ver the term f the cntract. Vendr reputatin will be reviewed based n reference accunts r installatins similar in scpe and nature t the needs f the City f St. Luis and frm all written respnses t the RFP (references which can be cntacted and/r visited). Supprt and service ptins including, but nt limited t, n line help, technical supprt ptins, dcumentatin types and manuals, and system custmizatin capabilities. Weight 20% 20% 20% 20% 10% M/WBE r DBE participatin in prject 5% Grwth ptential f the slutin t accmmdate future enhancements. 5% If a large number f prpsals are received, the City f St. Luis reserves the right t review the prpsals using a tiered evaluatin system. All qualified prpsals will be evaluated based n the Submissin Requirements and Cst, with the tp candidates advancing as finalists and receiving a full evaluatin as utlined abve. Bidding General Cnditins Bidder acknwledges and accepts the fllwing as cnditin f prpsal submissin: Page 11 f 15
12 1. Legal Cmpliance: Bidder must agree t cmply with all federal, state, and lcal laws r regulatins, which in any manner affect the service placed fr bid herein. Lack f knwledge n the part f the bidder f applicable law will in n way be cause fr release f this bligatin. If the City becmes aware f vilatin f any laws r regulatins, n the part f the awarded cnsultant, it reserves the right t reject any bid, cancel any cntract, and pursue any ther legal remedies deemed necessary. 2. Hld Harmless: By accepting this RFP and/r submitting a prpsal in respnse theret, each bidder agrees fr itself, its successrs and assigns, t hld the City f St. Luis, and the Cmmunity Develpment Administratin and all f their varius agents, cmmissiners, directrs, cnsultants, attrneys, fficers and emplyees harmless frm and against any and all claims and demands f whatever nature r type, which any such bidder, its representatives, agents, cntractrs, successrs r assigns may have against any f them as a result f issuing this RFP, revising this RFP, cnducting the selectin prcess and subsequent negtiatins, making a final recmmendatin, selecting a Bidder r negtiating r executing an agreement incrprating the cmmitments f the selected Bidder. 3. Equal Opprtunity: The City des nt discriminate n the basis f race, clr, religin, creed, sex, sexual rientatin, age, ancestry, r natinal rigin in cnsideratin f this award. 4. Certificatin Regarding Debarment and Suspensin: All bidders must cmplete and submit Attachment A, Certificatin Regarding Debarment and Suspensin, with their prpsal. 5. Cnflict f Interest Disclsure: All bidders must cmplete and enclse Attachment B, a Cnflict f Interest Disclsure Statement, with their prpsal, disclsing all the prject r cnsulting interests and/r clients wh might benefit financially, directly r indirectly, nw r in the future, frm this prject. If the Bidder des nt have a cnflict f interest, the Bidder must still include the Cnflict f Interest Disclsure statement indicating that there is n cnflict f interest. 6. Rights t Data: Bidder must agree that the City (and in sme instances, its grantees) maintains the sle and exclusive wnership f all data inputted int the prpsed grants management system, including all literary prperty rights, cpyrights, trade marks, trade secrets, trade names, r service marks and that the City may enfrce such rights directly against Bidder in the event the terms f the cntract are vilated. In additin, Bidder must agree that the City has six mnths t retrieve such data frm the date f cntract terminatin. 7. M/W/DBE Participatin: Bidder must agree t cmply with the Mayr s Executive Order N. 28 and any superseding Executive Orders relating t utilizatin f minrity and wmen wned businesses (MBE s/wbe s). Executive Order N.28 requires cntractrs and cnsultants t seek, thrugh gd faith effrts, the invlvement f MBE s and WBE s with a gal f participatin f least 25% and 5%, respectively, fr the prject. Fr additinal infrmatin, please visit 8. Living Wage Cmpliance: Bidder must agree t cmply with Chapter 3.99 Living Wages f the Revised Cde f the City f St. Luis (Ordinance N ). 9. Unauthrized Alien Emplyees: Bidder must agree t adhere t prvisins f Sectins thrugh f the revised Statutes f Missuri, 2000, as amended, and prvide, by swrn Page 12 f 15
13 Affidavit and prvisin f dcumentatin, affirmatin f its enrllment and participatin in a federal wrk authrizatin prgram with respect t the emplyees wrking in cnnectin with this Cntract, Agreement r Grant. Selected cnsultant must sign an affirming that it des nt knwingly emply any persn wh is an unauthrized alien in cnnectin with this Cntract, Agreement r Grant pursuant t the abve stated Statutes. 10. Submissin/Acceptance/Rejectin f Bids: Bidder must agree that the City reserves the right t reject any r all prpsals; t select ne r mre bidders; t recnstitute cnsulting teams, t vid this RFP and the review prcess and/r terminate negtiatins at any time; t revise any cnditins and stipulatins cntained herein, as cnvenient r necessary; t further negtiate fees, rates and financial arrangements, etc.; t establish further criteria fr selectin; t ask bidders t submit additinal infrmatin r evidence f their qualificatins and experience; t waive infrmalities in the prpsals and in the prpsal prcess; t negtiate with successful bidders in any manner and with respect t any prpsal element whatsever, including cmpsitin f bidder s team; and t reject any and/r all prpsals fr any reasn, in its sle discretin. In additin, this RFP des nt cmmit the City t defray csts incurred in the preparatin f a respnse t this request, r t prcure r cntract fr services. 11. Prperty f RFP: All submitted prpsals becme the prperty f the City as public recrds. All prpsals may be subject t public review, n request, unless exempted as discussed elsewhere in this RFP. Pre Bid Meeting and Questins Regarding This RFP The City will cnduct a pre bid meeting t answer questins regarding this RFP n April 14, 2015 at 1:00 p.m. The meeting will be held at CDA, which is lcated at 1520 Market St. Suite 2000, St. Luis, MO Questins and answers prvided at the Pre Bid meeting will be psted nline at m.gv/cda. All questins regarding this prpsal must be submitted in writing via e mail t Alana Green at GreenA@stluis m.gv. Questins must be received n later than 4:00 p.m. n April 17, 2015 in rder fr the City t issue a timely respnse if it s chses. The City shall nt be bligated t respnd t any questin. Any questins fr which the City chses t issue a respnse will be sent electrnically t the questiner and psted nline at m.gv/cda. Page 13 f 15
14 Attachment A Certificatin Regarding Debarment & Suspensin The undersigned certifies t the best f his r her knwledge and belief, that the prpser and its principals: (a) Are nt presently debarred, suspended, prpsed fr debarment, declared ineligible, r vluntarily excluded by any Federal department r agency; (b) Have nt within a three year perid preceding this prpsal been cnvicted f r had a civil judgment rendered against them fr cmmissin f fraud r a criminal ffense in cnnectin with btaining, attempting t btain, r perfrming a public (Federal, State r lcal) transactin r cntract under a public transactin; vilatin f Federal r State antitrust statutes r cmmissin f embezzlement, theft, frgery, bribery, falsificatin r destructin frecrds, making false statements, r receiving stlen prperty; (c) Are nt presently indicted fr r therwise criminally r civilly charged by a gvernmental entity (Federal, State r lcal) with cmmissin f any f the ffenses enumerated in paragraph (l)(b) f this certificatin: and (d) Have nt within a three year perid preceding this applicatin/prpsal had ne r mre public transactins (Federal, State r lcal) terminated fr cause r default. If the undersigned is unable t certify t any f the statements in this certificatin, an explanatin shall be attached t this prpsal. Name f Entity Name & Title f Authrized Official Signature f Abve Official Date Page 14 f 15
15 ATTACHMENT B Cnflict f Interest Disclsure Statement Please enclse with the prpsal a statement that disclses (lists) all the prject planning r cnsulting interests and/r clients wh might benefit financially, directly r indirectly, nw r in the future, frm this prject. If a cnflict f interest des nt exist, the Cnsultant must still include the Cnflict f Interest Disclsure statement indicating that there is n cnflict f interest. Page 15 f 15
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