REQUEST FOR PROPOSAL (RFP) FOR
Comprehensive Operational and Janitorial Supplies and Solutions
SOLICITATION NUMBER
RFP 24-S824
PUBLICATION DATE
Wednesday, February 21, 2024
QUESTIONS SUBMITTED BY
Thursday, March 21, 2024 2:00pm CT
SUBMITTAL DUE DATE AND TIME:
Thursday, April 4, 2024 2:00pm CT
Competitive Solicitation by
Region 14 Education Service Center
on behalf of itself and other Government Agencies
and made available through
OMNIA Partners, Public Sector, Inc.
NOTICE TO SUPPLIER: When partnering with OMNIA Partners, Region 14 uses Bonfire at
https://omniapartners.bonfirehub.com/ to advertise solicitations, manage supplier questions,
receive submittals and manage submittal evaluations. Questions regarding this solicitation must
be submitted through Bonfire using the Ask a Question button and should be submitted before
the question due date and time stated herein. Answers to questions will be posted in Bonfire
approximately one week prior to the submittal due date and time.
Public Opening: Submittals will remain sealed by Bonfire until the submittal due date and time
specified herein. Submittals received outside of Bonfire will not be accepted. At the due date and
time listed, or modified via addenda, submittals will be opened, read aloud publicly and suppliers’
names recorded via the virtual meeting below.
Meeting URL: https://omniapartners.zoom.us/j/85731509439
Call In #: 346-248-7799
Meeting ID: 857 3150 9439
I. INTRODUCTION
It is the intention of Region 14 Education Service Center (herein “Region 14 ESC”) to establish a
contract for Comprehensive Operational and Janitorial Supplies and Solutions for use by Region
14 ESC and other public agencies supported under this contract.
Region 14 ESC aims to achieve the following objectives through this RFP.
• Provide a comprehensive competitively solicited contract offering products and services
to public agencies;
• Achieve cost savings for public agencies and suppliers through a single competitive
solicitation process that eliminates the need for multiple proposals;
• Combine the purchasing power of public agencies to achieve cost effective pricing;
• Reduce the administrative and overhead costs of public agencies and suppliers through
best in class purchasing procedures.
Region 14 Education Service Center (“Region 14 ESC”)
Region14 ESC schools are called Rural West Texas Schools that serve over 50,000 students in
42 school districts located in 13 counties which make up Region 14. Services are delivered to
more than 3,900 professional educators and over 200 administrators who impact the lives of all
of our children on 160 campus sites. There are seven institutions for higher learning including 3
universities, 3 colleges, and 1 technical college in Region 14.
National Contract
Region 14 ESC, as the Principal Procurement Agency, defined in Appendix B, has partnered with
OMNIA Partners, Public Sector, Inc. (“OMNIA Partners”) to make the resultant contract (also
known as the “Master Agreement” in materials distributed by OMNIA Partners) from this
solicitation available to other public agencies nationally, including state and local governmental
entities, public and private primary, secondary and higher education entities, non-profit entities,
and agencies for the public benefit (“Public Agencies”), through OMNIA Partners’ cooperative
purchasing program. Region 14 ESC is acting as the contracting agency for any other Public
Agency that elects to utilize the resulting Master Agreement. Use of the Master Agreement by any
Public Agency is preceded by their registration with OMNIA Partners (a “Participating Public
Agency”) and by using the Master Agreement, any such Participating Public Agency agrees that
it is registered with OMNIA Partners, whether pursuant to the terms of a Master Intergovernmental
Cooperative Purchasing Agreement, a form of which is attached hereto in Appendix B, or as
otherwise agreed to. Appendix B contains additional information about OMNIA Partners and the
cooperative purchasing program.
OMNIA Partners is the largest and most experienced purchasing organization for public and
private sector procurement. Through the economies of scale created by OMNIA Partners’ public
sector subsidiaries and affiliates, our participants have access to competitively solicited and
publicly awarded cooperative agreements. For all public sector contracts, the lead agency
contracting process continues to be the foundation on which we were established. OMNIA
Partners is proud to offer more value and resources to state and local government, higher
education, K-12 education and non-profits.
OMNIA Partners provides shared services and supply chain optimization to government,
education and the private sector. With corporate, pricing and sales commitments from the
Supplier, OMNIA Partners provides marketing and administrative support for the Supplier that
directly promotes the Supplier's products and services to Participating Public Agencies through
multiple channels, each designed to promote specific products and services to Public Agencies
on a national basis. Participating Public Agencies benefit from pricing based on aggregate spend
and the convenience of a contract that has already been advertised and publicly competed. The
Supplier benefits from a contract that generally allows Participating Public Agencies to directly
purchase goods and services without the Supplier's need to respond to additional competitive
solicitations. As such, the Supplier must be able to accommodate a nationwide demand for
services and to fulfill obligations as a nationwide Supplier and respond to the OMNIA Partners
documents (Appendix B).
While no minimum volume is guaranteed to the awarded supplier, the estimated annual volume
of Comprehensive Operational and Janitorial Supplies and Solutions purchased under the Master
Agreement through OMNIA Partners is approximately $150 MILLION. This projection is based on
the current annual volumes among Region 14 ESC, other Participating Public Agencies
anticipated to utilize the resulting Master Agreement to be made available to them through OMNIA
Partners, and volume growth into other Public Agencies through a coordinated marketing
approach between the awarded supplier and OMNIA Partners.
II. SCOPE
It is the intent of Region 14 ESC to establish a contract for Comprehensive Operational
and Janitorial Supplies and Solutions. Respondent shall perform and provide these
products and/or services under the terms of this agreement. The supplier shall assist
the end user with making a determination of their individual needs.
The following is a list of suggested (but not limited to) categories. List all categories
along with manufacturer(s) that you are responding with:
• Cleaning Supplies - Floor and carpet cleaning tools, window cleaning tools,
general purpose cleaning tools and accessories.
• Cleaning Chemicals
• Dilution Control Cleaning Chemical Systems
• Floor Finishes and Floor Sealers
• Wood Floor Cleaning and Maintenance Products
• Cleaning Equipment
• Reconditioned Cleaning Equipment
• Vacuums, floor machines, wet/dry vacuums, sweepers, scrubbers, carpet
cleaning machines, restroom cleaning systems and other cleaning equipment
• Autonomous Equipment/Machines
• Industrial Machines
• Janitorial Equipment Repair
• Food Service Disposable Products
• Foodservice Smallwares
• Safety Supplies
• Lighting
o Fixtures, lamps, equipment, parts, tools and accessories.
• Plumbing
o Fixtures, equipment, parts, tools and accessories.
• Electrical
o Fixtures, equipment, parts, tools and accessories.
• Heating, Ventilating and Air Conditioning
o Equipment, parts, tools and accessories.
• Hand Tools
• Power Tools
• Office Supplies
• Office Furniture
• Automotive
o Parts, Cleaning Supplies, Tools
• Building Materials
• Clothing & Apparel
• Doors & Windows
o Hardware and Accessories
• Electrical
• Lawn & Garden
• Paint & Painting Supplies
• Storage and Organization
• Disposables
III. INSTRUCTIONS TO SUPPLIERS
Submission of Response.
• Responses shall be received electronically no later than the submittal due date and time
via Bonfire portal at https://omniapartners.bonfirehub.com
• Bonfire will not accept any responses after the specified due date and time.
• Only responses received via Bonfire will be accepted. Faxed or mailed responses will not
be accepted.
• Responses may be submitted on any or all items, unless stated otherwise. Region 14 ESC
reserves the right to reject or accept any response.
• Proposals may be rejected for failure to comply with the requirements set forth in this
solicitation.
Required Proposal Format. Responses shall be submitted electronically via Bonfire. Separate
files should be used to separate the proposal into sections, as identified below. Suppliers failing
to organize in the manner listed may be considered non-responsive and may not be evaluated.
It’s recommended that all sections, with the exception of Section 2 (Pricing), be submitted in
Portable Document Format (PDF). Pricing may be submitted separately in an alternate format
(e.g. xlsx, xls, csv).
Sections
Section 1 – Signature Form
Section 2 – Pricing
Section 3 – Ability to Perform, including response to the national program (Appendix B)
Section 4 – References and Experience
Section 5 – Value Added Products and Services
Section 6 – Required Documents
Additional Agreements. If a supplier requires an additional agreement, a copy of the proposed
agreement must be included with the proposal.
Deviations and Exceptions. Deviations or exceptions stipulated in a supplier’s response may
result in disqualification. It is the intent of Region 14 ESC to award a supplier’s complete line of
products and/or services, when possible. A response to the solicitation is an offer to contract with
Region 14 ESC based upon the contract provisions contained in this solicitation, including but
not limited to, the specifications, scope of work and any terms and conditions. Suppliers who
wish to propose modifications to the contract provisions must clearly identify the proposed
deviations and any proposed substitute language. The provisions of the solicitation cannot be
modified without the express written approval of Region 14 ESC. If contract provisions are not
expressly approved in writing by Region 14 ESC, the contract provisions contained in the
solicitation shall prevail.
Disclosures.
• Supplier affirms that he/she has not given, offered to give, nor intends to give at any time
hereafter any economic opportunity, future employment, gift, loan, gratuity, special discount,
trip, favor or service to a public servant in connection with this contract.
• The supplier affirms that, to the best of his/her knowledge, the offer has been arrived at
independently, and is submitted without collusion with anyone to obtain information or gain
any favoritism that would in any way limit competition or give an unfair advantage over other
suppliers in the award of this contract.
Withdrawal of Response. After submittal due date and time, withdrawal of a response will not
be allowed for a period of 120 days following the opening. Pricing will remain firm for 120 days
from submittal.
Public Opening. Immediately following the due date and time, all responses will be publicly
opened, and the supplier’s names recorded. The public opening will be held via Zoom meeting.
Open Records Policy. Region 14 ESC is a governmental entity. Responses submitted are
subject to release as public information after contracts are executed. If a supplier believes that its
response, or parts of its response, may be exempted from disclosure, the supplier must specify
page-by-page and line-by-line the parts of the response, which it believes, are exempt. In addition,
the supplier must specify which exception(s) are applicable and provide detailed reasons to
substantiate the exception(s).
The determination of whether information is confidential and not subject to disclosure is the duty
of the Office of Attorney General (OAG). Region 14 ESC must provide the OAG sufficient
information to render an opinion and therefore, vague and general claims to confidentiality by the
supplier are not acceptable. Region 14 ESC must comply with the opinions of the OAG. Region14
ESC assumes no responsibility for asserting legal arguments on behalf of any supplier. Supplier
is advised to consult with their legal counsel concerning disclosure issues resulting from this
procurement process and to take precautions to safeguard trade secrets and other proprietary
information.
Multiple Awards. Multiple contracts may be awarded as a result of the solicitation. Multiple
awards will ensure that any resulting contracts fulfill current and future requirements of the diverse
and large number of participating public agencies.
Protest. A protest of an award or proposed award must be filed in writing within ten (10) days
from the date of the official award notification and must be received by 5:00 pm Central Time.
Protests shall be filed with Region 14 ESC and shall include the following:
• Name, address and telephone number of protester;
• Original signature of protester or its representative;
• Identification of the solicitation by RFP number;
• Detailed statement of legal and factual grounds including copies of relevant documents
and the form of relief requested.
Any protest review and action shall be considered final with no further formalities being
considered.
IV. Region 14 – TERMS AND CONDITIONS
Assignment. Supplier may not assign its rights or obligations under this contract without the prior
written permission of Region 14 ESC. Region 14 ESC will not unreasonably withhold approval for
a requested assignment.
Audit Rights. Supplier shall, at its sole expense, maintain appropriate due diligence of all
purchases made by Region 14 ESC and any entity that utilizes this contract. Region 14 ESC
reserves the right to audit the accounting for a period of four (4) years from the time such
purchases are made. This audit right shall survive termination of this Agreement for a period of
one (1) year from the effective date of termination. Region 14 ESC shall have the authority to
conduct random audits of supplier’s pricing at Region 14 ESC's sole cost and expense.
Notwithstanding the foregoing, in the event that Region 14 ESC is made aware of any pricing
being offered that is materially inconsistent with the pricing under this agreement, Region 14 ESC
shall have the ability to conduct an extensive audit of supplier’s pricing at supplier’s sole cost and
expense. Region 14 ESC may conduct the audit internally or may engage a third-party auditing
firm. In the event of an audit, the requested materials shall be provided in the format and at the
location designated by Region 14 ESC.
Construction. Supplier shall perform services in a good and workmanlike manner and in
accordance with industry standards for the service provided.
Force Majeure. If by reason of Force Majeure, either party hereto shall be rendered unable wholly
or in part to carry out its obligations under this Agreement then such party shall give notice and
full particulars of Force Majeure in writing to the other party within a reasonable time after
occurrence of the event or cause relied upon, and the obligation of the party giving such notice,
so far as it is affected by such Force Majeure, shall be suspended during the continuance of the
inability then claimed, except as hereinafter provided, but for no longer period, and such party
shall endeavor to remove or overcome such inability with all reasonable dispatch.
The term Force Majeure as employed herein, shall mean acts of God, strikes, lockouts, or other
industrial disturbances, act of public enemy, orders and regulation of any kind of government of
the United States or any civil or military authority; insurrections; riots; epidemics; pandemic;
landslides; lightning; earthquake; fires; hurricanes; storms; floods; washouts; droughts; arrests;
restraint of government and people; civil disturbances; explosions, breakage or accidents to
machinery, pipelines or canals, or other causes not reasonably within the control of the party
claiming such inability. It is understood and agreed that the settlement of strikes and lockouts
shall be entirely within the discretion of the party having the difficulty, and that the above
requirement that any Force Majeure shall be remedied with all reasonable dispatch shall not
require the settlement of strikes and lockouts by acceding to the demands of the opposing party
or parties when such settlement is unfavorable in the judgment of the party having the difficulty.
Franchise Tax. The supplier hereby certifies that he/she is not currently delinquent in the
payment of any franchise taxes.
Funding. A contract for the acquisition, including lease, of real or personal property is a
commitment of the entity’s current revenue only. Each payment obligation created by this contract
is conditioned upon the availability of city, county, state and federal funds that are appropriated
or allocated for the payment of such an obligation. If funds are not allocated by an entity and
available for the continued purchase of the services and/or materials provided under this contract,
this contract may be terminated at the end of the period for which funds are available. The entity
will endeavor to notify the supplier in the event that continued service will or may be affected by
non-appropriation. No penalty shall accrue to the entity in the event this provision is exercised,
and the entity shall not be obligated or liable for any future payments due or for any damages as
a result of termination under this paragraph.
Indemnity. The awarded supplier shall protect, indemnify, and hold harmless Region 14 ESC
and its participants, administrators, employees and agents against all claims, damages, losses
and expenses arising out of or resulting from the actions of the supplier, supplier employees or
supplier subcontractors in the preparation of the solicitation and the later execution of the contract.
Insurance. Certificates of insurance shall be delivered to a public agency requesting them prior
to commencement of work. The insurance company shall be licensed in the applicable state in
which work is being conducted. The awarded supplier shall give the participating entity a minimum
of ten (10) days’ notice prior to any modifications or cancellation of policies. The awarded supplier
shall require all subcontractors performing any work to maintain coverage as specified.
Legal Obligations. It is the supplier’s responsibility to be aware of and comply with all local, state,
and federal laws governing the sale of products/services identified in this RFP and any awarded
contract and shall comply with all while fulfilling the RFP. Applicable laws and regulation must be
followed even if not specifically identified herein.
Non-Exclusive Contract. This contract is for the sole convenience of Region 14 ESC, which may
obtain like goods or services from other sources.
Permits. Knowing and abiding by the permit laws in each state is the sole responsibility of the
supplier.
Price Increases. Should it become necessary, price increase requests may be submitted at any
point during the term of the contract and must be approved by Region 14 ESC in writing. Included
with the request must be documentation and/or formal cost justification for these changes.
Requests will be formally reviewed, and if justified in the sole opinion of Region 14 ESC, the
change will be approved.
Products. Supplier shall provide equipment, materials and products that are new unless
otherwise specified, of good quality and free of defects.
Products and Services Additions. New products and/or services may be added to the contract
at any time during the term by Region 14 ESC’s written approval, to the extent that those products
and/or services are within the scope of this RFP.
Safety. Suppliers performing services shall comply with occupational safety and health rules and
regulations. All suppliers and subcontractors shall be held responsible for the safety of their
employees and any conditions that may cause injury or damage to persons or property.
Tax Exempt Status. Knowing the tax laws in each state is the sole responsibility of the supplier.
Term and Renewal. The contract term is for three (3) years. The contract may be renewed for
up to two (2) additional one-year terms or any combination of time not to exceed 2 years.
Maintenance/service/supplemental agreements may be issued for up to (5) years under this
contract so long as the effective date of the maintenance/service/supplement agreement is prior
to the expiration of the contract.
Termination. This contract may be terminated at any time by mutual written consent, or by Region
14 ESC, with or without cause, upon giving thirty (30) days written notice. Region 14, at its
convenience, by written notice, may terminate this contract, in whole or in part. If this contract is
terminated, Region 14 ESC shall be liable only for payment under the payment provisions of this
contract for services rendered and accepted material received by Region 14 ESC before the
effective date of termination. Region 14 ESC reserves the right to terminate the whole or any part
of this Contract due to the failure of the supplier to carry out any term or condition of the contract.
Region 14 will issue a written ten (10) day notice of default to the supplier for acting or failing to
act as specified in any of the following: in the opinion of Region 14 ESC, the supplier provides
personnel that do not meet the requirements of the contract; In the opinion of Region 14 ESC, the
supplier fails to perform adequately the stipulations, conditions or services/specifications required
in this contract; in the opinion of Region 14 ESC, the supplier attempts to impose personnel,
materials, products or workmanship of an unacceptable quality; the supplier fails to furnish the
required service and/or product within the time stipulated in the contract; in the opinion of Region
14 ESC, the supplier fails to make progress in the performance of the requirements of the contract;
the supplier gives Region 14 ESC a positive indication that the supplier will not or cannot perform
to the requirements of the contract.
Waiver. Any waiver of any provision of this contract shall be in writing and shall be signed by the
duly authorized agent of Region 14 ESC. The waiver by either party of any term or condition of
this contract shall not be deemed to constitute waiver thereof nor a waiver of any further or
additional right that such party may hold under this contract.
V. EVALUATION
Region 14 ESC will evaluate proposals in accordance with the criteria outlined in the solicitation
subject to, the relevant statutes, ordinances, rules, and regulations that govern its procurement
practices. Award(s) will be made to the prospective supplier(s) whose response is determined to
be the most advantageous.
Supplier’s proposal should include the following for Region 14 ESC’s evaluation:
Availability of Products and Pricing (40 points)
• Provide pricing for products, services, warranties, etc. supplier proposes to offer. Price
lists provided will be used to establish both the extent of a supplier’s product lines,
services, warranties, etc. available from the supplier and the pricing per item. Pricing
should be based on a discount from a manufacturer’s price list or catalog, or fixed price,
or combination of both. Multiple percentage discounts are acceptable if, where different
discounts apply, the different percentages are specified. Electronic Catalog and/or price
lists should accompany the proposal. Additional pricing and/or discounts may be included.
Suppliers may elect to limit their proposals to any category or categories.
• The discount proposed shall remain the same throughout the term of the contract and at
all renewal options. At a minimum, the Contractor must hold the proposed price list firm
for the first 12 months after the contract award.
• Pricing is not to exceed. Unlike fixed pricing, the supplier can adjust submitted pricing
lower if needed but, cannot exceed the approved pricing. The contract must allow for lower
pricing to be available for similar product and service purchases. Cost plus pricing as a
primary pricing structure is not acceptable.
• Due to products and services potentially being used in response to an emergency or
disaster recovery situation in which federal funding may be used, suppliers should provide
alternative pricing that does not include either cost plus a percentage of cost or pricing
based on time and materials for categories or products that would typically use those
pricing structures. If time and materials is necessary, a ceiling price that the supplier
exceeds at its own risk will be needed as determined and set by the Participating Public
Agency. Products and services provided in a situation where an agency is eligible for
federal funding, supplier is subject to and must comply with all federal requirements
applicable to the funding including, but not limited to the FEMA and Additional Federal
Funding Special Conditions section located in the Federal Funds Certifications Exhibit.
• Describe if distributors/dealers/resellers/partners will be used to fulfill the contract. Submit
a list of those entities authorized to sell under their contract. How often does the supplier
propose to update distributors/dealers/resellers/partners? Purchase orders and payment
can only be made to awarded supplier or approved distributors/dealers/resellers/partners
and pricing must be less than or equal to the pricing offered by the awarded contract
holder.
• Describe any shipping charges. All deliveries shall be freight prepaid, F.O.B. destination
and shall be included in all pricing offered unless otherwise clearly stated in writing.
• Describe any return and restocking fees.
• Describe any additional discounts or rebates offered. Additional discount or rebates may
be offered for large quantity purchases, single ship to location programs, growth, annual
spend, guaranteed quantity, etc.
• Describe how customers verify they are receiving the correct contract pricing.
• Describe supplier’s invoicing process. Include payment terms and acceptable methods of
payments. Suppliers shall describe any associated fees pertaining to credit cards/p-cards.
• Propose the frequency of updates to the supplier’s pricing structure. Describe any
proposed indices to guide price adjustments. If offering a catalog contract with discounts
by category, while changes in individual pricing may change, the category discounts
should not change over the term of the contract.
• Describe how future product introductions will be priced and align with contracting pricing
proposed.
• Provide any additional information relevant to this section.
Ability to Perform (30 points)
• Include a detailed response to Appendix B, Exhibit A, OMNIA Partners Response for
National Cooperative Contract. Responses should highlight experience, demonstrate a
strong national presence, describe how supplier will educate its national sales force about
the contract, describe how products and services will be distributed nationwide, include a
plan for marketing the products and services nationwide, and describe how volume will be
tracked and reported to OMNIA Partners.
• The successful supplier will be required to sign Appendix B, Exhibit B, OMNIA Partners
Administration Agreement prior to contract award. Suppliers should have any reviews
required to sign the document prior to submitting a response. Supplier’s response should
include any proposed exceptions to OMNIA Partners Administration Agreement.
• Include completed Appendix B, Exhibits F. Federal Funds Certifications and G. New
Jersey Business Compliance.
• Provide available ordering methods (online ordering, order tracking, search options, order
history, etc.).
• What is supplier’s average on time delivery rate? Describe Supplier’s history of meeting
the shipping and delivery timelines.
• Describe how supplier responds to emergency orders.
• What is supplier’s average Fill Rate?
• Describe supplier’s return and restocking policy.
• Describe supplier’s ability to meet service and warranty needs. Proposal should address
life expectancy of equipment under normal use; applicable warranty and/or guarantees of
equipment and installations including any conditions and response time for repair and/or
replacement of any components during the warranty period; availability of replacement
parts; and detailed information as to proposed return policy on all equipment.
• The supplier shall provide timely and accurate technical advice and sales support. The
supplier shall respond to such requests within one (1) working day after receipt of the
request. Describe supplier’s customer service/problem resolution process and ability to
meet the one working day response time. Include hours of operation, number of services,
etc.
• Describe supplier’s contract implementation/customer transition plan.
• Describe the financial condition of supplier.
• Provide a website link to review website ease of use, availability, and capabilities related
to ordering, returns and reporting. Describe the website’s capabilities and functionality.
• Describe the supplier’s safety record.
• Describe technology used to support the contract.
• Provide any additional information relevant to this section.
References and Experience (20 points)
• Provide a brief history of the supplier, including year it was established and corporate
office location.
• Describe supplier’s reputation in the marketplace.
• Describe supplier’s reputation of products and services in the marketplace.
• Describe the experience and qualification of key employees.
• Describe supplier’s experience working with the government sector.
• Describe past litigation, bankruptcy, reorganization, state investigations of entity or
current officers and directors.
• Provide a minimum of 5 customer references relating to the products and services within
this RFP. Include entity name, contact name and title, contact phone and email, city,
state, years serviced, description of services and annual volume.
• Provide any additional information relevant to this section.
Value Added Products/Services (10 points)
• Provide any additional information related to products and services supplier proposes to
enhance and add value to the contract.
Clarifications/Discussions. Region 14 ESC may request additional information or clarification
from any of the suppliers after review of the proposals received for the sole purpose of eliminating
minor irregularities, informalities, or apparent clerical mistakes in the proposal. Clarification does
not give supplier an opportunity to revise or modify its proposal, except to the extent that correction
of apparent clerical mistakes results in a revision. After the initial receipt of proposals, Region 14
ESC reserves the right to conduct discussions with those supplier’s whose proposals are
determined to be reasonably susceptible of being selected for award. Region 14 ESC will not
assist supplier in bringing its proposal up to the level of other proposals through clarifications or
discussions. Region 14 ESC will not indicate to supplier a cost or price that it must meet to obtain
further consideration, nor will it provide any information about other suppliers’ proposals or prices.
Competitive Range or Shortlist. It may be necessary for Region 14 ESC to establish a
competitive range or shortlist. Responses not in the competitive range or shortlist do not receive
further award consideration. Region 14 ESC may determine establishing a competitive range or
shortlist is not necessary. Inclusion in the competitive range or shortlist does not constitute a
contract award. Should a competitive range or shortlist be used, further evaluation and scoring
to determine contract award will be used.
Oral Presentations/Interviews. Region 14 ESC reserves the right to conduct interviews with
some or all of the suppliers at any point during the evaluation process. However, Region 14 ESC
may determine that interviews are not necessary. In the event interviews are conducted,
information provided during the interview process shall be taken into consideration when
evaluating the stated criteria. Region 14 ESC shall not reimburse the supplier for costs associated
with the interview process.
Contract Negotiations. Exclusive or concurrent negotiations may be conducted with responsible
supplier(s) for the purpose of altering or otherwise changing the conditions, terms and price of the
proposed contract unless prohibited. Suppliers shall be accorded fair and equal treatment in
conducting negotiations and there shall be no disclosure of any information derived from
proposals submitted by competing suppliers. Exclusive or concurrent negotiations shall not
constitute a contract award nor shall it confer any property rights to the successful supplier. In the
event Region 14 ESC deems that negotiations are not progressing; Region 14 ESC may formally
terminate these negotiations and may enter into subsequent concurrent or exclusive negotiation
with the next most qualified supplier(s).
Past Performance. Past performance is relevant information regarding a supplier’s actions under
previously awarded contracts; including the administrative aspects of performance; the supplier’s
history of reasonable and cooperative behavior and commitment to customer satisfaction; and
generally, the supplier’s businesslike concern for the interests of the customer. Past performance
will be considered in the evaluation of the responses.
VI. SIGNATURE FORM
A response to this solicitation is an offer to contract with Region 14 ESC based upon the terms,
conditions, scope of work, and specifications contained in this request. A solicitation does not
become a contract until it is accepted by Region 14 ESC. The prospective supplier must submit
a signed Signature Form with the response thus, eliminating the need for a formal signing process.
A contract award letter issued by Region 14 ESC is the counter-signature document establishing
acceptance of the contract.
The undersigned hereby proposes and agrees to furnish goods and/or services in strict
compliance with the terms, specifications and conditions at the prices proposed within response
unless conspicuously noted by the supplier following the requirements of Deviations and
Exceptions section in the Instructions to Suppliers. The undersigned further certifies that he/she
is an officer of the company and has authority to negotiate and bind the company named below
and has not prepared this response in collusion with any other supplier and that the contents of
this proposal as to prices, terms or conditions of this response have not been communicated by
the undersigned nor by any employee or agent to any person engaged in this type of business
prior to the official opening of this proposal.
Prices are guaranteed: 120 days
____________________________________________________________________________
Company Name
____________________________________________________________________________
Address
____________________________________________________________________________
City State Zip
___________________________________ ___________________________________
Telephone Number Fax Number
____________________________________________________________________________
Email Address
___________________________________ ___________________________________
Printed Name Position
____________________________________________________________________________
Authorized Signature
Appendix A – Required Documents
1. Antitrust Certification Statement (Tex. Government Code § 2155.005)
2. Implementation of House Bill 1295 Certificate of Interested Parties (Form 1295)
3. Texas Government Code 2270 Verification Form
4. Any additional agreements supplier will require Participating Agencies to sign
Appendix A, Doc #1
ANTITRUST CERTIFICATION STATEMENTS
(Tex. Government Code § 2155.005)
Attorney General Form
I affirm under penalty of perjury of the laws of the State of Texas that:
1. I am duly authorized to execute this Contract on my own behalf or on behalf of the company,
corporation, firm, partnership or individual (Company) listed below;
2. In connection with this proposal, neither I nor any representative of the Company has violated
any provision of the Texas Free Enterprise and Antitrust Act, Tex. Bus. & Comm. Code Chapter
15;
3. In connection with this proposal, neither I nor any representative of the Company has violated
any federal antitrust law; and
4. Neither I nor any representative of the Company has directly or indirectly communicated any
of the contents of this proposal to a competitor of the Company or any other company,
corporation, firm, partnership or individual engaged in the same line of business as the
Company.
Company Contact
Signature
Printed Name
Address Position with Company
Official
Authorizing
Proposal
Signature
Printed Name
Phone
Position with Company
Fax
Appendix A, DOC # 2
Implementation of House Bill 1295
Certificate of Interested Parties (Form 1295):
In 2015, the Texas Legislature adopted House Bill 1295, which added section 2252.908 of the
Government Code. The law states that a governmental entity or state agency may not enter
into certain contracts with a business entity unless the business entity submits a disclosure of
interested parties to the governmental entity or state agency at the time the business entity
submits the signed contract to the governmental entity or state agency. The law applies only
to a contract of a governmental entity or state agency that either (1) requires an action or vote
by the governing body of the entity or agency before the contract may be signed or (2) has a
value of at least $1 million. The disclosure requirement applies to a contract entered into on or
after January 1, 2016.
The Texas Ethics Commission was required to adopt rules necessary to implement that law,
prescribe the disclosure of interested parties form, and post a copy of the form on the
commission’s website. The commission adopted the Certificate of Interested Parties form
(Form 1295) on October 5, 2015. The commission also adopted new rules (Chapter 46) on
November 30, 2015, to implement the law. The commission does not have any additional
authority to enforce or interpret House Bill 1295.
Filing Process:
Staring on January 1, 2016, the commission made available on its website a new filing
application that must be used to file Form 1295. A business entity must use the application to
enter the required information on Form 1295 and print a copy of the completed form, which will
include a certification of filing that will contain a unique certification number. An authorized
agent of the business entity must sign the printed copy of the form. The completed Form 1295
with the certification of filing must be filed with the governmental body or state agency with
which the business entity is entering into the contract.
The governmental entity or state agency must notify the commission, using the commission’s
filing application, of the receipt of the filed Form 1295 with the certification of filing not later
than the 30th day after the date the contract binds all parties to the contract. This process is
known as acknowledging the certificate. The commission will post the acknowledged Form
1295 to its website within seven business days after receiving notice from the governmental
entity or state agency. The posted acknowledged form does not contain the declaration of
signature information provided by the business.
A certificate will stay in the pending state until it is acknowledged by the governmental agency.
Only acknowledged certificates are posted to the commission’s website.
Electronic Filing Application:
https://www.ethics.state.tx.us/whatsnew/elf_info_form1295.htm
Frequently Asked Questions:
https://www.ethics.state.tx.us/resources/FAQs/FAQ_Form1295.php
Changes to Form 1295: https://www.ethics.state.tx.us/data/filinginfo/1295Changes.pdf
Appendix A, DOC # 3
Texas Government Code 2270 Verification Form
House Bill 89 (85R Legislative Session), which adds Chapter 2270 to the Texas Government
Code, provides that a governmental entity may not enter into a contract with a company without
verification that the contracting vendor does not and will not boycott Israel during the term of the
contract.
Furthermore, Senate Bill 252 (85R Legislative Session), which amends Chapter 2252 of the
Texas Government Code to add Subchapter F, prohibits contracting with a company engaged in
business with Iran, Sudan or a foreign terrorist organization identified on a list prepared by the
Texas Comptroller.
I, ____________________, as an authorized representative of
___________________________________________, a contractor engaged by
Insert Name of Company
Region 14 Education Service Center, 1850 Highway 351, Abilene, Texas 79601, verify by this
writing that the above-named company affirms that it (1) does not boycott Israel; and (2) will not
boycott Israel during the term of this contract, or any contract with the above-named Texas
governmental entity in the future.
Also, our company is not listed on and we do not do business with companies that are on the
Texas Comptroller of Public Accounts list of Designated Foreign Terrorists Organizations found
at https://comptroller.texas.gov/purchasing/docs/foreign-terrorist.pdf.
I further affirm that if our company's position on this issue is reversed and this affirmation is no
longer valid, that the above-named Texas governmental entity will be notified in writing within one
(1) business day and we understand that our company's failure to affirm and comply with the
requirements of Texas Government Code 2270 et seq. shall be grounds for immediate contract
termination without penalty to the above-named Texas governmental entity.
I swear and affirm that the above is true and correct.
______________________________________________ ________________
Signature of Named Authorized Company Representative Date
Appendix B – OMNIA Partners Exhibits
Requirements for National Cooperative Contract To Be Administered by OMNIA Partners
The following documents are used in evaluating and administering national cooperative contracts
and are included for supplier’s review and response.
Exhibit A – Response for National Cooperative Contract
Exhibit B – Administration Agreement, Example
Exhibit C – Master Intergovernmental Cooperative Purchasing Agreement, Example
Exhibit D – Principal Procurement Agency Certificate, Example
Exhibit E – Contract Sales Reporting Template
Exhibit F – Federal Funds Certifications
Exhibit G – New Jersey Business Compliance
Exhibit H – Advertising Compliance Requirement
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Appendix B – OMNIA Partners Exhibits
Exhibit A
Response for National Cooperative Contract
1.0 Scope of National Cooperative Contract
Capitalized terms not otherwise defined herein shall have the meanings given to them in the
Master Agreement or in the Administration Agreement between Supplier and OMNIA
Partners.
1.1 Requirement
Region 14 Education Service Center (hereinafter defined and referred to as “Principal
Procurement Agency”), on behalf of itself and OMNIA Partners, Public Sector, Inc.
(“OMNIA Partners”), is requesting proposals for COMPREHENSIVE
OPERATIONAL AND JANITORIAL SUPPLIES SOLUTIONS. The intent of this
Request for Proposal is any contract between Principal Procurement Agency and
Supplier resulting from this Request for Proposal (“Master Agreement”) be made
available to other public agencies nationally, including state and local governmental
entities, public and private primary, secondary and higher education entities, non-
profit entities, and agencies for the public benefit (“Public Agencies”), through
OMNIA Partners’ cooperative purchasing program. The Principal Procurement
Agency has executed a Principal Procurement Agency Certificate with OMNIA
Partners, an example of which is included as Exhibit D, and has agreed to pursue the
Master Agreement. Use of the Master Agreement by any Public Agency is preceded
by their registration with OMNIA Partners as a Participating Public Agency in
OMNIA Partners’ cooperative purchasing program. Registration with OMNIA
Partners as a Participating Public Agency is accomplished by Public Agencies entering
into a Master Intergovernmental Cooperative Purchasing Agreement, an example of
which is attached as Exhibit C, and by using the Master Agreement, any such
Participating Public Agency agrees that it is registered with OMNIA Partners, whether
pursuant to the terms of the Master Intergovernmental Purchasing Cooperative
Agreement or as otherwise agreed to. The terms and pricing established in the
resulting Master Agreement between the Supplier and the Principal Procurement
Agency will be the same as that available to Participating Public Agencies through
OMNIA Partners.
All transactions, purchase orders, invoices, payments etc., will occur directly between
the Supplier and each Participating Public Agency individually, and neither OMNIA
Partners, any Principal Procurement Agency nor any Participating Public Agency,
including their respective agents, directors, employees or representatives, shall be
liable to Supplier for any acts, liabilities, damages, etc., incurred by any other
Participating Public Agency. Supplier is responsible for knowing the tax laws in each
state.
This Exhibit A defines the expectations for qualifying Suppliers based on OMNIA
Partners’ requirements to market the resulting Master Agreement nationally to Public
Agencies. Each section in this Exhibit A refers to the capabilities, requirements,
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Appendix B – OMNIA Partners Exhibits
obligations, and prohibitions of competing Suppliers on a national level in order to
serve Participating Public Agencies through OMNIA Partners.
These requirements are incorporated into and are considered an integral part of this
RFP. OMNIA Partners reserves the right to determine whether to make the Master
Agreement awarded by the Principal Procurement Agency available to Participating
Public Agencies, in its sole and absolute discretion, and any party submitting a
response to this RFP acknowledges that any award by the Principal Procurement
Agency does not obligate OMNIA Partners to make the Master Agreement available
to Participating Procurement Agencies.
1.2 Marketing, Sales and Administrative Support
During the term of the Master Agreement OMNIA Partners intends to provide
marketing, sales, partnership development and administrative support for Supplier
pursuant to this section that directly promotes the Supplier’s products and services to
Participating Public Agencies through multiple channels, each designed to promote
specific products and services to Public Agencies on a national basis.
OMNIA Partners will assign the Supplier a Director of Partner Development who will
serve as the main point of contact for the Supplier and will be responsible for managing
the overall relationship between the Supplier and OMNIA Partners. The Director of
Partner Development will work with the Supplier to develop a comprehensive strategy
to promote the Master Agreement and will connect the Supplier with appropriate
stakeholders within OMNIA Partners including, Sales, Marketing, Contracting,
Training, and Operations & Support.
The OMNIA Partners marketing team will work in conjunction with Supplier to
promote the Master Agreement to both existing Participating Public Agencies and
prospective Public Agencies through channels that may include:
A. Marketing collateral (print, electronic, email, presentations)
B. Website
C. Trade shows/conferences/meetings
D. Advertising
E. Social Media
The OMNIA Partners sales teams will work in conjunction with Supplier to promote
the Master Agreement to both existing Participating Public Agencies and prospective
Public Agencies through initiatives that may include:
A. Individual sales calls
B. Joint sales calls
C. Communications/customer service
D. Training sessions for Public Agency teams
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E. Training sessions for Supplier teams
The OMNIA Partners contracting teams will work in conjunction with Supplier to
promote the Master Agreement to both existing Participating Public Agencies and
prospective Public Agencies through:
A. Serving as the subject matter expert for questions regarding joint powers authority
and state statutes and regulations for cooperative purchasing
B. Training sessions for Public Agency teams
C. Training sessions for Supplier teams
D. Regular business reviews to monitor program success
E. General contract administration
Suppliers are required to pay an Administrative Fee of 3% of the greater of the
Contract Sales under the Master Agreement and Guaranteed Contract Sales under this
Request for Proposal. Supplier will be required to execute the OMNIA Partners
Administration Agreement (Exhibit B). At Supplier’s option, Suppliers may pay
additional fees beyond administrative fees, such as technology fees, to OMNIA
Partners and/or a third party for additional support and/or access to OMNIA Partners’
technology platform.
1.3 Estimated Volume
The dollar volume purchased under the Master Agreement is estimated to be
approximately $150 MILLION annually. While no minimum volume is guaranteed
to Supplier, the estimated annual volume is projected based on the current annual
volumes among the Principal Procurement Agency, other Participating Public
Agencies that are anticipated to utilize the resulting Master Agreement to be made
available to them through OMNIA Partners, and volume growth into other Public
Agencies through a coordinated marketing approach between Supplier and OMNIA
Partners.
1.4 Award Basis
The basis of any contract award resulting from this RFP made by Principal
Procurement Agency will, at OMNIA Partners’ option, be the basis of award on a
national level through OMNIA Partners. If multiple Suppliers are awarded by
Principal Procurement Agency under the Master Agreement, those same Suppliers will
be required to extend the Master Agreement to Participating Public Agencies through
OMNIA Partners. Utilization of the Master Agreement by Participating Public
Agencies will be at the discretion of the individual Participating Public Agency.
Certain terms of the Master Agreement specifically applicable to the Principal
Procurement Agency (e.g., governing law) are subject to modification for each
Participating Public Agency as Supplier and such Participating Public Agency may
agree without being in conflict with the Master Agreement as a condition of the
Participating Agency’s purchase and not a modification of the Master Agreement
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applicable to all Participating Agencies. Participating Agencies may request to enter
into a separate supplemental agreement to further define the level of service
requirements over and above the minimum defined in the Master Agreement (e.g.,
governing law, invoice requirements, order requirements, specialized delivery,
diversity requirements such as minority and woman owned businesses, historically
underutilized business, etc.) (“Supplemental Agreement”). It shall be the
responsibility of the Supplier to comply, when applicable, with the prevailing wage
legislation in effect in the jurisdiction of the Participating Agency. It shall further be
the responsibility of the Supplier to monitor the prevailing wage rates as established
by the appropriate department of labor for any increase in rates during the term of the
Master Agreement and adjust wage rates accordingly. In instances where
supplemental terms and conditions create additional risk and cost for Supplier,
Supplier and Participating Public Agency may negotiate additional pricing above and
beyond the stated contract not-to-exceed pricing so long as the added price is
commensurate with the additional cost incurred by the Supplier. Any supplemental
agreement developed as a result of the Master Agreement is exclusively between the
Participating Agency and the Supplier (Contract Sales are reported to OMNIA
Partners).
All signed Supplemental Agreements and purchase orders issued and accepted by the
Supplier may survive expiration or termination of the Master Agreement. Participating
Agencies’ purchase orders may exceed the term of the Master Agreement if the
purchase order is issued prior to the expiration of the Master Agreement. Supplier is
responsible for reporting all sales and paying the applicable Administrative Fee for
sales that use the Master Agreement as the basis for the purchase order, even though
Master Agreement may have expired.
1.5 Objectives of Cooperative Program
This RFP is intended to achieve the following objectives regarding availability through
OMNIA Partners’ cooperative program:
A. Provide a comprehensive competitively solicited and awarded national agreement
offering the Products covered by this solicitation to Participating Public Agencies;
B. Establish the Master Agreement as the Supplier’s primary go to market strategy to
Public Agencies nationwide;
C. Achieve cost savings for Supplier and Public Agencies through a single solicitation
process that will reduce the Supplier’s need to respond to multiple solicitations and
Public Agencies need to conduct their own solicitation process;
D. Combine the aggregate purchasing volumes of Participating Public Agencies to
achieve cost effective pricing.
2.0 REPRESENTATIONS AND COVENANTS
As a condition to Supplier entering into the Master Agreement, which would be available to
all Public Agencies, Supplier must make certain representations, warranties and covenants to
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Appendix B – OMNIA Partners Exhibits
both the Principal Procurement Agency and OMNIA Partners designed to ensure the success
of the Master Agreement for all Participating Public Agencies as well as the Supplier.
2.1 Corporate Commitment
Supplier commits that (1) the Master Agreement has received all necessary corporate
authorizations and support of the Supplier’s executive management, (2) the Master
Agreement is Supplier's primary “go to market” strategy for Public Agencies, (3) the
Master Agreement will be promoted to all Public Agencies, including any existing
customers, and Supplier will transition existing customers, upon their request, to the
Master Agreement, and (4) that the Supplier has read and agrees to the terms and
conditions of the Administration Agreement with OMNIA Partners and will execute
such agreement concurrent with and as a condition of its execution of the Master
Agreement with the Principal Procurement Agency. Supplier will identify an
executive corporate sponsor and a separate national account manager within the RFP
response that will be responsible for the overall management of the Master Agreement.
2.2 Pricing Commitment
Supplier commits the not-to-exceed pricing provided under the Master Agreement
pricing is its lowest available (net to buyer) to Public Agencies nationwide and further
commits that if a Participating Public Agency is eligible for lower pricing through a
national, state, regional or local or cooperative contract, the Supplier will match such
lower pricing to that Participating Public Agency under the Master Agreement.
2.3 Sales Commitment
Supplier commits to aggressively market the Master Agreement as its go to market
strategy in this defined sector and that its sales force will be trained, engaged and
committed to offering the Master Agreement to Public Agencies through OMNIA
Partners nationwide. Supplier commits that all Master Agreement sales will be
accurately and timely reported to OMNIA Partners in accordance with the OMNIA
Partners Administration Agreement. Supplier also commits its sales force will be
compensated, including sales incentives, for sales to Public Agencies under the Master
Agreement in a consistent or better manner compared to sales to Public Agencies if
the Supplier were not awarded the Master Agreement.
3.0 SUPPLIER RESPONSE
Supplier must supply the following information for the Principal Procurement Agency to
determine Supplier’s qualifications to extend the resulting Master Agreement to Participating
Public Agencies through OMNIA Partners.
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Appendix B – OMNIA Partners Exhibits
3.1 Company
A. Brief history and description of Supplier to include experience providing similar
products and services.
B. Total number and location of salespersons employed by Supplier.
C. Number and location of support centers (if applicable) and location of corporate
office.
D. Annual sales for the three previous fiscal years.
a. Submit FEIN and Dunn & Bradstreet report.
E. Describe any green or environmental initiatives or policies.
F. Describe any diversity programs or partners supplier does business with and how
Participating Agencies may use diverse partners through the Master Agreement.
Indicate how, if at all, pricing changes when using the diversity program. If there
are any diversity programs, provide a list of diversity alliances and a copy of their
certifications.
G. Indicate if supplier holds any of the below certifications in any classified areas and
include proof of such certification in the response:
a. Minority Women Business Enterprise
Yes No
If yes, list certifying agency: ___________________________________
b. Small Business Enterprise (SBE) or Disadvantaged Business Enterprise
(DBE)
Yes No
If yes, list certifying agency: ___________________________________
c. Historically Underutilized Business (HUB)
Yes No
If yes, list certifying agency: ___________________________________
d. Historically Underutilized Business Zone Enterprise (HUBZone)
Yes No
If yes, list certifying agency: ___________________________________
e. Other recognized diversity certificate holder
Yes No
If yes, list certifying agency: ____________________________________
H. List any relationships with subcontractors or affiliates intended to be used when
providing services and identify if subcontractors meet minority-owned standards.
If any, list which certifications subcontractors hold and certifying agency.
I. Describe how supplier differentiates itself from its competitors.
J. Describe any present or past litigation, bankruptcy or reorganization involving
supplier.
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Appendix B – OMNIA Partners Exhibits
K. Felony Conviction Notice: Indicate if the supplier
a. is a publicly held corporation and this reporting requirement is not
applicable;
b. is not owned or operated by anyone who has been convicted of a felony; or
c. is owned or operated by and individual(s) who has been convicted of a
felony and provide the names and convictions.
L. Describe any debarment or suspension actions taken against supplier
3.2 Distribution, Logistics
A. Each supplier awarded an item under this solicitation may offer their complete
product and service offering/a balance of line. Describe the full line of products
and services offered by supplier.
B. Describe how supplier proposes to distribute the products/service nationwide.
Include any states where products and services will not be offered under the Master
Agreement, including U.S. Territories and Outlying Areas.
C. Describe how Participating Agencies are ensured they will receive the Master
Agreement pricing; include all distribution channels such as direct ordering,
retail or in-store locations, through distributors, etc. Describe how Participating
Agencies verify and audit pricing to ensure its compliance with the Master
Agreement.
D. Identify all other companies that will be involved in processing, handling or
shipping the products/service to the end user.
E. Provide the number, size and location of Supplier’s distribution facilities,
warehouses and retail network as applicable.
3.3 Marketing and Sales
A. Given the public nature of the solicitation and contract, OMNIA Partners makes
solicitation and contract documentation, including pricing documents, available on
its website so Participating Public Agencies may easily conduct their due
diligence. Describe any portions of the response that should not be available on the
website and why those portions should not be available.
B. Provide a detailed ninety-day plan beginning from award date of the Master
Agreement describing the strategy to immediately implement the Master
Agreement as supplier’s primary go to market strategy for Public Agencies to
supplier’s teams nationwide, to include, but not limited to:
i. Executive leadership endorsement and sponsorship of the award as the
public sector go-to-market strategy within first 10 days
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Appendix B – OMNIA Partners Exhibits
ii. Training and education of Supplier’s national sales force with participation
from the Supplier’s executive leadership, along with the OMNIA Partners
team within first 90 days
C. Provide a detailed ninety-day plan beginning from award date of the Master
Agreement describing the strategy to market the Master Agreement to current
Participating Public Agencies, existing Public Agency customers of Supplier, as
well as to prospective Public Agencies nationwide immediately upon award, to
include, but not limited to:
i. Creation and distribution of a co-branded press release to trade publications
ii. Announcement, Master Agreement details and contact information
published on the Supplier’s website within first 90 days
iii. Design, publication and distribution of co-branded marketing materials
within first 90 days
iv. Commitment to attendance and participation with OMNIA Partners at
national (i.e. NIGP Annual Forum, NPI Conference, etc.), regional (i.e.
Regional NIGP Chapter Meetings, Regional Cooperative Summits, etc.)
and supplier-specific trade shows, conferences and meetings throughout
the term of the Master Agreement
v. Commitment to attend, exhibit and participate at the NIGP Annual Forum
in an area reserved by OMNIA Partners for partner suppliers. Booth space
will be purchased and staffed by Supplier. In addition, Supplier commits
to provide reasonable assistance to the overall promotion and marketing
efforts for the NIGP Annual Forum, as directed by OMNIA Partners.
vi. Design and publication of national and regional advertising in trade
publications throughout the term of the Master Agreement
vii. Ongoing marketing and promotion of the Master Agreement throughout its
term (case studies, collateral pieces, presentations, promotions, etc.)
viii. Dedicated OMNIA Partners internet web-based homepage on Supplier’s
website with:
• OMNIA Partners standard logo;
• Copy of original Request for Proposal;
• Copy of Master Agreement and amendments between Principal
Procurement Agency and Supplier;
• Summary of Products and pricing;
• Marketing Materials
• Electronic link to OMNIA Partners’ website including the online
registration page;
• A dedicated toll-free number and email address for OMNIA
Partners
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Appendix B – OMNIA Partners Exhibits
D. Describe how Supplier will transition any existing Public Agency customers’
accounts to the Master Agreement available nationally through OMNIA Partners.
Include a list of current cooperative contracts (regional and national) Supplier
holds and describe how the Master Agreement will be positioned among the other
cooperative agreements.
E. Acknowledge Supplier agrees to provide its logo(s) to OMNIA Partners and agrees
to provide permission for reproduction of such logo in marketing communications
and promotions. Acknowledge that use of OMNIA Partners logo will require
permission for reproduction, as well.
F. Confirm Supplier will be proactive in direct sales of Supplier’s goods and services
to Public Agencies nationwide and the timely follow up to leads established by
OMNIA Partners. All sales materials are to use the OMNIA Partners logo. At a
minimum, the Supplier’s sales initiatives should communicate:
i. Master Agreement was competitively solicited and publicly awarded by a
Principal Procurement Agency
ii. Best government pricing
iii. No cost to participate
iv. Non-exclusive
G. Confirm Supplier will train its national sales force on the Master Agreement. At
a minimum, sales training should include:
i. Key features of Master Agreement
ii. Working knowledge of the solicitation process
iii. Awareness of the range of Public Agencies that can utilize the Master
Agreement through OMNIA Partners
iv. Knowledge of benefits of the use of cooperative contracts
H. Provide the name, title, email and phone number for the person(s), who will be
responsible for:
i. Executive Support
ii. Marketing
iii. Sales
iv. Sales Support
v. Financial Reporting
vi. Accounts Payable
vii. Contracts
I. Describe in detail how Supplier’s national sales force is structured, including
contact information for the highest-level executive in charge of the sales team.
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Appendix B – OMNIA Partners Exhibits
I. Explain in detail how the sales teams will work with the OMNIA Partners team to
implement, grow and service the national program.
J. Explain in detail how Supplier will manage the overall national program
throughout the term of the Master Agreement, including ongoing coordination of
marketing and sales efforts, timely new Participating Public Agency account set-
up, timely contract administration, etc.
K. State the amount of Supplier’s Public Agency sales for the previous fiscal year.
Provide a list of Supplier’s top 10 Public Agency customers, the total purchases
for each for the previous fiscal year along with a key contact for each.
L. Describe Supplier’s information systems capabilities and limitations regarding
order management through receipt of payment, including description of multiple
platforms that may be used for any of these functions.
M. Provide the Contract Sales (as defined in Section 12 of the OMNIA Partners
Administration Agreement) that Supplier will guarantee each year under the
Master Agreement for the initial three years of the Master Agreement
(“Guaranteed Contract Sales”).
$_______.00 in year one
$_______.00 in year two
$_______.00 in year three
To the extent Supplier guarantees minimum Contract Sales, the Administrative
Fee shall be calculated based on the greater of the actual Contract Sales and
the Guaranteed Contract Sales.
N. Even though it is anticipated many Public Agencies will be able to utilize the
Master Agreement without further formal solicitation, there may be circumstances
where Public Agencies will issue their own solicitations. The following options
are available when responding to a solicitation for Products covered under the
Master Agreement.
i. Respond with Master Agreement pricing (Contract Sales reported to
OMNIA Partners).
ii. If competitive conditions require pricing lower than the standard
Master Agreement not-to-exceed pricing, Supplier may respond with
lower pricing through the Master Agreement. If Supplier is awarded
the contract, the sales are reported as Contract Sales to OMNIA
Partners under the Master Agreement.
iii. Respond with pricing higher than Master Agreement only in the
unlikely event that the Public Agency refuses to utilize Master
Agreement (Contract Sales are not reported to OMNIA Partners).
iv. If alternative or multiple proposals are permitted, respond with
pricing higher than Master Agreement, and include Master
Agreement as the alternate or additional proposal.
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Appendix B – OMNIA Partners Exhibits
Detail Supplier’s strategies under these options when responding to a solicitation.
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Appendix B – OMNIA Partners Exhibits
Exhibit B
Administration Agreement, Example
ADMINISTRATION AGREEMENT
THIS ADMINISTRATION AGREEMENT (this “Agreement”) is made this ___ day of
______ 20__, between OMNIA Partners, Public Sector, Inc., a Delaware corporation (“OMNIA
Partners”), and ________________ (“Supplier”).
RECITALS
WHEREAS, the ___________________ (the “Principal Procurement Agency”) has
entered into a Master Agreement effective _________________, Agreement No_______, by and
between the Principal Procurement Agency and Supplier, (as may be amended from time to time in
accordance with the terms thereof, the “Master Agreement”), as attached hereto as Exhibit A and
incorporated herein by reference as though fully set forth herein, for the purchase of
____________________________ (the “Product”);
WHEREAS, said Master Agreement provides that any or all public agencies, including state
and local governmental entities, public and private primary, secondary and higher education entities,
non-profit entities, and agencies for the public benefit (collectively, “Public Agencies”), that register
(either via registration on the OMNIA Partners website or execution of a Master Intergovernmental
Cooperative Purchasing Agreement, attached hereto as Exhibit B) (each, hereinafter referred to as a
“Participating Public Agency”) may purchase Product at prices stated in the Master Agreement;
WHEREAS, Participating Public Agencies may access the Master Agreement which is
offered through OMNIA Partners to Public Agencies;
WHEREAS, OMNIA Partners serves as the cooperative contract administrator of the Master
Agreement on behalf of Principal Procurement Agency;
WHEREAS, Principal Procurement Agency desires OMNIA Partners to proceed with
administration of the Master Agreement; and
WHEREAS, OMNIA Partners and Supplier desire to enter into this Agreement to make
available the Master Agreement to Participating Public Agencies and to set forth certain terms and
conditions governing the relationship between OMNIA Partners and Supplier.
NOW, THEREFORE, in consideration of the payments to be made hereunder and the mutual
covenants contained in this Agreement, OMNIA Partners and Supplier hereby agree as follows:
DEFINITIONS
1. Capitalized terms used in this Agreement and not otherwise defined herein shall have
the meanings given to them in the Master Agreement.
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TERMS AND CONDITIONS
2. The Master Agreement and the terms and conditions contained therein shall apply to
this Agreement except as expressly changed or modified by this Agreement. Supplier acknowledges
and agrees that the covenants and agreements of Supplier set forth in the solicitation and Supplier’s
response thereto resulting in the Master Agreement are incorporated herein and are an integral part
hereof.
3. OMNIA Partners shall be afforded all of the rights, privileges and indemnifications
afforded to Principal Procurement Agency by or from Supplier under the Master Agreement, and such
rights, privileges and indemnifications shall accrue and apply with equal effect to OMNIA Partners,
its agents, employees, directors, and representatives under this Agreement including, but not limited
to, Supplier’s obligation to obtain appropriate insurance.
4. OMNIA Partners shall perform all of its duties, responsibilities and obligations as the
cooperative contract administrator of the Master Agreement on behalf of Principal Procurement
Agency as set forth herein, and Supplier hereby acknowledges and agrees that all duties,
responsibilities and obligations will be undertaken by OMNIA Partners solely in its capacity as the
cooperative contract administrator under the Master Agreement.
5. With respect to any purchases by Principal Procurement Agency or any Participating
Public Agency pursuant to the Master Agreement, OMNIA Partners shall not be: (i) construed as a
dealer, re-marketer, representative, partner or agent of any type of the Supplier, Principal Procurement
Agency or any Participating Public Agency; (ii) obligated, liable or responsible for any order for
Product made by Principal Procurement Agency or any Participating Public Agency or any employee
thereof under the Master Agreement or for any payment required to be made with respect to such
order for Product; and (iii) obligated, liable or responsible for any failure by Principal Procurement
Agency or any Participating Public Agency to comply with procedures or requirements of applicable
law or the Master Agreement or to obtain the due authorization and approval necessary to purchase
under the Master Agreement. OMNIA Partners makes no representation or guaranty with respect to
any minimum purchases by Principal Procurement Agency or any Participating Public Agency or any
employee thereof under this Agreement or the Master Agreement.
6. OMNIA Partners shall not be responsible for Supplier’s performance under the Master
Agreement, and Supplier shall hold OMNIA Partners harmless from any liability that may arise from
the acts or omissions of Supplier in connection with the Master Agreement.
7. Supplier acknowledges that, in connection with its access to OMNIA Partners
confidential information and/or supply of data to OMNIA Partners, it has complied with and shall
continue to comply with all laws, regulations and standards that may apply to Supplier, including,
without limitation: (a) United States federal and state information security and privacy statutes,
regulations and/or best practices, including, without limitation, the Gramm-Leach-Bliley Act, the
Massachusetts Data Security Regulations (201 C.M.R. 17.00 et. seq.), the Nevada encryption statute
(N.R.S. § 603A), the California data security law (Cal. Civil Code § 1798.80 et. seq.) and California
Consumer Privacy Act (Cal. Civil Code § 1798.100 et. seq.); and (b) applicable industry and
regulatory standards and best practices (collectively, “Data Regulations”).
With regard to Personal Information that Supplier collects, receives, or otherwise processes
under the Agreement or otherwise in connection with performance of the Agreement, Supplier agrees
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that it will not: (i) sell, rent, release, disclose, disseminate, make available, transfer, or otherwise
communicate orally, in writing, or by electronic or other means, such Personal Information to another
business or third party for monetary or other valuable consideration; or (ii) retain, use, or disclose
such Personal Information outside of the direct business relationship between Supplier and OMNIA
Partners or for any purpose other than for the specific purpose of performance of the Agreement,
including retaining, using, or disclosing such Personal Information for a commercial purpose other
than for performance of the Agreement. By entering into the Agreement, Supplier certifies that it
understands the specific restrictions contained in this Section 7 and will comply with them. For
purposes hereof, “Personal Information” means information that identifies, relates to, describes, is
reasonably capable of being associated with, or could reasonably be linked, directly or indirectly, with
a particular consumer or household, and includes the specific elements of “personal information” as
defined under Data Regulations, as defined herein. Supplier will reasonably assist OMNIA Partners
in timely responding to any third party “request to know” or “request to delete” (as defined pursuant
to Data Regulations) and will promptly provide OMNIA Partners with information reasonably
necessary for OMNIA Partners to respond to such requests. Where Supplier collects Personal
Information directly from Public Agencies or others on OMNIA Partners’ behalf, Supplier will
maintain records and the means necessary to enable OMNIA Partners to respond to such requests to
know and requests to delete.
8. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, OMNIA
PARTNERS EXPRESSLY DISCLAIMS ALL EXPRESS OR IMPLIED REPRESENTATIONS
AND WARRANTIES REGARDING OMNIA PARTNERS’ PERFORMANCE AS A
COOPERATIVE CONTRACT ADMINISTRATOR OF THE MASTER AGREEMENT. OMNIA
PARTNERS SHALL NOT BE LIABLE IN ANY WAY FOR ANY SPECIAL, INCIDENTAL,
INDIRECT, CONSEQUENTIAL, EXEMPLARY, PUNITIVE, OR RELIANCE DAMAGES, EVEN
IF OMNIA PARTNERS IS ADVISED OF THE POSSIBILITY OF SUCH DAMAGES.
TERM OF AGREEMENT; TERMINATION
9. This Agreement shall be in effect so long as the Master Agreement remains in effect,
provided, however, that the provisions of Sections 3 – 8 and 11 – 22, hereof and the indemnifications
afforded by the Supplier to OMNIA Partners in the Master Agreement, to the extent such provisions
survive any expiration or termination of the Master Agreement, shall survive the expiration or
termination of this Agreement.
NATIONAL PROMOTION
10. OMNIA Partners and Supplier shall publicize and promote the availability of the
Master Agreement’s products and services to Public Agencies and such agencies’ employees.
Supplier shall require each Public Agency to register its participation in the OMNIA Partners program
by either registering on the OMNIA Partners website (www.omniapartners.com/publicsector) or
executing a Master Intergovernmental Cooperative Purchasing Agreement prior to processing the
Participating Public Agency’s first sales order. Upon request, Supplier shall make available to
interested Public Agencies a copy of the Master Agreement and such price lists or quotes as may be
necessary for such Public Agencies to evaluate potential purchases.
11. Supplier shall provide such marketing and administrative support as set forth in the
solicitation resulting in the Master Agreement, including assisting in development of marketing
materials as reasonably requested by Principal Procurement Agency and OMNIA Partners. Supplier
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shall be responsible for obtaining permission or license of use and payment of any license fees for all
content and images Supplier provides to OMNIA Partners or posts on the OMNIA Partners website.
Supplier shall indemnify, defend and hold harmless OMNIA Partners for use of all such content and
images including copyright infringement claims. Supplier and OMNIA Partners each hereby grant to
the other party a limited, revocable, non-transferable, non-sublicensable right to use such party’s logo
(each, the “Logo”) solely for use in marketing the Master Agreement. Each party shall provide the
other party with the standard terms of use of such party’s Logo, and such party shall comply with
such terms in all material respects. Both parties shall obtain approval from the other party prior to
use of such party’s Logo. Notwithstanding the foregoing, the parties understand and agree that except
as provided herein neither party shall have any right, title or interest in the other party’s Logo. Upon
termination of this Agreement, each party shall immediately cease use of the other party’s Logo.
ADMINISTRATIVE FEE, REPORTING & PAYMENT
12. An “Administrative Fee” shall be defined and due to OMNIA Partners from Supplier
in the amount of three percent (3%) (“Administrative Fee Percentage”) multiplied by the total
purchase amount paid to Supplier, less refunds and credits on returns, for the sale of products and/or
services to Principal Procurement Agency and Participating Public Agencies pursuant to the Master
Agreement (as amended from time to time and including any renewal thereof) (“Contract Sales”).
From time to time the parties may mutually agree in writing to a lower Administrative Fee Percentage
for a specifically identified Participating Public Agency’s Contract Sales.
13. Supplier shall provide OMNIA Partners with an electronic accounting report monthly,
in the format prescribed by OMNIA Partners, summarizing all Contract Sales for each calendar
month. The Contract Sales reporting format is provided as Exhibit C (“Contract Sales Report”),
attached hereto and incorporated herein by reference. Contract Sales Reports for each calendar month
shall be provided by Supplier to OMNIA Partners by the 10th day of the following month. Failure to
provide a Contract Sales Report within the time and manner specified herein shall constitute a material
breach of this Agreement and if not cured within thirty (30) days of written notice to Supplier shall
be deemed a cause for termination of the Master Agreement, at Principal Procurement Agency’s sole
discretion, and/or this Agreement, at OMNIA Partners’ sole discretion.
14. Administrative Fee payments are to be paid by Supplier to OMNIA Partners at the
frequency and on the due date stated in Section 13, above, for Supplier’s submission of corresponding
Contract Sales Reports. Administrative Fee payments are to be made via Automated Clearing House
(ACH) to the OMNIA Partners designated financial institution identified in Exhibit D. Failure to
provide a payment of the Administrative Fee within the time and manner specified herein shall
constitute a material breach of this Agreement and if not cured within thirty (30) days of written notice
to Supplier shall be deemed a cause for termination of the Master Agreement, at Principal
Procurement Agency’s sole discretion, and/or this Agreement, at OMNIA Partners’ sole discretion.
All Administrative Fees not paid when due shall bear interest at a rate equal to the lesser of one and
one-half percent (1 1/2%) per month or the maximum rate permitted by law until paid in full.
15. Supplier shall maintain an accounting of all purchases made by Participating Public
Agencies under the Master Agreement. OMNIA Partners, or its designee, in OMNIA Partners’ sole
discretion, reserves the right to compare Participating Public Agency records with Contract Sales
Reports submitted by Supplier for a period of four (4) years from the date OMNIA Partners receives
such report. In addition, OMNIA Partners may engage a third party to conduct an independent audit
of Supplier’s monthly reports. In the event of such an audit, Supplier shall provide all materials
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reasonably requested relating to such audit by OMNIA Partners at the location designated by OMNIA
Partners. In the event an underreporting of Contract Sales and a resulting underpayment of
Administrative Fees is revealed, OMNIA Partners will notify the Supplier in writing. Supplier will
have thirty (30) days from the date of such notice to resolve the discrepancy to OMNIA Partners’
reasonable satisfaction, including payment of any Administrative Fees due and owing, together with
interest thereon in accordance with Section 13, and reimbursement of OMNIA Partners’ costs and
expenses related to such audit.
GENERAL PROVISIONS
16. This Agreement, the Master Agreement and the exhibits referenced herein supersede
any and all other agreements, either oral or in writing, between the parties hereto with respect to the
subject matter hereto and no other agreement, statement, or promise relating to the subject matter of
this Agreement which is not contained or incorporated herein shall be valid or binding. In the event
of any conflict between the provisions of this Agreement and the Master Agreement, as between
OMNIA Partners and Supplier, the provisions of this Agreement shall prevail.
17. If any action at law or in equity is brought to enforce or interpret the provisions of this
Agreement or to recover any Administrative Fee and accrued interest, the prevailing party shall be
entitled to reasonable attorney’s fees and costs in addition to any other relief to which it may be
entitled.
18. This Agreement and OMNIA Partners’ rights and obligations hereunder may be
assigned at OMNIA Partners’ sole discretion to an affiliate of OMNIA Partners, any purchaser of any
or all or substantially all of the assets of OMNIA Partners, or the successor entity as a result of a
merger, reorganization, consolidation, conversion or change of control, whether by operation of law
or otherwise. Supplier may not assign its obligations hereunder without the prior written consent of
OMNIA Partners.
19. All written communications given hereunder shall be delivered by first-class mail,
postage prepaid, or overnight delivery on receipt to the addresses as set forth below.
A. OMNIA Partners:
OMNIA Partners
5001 Aspen Grove
Franklin, TN 37067
Attention: Legal Department - Public Sector Contracting
B. Supplier:
____________________
____________________
____________________
____________________
20. If any provision of this Agreement shall be deemed to be, or shall in fact be, illegal,
inoperative or unenforceable, the same shall not affect any other provision or provisions herein
contained or render the same invalid, inoperative or unenforceable to any extent whatever, and this
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Agreement will be construed by limiting or invalidating such provision to the minimum extent
necessary to make such provision valid, legal and enforceable.
21. This Agreement may not be amended, changed, modified, or altered without the prior
written consent of the parties hereto, and no provision of this Agreement may be discharged or
waived, except by a writing signed by the parties. A waiver of any particular provision will not be
deemed a waiver of any other provision, nor will a waiver given on one occasion be deemed to apply
to any other occasion.
22. This Agreement shall inure to the benefit of and shall be binding upon OMNIA
Partners, the Supplier and any respective successor and assign thereto; subject, however, to the
limitations contained herein.
23. This Agreement will be construed under and governed by the laws of the State of
Delaware, excluding its conflicts of law provisions and any action arising out of or related to this
Agreement shall be commenced solely and exclusively in the state or federal courts in Williamson
County Tennessee.
24. This Agreement may be executed in counterparts, each of which is an original but all
of which, together, shall constitute but one and the same instrument. The exchange of copies of this
Agreement and of signature pages by facsimile, or by .pdf or similar electronic transmission, will
constitute effective execution and delivery of this Agreement as to the parties and may be used in lieu of
the original Agreement for all purposes. Signatures of the parties transmitted by facsimile, or by .pdf or
similar electronic transmission, will be deemed to be their original signatures for any purpose whatsoever.
[INSERT SUPPLIER ENTITY NAME] OMNIA PARTNERS, PUBLIC
SECTOR, INC.
Signature Signature
Sarah Vavra
Name Name
Sr. Vice President, Public Sector
Contracting
Title Title
Date Date
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Appendix B – OMNIA Partners Exhibits
Exhibit C
Master Intergovernmental Cooperative Purchasing Agreement, Example
MASTER INTERGOVERNMENTAL COOPERATIVE PURCHASING AGREEMENT
This Master Intergovernmental Cooperative Purchasing Agreement (this “Agreement”) is entered
into by and between those certain government agencies that execute a Principal Procurement Agency
Certificate (“Principal Procurement Agencies”) with OMNIA Partners, Public Sector, Inc., a
Delaware corporation f/k/a National Intergovernmental Purchasing Alliance Company;
Communities Program Management, LLC, a California limited liability company d/b/a U.S.
Communities; and/or NCPA LLC, a Texas limited liability company d/b/a National Cooperative
Purchasing Alliance (collectively, “OMNIA Partners”), in its capacity as the cooperative
administrator, to be appended and made a part hereof and such other public agencies (“Participating
Public Agencies”) who register to participate in the cooperative purchasing programs administered
by OMNIA Partners and its affiliates and subsidiaries (collectively, the “OMNIA Partners Parties”)
by either registering on the OMNIA Partners website (www.omniapartners.com/publicsector or any
successor website), or by executing a copy of this Agreement.
RECITALS
WHEREAS, after a competitive solicitation and selection process by Principal Procurement
Agencies, in compliance with their own policies, procedures, rules and regulations, a number of
suppliers have entered into “Master Agreements” (herein so called) to provide a variety of goods,
products and services (“Products”) to the applicable Principal Procurement Agency and the
Participating Public Agencies;
WHEREAS, Master Agreements are made available by Principal Procurement Agencies through
the OMNIA Partners Parties and provide that Participating Public Agencies may purchase Products
on the same terms, conditions and pricing as the Principal Procurement Agency, subject to any
applicable federal and/or local purchasing ordinances and the laws of the State of purchase; and
WHEREAS, in addition to Master Agreements, the OMNIA Partners Parties may from time to time
offer Participating Public Agencies the opportunity to acquire Products through other group
purchasing agreements.
NOW, THEREFORE, in consideration of the mutual promises contained in this Agreement, and of
the mutual benefits to result, the parties hereby agree as follows:
1. Each party will facilitate the cooperative procurement of Products.
2. The Participating Public Agencies shall procure Products in accordance with and
subject to the relevant federal, state and local statutes, ordinances, rules and regulations that govern
Participating Public Agency’s procurement practices. The Participating Public Agencies hereby
acknowledge and agree that it is the intent of the parties that all provisions of this Agreement and that
Principal Procurement Agencies’ participation in the program described herein comply with all
applicable laws, including but not limited to the requirements of 42 C.F.R. § 1001.952(j), as may be
amended from time to time. The Participating Public Agencies further acknowledge and agree that
they are solely responsible for their compliance with all applicable “safe harbor” regulations,
including but not limited to any and all obligations to fully and accurately report discounts and
Appendix B – OMNIA Partners Exhibits
incentives.
3. The Participating Public Agency represents and warrants that the Participating Public
Agency is not a hospital or other healthcare provider and is not purchasing Products on behalf of a
hospital or healthcare provider; provided that the foregoing shall not prohibit Participating Public
Agency from furnishing health care services so long as the furnishing of health care services is not in
furtherance of a primary purpose of the Participating Public Agency.
4. The cooperative use of Master Agreements shall be in accordance with the terms and
conditions of the Master Agreements, except as modification of those terms and conditions is
otherwise required by applicable federal, state or local law, policies or procedures.
5. The Principal Procurement Agencies will make available, upon reasonable request,
Master Agreement information which may assist in improving the procurement of Products by the
Participating Public Agencies.
6. The Participating Public Agency agrees the OMNIA Partners Parties may provide
access to group purchasing organization (“GPO”) agreements directly or indirectly by enrolling the
Participating Public Agency in another GPO’s purchasing program, provided that the purchase of
Products through the OMNIA Partners Parties or any other GPO shall be at the Participating Public
Agency’s sole discretion.
7. The Participating Public Agencies (each a “Procuring Party”) that procure Products
through any Master Agreement or GPO Product supply agreement (each a “GPO Contract”) will
make timely payments to the distributor, manufacturer or other vendor (collectively, “Supplier”) for
Products received in accordance with the terms and conditions of the Master Agreement or GPO
Contract, as applicable. Payment for Products and inspections and acceptance of Products ordered by
the Procuring Party shall be the exclusive obligation of such Procuring Party. Disputes between
Procuring Party and any Supplier shall be resolved in accordance with the law and venue rules of the
State of purchase unless otherwise agreed to by the Procuring Party and Supplier.
8. The Procuring Party shall not use this Agreement as a method for obtaining additional
concessions or reduced prices for purchase of similar products or services outside of the Master
Agreement. Master Agreements may be structured with not-to-exceed pricing, in which cases the
Supplier may offer the Procuring Party and the Procuring Party may accept lower pricing or additional
concessions for purchase of Products through a Master Agreement.
9. The Procuring Party shall be responsible for the ordering of Products under this
Agreement. A non-procuring party shall not be liable in any fashion for any violation by a Procuring
Party, and, to the extent permitted by applicable law, the Procuring Party shall hold non-procuring
party harmless from any liability that may arise from the acts or omissions of the Procuring Party.
10. WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, THE OMNIA
PARTNERS PARTIES EXPRESSLY DISCLAIM ALL EXPRESS OR IMPLIED
REPRESENTATIONS AND WARRANTIES REGARDING ANY PRODUCT, MASTER
AGREEMENT AND GPO CONTRACT. THE OMNIA PARTNERS PARTIES SHALL NOT BE
LIABLE IN ANY WAY FOR ANY SPECIAL, INCIDENTAL, INDIRECT, CONSEQUENTIAL,
EXEMPLARY, PUNITIVE, OR RELIANCE DAMAGES, EVEN IF THE OMNIA PARTNERS
PARTIES ARE ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. FURTHER, THE
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PROCURING PARTY ACKNOWLEDGES AND AGREES THAT THE OMNIA PARTNERS
PARTIES SHALL HAVE NO LIABILITY FOR ANY ACT OR OMISSION BY A SUPPLIER OR
OTHER PARTY UNDER A MASTER AGREEMENT OR GPO CONTRACT.
11. This Agreement shall remain in effect until termination by either party giving thirty
(30) days’ written notice to the other party. The provisions of Paragraphs 6 - 10 hereof shall survive
any such termination.
12. This Agreement shall take effect upon (i) execution of the Principal Procurement
Agency Certificate, or (ii) registration on the OMNIA Partners website or the execution of this
Agreement by a Participating Public Agency, as applicable.
Participating Public Agency: OMNIA Partners, as the cooperative
administrator on behalf of Principal
Procurement Agencies:
OMNIA PARTNERS, PUBLIC SECTOR,
INC.
Authorized Signature Signature
Sarah E. Vavra
Name Name
Sr. Vice President, Public Sector Contracting
Title and Agency Name Title
Date Date
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Appendix B – OMNIA Partners Exhibits
Exhibit D
Principal Procurement Agency Certificate, Example
PRINCIPAL PROCUREMENT AGENCY CERTIFICATE
In its capacity as a Principal Procurement Agency (as defined below) for OMNIA Partners, Public
Sector, Inc., a Delaware corporation (“OMNIA Partners”), [PPA Name] agrees to pursue Master
Agreements for Products as specified in the attached Exhibits to this Principal Procurement Agency
Certificate.
I hereby acknowledge, in my capacity as _____________ of and on behalf of [PPA Name]
(“Principal Procurement Agency”), that I have read and hereby agree to the general terms and
conditions set forth in the attached Master Intergovernmental Cooperative Purchasing Agreement
regulating the use of the Master Agreements and purchase of Products that from time to time are
made available by Principal Procurement Agencies to Participating Public Agencies nationwide
through OMNIA Partners.
I understand that the purchase of one or more Products under the provisions of the Master
Intergovernmental Cooperative Purchasing Agreement is at the sole and complete discretion of the
Participating Public Agency.
Authorized Signature, [PPA Name]________
Signature
Name
Title
Date
Appendix B – OMNIA Partners Exhibits
Exhibit E
Contract Sales Reporting Template
Contract Sales Report submitted electronically in Microsoft Excel:
Appendix B – OMNIA Partners Exhibits
Exhibit F
Federal Funds Certifications
FEDERAL CERTIFICATIONS
ADDENDUM FOR AGREEMENT FUNDED BY U.S. FEDERAL GRANT
TO WHOM IT MAY CONCERN:
Participating Agencies may elect to use federal funds to purchase under the Master Agreement. This form should be
completed and returned.
DEFINITIONS
Contract means a legal instrument by which a non–Federal entity purchases property or services needed to carry out the project
or program under a Federal award. The term as used in this part does not include a legal instrument, even if the non–Federal
entity considers it a contract, when the substance of the transaction meets the definition of a Federal award or subaward
Contractor means an entity that receives a contract as defined in Contract.
Cooperative agreement means a legal instrument of financial assistance between a Federal awarding agency or pass-through
entity and a non–Federal entity that, consistent with 31 U.S.C. 6302–6305:
(a) Is used to enter into a relationship the principal purpose of which is to transfer anything of value from the Federal
awarding agency or pass-through entity to the non–Federal entity to carry out a public purpose authorized by a law of
the United States (see 31 U.S.C. 6101(3)); and not to acquire property or services for the Federal government or
pass-through entity's direct benefit or use;
(b) Is distinguished from a grant in that it provides for substantial involvement between the Federal awarding agency
or pass-through entity and the non–Federal entity in carrying out the activity contemplated by the Federal award.
(c) The term does not include:
(1) A cooperative research and development agreement as defined in 15 U.S.C. 3710a; or
(2) An agreement that provides only:
(i) Direct United States Government cash assistance to an individual;
(ii) A subsidy;
(iii) A loan;
(iv) A loan guarantee; or
(v) Insurance.
Federal awarding agency means the Federal agency that provides a Federal award directly to a non–Federal entity
Federal award has the meaning, depending on the context, in either paragraph (a) or (b) of this section:
(a)(1) The Federal financial assistance that a non–Federal entity receives directly from a Federal awarding agency or
indirectly from a pass-through entity, as described in § 200.101 Applicability; or
(2) The cost-reimbursement contract under the Federal Acquisition Regulations that a non–Federal entity
receives directly from a Federal awarding agency or indirectly from a pass-through entity, as described in §
200.101 Applicability.
(b) The instrument setting forth the terms and conditions. The instrument is the grant agreement, cooperative
agreement, other agreement for assistance covered in paragraph (b) of § 200.40 Federal financial assistance, or the
cost-reimbursement contract awarded under the Federal Acquisition Regulations.
(c) Federal award does not include other contracts that a Federal agency uses to buy goods or services from a
contractor or a contract to operate Federal government owned, contractor operated facilities (GOCOs).
(d) See also definitions of Federal financial assistance, grant agreement, and cooperative agreement.
Non–Federal entity means a state, local government, Indian tribe, institution of higher education (IHE), or nonprofit organization
Version January 12, 2024
Appendix B – OMNIA Partners Exhibits
that carries out a Federal award as a recipient or subrecipient.
Nonprofit organization means any corporation, trust, association, cooperative, or other organization, not including IHEs, that:
(a) Is operated primarily for scientific, educational, service, charitable, or similar purposes in the public interest;
(b) Is not organized primarily for profit; and
(c) Uses net proceeds to maintain, improve, or expand the operations of the organization.
Obligations means, when used in connection with a non–Federal entity's utilization of funds under a Federal award, orders
placed for property and services, contracts and subawards made, and similar transactions during a given period that require
payment by the non–Federal entity during the same or a future period.
Pass-through entity means a non–Federal entity that provides a subaward to a subrecipient to carry out part of a Federal
program.
Recipient means a non–Federal entity that receives a Federal award directly from a Federal awarding agency to carry out an
activity under a Federal program. The term recipient does not include subrecipients.
Simplified acquisition threshold means the dollar amount below which a non–Federal entity may purchase property or
services using small purchase methods. Non–Federal entities adopt small purchase procedures in order to expedite the
purchase of items costing less than the simplified acquisition threshold. The simplified acquisition threshold is set by the Federal
Acquisition Regulation at 48 CFR Subpart 2.1 (Definitions) and in accordance with 41 U.S.C. 1908. As of the publication of this
part, the simplified acquisition threshold is $250,000, but this threshold is periodically adjusted for inflation. (Also see definition
of § 200.67 Micro-purchase.)
Subaward means an award provided by a pass-through entity to a subrecipient for the subrecipient to carry out part of a Federal
award received by the pass-through entity. It does not include payments to a contractor or payments to an individual that is a
beneficiary of a Federal program. A subaward may be provided through any form of legal agreement, including an agreement
that the pass-through entity considers a contract.
Subrecipient means a non–Federal entity that receives a subaward from a pass-through entity to carry out part of a Federal
program; but does not include an individual that is a beneficiary of such program. A subrecipient may also be a recipient of other
Federal awards directly from a Federal awarding agency.
Termination means the ending of a Federal award, in whole or in part at any time prior to the planned end of period of
performance.
The following provisions may be required and apply when Participating Agency expends federal funds for any purchase resulting
from this procurement process. Per FAR 52.204-24 and FAR 52.204-25, solicitations and resultant contracts shall contain the
following provisions.
52.204-24 Representation Regarding Certain Telecommunications and Video Surveillance Services or Equipment (Oct
2020)
The Supplier shall not complete the representation at paragraph (d)(1) of this provision if the Supplier has represented that it
"does not provide covered telecommunications equipment or services as a part of its offered products or services to the
Government in the performance of any contract, subcontract, or other contractual instrument" in paragraph (c)(1) in the provision
at 52.204-26, Covered Telecommunications Equipment or Services—Representation, or in paragraph (v)(2)(i) of the provision
at 52.212-3, Supplier Representations and Certifications-Commercial Items. The Supplier shall not complete the representation in
paragraph (d)(2) of this provision if the Supplier has represented that it "does not use covered telecommunications equipment or
services, or any equipment, system, or service that uses covered telecommunications equipment or services" in paragraph (c)(2)
of the provision at 52.204-26, or in paragraph (v)(2)(ii) of the provision at 52.212-3.
(a) Definitions. As used in this provision—
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Appendix B – OMNIA Partners Exhibits
Backhaul, covered telecommunications equipment or services, critical technology, interconnection arrangements,
reasonable inquiry, roaming, and substantial or essential component have the meanings provided in the clause 52.204-25,
Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment.
(b) Prohibition.
(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232)
prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a
contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as
a substantial or essential component of any system, or as critical technology as part of any system. Nothing in the prohibition shall
be construed to—
(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the
facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or
(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into
any user data or packets that such equipment transmits or otherwise handles.
(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-
232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract or extending or renewing
a contract with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services
as a substantial or essential component of any system, or as critical technology as part of any system. This prohibition applies to
the use of covered telecommunications equipment or services, regardless of whether that use is in performance of work under a
Federal contract. Nothing in the prohibition shall be construed to—
(i) Prohibit the head of an executive agency from procuring with an entity to provide a service that connects to the
facilities of a third-party, such as backhaul, roaming, or interconnection arrangements; or
(ii) Cover telecommunications equipment that cannot route or redirect user data traffic or cannot permit visibility into
any user data or packets that such equipment transmits or otherwise handles.
(c) Procedures. The Supplier shall review the list of excluded parties in the System for Award Management (SAM)
(https://www.sam.gov) for entities excluded from receiving federal awards for "covered telecommunications equipment or services".
(d) Representation. The Supplier represents that—
(1) It □ will, □ will not provide covered telecommunications equipment or services to the Government in the performance
of any contract, subcontract or other contractual instrument resulting from this solicitation. The Supplier shall provide the additional
disclosure information required at paragraph (e)(1) of this section if the Supplier responds "will" in paragraph (d)(1) of this section;
and
(2) After conducting a reasonable inquiry, for purposes of this representation, the Supplier represents that—
It □ does, □ does not use covered telecommunications equipment or services, or use any equipment, system, or service
that uses covered telecommunications equipment or services. The Supplier shall provide the additional disclosure information
required at paragraph (e)(2) of this section if the Supplier responds "does" in paragraph (d)(2) of this section.
(e) Disclosures.
(1) Disclosure for the representation in paragraph (d)(1) of this provision. If the Supplier has responded "will" in the
representation in paragraph (d)(1) of this provision, the Supplier shall provide the following information as part of the offer.
(i) For covered equipment—
(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity
identifier, CAGE code, and whether the entity was the original equipment manufacturer (OEM) or a distributor, if known);
(B) A description of all covered telecommunications equipment offered (include brand; model number, such as
OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and
(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to
determining if such use would be permissible under the prohibition in paragraph (b)(1) of this provision.
(ii) For covered services—
(A) If the service is related to item maintenance: A description of all covered telecommunications services offered
(include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler
number; and item description, as applicable); or
(B) If not associated with maintenance, the Product Service Code (PSC) of the service being provided; and
explanation of the proposed use of covered telecommunications services and any factors relevant to determining if such use would
be permissible under the prohibition in paragraph (b)(1) of this provision.
(2) Disclosure for the representation in paragraph (d)(2) of this provision. If the Supplier has responded "does" in the
representation in paragraph (d)(2) of this provision, the Supplier shall provide the following information as part of the offer:
(i) For covered equipment—
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Appendix B – OMNIA Partners Exhibits
(A) The entity that produced the covered telecommunications equipment (include entity name, unique entity
identifier, CAGE code, and whether the entity was the OEM or a distributor, if known);
(B) A description of all covered telecommunications equipment offered (include brand; model number, such as
OEM number, manufacturer part number, or wholesaler number; and item description, as applicable); and
(C) Explanation of the proposed use of covered telecommunications equipment and any factors relevant to
determining if such use would be permissible under the prohibition in paragraph (b)(2) of this provision.
(ii) For covered services—
(A) If the service is related to item maintenance: A description of all covered telecommunications services offered
(include on the item being maintained: Brand; model number, such as OEM number, manufacturer part number, or wholesaler
number; and item description, as applicable); or
(B) If not associated with maintenance, the PSC of the service being provided; and explanation of the proposed
use of covered telecommunications services and any factors relevant to determining if such use would be permissible under the
prohibition in paragraph (b)(2) of this provision.
52.204-25 Prohibition on Contracting for Certain Telecommunications and Video Surveillance Services or Equipment
(Aug 2020).
(a) Definitions. As used in this clause—
Backhaul means intermediate links between the core network, or backbone network, and the small subnetworks at the edge
of the network (e.g., connecting cell phones/towers to the core telephone network). Backhaul can be wireless (e.g., microwave) or
wired (e.g., fiber optic, coaxial cable, Ethernet).
Covered foreign country means The People’s Republic of China.
Covered telecommunications equipment or services means–
(1) Telecommunications equipment produced by Huawei Technologies Company or ZTE Corporation (or any subsidiary
or affiliate of such entities);
(2) For the purpose of public safety, security of Government facilities, physical security surveillance of critical
infrastructure, and other national security purposes, video surveillance and telecommunications equipment produced by Hytera
Communications Corporation, Hangzhou Hikvision Digital Technology Company, or Dahua Technology Company (or any
subsidiary or affiliate of such entities);
(3) Telecommunications or video surveillance services provided by such entities or using such equipment; or
(4) Telecommunications or video surveillance equipment or services produced or provided by an entity that the Secretary
of Defense, in consultation with the Director of National Intelligence or the Director of the Federal Bureau of Investigation,
reasonably believes to be an entity owned or controlled by, or otherwise connected to, the government of a covered foreign country.
Critical technology means–
(1) Defense articles or defense services included on the United States Munitions List set forth in the International Traffic
in Arms Regulations under subchapter M of chapter I of title 22, Code of Federal Regulations;
(2) Items included on the Commerce Control List set forth in Supplement No. 1 to part 774 of the Export Administration
Regulations under subchapter C of chapter VII of title 15, Code of Federal Regulations, and controlled-
(i) Pursuant to multilateral regimes, including for reasons relating to national security, chemical and biological
weapons proliferation, nuclear nonproliferation, or missile technology; or
(ii) For reasons relating to regional stability or surreptitious listening;
(3) Specially designed and prepared nuclear equipment, parts and components, materials, software, and technology
covered by part 810 of title 10, Code of Federal Regulations (relating to assistance to foreign atomic energy activities);
(4) Nuclear facilities, equipment, and material covered by part 110 of title 10, Code of Federal Regulations (relating to
export and import of nuclear equipment and material);
(5) Select agents and toxins covered by part 331 of title 7, Code of Federal Regulations, part 121 of title 9 of such Code,
or part 73 of title 42 of such Code; or
(6) Emerging and foundational technologies controlled pursuant to section 1758 of the Export Control Reform Act of
2018 (50 U.S.C. 4817).
Interconnection arrangements means arrangements governing the physical connection of two or more networks to allow
the use of another's network to hand off traffic where it is ultimately delivered (e.g., connection of a customer of telephone provider
A to a customer of telephone company B) or sharing data and other information resources.
Reasonable inquiry means an inquiry designed to uncover any information in the entity's possession about the identity of
the producer or provider of covered telecommunications equipment or services used by the entity that excludes the need to include
an internal or third-party audit.
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Roaming means cellular communications services (e.g., voice, video, data) received from a visited network when unable to
connect to the facilities of the home network either because signal coverage is too weak or because traffic is too high.
Substantial or essential component means any component necessary for the proper function or performance of a piece of
equipment, system, or service.
(b) Prohibition.
(1) Section 889(a)(1)(A) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-232)
prohibits the head of an executive agency on or after August 13, 2019, from procuring or obtaining, or extending or renewing a
contract to procure or obtain, any equipment, system, or service that uses covered telecommunications equipment or services as
a substantial or essential component of any system, or as critical technology as part of any system. The Contractor is prohibited
from providing to the Government any equipment, system, or service that uses covered telecommunications equipment or services
as a substantial or essential component of any system, or as critical technology as part of any system, unless an exception at
paragraph (c) of this clause applies or the covered telecommunication equipment or services are covered by a waiver described
in FAR 4.2104.
(2) Section 889(a)(1)(B) of the John S. McCain National Defense Authorization Act for Fiscal Year 2019 (Pub. L. 115-
232) prohibits the head of an executive agency on or after August 13, 2020, from entering into a contract, or extending or renewing
a contract, with an entity that uses any equipment, system, or service that uses covered telecommunications equipment or services
as a substantial or essential component of any system, or as critical technology as part of any system, unless an exception at
paragraph (c) of this clause applies or the covered telecommunication equipment or services are covered by a waiver described
in FAR 4.2104. This prohibition applies to the use of covered telecommunications equipment or services, regardless of whether
that use is in performance of work under a Federal contract.
(c) Exceptions. This clause does not prohibit contractors from providing—
(1) A service that connects to the facilities of a third-party, such as backhaul, roaming, or interconnection arrangements;
or
(2) Telecommunications equipment that cannot route or redirect user data traffic or permit visibility into any user data or
packets that such equipment transmits or otherwise handles.
(d) Reporting requirement.
(1) In the event the Contractor identifies covered telecommunications equipment or services used as a substantial or essential
component of any system, or as critical technology as part of any system, during contract performance, or the Contractor is notified
of such by a subcontractor at any tier or by any other source, the Contractor shall report the information in paragraph (d)(2) of this
clause to the Contracting Officer, unless elsewhere in this contract are established procedures for reporting the information; in the
case of the Department of Defense, the Contractor shall report to the website at https://dibnet.dod.mil. For indefinite delivery
contracts, the Contractor shall report to the Contracting Officer for the indefinite delivery contract and the Contracting Officer(s) for
any affected order or, in the case of the Department of Defense, identify both the indefinite delivery contract and any affected
orders in the report provided at https://dibnet.dod.mil.
(2) The Contractor shall report the following information pursuant to paragraph (d)(1) of this clause
(i) Within one business day from the date of such identification or notification: the contract number; the order
number(s), if applicable; supplier name; supplier unique entity identifier (if known); supplier Commercial and Government Entity
(CAGE) code (if known); brand; model number (original equipment manufacturer number, manufacturer part number, or wholesaler
number); item description; and any readily available information about mitigation actions undertaken or recommended.
(ii) Within 10 business days of submitting the information in paragraph (d)(2)(i) of this clause: any further available
information about mitigation actions undertaken or recommended. In addition, the Contractor shall describe the efforts it undertook
to prevent use or submission of covered telecommunications equipment or services, and any additional efforts that will be
incorporated to prevent future use or submission of covered telecommunications equipment or services.
(e) Subcontracts. The Contractor shall insert the substance of this clause, including this paragraph (e) and excluding
paragraph (b)(2), in all subcontracts and other contractual instruments, including subcontracts for the acquisition of commercial
items.
The following certifications and provisions may be required and apply when Participating Agency expends federal funds for any
purchase resulting from this procurement process. Pursuant to 2 C.F.R. § 200.326, all contracts, including small purchases,
awarded by the Participating Agency and the Participating Agency’s subcontractors shall contain the procurement provisions of
Appendix II to Part 200, as applicable.
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APPENDIX II TO 2 CFR PART 200
(A) Contracts for more than the simplified acquisition threshold currently set at $250,000, which is the inflation adjusted
amount determined by the Civilian Agency Acquisition Council and the Defense Acquisition Regulations Council
(Councils) as authorized by 41 U.S.C. 1908, must address administrative, contractual, or legal remedies in instances
where contractors violate or breach contract terms, and provide for such sanctions and penalties as appropriate.
Pursuant to Federal Rule (A) above, when a Participating Agency expends federal funds, the Participating Agency reserves all
rights and privileges under the applicable laws and regulations with respect to this procurement in the event of breach of contract
by either party.
Does supplier agree? YES Initials of Authorized Representative of
supplier
(B) Termination for cause and for convenience by the grantee or subgrantee including the manner by which it will be
effected and the basis for settlement. (All contracts in excess of $10,000)
Pursuant to Federal Rule (B) above, when a Participating Agency expends federal funds, the Participating Agency reserves the
right to immediately terminate any agreement in excess of $10,000 resulting from this procurement process in the event of a
breach or default of the agreement by Supplier as detailed in the terms of the contract.
Does supplier agree? YES Initials of Authorized Representative of
supplier
(C) Equal Employment Opportunity. Except as otherwise provided under 41 CFR Part 60, all contracts that meet the
definition of “federally assisted construction contract” in 41 CFR Part 60-1.3 must include the equal opportunity clause
provided under 41 CFR 60-1.4(b), in accordance with Executive Order 11246, “Equal Employment Opportunity” (30
CFR 12319, 12935, 3 CFR Part, 1964-1965 Comp., p. 339), as amended by Executive Order 11375, “Amending Executive
Order 11246 Relating to Equal Employment Opportunity,” and implementing regulations at 41 CFR part 60, “Office of
Federal Contract Compliance Programs, Equal Employment Opportunity, Department of Labor.”
Pursuant to Federal Rule (C) above, when a Participating Agency expends federal funds on any federally assisted construction
contract, the equal opportunity clause is incorporated by reference herein.
Does supplier agree to abide by the above? YES Initials of Authorized Representative of
supplier
(D) Davis-Bacon Act, as amended (40 U.S.C. 3141-3148). When required by Federal program legislation, all prime
construction contracts in excess of $2,000 awarded by non-Federal entities must include a provision for compliance
with the Davis-Bacon Act (40 U.S.C. 3141-3144, and 3146-3148) as supplemented by Department of Labor regulations
(29 CFR Part 5, “Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted
Construction”). In accordance with the statute, contractors must be required to pay wages to laborers and mechanics
at a rate not less than the prevailing wages specified in a wage determination made by the Secretary of Labor. In
addition, contractors must be required to pay wages not less than once a week. The non-Federal entity must place a
copy of the current prevailing wage determination issued by the Department of Labor in each solicitation. The decision
to award a contract or subcontract must be conditioned upon the acceptance of the wage determination. The non
- Federal entity must report all suspected or reported violations to the Federal awarding agency. The contracts must
also include a provision for compliance with the Copeland “Anti-Kickback” Act (40 U.S.C. 3145), as supplemented by
Department of Labor regulations (29 CFR Part 3, “Contractors and Subcontractors on Public Building or Public Work
Financed in Whole or in Part by Loans or Grants from the United States”). The Act provides that each contractor or
subrecipient must be prohibited from inducing, by any means, any person employed in the construction, completion, or
repair of public work, to give up any part of the compensation to which he or she is otherwise entitled. The non -Federal
entity must report all suspected or reported violations to the Federal awarding agency.
Pursuant to Federal Rule (D) above, when a Participating Agency expends federal funds during the term of an award for all
contracts and subgrants for construction or repair, supplier will be in compliance with all applicable Davis-Bacon Act provisions.
Does supplier agree? YES Initials of Authorized Representative of
supplier
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(E) Contract Work Hours and Safety Standards Act (40 U.S.C. 3701-3708). Where applicable, all contracts awarded by
the non-Federal entity in excess of $100,000 that involve the employment of mechanics or laborers must include a
provision for compliance with 40 U.S.C. 3702 and 3704, as supplemented by Department of Labor regulations (29 CFR
Part 5). Under 40 U.S.C. 3702 of the Act, each contractor must be required to compute the wages of every mechanic and
laborer on the basis of a standard work week of 40 hours. Work in excess of the standard work week is permissible
provided that the worker is compensated at a rate of not less than one and a half times the basic rate of pay for all
hours worked in excess of 40 hours in the work week. The requirements of 40 U.S.C. 3704 are applicable to construction
work and provide that no laborer or mechanic must be required to work in surroundings or under working conditions
which are unsanitary, hazardous or dangerous. These requirements do not apply to the purchases of supplies or
materials or articles ordinarily available on the open market, or contracts for transportation or transmission of
intelligence.
Pursuant to Federal Rule (E) above, when a Participating Agency expends federal funds, supplier certifies that supplier will be in
compliance with all applicable provisions of the Contract Work Hours and Safety Standards Act during the term of an award for
all contracts by Participating Agency resulting from this procurement process.
Does supplier agree? YES Initials of Authorized Representative of
supplier
(F) Rights to Inventions Made Under a Contract or Agreement. If the Federal award meets the definition of “funding
agreement” under 37 CFR §401.2 (a) and the recipient or subrecipient wishes to enter into a contract with a small
business firm or nonprofit organization regarding the substitution of parties, assignment or performance of
experimental, developmental, or research work under that “funding agreement,” the recipient or subrecipient must
comply with the requirements of 37 CFR Part 401, “Rights to Inventions Made by Nonprofit Organizations and Small
Business Firms Under Government Grants, Contracts and Cooperative Agreements,” and any implementing regulations
issued by the awarding agency.
Pursuant to Federal Rule (F) above, when federal funds are expended by Participating Agency, the supplier certifies that during
the term of an award for all contracts by Participating Agency resulting from this procurement process, the supplier agrees to
comply with all applicable requirements as referenced in Federal Rule (F) above.
Does supplier agree? YES Initials of Authorized Representative of
supplier
(G) Clean Air Act (42 U.S.C. 7401-7671q.) and the Federal Water Pollution Control Act (33 U.S.C. 1251-1387), as
amended—Contracts and subgrants of amounts in excess of $150,000 must contain a provision that requires the non -
Federal award to agree to comply with all applicable standards, orders or regulations issued pursuant to the Clean Air
Act (42 U.S.C. 7401-7671q) and the Federal Water Pollution Control Act as amended (33 U.S.C. 1251- 1387). Violations
must be reported to the Federal awarding agency and the Regional Office of the Environmental Protection Agency
(EPA)
In the event Federal Transit Administration (FTA) or Department of Transportation (DOT) funding is used by Participating Public
Agency, Supplier also agrees to include Clean Air and Clean Water requirements in each subcontract exceeding $100,000 financed
in whole or in part with Federal assistance provided by FTA.
Pursuant to Federal Rule (G) above, when federal funds are expended by Participating Agency, the supplier certifies that during
the term of an award for all contracts by Participating Agency member resulting from this procurement process, the supplier
agrees to comply with all applicable requirements as referenced in Federal Rule (G) above.
Does supplier agree? YES Initials of Authorized Representative of supplier
(H) Debarment and Suspension (Executive Orders 12549 and 12689)—A contract award (see 2 CFR 180.220) must not be
made to parties listed on the government wide exclusions in the System for Award Management (SAM), in accordance
with the Executive Office of the President Office of Management and Budget (OMB) guidelines at 2 CFR 180 that
implement Executive Orders 12549 (3 CFR part 1986 Comp., p. 189) and 12689 (3 CFR part 1989 Comp., p. 235),
“Debarment and Suspension.” SAM Exclusions contains the names of parties debarred, suspended, or otherwise
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excluded by agencies, as well as parties declared ineligible under statutory or regulatory authority other than Executive
Order 12549.
Pursuant to Federal Rule (H) above, when federal funds are expended by Participating Agency, the supplier certifies that during
the term of an award for all contracts by Participating Agency resulting from this procurement process, the supplier certifies that
neither it nor its principals is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded
from participation by any federal department or agency. If at any time during the term of an award the supplier or its principals
becomes debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation by any
federal department or agency, the supplier will notify the Participating Agency.
Does supplier agree? YES Initials of Authorized Representative of supplier
(I) Byrd Anti-Lobbying Amendment (31 U.S.C. 1352)—Contractors that apply or bid for an award exceeding $100,000
must file the required certification. Each tier certifies to the tier above that it will not and has not used Federal
appropriated funds to pay any person or organization for influencing or attempting to influence an officer or employee
of any agency, a member of Congress, officer or employee of Congress, or an employee of a member of Congress in
connection with obtaining any Federal contract, grant or any other award covered by 31 U.S.C. 1352. Each tier must
also disclose any lobbying with non-Federal funds that takes place in connection with obtaining any Federal award.
Such disclosures are forwarded from tier to tier up to the non-Federal award.
Pursuant to Federal Rule (I) above, when federal funds are expended by Participating Agency, the supplier certifies that
during the term and after the awarded term of an award for all contracts by Participating Agency resulting from this procurement
process, the supplier certifies that it is in compliance with all applicable provisions of the Byrd Anti-Lobbying Amendment (31
U.S.C. 1352). The undersigned further certifies that:
(1) No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing
or attempting to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any
Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation,
renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting
to influence an officer or employee of any Federal agency, a Member of Congress, an officer or employee of Congress, or an
employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the
undersigned shall complete and submit Standard Form-LLL, "Disclosure of Lobbying Activities," in accordance with its instructions.
This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered
into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by Section 1352, Title
31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and
not more than $100,000 for each such failure.
(3) The prospective participant also agrees by submitting his or her bid or proposal that he or she shall require that the language
of this certification be included in all lower tier subcontracts, which exceed $100,000 and that all such subrecipients shall certify
and disclose accordingly.
Does supplier agree? YES Initials of Authorized Representative of
supplier
RECORD RETENTION REQUIREMENTS FOR CONTRACTS INVOLVING FEDERAL FUNDS
When federal funds are expended by Participating Agency for any contract resulting from this procurement process, supplier
certifies that it will comply with the record retention requirements detailed in 2 CFR § 200.333. The supplier further certifies that
supplier will retain all records as required by 2 CFR § 200.333 for a period of three years after grantees or subgrantees
submit final expenditure reports or quarterly or annual financial reports, as applicable, and all other pending matters are closed.
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Does supplier agree? YES Initials of Authorized Representative of
supplier
CERTIFICATION OF COMPLIANCE WITH THE ENERGY POLICY AND CONSERVATION ACT
When Participating Agency expends federal funds for any contract resulting from this procurement process, supplier certifies
that it will comply with the mandatory standards and policies relating to energy efficiency which are contained in the state energy
conservation plan issued in compliance with the Energy Policy and Conservation Act (42 U.S.C. 6321 et seq.; 49 C.F.R. Part 18).
Does supplier agree? YES Initials of Authorized Representative of
supplier
CERTIFICATION OF COMPLIANCE WITH BUY AMERICA PROVISIONS
To the extent purchases are made with Federal Highway Administration, Federal Railroad Administration, or Federal Transit
Administration funds, supplier certifies that its products comply with all applicable provisions of the Buy America Act and agrees
to provide such certification or applicable waiver with respect to specific products to any Participating Agency upon request.
Purchases made in accordance with the Buy America Act must still follow the applicable procurement rules calling for free and
open competition. Additionally:
(1) The Contractor agrees to comply with 49 USC 5323(j) and 49 CFR Part 661, which provide that federal funds may not
be obligated unless steel, iron and manufactured products used in FTA-funded projects are produced in the United
States, unless a waiver has been granted by FTA or the product is subject to a general waiver. General waivers are
listed in 49 CFR 661.7.A general public interest waiver from the Buy America requirements applies to microprocessors,
computers, microcomputers, software or other such devices, which are used solely for the purpose of processing or
storing data. This general waiver does not extend to a product or device that merely contains a microprocessor or
microcomputer and is not used solely for the purpose of processing or storing data. Separate requirements for rolling
stock are set out at 5323(j)(2)(C) and 49 CFR 661.11.
(2) A bidder or supplier must submit to the FTA recipient the appropriate Buy America certification with all bids on FTA-
funded contracts, except those subject to a general waiver. Bids or offers that are not accompanied by a completed
Buy America certification must be rejected as nonresponsive. This requirement does not apply to lower tier
subcontractors.
The following certificates titled FTA and DOT Buy America Certification should be completed and returned with the response
as part of FTA and DOT requirements.
FEDERAL TRASIT ADMINISTRATION (FTA) AND DEPARTMENT OF TRANSPORTATION (DOT) -
BUY AMERICA: CERTIFICATION REQUIREMENT FOR PROCUREMENTOF ROLLING STOCK
CERTIFICATE OF COMPLIANCE
(select one of the two options, NOT BOTH)
Certificate of Compliance with 49 USC §5323(j)
The proposer hereby certifies that it will comply with the requirements of 49 U.S.C. 5323(j), and the applicable regulations of 49
CFR 661.11.
Check for YES:
OR
Certificate of Non-Compliance with 49 USC §5323(j)
The proposer hereby certifies that it cannot comply with the requirements of 49 U.S.C. 5323(j), but may qualify for an exception to
the requirement consistent with 49 U.S.C. 5323(j)(2)(C), and the applicable regulations in 49 CFR 661.7.
Check for YES:
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FEDERAL TRASIT ADMINISTRATION (FTA) AND DEPARTMENT OF TRANSPORTATION (DOT) -
BUY AMERICA: CERTIFICATION REQUIREMENT FOR PROCUREMENT OF STEEL OR MANUFACTURED PRODUCTS
CERTIFICATE OF COMPLIANCE (select one of the two options, NOT BOTH)
Certificate of Compliance with 49 USC §5323(j)(1)
The proposer hereby certifies that it will comply with the requirements of 49 U.S.C. 5323(j)(1), and the applicable regulations in 49
CFR part 661.
Check for YES:
OR
Certificate of Non-Compliance with 49 USC §5323(j)(1)
The proposer hereby certifies that it cannot comply with the requirements of 49 U.S.C. 5323(j), but it may qualify for an exception
to the requirement pursuant to 49 U.S.C. 5323(j)(2), as amended, and the applicable regulations in 49 CFR 661.7.
Check for YES:
Does supplier agree? YES Initials of Authorized Representative of
supplier
Supplier’s Name: ___________________________________________________________________________________
Address, City, State, and Zip Code: ________________________________________________________________________
Phone Number: __________________________________
Fax Number: ______________________________________
Printed Name and Title of Authorized Representative: _____________________________________________________________________
Email Address: __________________________________________________________________________________
Signature of Authorized Representative: ____________________________________
Date: _____________________________
CERTIFICATION OF COMPLIANCE WITH BUY AMERICAN PROVISIONS
7 CFR Part 210.21 School Lunch Procurement.
The school food authority must include the following provisions in all cost reimbursable contracts, including contracts with
cost reimbursable provisions, and in solicitation documents prepared to obtain offers for such contracts:
(i) Allowable costs will be paid from the nonprofit school food service account to the contractor net of all discounts,
rebates and other applicable credits accruing to or received by the contractor or any assignee under the contract, to the
extent those credits are allocable to the allowable portion of the costs billed to the school food authority;
(ii)
(A) The contractor must separately identify for each cost submitted for payment to the school food authority the amount
of that cost that is allowable (can be paid from the nonprofit school food service account) and the amount that is
unallowable (cannot be paid from the nonprofit school food service account); or
(B) The contractor must exclude all unallowable costs from its billing documents and certify that only allowable costs
are submitted for payment and records have been established that maintain the visibility of unallowable costs, including
directly associated costs in a manner suitable for contract cost determination and verification;
(iii) The contractor's determination of its allowable costs must be made in compliance with the applicable Departmental
and Program regulations and Office of Management and Budget cost circulars;
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(iv) The contractor must identify the amount of each discount, rebate and other applicable credit on bills and invoices
presented to the school food authority for payment and individually identify the amount as a discount, rebate, or in the
case of other applicable credits, the nature of the credit. If approved by the State agency, the school food authority may
permit the contractor to report this information on a less frequent basis than monthly, but no less frequently than annually;
(v) The contractor must identify the method by which it will report discounts, rebates and other applicable credits allocable
to the contract that are not reported prior to conclusion of the contract; and
(vi) The contractor must maintain documentation of costs and discounts, rebates and other applicable credits, and must
furnish such documentation upon request to the school food authority, the State agency, or the Department.
Unless Supplier is exempt (See FAR 25.103), when authorized by statute or explicitly indicated by Participating Public Agency,
Buy American requirements will apply where only unmanufactured construction material mined or produced in the United States
shall be used (see Subpart 25.6 – American Recovery and Reinvestment Act-Buy American statute for additional details).
CERTIFICATION OF ACCESS TO RECORDS – 2 C.F.R. § 200.336
Supplier agrees that the Inspector General of the Agency or any of their duly authorized representatives shall have access to
any documents, papers, or other records of supplier that are pertinent to supplier’s discharge of its obligations under the Contract
for the purpose of making audits, examinations, excerpts, and transcriptions. The right also includes timely and reasonable
access to supplier’s personnel for the purpose of interview and discussion relating to such documents.
Does supplier agree? YES Initials of Authorized Representative of
supplier
CERTIFICATION OF APPLICABILITY TO SUBCONTRACTORS
Supplier agrees that all contracts it awards pursuant to the Contract shall be bound by the foregoing terms and conditions.
Does supplier agree? YES Initials of Authorized Representative of
supplier
COMMUNITY DEVELOPMENT BLOCK GRANTS
Purchases made under this contract may be partially or fully funded with federal grant funds. Funding for this work may include
Federal Funding sources, including Community Development Block Grant (CDBG) funds from the U.S. Department of Housing
and Urban Development. When such funding is provided, Supplier shall comply with all terms, conditions and requirements
enumerated by the grant funding source, as well as requirements of the State statutes for which the contract is utilized, whichever
is the more restrictive requirement. When using Federal Funding, Supplier shall comply with all wage and latest reporting provisions
of the Federal Davis-Bacon Act. HUD-4010 Labor Provisions also applies to this contract.
Does supplier agree? YES Initials of Authorized Representative of
supplier
Supplier agrees to comply with all federal, state, and local laws, rules, regulations and ordinances, as applicable. It
is further acknowledged that supplier certifies compliance with all provisions, laws, acts, regulations, etc. as
specifically noted above.
Supplier’s Name:
____________________________________________________________________________________________
Address, City, State, and Zip Code:
_____________________________________________________________________________
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Phone Number: ________________________________ Fax Number: ______________________________________
Printed Name and Title of Authorized Representative:
_____________________________________________________________________
Email Address:
____________________________________________________________________________________________
Signature of Authorized Representative: ____________________________________Date: _____________________________
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FEMA AND ADDITIONAL FEDERAL FUNDING SPECIAL CONDITIONS
Awarded Supplier(s) (also referred to as Contractors) may need to respond to events and losses where
products and services are needed for the immediate and initial response to emergency situations such as,
but not limited to, water damage, fire damage, vandalism cleanup, biohazard cleanup, sewage
decontamination, deodorization, and/or wind damage during a disaster or emergency situation. By
submitting a proposal, the Supplier is accepted these FEMA and Additional Federal Funding Special
Conditions required by the Federal Emergency Management Agency (FEMA) and other federal entities.
“Contract” in the below pages under FEMA AND ADDITIONAL FEDERAL FUNDING SPECIAL
CONDITIONS is also referred to and defined as the “Master Agreement”.
“Contractor” in the below pages under FEMA AND ADDITIONAL FEDERAL FUNDING SPECIAL
CONDITIONS is also referred to and defined as “Supplier” or “Awarded Supplier”.
Conflicts of Interest
No employee, officer, or agent may participate in the selection, award, or administration of a contract
supported by a FEMA award if he or she has a real or apparent conflict of interest. Such a conflict would
arise when the employee, officer, or agent, any member of his or her immediate family, his or her partner,
or an organization which employs or is about to employ any of these parties, has a financial or other interest
in or a tangible personal benefit from a firm considered for award. 2 C.F.R. § 200.318(c)(1); See also
Standard Form 424D, ¶ 7; Standard Form 424B, ¶ 3. i. FEMA considers a “financial interest” to be the
potential for gain or loss to the employee, officer, or agent, any member of his or her immediate family, his
or her partner, or an organization which employs or is about to employ any of these parties as a result of
the particular procurement. The prohibited financial interest may arise from ownership of certain financial
instruments or investments such as stock, bonds, or real estate, or from a salary, indebtedness, job offer,
or similar interest that might be affected by the particular procurement. ii. FEMA considers an “apparent”
conflict of interest to exist where an actual conflict does not exist, but where a reasonable person with
knowledge of the relevant facts would question the impartiality of the employee, officer, or agent
participating in the procurement. c. Gifts. The officers, employees, and agents of the Participating Public
Agency nor the Participating Public Agency (“NFE”) must neither solicit nor accept gratuities, favors, or
anything of monetary value from contractors or parties to subcontracts. However, NFE’s may set standards
for situations in which the financial interest is de minimus, not substantial, or the gift is an unsolicited item
of nominal value. 2 C.F.R. § 200.318(c)(1). d. Violations. The NFE’s written standards of conduct must
provide for disciplinary actions to be applied for violations of such standards by officers, employees, or
agents of the NFE. 2 C.F.R. § 200.318(c)(1). For example, the penalty for a NFE’s employee may be
dismissal, and the penalty for a contractor might be the termination of the contract.
Contractor Integrity
A contractor must have a satisfactory record of integrity and business ethics. Contractors that are debarred
or suspended, as described in and subject to the debarment and suspension regulations implementing
Executive Order 12549, Debarment and Suspension (1986) and Executive Order 12689, Debarment and
Suspension (1989) at 2 C.F.R. Part 180 and the Department of Homeland Security’s regulations at 2 C.F.R.
Part 3000 (Non-procurement Debarment and Suspension), must be rejected and cannot receive contract
awards at any level.
Notice of Legal Matters Affecting the Federal Government
In the event FTA or DOT funding is used by Participating Public Agency, Contractor agrees to:
1) The Contractor agrees that if a current or prospective legal matter that may affect the Federal
Government emerges, the Contractor shall promptly notify the Participating Public Agency of the
legal matter in accordance with 2 C.F.R. §§ 180.220 and 1200.220.
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2) The types of legal matters that require notification include, but are not limited to, a major dispute,
breach, default, litigation, or naming the Federal Government as a party to litigation or a legal
disagreement in any forum for any reason.
3) The Contractor further agrees to include the above clause in each subcontract, at every tier,
financed in whole or in part with Federal assistance provided by the FTA.
Public Policy
A contractor must comply with the public policies of the Federal Government and state, local government,
or tribal government. This includes, among other things, past and current compliance with the:
a. Equal opportunity and nondiscrimination laws
b. Five affirmative steps described at 2 C.F.R. § 200.321(b) for all subcontracting under contracts supported
by FEMA financial assistance; and FEMA Procurement Guidance June 21, 2016 Page IV- 7
c. Applicable prevailing wage laws, regulations, and executive orders
Affirmative Steps
For any subcontracting opportunities, Contractor must take the following Affirmative steps:
1. Placing qualified small and minority businesses and women's business enterprises on solicitation
lists;
2. Assuring that small and minority businesses, and women's business enterprises are solicited
whenever they are potential sources;
3. Dividing total requirements, when economically feasible, into smaller tasks or quantities to permit
maximum participation by small and minority businesses, and women's business enterprises;
4. Establishing delivery schedules, where the requirement permits, which encourage participation by
small and minority businesses, and women's business enterprises; and
5. Using the services and assistance, as appropriate, of such organizations as the Small Business
Administration and the Minority Business Development Agency of the Department of Commerce.
Prevailing Wage Requirements
When applicable, the awarded Contractor (s) and any and all subcontractor(s) agree to comply with all laws
regarding prevailing wage rates including the Davis-Bacon Act, applicable to this solicitation and/or
Participating Public Agencies. The Participating Public Agency shall notify the Contractor of the applicable
pricing/prevailing wage rates and must apply any local wage rates requested. The Contractor and any
subcontractor(s) shall comply with the prevailing wage rates set by the Participating Public Agency.
Federal Requirements
If products and services are issued in response to an emergency or disaster recovery the items below,
located in this FEMA Special Conditions section of the Federal Funds Certifications, are activated and
required when federal funding may be utilized.
2 C.F.R. § 200.326 and 2 C.F.R. Part 200, Appendix II, Required Contract Clauses
1. CONTRACT REMEDIES
Contracts for more than the federal simplified acquisition threshold (SAT), the dollar amount below
which an NFE may purchase property or services using small purchase methods, currently set at
$250,000 for procurements made on or after June 20, 2018,4 must address administrative,
contractual, or legal remedies in instances where contractors violate or breach contract terms and
must provide for sanctions and penalties as appropriate.
1.1 Applicability
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This contract provision is required for contracts over the SAT, currently set at $250,000 for
procurements made on or after June 20, 2018. Although not required for contracts at or below the
SAT, FEMA suggests including a remedies provision.
1.2 Additional Considerations
For FEMA’s Assistance to Firefighters Grant (AFG) Program, recipients must include a penalty
clause in all contracts for any AFG-funded vehicle, regardless of dollar amount. In that situation,
the contract must include a clause addressing that non-delivery by the contract’s specified date or
other vendor nonperformance will require a penalty of no less than $100 per day until such time
that the vehicle, compliant with the terms of the contract, has been accepted by the recipient. This
penalty clause should, however, account for force majeure or acts of God. AFG recipients should
refer to the applicable year’s Notice of Funding Opportunity (NOFO) for additional information,
which can be accessed at FEMA.gov.
2. TERMINATION FOR CAUSE AND CONVENIENCE
a. Standard. All contracts in excess of $10,000 must address termination for cause and for
convenience by the non-Federal entity, including the manner by which it will be effected
and the basis for settlement. See 2 C.F.R. Part 200, Appendix II(B).
b. Applicability. This requirement applies to all FEMA grant and cooperative agreement
programs.
3. EQUAL EMPLOYMENT OPPORTUNITY
When applicable:
a. Standard. Except as otherwise provided under 41 C.F.R. Part 60, all contracts that meet
the definition of “federally assisted construction contract” in 41 C.F.R.
§ 60-1.3 must include the equal opportunity clause provided under 41 C.F.R. § 60- 1.4(b),
in accordance with Executive Order 11246, Equal Employment Opportunity (30 Fed. Reg.
12319, 12935, 3 C.F.R. Part, 1964-1965 Comp., p.
339), as amended by Executive Order 11375, Amending Executive Order 11246 Relating
to Equal Employment Opportunity, and implementing regulations at 41
C.F.R. Part 60 (Office of Federal Contract Compliance Programs, Equal Employment
Opportunity, Department of Labor). See 2 C.F.R. Part 200, Appendix II(C).
b. Key Definitions.
i. Federally Assisted Construction Contract. The regulation at 41 C.F.R. § 60-
1.3 defines a “federally assisted construction contract” as any agreement or
modification thereof between any applicant and a person for construction work which
is paid for in whole or in part with funds obtained from the Government or borrowed
on the credit of the Government pursuant to any Federal program involving a grant,
contract, loan, insurance, or guarantee, or undertaken pursuant to any Federal
program involving such grant, contract, loan, insurance, or guarantee, or any
application or modification thereof approved by the Government for a grant, contract,
loan, insurance, or guarantee under which the applicant itself participates in the
construction work.
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ii. Construction Work. The regulation at 41 C.F.R. § 60-1.3 defines “construction work”
as the construction, rehabilitation, alteration, conversion, extension, demolition or
repair of buildings, highways, or other changes or improvements to real property,
including facilities providing utility services. The term also includes the supervision,
inspection, and other onsite functions incidental to the actual construction.
c. Applicability. This requirement applies to all FEMA grant and cooperative agreement
programs.
d. Required Language. The regulation at 41 C.F.R. Part 60-1.4(b) requires the insertion of
the following contract clause.
During the performance of this contract, the contractor agrees as follows:
(1) The contractor will not discriminate against any employee or applicant for employment
because of race, color, religion, sex, sexual orientation, gender identity, or national
origin. The contractor will take affirmative action to ensure that applicants are employed,
and that employees are treated during employment without regard to their race, color,
religion, sex, sexual orientation, gender identity, or national origin. Such action shall
include, but not be limited to the following:
Employment, upgrading, demotion, or transfer; recruitment or recruitment advertising;
layoff or termination; rates of pay or other forms of compensation; and selection for
training, including apprenticeship. The contractor agrees to post in conspicuous places,
available to employees and applicants for employment, notices to be provided setting
forth the provisions of this nondiscrimination clause.
(2) The contractor will, in all solicitations or advertisements for employees placed by or on
behalf of the contractor, state that all qualified applicants will receive consideration for
employment without regard to race, color, religion, sex, sexual orientation, gender
identity, or national origin.
(3) The contractor will not discharge or in any other manner discriminate against any
employee or applicant for employment because such employee or applicant has inquired
about, discussed, or disclosed the compensation of the employee or applicant or another
employee or applicant. This provision shall not apply to instances in which an employee
who has access to the compensation information of other employees or applicants as a
part of such employee's essential job functions discloses the compensation of such other
employees or applicants to individuals who do not otherwise have access to such
information, unless such disclosure is in response to a formal complaint or charge, in
furtherance of an investigation, proceeding, hearing, or action, including an investigation
conducted by the employer, or is consistent with the contractor's legal duty to furnish
information.
(4) The contractor will send to each labor union or representative of workers with which he
has a collective bargaining agreement or other contract or understanding, a notice to be
provided advising the said labor union or workers' representatives of the contractor's
commitments under this section and shall post copies of the notice in conspicuous
places available to employees and applicants for employment.
(5) The contractor will comply with all provisions of Executive Order 11246 of September
24, 1965, and of the rules, regulations, and relevant orders of the Secretary of Labor.
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(6) The contractor will furnish all information and reports required by Executive Order 11246
of September 24, 1965, and by rules, regulations, and orders of the Secretary of Labor,
or pursuant thereto, and will permit access to his books, records, and accounts by the
administering agency and the Secretary of Labor for purposes of investigation to
ascertain compliance with such rules, regulations, and orders.
(7) In the event of the contractor's noncompliance with the nondiscrimination clauses of this
contract or with any of the said rules, regulations, or orders, this contract may be
canceled, terminated, or suspended in whole or in part and the contractor may be
declared ineligible for further Government contracts or federally assisted construction
contracts in accordance with procedures authorized in Executive Order 11246 of
September 24, 1965, and such other sanctions may be imposed and remedies invoked
as provided in Executive Order 11246 of September 24, 1965, or by rule, regulation, or
order of the Secretary of Labor, or as otherwise provided by law.
(8) The contractor will include the portion of the sentence immediately preceding paragraph
(1) and the provisions of paragraphs (1) through (8) in every subcontract or purchase
order unless exempted by rules, regulations, or orders of the Secretary of Labor issued
pursuant to section 204 of Executive Order 11246 of September 24, 1965, so that such
provisions will be binding upon each subcontractor or vendor. The contractor will take
such action with respect to any subcontract or purchase order as the administering
agency may direct as a means of enforcing such provisions, including sanctions for
noncompliance:
Provided, however, that in the event a contractor becomes involved in, or is threatened
with, litigation with a subcontractor or vendor as a result of such direction by the
administering agency, the contractor may request the United States to enter into such
litigation to protect the interests of the United States.
The applicant further agrees that it will be bound by the above equal opportunity clause
with respect to its own employment practices when it participates in federally assisted
construction work: Provided, That if the applicant so participating is a State or local
government, the above equal opportunity clause is not applicable to any agency,
instrumentality or subdivision of such government which does not participate in work on
or under the contract.
The applicant agrees that it will assist and cooperate actively with the administering
agency and the Secretary of Labor in obtaining the compliance of contractors and
subcontractors with the equal opportunity clause and the rules, regulations, and relevant
orders of the Secretary of Labor, that it will furnish the administering agency and the
Secretary of Labor such information as they may require for the supervision of such
compliance, and that it will otherwise assist the administering agency in the discharge of
the agency's primary responsibility for securing compliance.
The applicant further agrees that it will refrain from entering into any contract or contract
modification subject to Executive Order 11246 of September 24, 1965, with a contractor
debarred from, or who has not demonstrated eligibility for, Government contracts and
federally assisted construction contracts pursuant to the Executive Order and will carry
out such sanctions and penalties for violation of the equal opportunity clause as may be
imposed upon contractors and subcontractors by the administering agency or the
Secretary of Labor pursuant to Part II, Subpart D of the Executive Order. In addition, the
applicant agrees that if it fails or refuses to comply with these undertakings, the
administering agency may take any or all of the following actions: Cancel, terminate, or
suspend in whole or in part this grant (contract, loan, insurance, guarantee); refrain from
extending any further assistance to the applicant under the program with respect to
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which the failure or refund occurred until satisfactory assurance of future compliance has
been received from such applicant; and refer the case to the Department of Justice for
appropriate legal proceedings.
4. DAVIS-BACON ACT
a. Standard. All prime construction contracts in excess of $2,000 awarded by non- Federal
entities must include a provision for compliance with the Davis-Bacon Act (40 U.S.C. §§ 3141-
3144 and 3146-3148) as supplemented by Department of Labor regulations at 29 C.F.R. Part
5 (Labor Standards Provisions Applicable to Contracts Covering Federally Financed and
Assisted Construction). See 2 C.F.R. Part 200, Appendix II(D). In accordance with the statute,
contractors must be required to pay wages to laborers and mechanics at a rate not less than
the prevailing wages specified in a wage determination made by the Secretary of Labor. In
addition, contractors must be required to pay wages not less than once a week.
b. Applicability. The Davis-Bacon Act applies to the Emergency Management Preparedness
Grant Program, Homeland Security Grant Program, Nonprofit Security Grant Program, Tribal
Homeland Security Grant Program, Port Security Grant Program, and Transit Security Grant
Program.
c. Requirements. If applicable, the non-federal entity must do the following:
i. The non-Federal entity must place a copy of the current prevailing wage
determination issued by the Department of Labor in each solicitation. The decision
to award a contract or subcontract must be conditioned upon the acceptance of
the wage determination. The non-Federal entity must report all suspected or
reported violations to the Federal awarding agency.
ii. Additionally, pursuant 2 C.F.R. Part 200, Appendix II(D), contracts subject to the
Davis-Bacon Act, must also include a provision for compliance with the Copeland
“Anti-Kickback” Act (40 U.S.C. § 3145), as supplemented by Department of Labor
regulations at 29 C.F.R. Part 3 (Contractors and Subcontractors on Public
Building or Public Work Financed in Whole or in Part by Loans or Grants from the
United States). The Copeland Anti- Kickback Act provides that each contractor or
subrecipient must be prohibited from inducing, by any means, any person
employed in the construction, completion, or repair of public work, to give up any
part of the compensation to which he or she is otherwise entitled. The non-
Federal entity must report all suspected or reported violations to FEMA.
iii. Include a provision for compliance with the Davis-Bacon Act (40 U.S.C. 3141-
3144, and 3146-3148) as supplemented by Department of Labor regulations (29
CFR Part 5, “Labor Standards Provisions Applicable to Contracts Covering
Federally Financed and Assisted Construction”).
Suggested Language. The following provides a sample contract clause:
Compliance with the Davis-Bacon Act.
a. All transactions regarding this contract shall be done in
compliance with the Davis-Bacon Act (40 U.S.C. 3141- 3144, and
3146-3148) and the requirements of 29 C.F.R. pt. 5 as may be
applicable. The contractor shall comply with 40 U.S.C. 3141-
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3144, and 3146-3148 and the requirements of 29 C.F.R. pt. 5 as
applicable.
b. Contractors are required to pay wages to laborers and mechanics
at a rate not less than the prevailing wages specified in a wage
determination made by the Secretary of Labor.
c. Additionally, contractors are required to pay wages not less than
once a week.
5. COPELAND ANTI-KICKBACK ACT
a. Standard. Recipient and subrecipient contracts must include a provision for compliance with
the Copeland “Anti-Kickback” Act (40 U.S.C. 3145), as supplemented by Department of Labor
regulations (29 CFR Part 3, “Contractors and Subcontractors on Public Building or Public
Work Financed in Whole or in Part by Loans or Grants from the United States”).
b. Applicability. This requirement applies to all contracts for construction or repair work above
$2,000 in situations where the Davis-Bacon Act also applies. It DOES NOT apply to the FEMA
Public Assistance Program.
c. Requirements. If applicable, the non-federal entity must include a provision for compliance
with the Copeland “Anti-Kickback” Act (40 U.S.C. § 3145), as supplemented by Department
of Labor regulations at 29 C.F.R. Part 3 (Contractors and Subcontractors on Public Building
or Public Work Financed in Whole or in Part by Loans or Grants from the United States). Each
contractor or subrecipient must be prohibited from inducing, by any means, any person
employed in the construction, completion, or repair of public work, to give up any part of the
compensation to which he or she is otherwise entitled. The non-Federal entity must report all
suspected or reported violations to FEMA. Additionally, in accordance with the regulation,
each contractor and subcontractor must furnish each week a statement with respect to the
wages paid each of its employees engaged in work covered by the Copeland Anti-Kickback
Act and the Davis Bacon Act during the preceding weekly payroll period. The report shall be
delivered by the contractor or subcontractor, within seven days after the regular payment
date of the payroll period, to a representative of a Federal or State agency in charge at the
site of the building or work.
Sample Language. The following provides a sample contract clause:
Compliance with the Copeland “Anti-Kickback” Act.
a. Contractor. The contractor shall comply with 18 U.S.C. § 874, 40 U.S.C.
§ 3145, and the requirements of 29 C.F.R. pt. 3 as may be applicable,
which are incorporated by reference into this contract.
b. Subcontracts. The contractor or subcontractor shall insert in any
subcontracts the clause above and such other clauses as FEMA may
by appropriate instructions require, and also a clause requiring the
subcontractors to include these clauses in any lower tier subcontracts.
The prime contractor shall be responsible for the compliance by any
subcontractor or lower tier subcontractor with all of these contract
clauses.
c. Breach. A breach of the contract clauses above may be grounds for
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termination of the contract, and for debarment as a contractor and
subcontractor as provided in 29 C.F.R. §5.12.”
6. CONTRACT WORK HOURS AND SAFETY STANDARDS ACT
a. Standard. Where applicable (see 40 U.S.C. §§ 3701-3708), all contracts awarded by the
non-Federal entity in excess of $100,000 that involve the employment of mechanics or
laborers must include a provision for compliance with 40 U.S.C. §§ 3702 and 3704, as
supplemented by Department of Labor regulations at 29 C.F.R. Part 5. See 2 C.F.R. Part
200, Appendix II(E). Under 40 U.S.C. § 3702, each contractor must be required to
compute the wages of every mechanic and laborer on the basis of a standard work week
of 40 hours. Work in excess of the standard work week is permissible provided that the
worker is compensated at a rate of not less than one and a half times the basic rate of
pay for all hours worked in excess of 40 hours in the work week. Further, no laborer or
mechanic must be required to work in surroundings or under working conditions which
are unsanitary, hazardous, or dangerous.
b. Applicability. This requirement applies to all FEMA contracts awarded by the non- federal
entity in excess of $100,000 under grant and cooperative agreement programs that involve
the employment of mechanics or laborers. It is applicable to construction work. These
requirements do not apply to the purchase of supplies or materials or articles ordinarily
available on the open market, or contracts for transportation or transmission of
intelligence.
c. Suggested Language. The regulation at 29 C.F.R. § 5.5(b) provides contract clause
language concerning compliance with the Contract Work Hours and Safety Standards
Act. FEMA suggests including the following contract clause:
Compliance with the Contract Work Hours and Safety Standards Act.
(1) Overtime requirements. No contractor or subcontractor contracting for any part of
the contract work which may require or involve the employment of laborers or mechanics
shall require or permit any such laborer or mechanic in any workweek in which he or she
is employed on such work to work in excess of forty hours in such workweek unless such
laborer or mechanic receives compensation at a rate not less than one and one-half
times the basic rate of pay for all hours worked in excess of forty hours in such workweek.
(2) Violation; liability for unpaid wages; liquidated damages. In the event of any violation
of the clause set forth in paragraph (b)(1) of this section the contractor and any
subcontractor responsible therefor shall be liable for the unpaid wages. In addition, such
contractor and subcontractor shall be liable to the United States (in the case of work
done under contract for the District of Columbia or a territory, to such District or to such
territory), for liquidated damages. Such liquidated damages shall be computed with
respect to each individual laborer or mechanic, including watchmen and guards,
employed in violation of the clause set forth in paragraph (b)(1) of this section, in the sum
of
$27 for each calendar day on which such individual was required or permitted to work in
excess of the standard workweek of forty hours without payment of the overtime wages
required by the clause set forth in paragraph (b)(1) of this section.
(3) Withholding for unpaid wages and liquidated damages. The Federal agency or
loan/grant recipient shall upon its own action or upon written request of an authorized
representative of the Department of Labor withhold or cause to be withheld, from any
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moneys payable on account of work performed by the contractor or subcontractor under
any such contract or any other Federal contract with the same prime contractor, or any
other federally-assisted contract subject to the Contract Work Hours and Safety
Standards Act, which is held by the same prime contractor, such sums as may be
determined to be necessary to satisfy any liabilities of such contractor or subcontractor
for unpaid wages and liquidated damages as provided in the clause set forth in
paragraph (b)(2) of this section.
(4) Subcontracts. The contractor or subcontractor shall insert in any subcontracts the
clauses set forth in paragraph (b)(1) through (4) of this section and also a clause requiring
the subcontractors to include these clauses in any lower tier subcontracts. The prime
contractor shall be responsible for compliance by any subcontractor or lower tier
subcontractor with the clauses set forth in paragraphs (b)(1) through (4) of this section.
7. RIGHTS TO INVENTIONS MADE UNDER A CONTRACT OR AGREEMENT
a. Standard. If the FEMA award meets the definition of “funding agreement” under 37C.F.R.
§ 401.2(a) and the non-Federal entity wishes to enter into a contract with a small business
firm or nonprofit organization regarding the substitution of parties, assignment or
performance of experimental, developmental, or research work under that “funding
agreement,” the non- Federal entity must comply with the requirements of 37 C.F.R. Part
401 (Rights to Inventions Made by Nonprofit Organizations and Small Business Firms
Under Government Grants, Contracts and Cooperative Agreements), and any
implementing regulations issued by FEMA. See 2 C.F.R. Part 200, Appendix II(F).
b. Applicability. This requirement applies to “funding agreements,” but it DOES NOT apply
to the Public Assistance, Hazard Mitigation Grant Program, Fire Management Assistance
Grant Program, Crisis Counseling Assistance and Training Grant Program, Disaster Case
Management Grant Program, and Federal Assistance to Individuals and Households –
Other Needs Assistance Grant Program, as FEMA awards under these programs do not
meet the definition of “funding agreement.”
c. Funding Agreements Definition. The regulation at 37 C.F.R. § 401.2(a) defines “funding
agreement” as any contract, grant, or cooperative agreement entered into between any
Federal agency, other than the Tennessee Valley Authority, and any contractor for the
performance of experimental, developmental, or research work funded in whole or in part
by the Federal government. This term also includes any assignment, substitution of
parties, or subcontract of any type entered into for the performance of experimental,
developmental, or research work under a funding agreement as defined in the first
sentence of this paragraph.
8. CLEAN AIR ACT AND THE FEDERAL WATER POLLUTION CONTROL ACT
a. Standard. If applicable, contracts must contain a provision that requires the contractor to
agree to comply with all applicable standards, orders, or regulations issued pursuant to
the Clean Air Act (42 U.S.C. §§ 7401-7671q.) and the Federal Water Pollution Control Act
as amended (33 U.S.C. §§ 1251-1387). Violations must be reported to FEMA and the
Regional Office of the Environmental Protection Agency. See 2 C.F.R. Part 200,
Appendix II(G).
b. Applicability. This requirement applies to contracts awarded by a non-federal entity of
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amounts in excess of $150,000 under a federal grant.
c. Suggested Language. The following provides a sample contract clause.
Clean Air Act
1. The contractor agrees to comply with all applicable standards, orders or
regulations issued pursuant to the Clean Air Act, as amended, 42 U.S.C.
§ 7401 et seq.
2. The contractor agrees to report each violation to the Participating Public
Agency and understands and agrees that the Participating Public Agency
will, in turn, report each violation as required to assure notification to the
Federal Emergency Management Agency, and the appropriate
Environmental Protection Agency Regional Office.
3. The contractor agrees to include these requirements in each subcontract
exceeding $150,000 financed in whole or in part with Federal assistance
provided by FEMA.
Federal Water Pollution Control Act
1. The contractor agrees to comply with all applicable standards, orders, or
regulations issued pursuant to the Federal Water Pollution Control Act, as
amended, 33 U.S.C. 1251 et seq.
2. The contractor agrees to report each violation to the Participating Public
Agency and understands and agrees that the Participating Public Agency
will, in turn, report each violation as required to assure notification to the
Federal Emergency Management Agency, and the appropriate
Environmental Protection Agency Regional Office.
3. The contractor agrees to include these requirements in each subcontract
exceeding $150,000 financed in whole or in part with Federal assistance
provided by FEMA.
9. DEBARMENT AND SUSPENSION
a. Standard. Non-Federal entities and contractors are subject to the debarment and
suspension regulations implementing Executive Order 12549, Debarment and
Suspension (1986) and Executive Order 12689, Debarment and Suspension (1989) at 2
C.F.R. Part 180 and the Department of Homeland Security’s regulations at 2 C.F.R. Part
3000 (Non-procurement Debarment and Suspension).
b. Applicability. This requirement applies to all FEMA grant and cooperative
agreement programs.
c. Requirements.
i. These regulations restrict awards, subawards, and contracts with certain parties
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that are debarred, suspended, or otherwise excluded from or ineligible for
participation in Federal assistance programs and activities. See 2 C.F.R. Part 200,
Appendix II(H); and 2 C.F.R. § 200.213. A contract award must not be made to
parties listed in the SAM Exclusions. SAM Exclusions is the list maintained by the
General Services Administration that contains the names of parties debarred,
suspended, or otherwise excluded by agencies, as well as parties declared
ineligible under statutory or regulatory authority other than Executive Order 12549.
SAM exclusions can be accessed at www.sam.gov. See 2 C.F.R. § 180.530.
ii. In general, an “excluded” party cannot receive a Federal grant award or a contract
within the meaning of a “covered transaction,” to include subawards and
subcontracts. This includes parties that receive Federal funding indirectly, such
as contractors to recipients and subrecipients. The key to the exclusion is whether
there is a “covered transaction,” which is any non-procurement transaction
(unless excepted) at either a “primary” or “secondary” tier. Although “covered
transactions” do not include contracts awarded by the Federal Government for
purposes of the non-procurement common rule and DHS’s implementing
regulations, it does include some contracts awarded by recipients and
subrecipients.
iii. Specifically, a covered transaction includes the following contracts for goods or
services:
1. The contract is awarded by a recipient or subrecipient in the amount of at
least $25,000.
2. The contract requires the approval of FEMA, regardless of amount.
3. The contract is for federally-required audit services.
4. A subcontract is also a covered transaction if it is awarded by the
contractor of a recipient or subrecipient and requires either the approval of
FEMA or is in excess of $25,000.
d. Suggested Language. The following provides a debarment and suspension clause. It
incorporates an optional method of verifying that contractors are not excluded or
disqualified.
Suspension and Debarment
(1) This contract is a covered transaction for purposes of 2 C.F.R. pt. 180 and 2 C.F.R.
pt. 3000. As such, the contractor is required to verify that none of the contractor’s
principals (defined at 2 C.F.R. § 180.995) or its affiliates (defined at 2 C.F.R. §
180.905) are excluded (defined at 2 C.F.R. § 180.940) or disqualified (defined at 2
C.F.R. § 180.935).
(2) The contractor must comply with 2 C.F.R. pt. 180, subpart C and2 C.F.R. pt. 3000,
subpart C, and must include a requirement to comply with these regulations in any
lower tier covered transaction it enters into.
(3) This certification is a material representation of fact relied upon by the Participating
Public Agency. If it is later determined that the contractor did not comply with 2
C.F.R. pt. 180, subpart C and 2 C.F.R. pt. 3000, subpart C, in addition to remedies
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available to the Participating Public Agency, the Federal Government may pursue
available remedies, including but not limited to suspension and/or debarment.
(4) The bidder or proposer agrees to comply with the requirements of 2 C.F.R. pt.
180, subpart C and 2 C.F.R. pt. 3000, subpart C while this offer is valid and
throughout the period of any contract that may arise from this offer. The bidder or
proposer further agrees to include a provision requiring such compliance in its
lower tier covered transactions.
10. BYRD ANTI-LOBBYING AMENDMENT
a. Standard. Each tier certifies to the tier above that it will not and has not used Federal
appropriated funds to pay any person or organization for influencing or attempting to
influence an officer or employee of any agency, a Member of Congress, officer or
employee of Congress, or an employee of a Member of Congress in connection with
obtaining any Federal contract, grant or any other award covered by 31 U.S.C. § 1352.
FEMA’s regulation at 44 C.F.R. Part 18 implements the requirements of 31 U.S.C. § 1352
and provides, in Appendix A to Part 18, a copy of the certification that is required to be
completed by each entity as described in 31 U.S.C. § 1352. Each tier must also disclose
any lobbying with non-Federal funds that takes place in connection with obtaining any
Federal award. Such disclosures are forwarded from tier to tier up to the Federal
awarding agency.
b. Applicability. This requirement applies to all FEMA grant and cooperative agreement
programs. Contractors that apply or bid for a contract of $100,000 or more under a federal
grant must file the required certification. See 2 C.F.R. Part 200, Appendix II(I); 31 U.S.C.
§ 1352; and 44 C.F.R. Part 18.
c. Suggested Language.
Byrd Anti-Lobbying Amendment, 31 U.S.C. § 1352 (as amended)
Contractors who apply or bid for an award of $100,000 or more shall file the required
certification. Each tier certifies to the tier above that it will not and has not used Federal
appropriated funds to pay any person or organization for influencing or attempting to
influence an officer or employee of any agency, a Member of Congress, officer or
employee of Congress, or an employee of a Member of Congress in connection with
obtaining any Federal contract, grant, or any other award covered by 31 U.S.C. § 1352.
Each tier shall also disclose any lobbying with non-Federal funds that takes place in
connection with obtaining any Federal award. Such disclosures are forwarded from tier
to tier up to the recipient who in turn will forward the certification(s) to the awarding
agency.
d. Required Certification. If applicable, contractors must sign and submit to the non-federal
entity the following certification.
APPENDIX A, 44 C.F.R. PART 18 – CERTIFICATION REGARDING LOBBYING
Certification for Contracts, Grants, Loans, and Cooperative Agreements
The undersigned certifies, to the best of his or her knowledge and belief, that:
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1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or
employee of an agency, a Member of Congress, an officer or employee of Congress,
or an employee of a Member of Congress in connection with the awarding of any
Federal contract, the making of any Federal grant, the making of any Federal loan,
the entering into of any cooperative agreement, and the extension, continuation,
renewal, amendment, or modification of any Federal contract, grant, loan, or
cooperative agreement.
2. If any funds other than Federal appropriated funds have been paid or will be paid to
any person for influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or an employee
of a Member of Congress in connection with this Federal contract, grant, loan, or
cooperative agreement, the undersigned shall complete and submit Standard Form-
LLL, “Disclosure Form to Report Lobbying,” in accordance with its instructions.
3. The undersigned shall require that the language of this certification be included in
the award documents for all subawards at all tiers (including subcontracts,
subgrants, and contracts under grants, loans, and cooperative agreements) and that
all subrecipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed
when this transaction was made or entered into. Submission of this certification is a
prerequisite for making or entering into this transaction imposed by section 1352, title
31, U.S. Code. Any person who fails to file the required certification shall be subject to a
civil penalty of not less than $10,000 and not more than $100,000 for each such failure.
The Contractor, , certifies or affirms the truthfulness and
accuracy of each statement of its certification and disclosure, if any. In addition, the
Contractor understands and agrees that the provisions of 31 U.S.C. Chap. 38,
Administrative Remedies for False Claims and Statements, apply to this certification and
disclosure, if any.
Signature of Contractor’s Authorized Official
Name and Title of Contractor’s Authorized Official
Date
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11. PROCUREMENT OF RECOVERED MATERIALS
a. Standard. A non-Federal entity that is a state agency or agency of a political subdivision of
a state and its contractors must comply with Section 6002 of the Solid Waste Disposal Act,
as amended by the Resource Conservation and Recovery Act. See 2 C.F.R. Part 200,
Appendix II(J); and 2 C.F.R. § 200.322.
b. Applicability. This requirement applies to all contracts awarded by a non- federal entity under
FEMA grant and cooperative agreement programs.
c. Requirements. The requirements of Section 6002 include procuring only items designated
in guidelines of the EPA at 40 C.F.R. Part 247 that contain the highest percentage of
recovered materials practicable, consistent with maintaining a satisfactory level of
competition, where the purchase price of the item exceeds
$10,000 or the value of the quantity acquired by the preceding fiscal year exceeded $10,000;
procuring solid waste management services in a manner that maximizes energy and
resource recovery; and establishing an affirmative procurement program for procurement of
recovered materials identified in the EPA guidelines.
d. Suggested Language.
i.
In the performance of this contract, the Contractor shall make maximum use of
products containing recovered materials that are EPA-designated items unless the
product cannot be acquired—
1. Competitively within a timeframe providing for compliance with the contract performance schedule;
2. Meeting contract performance requirements; or
3. At a reasonable price.
ii. Information about this requirement, along with the list of EPA- designated items, is
available at EPA’s Comprehensive Procurement Guidelines web site,
https://www.epa.gov/smm/comprehensive-procurement-guideline-cpg-program.
iii. The Contractor also agrees to comply with all other applicable requirements of
Section 6002 of the Solid Waste Disposal Act.”
12. DOMESTIC PREFERENCES FOR PROCUREMENTS
As appropriate, and to the extent consistent with law, CONTRACTOR should, to the greatest extent
practicable under a federal award, provide a preference for the purchase, acquisition, or use of goods,
products or materials produced in the United States. This includes, but is not limited to, iron, aluminum,
steel, cement, and other manufactured products.
Applicability For purchases in support of FEMA declarations and awards issued on or after November
12, 2020, all FEMA recipients and subrecipients are required to include in all contracts and purchase
orders for work or products a contract provision encouraging domestic preference for procurements.
Domestic Preference for Procurements As appropriate, and to the extent consistent with law, the contractor
should, to the greatest extent practicable, provide a preference for the purchase, acquisition, or use of
goods, products, or materials produced in the United States. This includes, but is not limited to iron,
aluminum, steel, cement, and other manufactured products. For purposes of this clause: Produced in
the United States means, for iron and steel products, that all manufacturing processes, from the initial
melting stage through the application of coatings, occurred in the United States. Manufactured
products mean items and construction materials composed in whole or in part of non-ferrous metals
such as aluminum; plastics and polymer-based products such as polyvinyl chloride pipe; aggregates
such as concrete; glass, including optical fiber; and lumber.”
13. ACCESS TO RECORDS
a. Standard. All recipients, subrecipients, successors, transferees, and assignees must
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acknowledge and agree to comply with applicable provisions governing DHS access to
records, accounts, documents, information, facilities, and staff. Recipients must give
DHS/FEMA access to, and the right to examine and copy, records, accounts, and other
documents and sources of information related to the federal financial assistance award and
permit access to facilities, personnel, and other individuals and information as may be
necessary, as required by DHS regulations and other applicable laws or program guidance.
See DHS Standard Terms and Conditions: Version 8.1 (2018). Additionally, Section 1225 of
the Disaster Recovery Reform Act of 2018 prohibits FEMA from providing reimbursement to
any state, local, tribal, or territorial government, or private non-profit for activities made
pursuant to a contract that purports to prohibit audits or internal reviews by the FEMA
administrator or Comptroller General.
Access to Records. The following access to records requirements apply to this contract:
i. The Contractor agrees to provide Participating Public Agency, the FEMA
Administrator, the Comptroller General of the United States, or any of their authorized
representatives access to any books, documents, papers, and records of the
Contractor which are directly pertinent to this contract for the purposes of making
audits, examinations, excerpts, and transcriptions.
ii. The Contractor agrees to permit any of the foregoing parties to reproduce by any
means whatsoever or to copy excerpts and transcriptions as reasonably needed.
iii. The Contractor agrees to provide the FEMA Administrator or his authorized
representatives access to construction or other work sites pertaining to the work
being completed under the contract.
iv. In compliance with the Disaster Recovery Act of 2018, the Participating Public Agency
and the Contractor acknowledge and agree that no language in this contract is
intended to prohibit audits or internal reviews by the FEMA Administrator or the
Comptroller General of the United States.
14. CHANGES
a. Standard. To be eligible for FEMA assistance under the non-Federal entity’s FEMA grant or
cooperative agreement, the cost of the change, modification, change order, or constructive
change must be allowable, allocable, within the scope of its grant or cooperative agreement,
and reasonable for the completion of project scope.
b. Applicability. FEMA recommends, therefore, that a non-Federal entity include a changes
clause in its contract that describes how, if at all, changes can be made by either party to alter
the method, price, or schedule of the work without breaching the contract. The language of the
clause may differ depending on the nature of the contract and the end-item procured.
15. DHS SEAL, LOGO, AND FLAGS
a. Standard. Recipients must obtain permission prior to using the DHS seal(s), logos, crests, or
reproductions of flags or likenesses of DHS agency officials. See DHS Standard Terms and
Conditions: Version 8.1 (2018).
b. Applicability. FEMA recommends that all non-Federal entities place in their contracts a
provision that a contractor shall not use the DHS seal(s), logos, crests, or reproductions of
flags or likenesses of DHS agency officials without specific FEMA pre-approval.
c. “The contractor shall not use the DHS seal(s), logos, crests, or reproductions of flags or
likenesses of DHS agency officials without specific FEMA pre-approval.
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16. COMPLIANCE WITH FEDERAL LAW, REGULATIONS, AND EXECUTIVE
ORDERS
a. Standard. The recipient and its contractors are required to comply with all Federal laws,
regulations, and executive orders.
b. Applicability. FEMA recommends that all non-Federal entities place into their contracts an
acknowledgement that FEMA financial assistance will be used to fund the contract along with
the requirement that the contractor will comply with all applicable Federal law, regulations,
executive orders, and FEMA policies, procedures, and directives.
c. “This is an acknowledgement that FEMA financial assistance will be used to fund all or a
portion of the contract. The contractor will comply with all applicable Federal law, regulations,
executive orders, FEMA policies, procedures, and directives.”
17. NO OBLIGATION BY FEDERAL GOVERNMENT
a. Standard. FEMA is not a party to any transaction between the recipient and its contractor.
FEMA is not subject to any obligations or liable to any party for any matter relating to the
contract.
b. Applicability. FEMA recommends that the non-Federal entity include a provision in its contract
that states that the Federal Government is not a party to the contract and is not subject to any
obligations or liabilities to the non-Federal entity, contractor, or any other party pertaining to
any matter resulting from the contract.
c. “The Federal Government is not a party to this contract and is not subject to any obligations or
liabilities to the non-Federal entity, contractor, or any other party pertaining to any matter
resulting from the contract.”
18. PROGRAM FRAUD AND FALSE OR FRAUDULENT STATEMENTS OR
RELATED ACTS
a. Standard. Recipients must comply with the requirements of The False Claims Act (31 U.S.C.
§§ 3729-3733) which prohibits the submission of false or
fraudulent claims for payment to the federal government. See DHS Standard Terms and
Conditions: Version 8.1 (2018); and 31 U.S.C. §§ 3801-3812, which details the
administrative remedies for false claims and statements made. The non-Federal entity must
include a provision in its contract that the contractor acknowledges that 31 U.S.C. Chap. 38
(Administrative Remedies for False Claims and Statements) applies to its actions pertaining
to the contract.
b. Applicability. FEMA recommends that the non-Federal entity include a provision in its contract
that the contractor acknowledges that 31 U.S.C. Chap. 38 (Administrative Remedies for False
Claims and Statements) applies to its actions pertaining to the contract.
c. “The Contractor acknowledges that 31 U.S.C. Chap. 38 (Administrative Remedies for False
Claims and Statements) applies to the Contractor’s actions pertaining to this contract.”
d. In the event FTA or DOT funding is used by a Participating Public Agency, Contractor further
acknowledges U.S. DOT regulations, “Program Fraud Civil Remedies,” 49 CFR Part 31, and
apply to its actions pertaining to this Contract. Upon execution of the underlying Contract,
Contractor certifies or affirms the truthfulness and accuracy of any statement it has made, it
makes, it may make, or causes to me made, pertaining to the underlying Contract or the FTA
assisted project for which this Contract Work is being performed.
In addition to other penalties that may be applicable, Contractor further acknowledges that if it
makes, or causes to be made, a false, fictitious, or fraudulent claim, statement, submission, or
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certification, the Federal Government reserves the right to impose the penalties of the Program
Fraud Civil Remedies Act of 1986 on Contractor to the extent the Federal Government deems
appropriate.
Contractor also acknowledges that if it makes, or causes to me made, a false, fictitious, or
fraudulent claim, statement, submission, or certification to the Federal Government under a
contract connected with a project that is financed in whole or in part with Federal assistance
originally awarded by FTA under the authority of 49 U.S.C. § 5307, the Government reserves
the right to impose the penalties of 18 U.S.C. § 1001 and 49 U.S.C. § 5307 (n)(1) on the
Contractor, to the extent the Federal Government deems appropriate.
Contractor agrees to include the above clauses in each subcontract financed in whole or in
part with Federal assistance provided by FTA. It is further agreed that the clauses shall not be
modified, except to identify the subcontractor who will be subject to the provisions.
Supplier agrees to comply with all terms and conditions outlined in the FEMA Special Conditions
section of this solicitation.
Supplier’s Name: ______________________________________________
Address, City, State, and Zip Code:
_____________________________________________________________________________
Phone Number: ________________________ Fax Number: ______________________________
Printed Name and Title of Authorized Representative:
____________________________________________________________
Email Address: _____________________________________________
Signature of Authorized Representative: ____________________________________
Date: ________________________________
FEDERAL TRANSIT ADMINISTRATION (FTA) AND DEPARTMENT OF TRANSPORTATION (DOT)
SPECIAL CONDITIONS
Awarded Supplier(s) (also referred to as Contractors) may be asked to provide products and services to
agencies following Federal Transit Administration and/or Department of Transportation requirements. By
submitting a response, the Supplier is accepting these FTA and DOT Special Conditions.
NO GOVERNMENT OBLIGATION TO THIRD PARTIES
These requirements do not apply to micro-purchases ($10,000 or less, except for construction contracts over
$2,000).
(1) The Participating Public Agency and contractor/vendor acknowledge and agree that, notwithstanding any
concurrence by the Federal Government in or approval of the solicitation or award of the underlying contract,
absent the express written consent by the Federal Government, the Federal Government is not a party to this
contract and shall not be subject to any obligations or liabilities to the purchaser, contractor, or any other party
(whether or not a party to that contract) pertaining to any matter resulting from the underlying contract.
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(2) The contractor agrees to include the above clause in each subcontract financed in whole or in part with
Federal assistance provided by FTA. It is further agreed that the clause shall not be modified, except to identify
the subcontractor who will be subject to its provisions.
PROGRAM FRAUD AND FALSE OR FRAUDULENT STATEMENTS OR RELATED ACTS
These requirements do not apply to micro-purchases ($10,000 or less, except for construction contracts over
$2,000)
(1) The contractor acknowledges that the provisions of the Program Fraud Civil Remedies Act of 1986, as
amended, 31 U.S.C. 3801 et seq. and U.S. DOT regulations, “Program Fraud Civil Remedies, “49 CFR Part
31, apply to its actions pertaining to this Project. Upon execution of the underlying contract, the contractor
certifies or affirms the truthfulness and accuracy of any statement it has made, it makes, it may make, or
causes to be made, pertaining to the underlying contract or the FTA assisted project for which this contract
work is being performed. In addition to other penalties that may be applicable, the contractor further
acknowledges that if it makes, or causes to be made, a false, fictitious, or fraudulent claim, statement,
submission, or certification, the Federal Government reserves the right to impose the penalties of the Program
Fraud Civil Remedies Act of 1986 on the contractor to the extent the Federal Government deems appropriate.
(2) The contractor also acknowledges that if it makes, or causes to be made, a false, fictitious, or fraudulent
claim, statement, submission, or certification to the Federal Government under a contract connected with a
project that is financed in whole or in part with Federal assistance originally awarded by FTA under the authority
of 49 U.S.C. 5307, the Government reserves the right to impose the penalties of 18 U.S.C. 1001 and 49 U.S.C.
§ 5323(l) on the contractor, to the extent the Federal Government deems appropriate.
(3) The contractor agrees to include the above two clauses in each subcontract financed in whole or in part
with Federal assistance provided by FTA. It is further agreed that the clauses shall not be modified, except to
identify the subcontractor who will be subject to the provisions.
ACCESS TO RECORDS AND REPORTS
(1) Record Retention. The Contractor will retain, and will require its subcontractors of all tiers to retain, complete
and readily accessible records related in whole or in part to the contract, including, but not limited to, data,
documents, reports, statistics, sub-agreements, leases, subcontracts, arrangements, other third party
agreements of any type, and supporting materials related to those records.
(2) Retention Period. The Contractor agrees to comply with the record retention requirements in accordance
with 2 C.F.R. § 200.333. The Contractor shall maintain all books, records, accounts and reports required under
this Contract for a period of at not less than three (3) years after the date of termination or expiration of this
Contract, except in the event of litigation or settlement of claims arising from the performance of this Contract,
in which case records shall be maintained until the disposition of all such litigation, appeals, claims or
exceptions related thereto.
(3) Access to Records. The Contractor agrees to provide sufficient access to FTA and its contractors to inspect
and audit records and information related to performance of this contract as reasonably may be required.
(4) Access to the Sites of Performance. The Contractor agrees to permit FTA and its contractors access to the
sites of performance under this contract as reasonably may be required.
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FEDERAL CHANGES
(1) Contractor shall at all times comply with all applicable FTA regulations, policies, procedures and directives,
including without limitation those listed directly or by reference in the Master Agreement between Purchaser
and FTA, as they may be amended or promulgated from time to time during the term of this contract.
Contractor's failure to so comply shall constitute a material breach of this Contract.
Contractor agrees to:
a) Maintain all books, records, accounts and reports required under this Contract for a period of
not less than three (3) years after the date of termination or expiration of this Contract or any
extensions thereof except in the event of litigation or settlement of claims arising from the
performance of this Contract, in which case Contractor agrees to maintain same until Public
Agency, the FTA Administrator, the Comptroller General, or any of their duly authorized
representatives, have disposed of all such litigation, appeals, claims or exceptions related
thereto.
b) Permit any of the foregoing parties to inspect all work, materials, payrolls, and other data and
records with regard to the Project, and to audit the books, records, and accounts with regard
to the Project and to reproduce by any means whatsoever or to copy excerpts and
transcriptions as reasonably needed for the purpose of audit and examination.
FTA does not require the inclusion of these requirements of Article 1.01 in subcontracts. Reference 49 CFR
18.39 (a)(11).
CIVIL RIGHTS / TITLE VI REQUIREMENTS
The Participating Public Agency is an Equal Opportunity Employer. As such, the Participating Public Agency
agrees to comply with all applicable Federal civil rights laws and implementing regulations. Apart from
inconsistent requirements imposed by Federal laws or regulations, the Participating Public Agency agrees to
comply with the requirements of 49 U.S.C. § 5323(h) (3) by not using any Federal assistance awarded by FTA
to support procurements using exclusionary or discriminatory specifications.
Under this Agreement, the Contractor shall at all times comply with the following requirements and shall include
these requirements in each subcontract entered into as part thereof.
(1) Nondiscrimination – In accordance with Title VI of the Civil Rights Act, as amended, 42 U.S.C. 20000d,
section 303 of the Age Discrimination Act of 1975, as amended, 42 U.S.C. 6102, section 202 of the Americans
with disabilities Act of 1990, 42 U.S.C. 12132, and Federal transit law at 49 U.S.C. 5332, the contractor agrees
that it will not discriminate against any employee or applicant for employment because of race, color, creed,
national origin, sex, age, or disability. In addition, the contractor agrees to comply with applicable Federal
implementing regulations and other implementing requirements FTA may issue.
(2) Equal Employment Opportunity – The following equal employment opportunity requirements apply to the
underlying contract:
(a) Race, Color, Creed, National Origin, Sex. In accordance with Title VII of the Civil Rights Act, as
amended, 42 U.S.C. § 2000e et seq., and Federal transit laws at 49 U.S.C. § 5332, the Contractor agrees
to comply with all applicable equal employment opportunity requirements of U.S. Department of Labor
(U.S. DOL) regulations, "Office of Federal Contract Compliance Programs, Equal Employment
Opportunity, Department of Labor," 41 C.F.R. chapter 60, and Executive Order No. 11246, "Equal
Employment Opportunity in Federal Employment," September 24, 1965, 42 U.S.C. § 2000e note, as
amended by any later Executive Order that amends or supersedes it, referenced in 42 U.S.C. § 2000e
note. The Contractor agrees to take affirmative action to ensure that applicants are employed, and that
employees are treated during employment, without regard to their race, color, religion, national origin, or
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sex (including sexual orientation and gender identity). Such action shall include, but not be limited to, the
following: employment, promotion, demotion or transfer, recruitment or recruitment advertising, layoff or
termination; rates of pay or other forms of compensation; and selection for training, including
apprenticeship. In addition, the Contractor agrees to comply with any implementing requirements FTA
may issue.
(b) Age - In accordance with the Age Discrimination in Employment Act, 29 U.S.C. §§ 621-634, U.S.
Equal Employment Opportunity Commission (U.S. EEOC) regulations, “Age Discrimination in
Employment Act,” 29 C.F.R. part 1625, the Age Discrimination Act of 1975, as amended, 42 U.S.C. §
6101 et seq., U.S. Health and Human Services regulations, “Nondiscrimination on the Basis of Age in
Programs or Activities Receiving Federal Financial Assistance,” 45 C.F.R. part 90, and Federal transit
law at 49 U.S.C. § 5332, the Contractor agrees to refrain from discrimination against present and
prospective employees for reason of age. In addition, the Contractor agrees to comply with any
implementing requirements FTA may issue.
(c) Disabilities - In accordance with section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C.
§ 794, the Americans with Disabilities Act of 1990, as amended, 42 U.S.C. § 12101 et seq., the
Architectural Barriers Act of 1968, as amended, 42 U.S.C. §4151 et seq., and Federal transit law at 49
U.S.C. § 5332, the Contractor agrees that it will not discriminate against individuals on the basis of
disability. In addition, the Contractor agrees to comply with any implementing requirements FTA may
issue.
(3) The contractor also agrees to include these requirements in each subcontract financed whole or in part
with Federal assistance provided by FTA, modified only if necessary to identify the affected parties.
INCORPORATION OF FTA 4220.1F TERMS
(1) The preceding provisions include, in part, certain Standard Terms and Conditions required by DOT, whether
or not expressly set forth in the preceding contract provisions. All contractual provisions required by DOT, as
set forth in FTA Circular 4220.1F, dated November 1, 2008, are hereby incorporated by reference. Anything
to the contrary herein notwithstanding, all FTA-mandated terms shall be deemed to control in the event of a
conflict with other provisions contained in this Agreement. The contractor shall not perform any act, fail to
perform any act, or refuse to comply with any Participating Public Agency request, which would cause the
Participating Public Agency to be in violation of the FTA terms and conditions.
(2) Flow Down – The incorporation of FTA terms has unlimited flow down.
DISADVANTAGED BUSINESS ENTERPRISE (DBE)
The contractor, subrecipient or subcontractor shall not discriminate on the basis of race, color, national origin,
or sex in the performance of this contract. The contractor shall carry out applicable requirements of 49 C.F.R.
part 26 in the award and administration of DOT-assisted contracts. Failure by the contractor to carry out these
requirements is a material breach of this contract, which may result in the termination of this contract or such
other remedy as the recipient deems appropriate, which may include, but is not limited to:
1) Withholding monthly progress payments;
2) Assessing sanctions;
3) Liquidated damages; and/or
4) Disqualifying the contractor from future bidding as non-responsible. 49 C.F.R. § 26.13(b).
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5) Non-Discrimination Assurances. Contractor or subcontractor shall not discriminate on the basis of
race, color, national origin, or sex in the performance of this Contract. Contractor shall carry out all
applicable requirements of 49 CFR Part 26 in the award and administration of DOT-assisted contracts.
Failure by Contractor to carry out these requirements is a material breach of this Contract, which may
result in the termination of this Contract or other such remedy as public agency deems appropriate.
Each subcontract Contractor signs with a subcontractor must include the assurance in this paragraph.
(See 49 CFR 26.13(b)).
6) Prompt Payment. Contractor is required to pay each subcontractor performing Work under this prime
Contract for satisfactory performance of that work no later than thirty (30) days after Contractor’s
receipt of payment for that Work from public agency. In addition, Contractor is required to return any
retainage payments to those subcontractors within thirty (30) days after the subcontractor’s work
related to this Contract is satisfactorily completed and any liens have been secured. Any delay or
postponement of payment from the above time frames may occur only for good cause following written
approval of public agency. This clause applies to both DBE and non-DBE subcontractors. Contractor
must promptly notify public agency whenever a DBE subcontractor performing Work related to this
Contract is terminated or fails to complete its Work, and must make good faith efforts to engage
another DBE subcontractor to perform at least the same amount of work. Contractor may not terminate
any DBE subcontractor and perform that Work through its own forces, or those of an affiliate, without
prior written consent of Participating Public Agency.
7) DBE Program. In connection with the performance of this Contract, Contractor will cooperate with
public agency in meeting its commitments and goals to ensure that DBEs shall have the maximum
practicable opportunity to compete for subcontract work, regardless of whether a contract goal is set
for this Contract. Contractor agrees to use good faith efforts to carry out a policy in the award of its
subcontracts, agent agreements, and procurement contracts which will, to the fullest extent, utilize
DBEs consistent with the efficient performance of the Contract.
ENERGY CONSERVATION REQUIREMENTS
Contractor agrees to comply with mandatory standards and policies relating to energy efficiency which are
contained in the State energy conservation plans issued under the Energy Policy and Conservation Act, as
amended, 42 U.S.C. Sections 6321 et seq. and 41 CFR Part 301-10.
INCORPORATION OF FEDERAL TRANSIT ADMINISTRATION (FTA) TERMS
1) The preceding provisions include, in part, certain Standard Terms and Conditions required by DOT,
whether or not expressly set forth in the preceding contract provisions. All contractual provisions
required by DOT, as set forth in FTA Circular 4220.1F, dated November 1, 2008, are hereby
incorporated by reference. Anything to the contrary herein notwithstanding, all FTA-mandated terms
shall be deemed to control in the event of a conflict with other provisions contained in this Agreement.
The contractor shall not perform any act, fail to perform any act, or refuse to comply with any
Participating Public Agency request, which would cause the Participating Public Agency to be in
violation of the FTA terms and conditions.
2) Flow Down – The incorporation of FTA terms has unlimited flow down.
SUSPENSION AND DEBARMENT
The Contractor shall comply and facilitate compliance with U.S. DOT regulations,
“Nonprocurement Suspension and Debarment,” 2 C.F.R. part 1200, which adopts and supplements the U.S.
Office of Management and Budget (U.S. OMB) “Guidelines to Agencies on Government Wide Debarment and
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Suspension (Nonprocurement),” 2 C.F.R. part 180. These provisions apply to each contract at any tier of
$25,000 or more, and to each contract at any tier for a federally required audit (irrespective of the contract
amount), and to each contract at any tier that must be approved by an FTA official irrespective of the contract
amount. As such, the Contractor shall verify that its principals, affiliates, and subcontractors are eligible to
participate in this federally funded contract and are not presently declared by any Federal department or
agency to be:
a) Debarred from participation in any federally assisted Award;
b) Suspended from participation in any federally assisted Award;
c) Proposed for debarment from participation in any federally assisted Award;
d) Declared ineligible to participate in any federally assisted Award;
e) Voluntarily excluded from participation in any federally assisted Award; or
f) Disqualified from participation in ay federally assisted Award.
By signing and submitting its bid or proposal, the bidder or proposer certifies as follows:
The certification in this clause is a material representation of fact relied upon by the AGENCY. If it is later
determined by the AGENCY that the bidder or proposer knowingly rendered an erroneous certification, in
addition to remedies available to the AGENCY, the Federal Government may pursue available remedies,
including but not limited to suspension and/or debarment. The bidder or proposer agrees to comply with the
requirements of 2 C.F.R. part 180, subpart C, as supplemented by 2 C.F.R. part 1200, while this offer is valid
and throughout the period of any contract that may arise from this offer. The bidder or proposer further agrees
to include a provision requiring such compliance in its lower tier covered transactions.
NO FEDERAL GOVERNMENT OBLIGATIONS TO THIRD PARTIES
Agency and Contractor acknowledge and agree that, absent the Federal Government’s express written
consent and notwithstanding any concurrence by the Federal Government in or approval of the solicitation or
award of the underlying Contract, the Federal Government is not a party to this Contract and shall not be
subject to any obligations or liabilities to agency, Contractor, or any other party (whether or not a party to that
contract) pertaining to any matter resulting from the underlying Contract.
Contractor agrees to include the above clause in each subcontract financed in whole or in part with federal
assistance provided by the FTA. It is further agreed that the clause shall not be modified, except to identify the
subcontractor who will be subject to its provisions.
CARGO PREFERENCE REQUIREMENTS
Use of United States-Flag Vessels. The contractor agrees:
1) To use privately owned United States-Flag commercial vessels to ship at least 50 percent of the gross
tonnage (computed separately for dry bulk carriers, dry cargo liners, and tankers) involved, whenever
shipping any equipment, material, or commodities pursuant to the underlying contract to the extent
such vessels are available at fair and reasonable rates for United States-Flag commercial vessels.
2) To furnish within 20 working days following the date of loading for shipments originating within the
United States or within 30 days following the date of loading for shipments originating outside the
United States, a legible copy of a rated, “on-board” commercial ocean bill-of-lading in English for each
shipment of cargo described in the preceding paragraph to the Division of National Cargo, Office of
Market Development, Maritime Administration, Washington D.C. 20590 and the FTA recipient (through
the contractor in the case of a subcontractor’s bill-of lading).
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3) To include these requirements in all subcontracts issued pursuant to the contract when the subcontract
may involve the transport of equipment, materials, or commodities by ocean vessel.
FLY AMERICA
Fly America Requirements:
1) Definitions. As used in this clause- “International air transportation” means transportation by air
between a place in the United States and a place outside the United States or between two places
both of which are outside the United States. “United States” means the 50 States, the District of
Columbia, and outlying areas. “U.S.-flag air carrier” means an air carrier holding a certificate under 49
U.S.C. Chapter 411.
2) When Federal funds are used to fund travel, Section 5 of the International Air Transportation Fair
Competitive Practices Act of 1974 (49 U.S.C. 40118) (Fly America Act) requires contractors, recipients,
and others use U.S.-flag air carriers for U.S. Government-financed international air transportation of
personnel (and their personal effects) or property, to the extent that service by those carriers is
available. It requires the Comptroller General of the United States, in the absence of satisfactory proof
of the necessity for foreign-flag air transportation, to disallow expenditures from funds, appropriated or
otherwise established for the account of the United States, for international air transportation secured
aboard a foreign-flag air carrier if a U.S.-flag air carrier is available to provide such services.
3) If available, the contractor, in performing work under this contract, shall use U.S.-flag carriers for
international air transportation of personnel (and their personal effects) or property.
4) In the event that the contractor selects a carrier other than a U.S.-flag air carrier for international air
transportation, the contractor shall include a statement on vouchers involving such transportation
essentially as follows:
Statement of Unavailability of U.S.-Flag Air Carriers
International air transportation of persons (and their personal effects) or property by U.S.-flag air carrier
was not available or it was necessary to use foreign-flag air carrier service for the following reasons. See
FAR § 47.403.
Stated Reason(s):________________________________________________________
____________________________________________________________________
____________________________________________________________________
5) The contractor shall include the substance of this clause, including this paragraph, in each subcontract
or purchase under this contract that may involve international air transportation.
RECYCLED PRODUCTS
1) The Contractor agrees to provide a preference for those products and services that conserve natural
resources, protect the environment, and are energy efficient by complying with and facilitating
compliance with Section 6002 of the Resource Conservation and Recovery Act, as amended, 42
U.S.C. § 6962, and U.S. Environmental Protection Agency (U.S. EPA), “Comprehensive Procurement
Guideline for Products Containing Recovered Materials,” 40 C.F.R. part 247.
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CONFORMANCE WITH ITS NATIONAL ARCHITECTURE
When applicable:
1) Contractor shall conform, to the extent applicable, to the National Intelligent Transportation Standards
architecture as required by SAFETEA-LU Section 5307(c), 23 U.S.C. Section 512 and as amended by
MAP-21 23 U.S.C. § 517(d), note and follow the provisions of FTA Notice, “FTA National Architecture
Policy on Transit Projects,” 66 Fed. Reg.1455 et seq., January 8, 2001, and any other implementing
directives FTA may issue at a later date, except to the extent FTA determines otherwise in writing.
ADA ACCESS
1) In accordance with section 504 of the Rehabilitation Act of 1973, as amended, 29 U.S.C. § 794, the
Americans with Disabilities Act of 1990, as amended, 42 U.S.C. § 12101 et seq., the Architectural
Barriers Act of 1968, as amended, 42 U.S.C. § 4151 et seq., and Federal transit law at 49 U.S.C. §
5332, the Contractor agrees that it will not discriminate against individuals on the basis of disability. In
addition, the Contractor agrees to comply with any implementing requirements FTA may issue.
SAFE OPERATION OF MOTOR VEHICLES
1) Seat Belt Use - The Contractor is encouraged to adopt and promote on-the-job seat belt use policies
and programs for its employees and other personnel that operate company-owned vehicles, company-
rented vehicles, or personally operated vehicles. The terms “company-owned” and “company-leased”
refer to vehicles owned or leased either by the Contractor or Participating Public Agency.
2) Distracted Driver - The Contractor agrees to adopt and enforce workplace safety policies to decrease
crashes caused by distracted drivers, including policies to ban text messaging while using an electronic
device supplied by an employer, and driving a vehicle the driver owns or rents, a vehicle Contactor
owns, leases, or rents, or a privately-owned vehicle when on official business in connection with the
work performed under this agreement.
PROMPT PAYMENT
1) The Prime Contractor shall pay any Subcontractor for work that has been satisfactorily performed no
later than thirty (30) days from the date of the Prime Contractor’s receipt of each payment made by
the Participating Public Agency. Additionally, within thirty (30) days of satisfactory completion of all
work required of the Subcontractor, the Prime Contractor shall release any retainage payments
withheld to the Subcontractor.
FTA PROTEST NOTIFICATION
A protestant must exhaust all Participating Public Agency Procurement administrative procedures
and remedies before pursuing a protest with the FTA.
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1) Any and all protests shall be in writing and shall be filed with the Purchasing Manager with the
Participating Public Agency. A protest relating to the process for determining the most responsive and
responsible contractor shall be filed within five (5) business days after the protestor knows or should
have known the basis of the determination. The Contract Officer shall respond to a protest within
fourteen (14) calendar days after the receipt of the protest. The Purchasing Manager may grant the
Contract Officer an extension for the response if warranted. A request for reconsideration of any and
all determinations by the Contract Officer shall be filed with the Purchasing Manager within seven (7)
calendar days after the receipt of the determination.
2) A protest shall include:
a. The name, address, and telephone number, including FAX number if available, of the
protestor;
b. The signature of the protestor or authorized representative;
c. Identification of the contract/solicitation;
d. A detailed statement of the legal and/or factual grounds of protest including copies and/or
citations of relevant documents, and;
e. The form of relief requested.
3) If any of the above information is omitted or incomplete, then the Protestor shall be notified, in writing,
within two (2) calendar days after that determination, and the Protestor shall have two (2) calendar
days in which to remedy the specified problem.
4) The Participating Public Agency will not make award prior to the resolution of a protest, or open bids
prior to resolution of a protest filed before bid opening unless the Purchasing Manager determines in
writing that it is in the best interests of the Participating Public Agency or in keeping with Item 7 of this
procedure to do otherwise. Potential contractors will be advised of a pending protest if the protest is
filed before award.
5) The Purchasing Manager may allow for an informal conference on the merits of a protest with all
interested parties allowed to attend. Interested parties include all bidding contractors, and may also
include a subcontractor or supplier provided they have a substantial economic interest in a portion of
the IFB or RFP.
6) The Purchasing Manager shall respond "in writing", in detail, to each substantial issue raised in the
protest. The Purchasing Manager has the sole authority to make determinations for the Participating
Public Agency, and a determination shall be considered final when it is labeled as such. A request for
reconsideration will be allowed by the Purchasing Manager if he determines that data has become
available that was not previously known, or that there has been an error of law or regulation.
7) The Participating Public Agency may proceed with procurement when a protest is pending if the
Participating Public Agency determines that:
a. The items to be procured are urgently required;
b. Delivery or performance will be unduly delayed by failure to make the award promptly; or
c. Failure to make award will otherwise cause undue harm to the grantee for the Federal
Government.
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8) FTA will only entertain a protest that alleges:
a. The Participating Public Agency failed to have or to adhere to its protest procedures, or failed
to review a complaint or protest; or
b. Violations of Federal law or regulation.
9) A protest to FTA must be filed in accordance with FTA Circular 4220.1F, available from the Contract
Officer. Specifically, protestors shall file a protest with FTA Region 9 or FTA Headquarters Office no
later than five (5) days after a final decision is rendered under the Participating Public Agency's protest
procedure. In instances where the protestor alleges that the Participating Public Agency failed to make
a final determination on the protest, protestors shall file a protest with FTA not later than five (5)
calendar days after the protester knew or should have known of the grantee's failure to render a final
determination on the protest.
A protest filed with FTA shall:
a. Include the name and address of the protestor.
b. Identify the grantee, project number, and the number of the contract solicitation.
c. Contain a statement of the grounds for protest and any supporting documentation. This
should detail the alleged failure to have or adhere to protest procedures, failure to review a
complaint or protest; or Violation of Federal law or regulation.
Include a copy of the local protest filed with the grantee and a copy of the grantee's decision,
if any.
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Exhibit G
New Jersey Business Compliance
NEW JERSEY BUSINESS COMPLIANCE
Suppliers intending to do business in the State of New Jersey must comply with policies and
procedures required under New Jersey statues. All suppliers submitting proposals must complete
the following forms specific to the State of New Jersey. Completed forms should be submitted with
the supplier’s response to the RFP. Failure to complete the New Jersey packet will impact OMNIA
Partners’ ability to promote the Master Agreement in the State of New Jersey.
DOC #1 Ownership Disclosure Form
DOC #2 Non-Collusion Affidavit
DOC #3 Affirmative Action Affidavit
DOC #4 Political Contribution Disclosure Form
DOC #5 Stockholder Disclosure Certification
DOC #6 Disclosure of Investment Activities in Iran, Russia and Belarus
DOC #7 New Jersey Business Registration Certificate
DOC #8 EEOAA Evidence
DOC #9 MacBride Principals Form
New Jersey suppliers are required to comply with the following New Jersey statutes when
applicable:
• all anti-discrimination laws, including those contained in N.J.S.A. 10:2-1 through N.J.S.A.
10:2-14, N.J.S.A. 10:5-1, and N.J.S.A. 10:5-31 through 10:5-38;
• Prevailing Wage Act, N.J.S.A. 34:11-56.26, for all contracts within the contemplation of the
Act;
• Public Works Contractor Registration Act, N.J.S.A. 34:11-56.26; and
• Bid and Performance Security, as required by the applicable municipal or state statutes.
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DOC #1
STATEMENT OF OWNERSHIP DISCLOSURE
N.J.S.A. 52:25-24.2 (P.L. 1977, c.33, as amended by P.L. 2016, c.43)
This statement shall be completed, certified to, and included with all bid and proposal submissions.
Failure to submit the required information is cause for automatic rejection of the bid or proposal.
Name of Organization:_____________________________________________________
Organization Address:_____________________________________________________
Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership Limited Partnership Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________
Part II
The list below contains the names and addresses of all stockholders in the
corporation who own 10 percent or more of its stock, of any class, or of all individual
partners in the partnership who own a 10 percent or greater interest therein, or of all
members in the limited liability company who own a 10 percent or greater interest
therein, as the case may be. (COMPLETE THE LIST BELOW IN THIS SECTION)
OR
No one stockholder in the corporation owns 10 percent or more of its stock, of any
class, or no individual partner in the partnership owns a 10 percent or greater
interest therein, or no member in the limited liability company owns a 10 percent or
greater interest therein, as the case may be. (SKIP TO PART IV)
(Please attach additional sheets if more space is needed):
Name of Individual or Business Entity Home Address (for Individuals) or Business Address
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Part III DISCLOSURE OF 10% OR GREATER OWNERSHIP IN THE STOCKHOLDERS,
PARTNERS OR LLC MEMBERS LISTED IN PART II
If a bidder has a direct or indirect parent entity which is publicly traded, and any person
holds a 10 percent or greater beneficial interest in the publicly traded parent entity as of
the last annual federal Security and Exchange Commission (SEC) or foreign equivalent
filing, ownership disclosure can be met by providing links to the website(s) containing the last
annual filing(s) with the federal Securities and Exchange Commission (or foreign equivalent)
that contain the name and address of each person holding a 10% or greater beneficial interest
in the publicly traded parent entity, along with the relevant page numbers of the filing(s) that
contain the information on each such person. Attach additional sheets if more space is
needed.
Website (URL) containing the last annual SEC (or foreign equivalent) filing Page #’s
Please list the names and addresses of each stockholder, partner or member owning a 10
percent or greater interest in any corresponding corporation, partnership and/or limited liability
company (LLC) listed in Part II other than for any publicly traded parent entities
referenced above. The disclosure shall be continued until names and addresses of every
noncorporate stockholder, and individual partner, and member exceeding the 10 percent
ownership criteria established pursuant to N.J.S.A. 52:25-24.2 has been listed. Attach
additional sheets if more space is needed.
Stockholder/Partner/Member and Corresponding Home Address (for Individuals) or Business Address
Entity Listed in Part II
Part IV Certification
I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments thereto
to the best of my knowledge are true and complete. I acknowledge: that I am authorized to execute this
certification on behalf of the bidder/proposer; that the <name of contracting unit> is relying on the information
contained herein and that I am under a continuing obligation from the date of this certification through the
completion of any contracts with <type of contracting unit> to notify the <type of contracting unit> in writing
of any changes to the information contained herein; that I am aware that it is a criminal offense to make a false
statement or misrepresentation in this certification, and if I do so, I am subject to criminal prosecution under the
law and that it will constitute a material breach of my agreement(s) with the, permitting the <type of
contracting unit> to declare any contract(s) resulting from this certification void and unenforceable.
Full Name (Print): Title:
Signature: Date:
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DOC #2
NON-COLLUSION AFFIDAVIT
STANDARD BID DOCUMENT REFERENCE
Reference: VII-H
Name of Form: NON-COLLUSION AFFIDAVIT
No specific statutory reference
Statutory Reference:
State Statutory Reference N.J.S.A. 52:34-15
Instructions Reference: Statutory and Other Requirements VII-H
The Owner’s use of this form is optional. It is used to ensure that
the bidder has not participated in any collusion with any other
Description:
bidder or Owner representative or otherwise taken any action in
restraint of free and competitive bidding.
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NON-COLLUSION AFFIDAVIT
State of New Jersey
County of _________________ ss:
I, ________________________________ residing in ___________________________________
(name of affiant) (name of municipality)
in the County of _______________________________ and State of _____________________of full
age, being duly sworn according to law on my oath depose and say that:
I am _____________________________________ of the firm of _________________________
(title or position) (name of firm)
_____________________________________ the bidder making this Proposal for the bid
entitled ______________________________, and that I executed the said proposal with
(title of bid proposal)
full authority to do so that said bidder has not, directly or indirectly entered into any agreement,
participated in any collusion, or otherwise taken any action in restraint of free, competitive bidding in
connection with the above named project; and that all statements contained in said proposal and in this
affidavit are true and correct, and made with full knowledge that the ______________
_________________________relies upon the truth of the statements contained in said Proposal
(name of contracting unit)
and in the statements contained in this affidavit in awarding the contract for the said project.
I further warrant that no person or selling agency has been employed or retained to solicit or secure such
contract upon an agreement or understanding for a commission, percentage, brokerage, or contingent
fee, except bona fide employees or bona fide established commercial or selling agencies maintained by
_________________________________________________.
Subscribed and sworn to
before me this day _____________________________
Signature
________________, 2____ ___________________________________
(Type or print name of affiant under signature)
_____________________________
Notary public of
My Commission expires _______________
(Seal)
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DOC #3
AFFIRMATIVE ACTION AFFIDAVIT
(P.L. 1975, C.127)
Company Name:
Street:
City, State, Zip Code:
Proposal Certification:
Indicate below company’s compliance with New Jersey Affirmative Action regulations. Company’s
proposal will be accepted even if company is not in compliance at this time. No contract and/or
purchase order may be issued, however, until all Affirmative Action requirements are met.
Required Affirmative Action Evidence:
Procurement, Professional & Service Contracts (Exhibit A)
Vendors must submit with proposal:
1. A photocopy of a valid letter that the contractor is operating under an existing Federally
approved or sanctioned affirmative action program (good for one year from the date of the
letter);
OR
2. A photocopy of a Certificate of Employee Information Report approval, issued in
accordance with N.J.A.C. 17:27-4;
OR
3. A photocopy of an Employee Information Report (Form AA302) provided by the Division
of Contract Compliance and Equal Employment Opportunity in Public Contracts and
distributed to the public agency to be completed by the contractor in accordance with
N.J.A.C. 17:27-4.
Public Work – Over $50,000 Total Project Cost:
A. No approved Federal or New Jersey Affirmative Action Plan. We will complete Report Form
AA201. A project contract ID number will be assigned to your firm upon receipt of the
completed Initial Project Workforce Report (AA201) for this contract.
B. Approved Federal or New Jersey Plan – certificate enclosed
I further certify that the statements and information contained herein, are complete and correct to
the best of my knowledge and belief.
_______________________ _________________________________
Date Authorized Signature and Title
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DOC #3, continued
P.L. 1995, c. 127 (N.J.A.C. 17:27)
MANDATORY AFFIRMATIVE ACTION LANGUAGE
PROCUREMENT, PROFESSIONAL AND SERVICE
CONTRACTS
During the performance of this contract, the contractor agrees as follows:
The contractor or subcontractor, where applicable, will not discriminate against any employee or applicant for
employment because of age, race, creed, color, national origin, ancestry, marital status, sex, affectional or sexual
orientation. The contractor will take affirmative action to ensure that such applicants are recruited and employed, and
that employees are treated during employment, without regard to their age, race, creed, color, national origin, ancestry,
marital status, sex, affectional or sexual orientation. Such action shall include, but not be limited to the following:
employment, upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay
or other forms of compensation; and selection for training, including apprenticeship. The contractor agrees to post in
conspicuous places, available to employees and applicants for employment, notices to be provided by the Public Agency
Compliance Officer setting forth provisions of this non-discrimination clause.
The contractor or subcontractor, where applicable will, in all solicitations or advertisement for employees placed by or
on behalf of the contractor, state that all qualified applicants will receive consideration for employment without regard to
age, race, creed, color, national origin, ancestry, marital status, sex, affectional or sexual orientation.
The contractor or subcontractor, where applicable, will send to each labor union or representative of workers with which
it has a collective bargaining agreement or other contract or understanding, a notice, to be provided by the agency
contracting officer advising the labor union or workers' representative of the contractor's commitments under this act and
shall post copies of the notice in conspicuous places available to employees and applicants for employment.
The contractor or subcontractor, where applicable, agrees to comply with any regulations promulgated by the Treasurer
pursuant to P.L. 1975, c. 127, as amended and supplemented from time to time and the Americans with Disabilities Act.
The contractor or subcontractor agrees to attempt in good faith to employ minority and female workers trade consistent
with the applicable county employment goal prescribed by N.J.A.C. 17:27-5.2 promulgated by the Treasurer pursuant to
P.L. 1975, C.127, as amended and supplemented from time to time or in accordance with a binding determination of the
applicable county employment goals determined by the Affirmative Action Office pursuant to N.J.A.C. 17:27-5.2
promulgated by the Treasurer pursuant to P.L. 1975, C.127, as amended and supplemented from time to time.
The contractor or subcontractor agrees to inform in writing appropriate recruitment agencies in the area, including
employment agencies, placement bureaus, colleges, universities, labor unions, that it does not discriminate on the basis
of age, creed, color, national origin, ancestry, marital status, sex, affectional or sexual orientation, and that it will
discontinue the use of any recruitment agency which engages in direct or indirect discriminatory practices.
The contractor or subcontractor agrees to revise any of it testing procedures, if necessary, to assure that all personnel
testing conforms with the principles of job-related testing, as established by the statutes and court decisions of the state
of New Jersey and as established by applicable Federal law and applicable Federal court decisions.
The contractor or subcontractor agrees to review all procedures relating to transfer, upgrading, downgrading and lay-off
to ensure that all such actions are taken without regard to age, creed, color, national origin, ancestry, marital status, sex,
affectional or sexual orientation, and conform with the applicable employment goals, consistent with the statutes and court
decisions of the State of New Jersey, and applicable Federal law and applicable Federal court decisions.
The contractor and its subcontractors shall furnish such reports or other documents to the Affirmative Action Office as
may be requested by the office from time to time in order to carry out the purposes of these regulations, and public
agencies shall furnish such information as may be requested by the Affirmative Action Office for conducting a compliance
investigation pursuant to Subchapter 10 of the Administrative Code (NJAC 17:27).
________________________________________________
Signature of Procurement Agent
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DOC #4
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Public Agency Instructions
This page provides guidance to public agencies entering into contracts with business entities that are required to file
Political Contribution Disclosure forms with the agency. It is not intended to be provided to contractors. What follows
are instructions on the use of form local units can provide to contractors that are required to disclose political contributions
pursuant to N.J.S.A. 19:44A-20.26 (P.L. 2005, c. 271, s.2). Additional information on the process is available in Local
Finance Notice 2006-1 (http://www.nj.gov/dca/divisions/dlgs/resources/lfns_2006.html). Please refer back to these
instructions for the appropriate links, as the Local Finance Notices include links that are no longer operational.
1. The disclosure is required for all contracts in excess of $17,500 that are not awarded pursuant to a “fair and open”
process (N.J.S.A. 19:44A-20.7).
2. Due to the potential length of some contractor submissions, the public agency should consider allowing data to be
submitted in electronic form (i.e., spreadsheet, pdf file, etc.). Submissions must be kept with the contract documents
or in an appropriate computer file and be available for public access. The form is worded to accept this alternate
submission. The text should be amended if electronic submission will not be allowed.
3. The submission must be received from the contractor and on file at least 10 days prior to award of the contract.
Resolutions of award should reflect that the disclosure has been received and is on file.
4. The contractor must disclose contributions made to candidate and party committees covering a wide range of public
agencies, including all public agencies that have elected officials in the county of the public agency, state legislative
positions, and various state entities. The Division of Local Government Services recommends that contractors be
provided a list of the affected agencies. This will assist contractors in determining the campaign and political
committees of the officials and candidates affected by the disclosure.
a. The Division has prepared model disclosure forms for each county. They can be downloaded from the “County
PCD Forms” link on the Pay-to-Play web site at http://www.nj.gov/dca/divisions/dlgs/programs/lpcl.html#12.
They will be updated from time-to-time as necessary.
b. A public agency using these forms should edit them to properly reflect the correct legislative district(s). As
the forms are county-based, they list all legislative districts in each county. Districts that do not represent
the public agency should be removed from the lists.
c. Some contractors may find it easier to provide a single list that covers all contributions, regardless of the county.
These submissions are appropriate and should be accepted.
d. The form may be used “as-is”, subject to edits as described herein.
e. The “Contractor Instructions” sheet is intended to be provided with the form. It is recommended that the
Instructions and the form be printed on the same piece of paper. The form notes that the Instructions are printed
on the back of the form; where that is not the case, the text should be edited accordingly.
f. The form is a Word document and can be edited to meet local needs, and posted for download on web sites, used
as an e-mail attachment, or provided as a printed document.
5. It is recommended that the contractor also complete a “Stockholder Disclosure Certification.” This will assist the
local unit in its obligation to ensure that contractor did not make any prohibited contributions to the committees listed
on the Business Entity Disclosure Certification in the 12 months prior to the contract (See Local Finance Notice
2006-7 for additional information on this obligation at
http://www.nj.gov/dca/divisions/dlgs/resources/lfns_2006.html). A sample Certification form is part of this package
and the instruction to complete it is included in the Contractor Instructions. NOTE: This section is not applicable to
Boards of Education.
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DOC #4, continued
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Contractor Instructions
Business entities (contractors) receiving contracts from a public agency that are NOT awarded pursuant to a “fair and
open” process (defined at N.J.S.A. 19:44A-20.7) are subject to the provisions of P.L. 2005, c. 271, s.2 (N.J.S.A. 19:44A-
20.26). This law provides that 10 days prior to the award of such a contract, the contractor shall disclose contributions
to:
• any State, county, or municipal committee of a political party
• any legislative leadership committee*
• any continuing political committee (a.k.a., political action committee)
• any candidate committee of a candidate for, or holder of, an elective office:
o of the public entity awarding the contract
o of that county in which that public entity is located
o of another public entity within that county
o or of a legislative district in which that public entity is located or, when the public entity is a county, of
any legislative district which includes all or part of the county
The disclosure must list reportable contributions to any of the committees that exceed $300 per election cycle that were
made during the 12 months prior to award of the contract. See N.J.S.A. 19:44A-8 and 19:44A-16 for more details on
reportable contributions.
N.J.S.A. 19:44A-20.26 itemizes the parties from whom contributions must be disclosed when a business entity is not a
natural person. This includes the following:
• individuals with an “interest” ownership or control of more than 10% of the profits or assets of a business entity
or 10% of the stock in the case of a business entity that is a corporation for profit
• all principals, partners, officers, or directors of the business entity or their spouses
• any subsidiaries directly or indirectly controlled by the business entity
• IRS Code Section 527 New Jersey based organizations, directly or indirectly controlled by the business entity
and filing as continuing political committees, (PACs).
When the business entity is a natural person, “a contribution by that person’s spouse or child, residing therewith, shall be
deemed to be a contribution by the business entity.” [N.J.S.A. 19:44A-20.26(b)] The contributor must be listed on the
disclosure.
Any business entity that fails to comply with the disclosure provisions shall be subject to a fine imposed by ELEC in an
amount to be determined by the Commission which may be based upon the amount that the business entity failed to report.
The enclosed list of agencies is provided to assist the contractor in identifying those public agencies whose elected official
and/or candidate campaign committees are affected by the disclosure requirement. It is the contractor’s responsibility to
identify the specific committees to which contributions may have been made and need to be disclosed. The disclosed
information may exceed the minimum requirement.
The enclosed form, a content-consistent facsimile, or an electronic data file containing the required details (along with a
signed cover sheet) may be used as the contractor’s submission and is disclosable to the public under the Open Public
Records Act.
The contractor must also complete the attached Stockholder Disclosure Certification. This will assist the agency in
meeting its obligations under the law. NOTE: This section does not apply to Board of Education contracts.
*
N.J.S.A. 19:44A-3(s): “The term "legislative leadership committee" means a committee established, authorized to be
established, or designated by the President of the Senate, the Minority Leader of the Senate, the Speaker of the General
Assembly or the Minority Leader of the General Assembly pursuant to section 16 of P.L.1993, c.65 (C.19:44A-10.1) for
the purpose of receiving contributions and making expenditures.”
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Appendix B – OMNIA Partners Exhibits
DOC #4, continued
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
Required Pursuant to N.J.S.A. 19:44A-20.26
This form or its permitted facsimile must be submitted to the local unit
no later than 10 days prior to the award of the contract.
Part I – Vendor Information
Vendor Name:
Address:
City: State: Zip:
The undersigned being authorized to certify, hereby certifies that the submission provided herein represents
compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the Instructions
accompanying this form.
_______________________ _______________________ ________________________
Signature Printed Name Title
Part II – Contribution Disclosure
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all reportable
political contributions (more than $300 per election cycle) over the 12 months prior to submission to
the committees of the government entities listed on the form provided by the local unit.
Check here if disclosure is provided in electronic form
Contributor Name Recipient Name Date Dollar Amount
$
Check here if the information is continued on subsequent page(s)
Version January 12, 2024
Appendix B – OMNIA Partners Exhibits
DOC #4, continued
List of Agencies with Elected Officials Required for Political Contribution Disclosure
N.J.S.A. 19:44A-20.26
County Name:
State: Governor, and Legislative Leadership Committees
Legislative District #s:
State Senator and two members of the General Assembly per district.
County:
Freeholders County Clerk Sheriff
{County Executive} Surrogate
Municipalities (Mayor and members of governing body, regardless of title):
USERS SHOULD CREATE THEIR OWN FORM, OR DOWNLOAD
FROM THE PAY TO PLAY SECTION OF THE DLGS WEBSITE A
COUNTY-BASED, CUSTOMIZABLE FORM.
Version January 12, 2024
Appendix B – OMNIA Partners Exhibits
DOC #5
STOCKHOLDER DISCLOSURE CERTIFICATION
Name of Business:
I certify that the list below contains the names and home addresses of all stockholders
holding 10% or more of the issued and outstanding stock of the undersigned.
OR
I certify that no one stockholder owns 10% or more of the issued and outstanding stock of
the undersigned.
Check the box that represents the type of business organization:
Partnership Corporation Sole Proprietorship
Limited Partnership Limited Liability Corporation Limited Liability Partnership
Subchapter S Corporation
Sign and notarize the form below, and, if necessary, complete the stockholder list below.
Stockholders:
Name: Name:
Home Address: Home Address:
Name: Name:
Home Address: Home Address:
Name: Name:
Home Address: Home Address:
Subscribed and sworn before me this ___ day of ___________, _________________________________
2__. (Affiant)
(Notary Public) ________________________________
(Print name & title of affiant)
My Commission expires:
(Corporate Seal)
Version January 12, 2024
Appendix B – OMNIA Partners Exhibits
DOC #6
DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN, RUSSIA AND BELARUS
N.J.S.A. 52:32-57, et seq. (P.L. 2012, c.25 and P.L. 2021, c.4) and N.J.S.A. 52:32-60.1
Pursuant to N.J.S.A. 52:32-57, et seq. (P.L. 2012, c.25 and P.L. 2021, c.4) and N.J.S.A. 52:32-60.1 any person or
entity that submits a bid or proposal or otherwise proposes to enter into or renew a contract must certify that neither
the person nor entity, nor any of its parents, subsidiaries, or affiliates, is identified on the New Jersey Department of
the Treasury’s Chapter 25 List as a person or entity engaged in investment activities in Iran, Russia or Belarus. The
Chapter 25 list is found on the Division’s website at https://www.state.nj.us/treasury/purchase/. Vendors/Bidders must
review this list prior to completing the below certification. If the Qualified Purchasing Agent of the Atlantic County
Utilities Authority finds a person or entity to be in violation of the law, he shall take action as may be appropriate and
provided by law, rule or contract, including but not limited to, imposing sanctions, seeking compliance, recovering
damages, declaring the party in default and seeking debarment or suspension of the party.
CHECK THE APPROPRIATE BOX
I certify, pursuant to N.J.S.A. 52:32-57, et seq. (P.L. 2012, c.25 and P.L. 2021, c.4), and N.J.S.A. 52:32-60.1 that neither the Vendor/Bidder
listed above nor any of its parents, subsidiaries, or affiliates is listed on the New Jersey Department of the Treasury’s Chapter 25 List of
entities determined to be engaged in prohibited activities in Iran, Russia or Belarus.
OR
I am unable to certify as above because the Vendor/Bidder and/or one or more of its parents, subsidiaries, or affiliates is listed on the New
Jersey Department of the Treasury’s Chapter 25 List. I will provide a detailed, accurate and precise description of the activities of the
Vendor/Bidder, or one of its parents, subsidiaries or affiliates, has engaged in regarding investment activities in Iran by completing the
information requested below.
Entity Engaged in Investment Activities
Relationship to Vendor/ Bidder
Description of Activities
Duration of Engagement
Anticipated Cessation Date
Attach Additional Sheets If Necessary.
CERTIFICATION
I, the undersigned, certify that I am authorized to execute this certification on behalf of the Vendor, that the foregoing
information and any attachments hereto, to the best of my knowledge are true and complete. I acknowledge that the
ACUA is relying on the information contained herein, and that the Vendor is under a continuing obligation from the
date of this certification through the completion of any contract(s) with the ACUA to notify the Qualified Purchasing
Agent in writing of any changes to the information contained herein; that I am aware that it is a criminal offense to
make a false statement or misrepresentation in this certification. If I do so, I will be subject to criminal prosecution
under the law, and it will constitute a material breach of my agreement(s) with the ACUA, I am permitting the ACUA
to declare any contract(s) resulting from this certification void and unenforceable.
Printed Name of Authorized Agent Signature of Authorized Agent
Title Date
Company Name
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Appendix B – OMNIA Partners Exhibits
DOC #7
NEW JERSEY BUSINESS REGISTRATION CERTIFICATE
(N.J.S.A. 52:32-44)
Suppliers wishing to do business in New Jersey must submit their State Division of Revenue issued
Business Registration Certificate with their proposal here. Failure to do so will disqualify the
Supplier from offering products or services in New Jersey through any resulting contract.
https://www.njportal.com/DOR/BusinessRegistration/
Version January 12, 2024
Appendix B – OMNIA Partners Exhibits
DOC #8
EEOAA EVIDENCE
Equal Employment Opportunity/Affirmative Action
Goods, Professional Services & General Service Projects
EEO/AA Evidence
Vendors are required to submit evidence of compliance with N.J.S.A. 10:5-31 et seq. and
N.J.A.C. 17:27 in order to be considered a responsible vendor.
One of the following must be included with submission:
• Copy of Letter of Federal Approval
• Certificate of Employee Information Report
• Fully Executed Form AA302
• Fully Executed EEO-1 Report
See the guidelines at:
https://www.state.nj.us/treasury/contract_compliance/documents/pdf/guidelines/pa.
pdf for further information.
I certify that my bid package includes the required evidence per the above list
and State website.
Name: ___________________________ Title: _____________________
Signature: ________________________ Date: _____________________
Version June 16, 2023
Appendix B – OMNIA Partners Exhibits
DOC #9
MACBRIDE-PRINCIPLES
STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY
DIVISION OF PURCHASE AND PROPERTY
33 WEST STATE STREET, P.O. BOX 230
TRENTON, NEW JERSEY 08625-0230
MACBRIDE PRINCIPALS FORM
BID SOLICITATION #: VENDOR/BIDDER: _____________________
VENDOR’S/BIDDER’S REQUIREMENT
TO PROVIDE A CERTIFICATION IN COMPLIANCE WITH THE MACBRIDE PRINCIPALS
AND NORTHERN IRELAND ACT OF 1989
Pursuant to Public Law 1995, c. 134, a responsible Vendor/Bidder selected, after public bidding, by the Director of the
Division of Purchase and Property, pursuant to N.J.S.A. 52:34-12, must complete the certification below by checking one
of the two options listed below and signing where indicated. If a Vendor/Bidder that would otherwise be awarded a
purchase, contract or agreement does not complete the certification, then the Director may determine, in accordance with
applicable law and rules, that it is in the best interest of the State to award the purchase, contract or agreement to another
Vendor/Bidder that has completed the certification and has submitted a bid within five (5) percent of the most advantageous
bid. If the Director finds contractors to be in violation of the principals that are the subject of this law, he/she shall take
such action as may be appropriate and provided by law, rule or contract, including but not limited to, imposing sanctions,
seeking compliance, recovering damages, declaring the party in default and seeking debarment or suspension of the party.
I, the undersigned, on behalf the Vendor/Bidder, certify pursuant to N.J.S.A. 52:34-12.2 that:
CHECK THE APPROPRIATE BOX
The Vendor/Bidder has no business operations in Northern Ireland; or
OR
The Vendor/Bidder will take lawful steps in good faith to conduct any business operations it has in Northern Ireland
in accordance with the MacBride principals of nondiscrimination in employment as set forth in section 2 of P.L. 1987,
c. 177 (N.J.S.A. 52:18A-89.5) and in conformance with the United Kingdom’s Fair Employment (Northern Ireland)
Act of 1989, and permit independent monitoring of its compliance with those principals.
CERTIFICATION
I, the undersigned, certify that I am authorized to execute this certification on behalf of the Vendor/Bidder, that the foregoing
information and any attachments hereto, to the best of my knowledge are true and complete. I acknowledge that the State
of New Jersey is relying on the information contained herein, and that the Vendor/Bidder is under a continuing obligation
from the date of this certification through the completion of any contract(s) with the State to notify the State in writing of
any changes to the information contained herein; that I am aware that it is a criminal offense to make a false statement or
misrepresentation in this certification. If I do so, I will be subject to criminal prosecution under the law, and it will constitute
a material breach of my agreement(s) with the State, permitting the State to declare any contract(s) resulting from this
certification to be void and unenforceable.
Signature Date
Print Name and Title
Version June 16, 2023
Appendix B – OMNIA Partners Exhibits
Exhibit H
Advertising Compliance Requirement
Pursuant to certain state notice provisions, including but not limited to Oregon Revised Statutes Chapter 279A.210, Chapter
279A.220, and other related provisions, the following public agencies and political subdivisions of the referenced public agencies
are eligible to register with OMNIA Partners and access the Master Agreement contract award made pursuant to this solicitation,
and are hereby given notice of the foregoing request for proposals for purposes of complying with the procedural requirements of
said statutes:
Nationwide:
State of Alabama State of Hawaii Commonwealth of State of New Mexico State of South
Massachusetts Dakota
State of Alaska State of Idaho State of Michigan State of New York State of Tennessee
State of Arizona State of Illinois State of Minnesota State of North Carolina State of Texas
State of Arkansas State of Indiana State of Mississippi State of North Dakota State of Utah
State of California State of Iowa State of Missouri State of Ohio State of Vermont
State of Colorado State of Kansas State of Montana State of Oklahoma Commonwealth of
Virginia
State of Connecticut Commonwealth of State of Nebraska State of Oregon State of Washington
Kentucky
State of Delaware State of Louisiana State of Nevada Commonwealth of State of West
Pennsylvania Virginia
State of Florida State of Maine State of New Hampshire State of Rhode Island State of Wisconsin
State of Georgia State of Maryland State of New Jersey State of South Carolina State of Wyoming
District of Columbia U.S Territories
Lists of political subdivisions and local governments in the above referenced states / districts and territories may be found at
http://www.usa.gov/state-governments and https://www.usa.gov/local-governments.
Certain Public Agencies and Political Subdivisions:
CITIES, TOWNS, VILLAGES AND BOROUGHS CITY OF GRANTS PASS, OR
INCLUDING BUT NOT LIMITED TO: CITY OF GRESHAM, OR
BAKER CITY GOLF COURSE, OR CITY OF HILLSBORO, OR
CITY OF ADAIR VILLAGE, OR CITY OF INDEPENDENCE, OR
CITY OF ASHLAND, OR CITY AND COUNTY OF HONOLULU, HI
CITY OF AUMSVILLE, OR CITY OF KENNER, LA
CITY OF AURORA, OR CITY OF LA GRANDE, OR
CITY OF BAKER, OR CITY OF LAFAYETTE, LA
CITY OF BATON ROUGE, LA CITY OF LAKE CHARLES, OR
CITY OF BEAVERTON, OR CITY OF LEBANON, OR
CITY OF BEND, OR CITY OF MCMINNVILLE, OR
CITY OF BOARDMAN, OR CITY OF MEDFORD, OR
CITY OF BONANAZA, OR CITY OF METAIRIE, LA
CITY OF BOSSIER CITY, LA CITY OF MILL CITY, OR
CITY OF BROOKINGS, OR CITY OF MILWAUKIE, OR
CITY OF BURNS, OR CITY OF MONROE, LA
CITY OF CANBY, OR CITY OF MOSIER, OR
CITY OF CANYONVILLE, OR CITY OF NEW ORLEANS, LA
CITY OF CLATSKANIE, OR CITY OF NORTH PLAINS, OR
CITY OF COBURG, OR CITY OF OREGON CITY, OR
CITY OF CONDON, OR CITY OF PILOT ROCK, OR
CITY OF COQUILLE, OR CITY OF PORTLAND, OR
CITY OF CORVALLI, OR CITY OF POWERS, OR
CITY OF CORVALLIS PARKS AND RECREATION CITY OF PRINEVILLE, OR
DEPARTMENT, OR CITY OF REDMOND, OR
CITY OF COTTAGE GROVE, OR CITY OF REEDSPORT, OR
CITY OF DONALD, OR CITY OF RIDDLE, OR
CITY OF EUGENE, OR CITY OF ROGUE RIVER, OR
CITY OF FOREST GROVE, OR CITY OF ROSEBURG, OR
CITY OF GOLD HILL, OR CITY OF SALEM, OR
Version June 16, 2023
Appendix B – OMNIA Partners Exhibits
CITY OF SANDY, OR COTTONWOOD HEIGHTS, UT
CITY OF SCAPPOOSE, OR DANIEL, UT
CITY OF SHADY COVE, OR DELTA, UT
CITY OF SHERWOOD, OR DEWEYVILLE, UT
CITY OF SHREVEPORT, LA DRAPER CITY, UT
CITY OF SILVERTON, OR DUCHESNE, UT
CITY OF SPRINGFIELD, OR EAGLE MOUNTAIN, UT
CITY OF ST. HELENS, OR EAST CARBON, UT
CITY OF ST. PAUL, OR ELK RIDGE, UT
CITY OF SULPHUR, LA ELMO, UT
CITY OF TIGARD, OR ELSINORE, UT
CITY OF TROUTDALE, OR ELWOOD, UT
CITY OF TUALATIN, OR EMERY, UT
CITY OF WALKER, LA ENOCH, UT
CITY OF WARRENTON, OR ENTERPRISE, UT
CITY OF WEST LINN, OR EPHRAIM, UT
CITY OF WILSONVILLE, OR ESCALANTE, UT
CITY OF WINSTON, OR EUREKA, UT
CITY OF WOODBURN, OR FAIRFIELD, UT
LEAGUE OF OREGON CITES FAIRVIEW, UT
THE CITY OF HAPPY VALLEY OREGON FARMINGTON, UT
ALPINE, UT FARR WEST, UT
ALTA, UT FAYETTE, UT
ALTAMONT, UT FERRON, UT
ALTON, UT FIELDING, UT
AMALGA, UT FILLMORE, UT
AMERICAN FORK CITY, UT FOUNTAIN GREEN, UT
ANNABELLA, UT FRANCIS, UT
ANTIMONY, UT FRUIT HEIGHTS, UT
APPLE VALLEY, UT GARDEN CITY, UT
AURORA, UT GARLAND, UT
BALLARD, UT GENOLA, UT
BEAR RIVER CITY, UT GLENDALE, UT
BEAVER, UT GLENWOOD, UT
BICKNELL, UT GOSHEN, UT
BIG WATER, UT GRANTSVILLE, UT
BLANDING, UT GREEN RIVER, UT
BLUFFDALE, UT GUNNISON, UT
BOULDER, UT HANKSVILLE, UT
CITY OF BOUNTIFUL, UT HARRISVILLE, UT
BRIAN HEAD, UT HATCH, UT
BRIGHAM CITY CORPORATION, UT HEBER CITY CORPORATION, UT
BRYCE CANYON CITY, UT HELPER, UT
CANNONVILLE, UT HENEFER, UT
CASTLE DALE, UT HENRIEVILLE, UT
CASTLE VALLEY, UT HERRIMAN, UT
CITY OF CEDAR CITY, UT HIDEOUT, UT
CEDAR FORT, UT HIGHLAND, UT
CITY OF CEDAR HILLS, UT HILDALE, UT
CENTERFIELD, UT HINCKLEY, UT
CENTERVILLE CITY CORPORATION, UT HOLDEN, UT
CENTRAL VALLEY, UT HOLLADAY, UT
CHARLESTON, UT HONEYVILLE, UT
CIRCLEVILLE, UT HOOPER, UT
CLARKSTON, UT HOWELL, UT
CLAWSON, UT HUNTINGTON, UT
CLEARFIELD, UT HUNTSVILLE, UT
CLEVELAND, UT CITY OF HURRICANE, UT
CLINTON CITY CORPORATION, UT HYDE PARK, UT
COALVILLE, UT HYRUM, UT
CORINNE, UT INDEPENDENCE, UT
CORNISH, UT IVINS, UT
Version June 16, 2023
Appendix B – OMNIA Partners Exhibits
JOSEPH, UT PARAGONAH, UT
JUNCTION, UT PARK CITY, UT
KAMAS, UT PAROWAN, UT
KANAB, UT PAYSON, UT
KANARRAVILLE, UT PERRY, UT
KANOSH, UT PLAIN CITY, UT
KAYSVILLE, UT PLEASANT GROVE CITY, UT
KINGSTON, UT PLEASANT VIEW, UT
KOOSHAREM, UT PLYMOUTH, UT
LAKETOWN, UT PORTAGE, UT
LA VERKIN, UT PRICE, UT
LAYTON, UT PROVIDENCE, UT
LEAMINGTON, UT PROVO, UT
LEEDS, UT RANDOLPH, UT
LEHI CITY CORPORATION, UT REDMOND, UT
LEVAN, UT RICHFIELD, UT
LEWISTON, UT RICHMOND, UT
LINDON, UT RIVERDALE, UT
LOA, UT RIVER HEIGHTS, UT
LOGAN CITY, UT RIVERTON CITY, UT
LYMAN, UT ROCKVILLE, UT
LYNNDYL, UT ROCKY RIDGE, UT
MANILA, UT ROOSEVELT CITY CORPORATION, UT
MANTI, UT ROY, UT
MANTUA, UT RUSH VALLEY, UT
MAPLETON, UT CITY OF ST. GEORGE, UT
MARRIOTT-SLATERVILLE, UT SALEM, UT
MARYSVALE, UT SALINA, UT
MAYFIELD, UT SALT LAKE CITY CORPORATION, UT
MEADOW, UT SANDY, UT
MENDON, UT SANTA CLARA, UT
MIDVALE CITY INC., UT SANTAQUIN, UT
MIDWAY, UT SARATOGA SPRINGS, UT
MILFORD, UT SCIPIO, UT
MILLVILLE, UT SCOFIELD, UT
MINERSVILLE, UT SIGURD, UT
MOAB, UT SMITHFIELD, UT
MONA, UT SNOWVILLE, UT
MONROE, UT CITY OF SOUTH JORDAN, UT
CITY OF MONTICELLO, UT SOUTH OGDEN, UT
MORGAN, UT CITY OF SOUTH SALT LAKE, UT
MORONI, UT SOUTH WEBER, UT
MOUNT PLEASANT, UT SPANISH FORK, UT
MURRAY CITY CORPORATION, UT SPRING CITY, UT
MYTON, UT SPRINGDALE, UT
NAPLES, UT SPRINGVILLE, UT
NEPHI, UT STERLING, UT
NEW HARMONY, UT STOCKTON, UT
NEWTON, UT SUNNYSIDE, UT
NIBLEY, UT SUNSET CITY CORP, UT
NORTH LOGAN, UT SYRACUSE, UT
NORTH OGDEN, UT TABIONA, UT
NORTH SALT LAKE CITY, UT CITY OF TAYLORSVILLE, UT
OAK CITY, UT TOOELE CITY CORPORATION, UT
OAKLEY, UT TOQUERVILLE, UT
OGDEN CITY CORPORATION, UT TORREY, UT
OPHIR, UT TREMONTON CITY, UT
ORANGEVILLE, UT TRENTON, UT
ORDERVILLE, UT TROPIC, UT
OREM, UT UINTAH, UT
PANGUITCH, UT VERNAL CITY, UT
PARADISE, UT VERNON, UT
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Appendix B – OMNIA Partners Exhibits
VINEYARD, UT LIVINGSTON PARISH, LA
VIRGIN, UT MALHEUR COUNTY, OR
WALES, UT MAUI COUNTY, HI
WALLSBURG, UT MARION COUNTY, SALEM, OR
WASHINGTON CITY, UT MORROW COUNTY, OR
WASHINGTON TERRACE, UT MULTNOMAH COUNTY, OR
WELLINGTON, UT MULTNOMAH COUNTY BUSINESS AND
WELLSVILLE, UT COMMUNITY SERVICES, OR
WENDOVER, UT MULTNOMAH COUNTY SHERIFFS OFFICE, OR
WEST BOUNTIFUL, UT MULTNOMAH LAW LIBRARY, OR
WEST HAVEN, UT ORLEANS PARISH, LA
WEST JORDAN, UT PLAQUEMINES PARISH, LA
WEST POINT, UT POLK COUNTY, OR
WEST VALLEY CITY, UT RAPIDES PARISH, LA
WILLARD, UT SAINT CHARLES PARISH, LA
WOODLAND HILLS, UT SAINT CHARLES PARISH PUBLIC SCHOOLS, LA
WOODRUFF, UT SAINT LANDRY PARISH, LA
WOODS CROSS, UT SAINT TAMMANY PARISH, LA
SHERMAN COUNTY, OR
COUNTIES AND PARISHES INCLUDING BUT NOT TERREBONNE PARISH, LA
LIMITED TO: TILLAMOOK COUNTY, OR
ASCENSION PARISH, LA TILLAMOOK COUNTY SHERIFF'S OFFICE, OR
ASCENSION PARISH, LA, CLEAR OF COURT TILLAMOOK COUNTY GENERAL HOSPITAL, OR
CADDO PARISH, LA UMATILLA COUNTY, OR
CALCASIEU PARISH, LA UNION COUNTY, OR
CALCASIEU PARISH SHERIFF’S OFFICE, LA WALLOWA COUNTY, OR
CITY AND COUNTY OF HONOLULU, HI WASCO COUNTY, OR
CLACKAMAS COUNTY, OR WASHINGTON COUNTY, OR
CLACKAMAS COUNTY DEPT OF WEST BATON ROUGE PARISH, LA
TRANSPORTATION, OR WHEELER COUNTY, OR
CLATSOP COUNTY, OR YAMHILL COUNTY, OR
COLUMBIA COUNTY, OR COUNTY OF BOX ELDER, UT
COOS COUNTY, OR COUNTY OF CACHE, UT
COOS COUNTY HIGHWAY DEPARTMENT, OR COUNTY OF RICH, UT
COUNTY OF HAWAII, OR COUNTY OF WEBER, UT
CROOK COUNTY, OR COUNTY OF MORGAN, UT
CROOK COUNTY ROAD DEPARTMENT, OR COUNTY OF DAVIS, UT
CURRY COUNTY, OR COUNTY OF SUMMIT, UT
DESCHUTES COUNTY, OR COUNTY OF DAGGETT, UT
DOUGLAS COUNTY, OR COUNTY OF SALT LAKE, UT
EAST BATON ROUGE PARISH, LA COUNTY OF TOOELE, UT
GILLIAM COUNTY, OR COUNTY OF UTAH, UT
GRANT COUNTY, OR COUNTY OF WASATCH, UT
HARNEY COUNTY, OR COUNTY OF DUCHESNE, UT
HARNEY COUNTY SHERIFFS OFFICE, OR COUNTY OF UINTAH, UT
HAWAII COUNTY, HI COUNTY OF CARBON, UT
HOOD RIVER COUNTY, OR COUNTY OF SANPETE, UT
JACKSON COUNTY, OR COUNTY OF JUAB, UT
JEFFERSON COUNTY, OR COUNTY OF MILLARD, UT
JEFFERSON PARISH, LA COUNTY OF SEVIER, UT
JOSEPHINE COUNTY GOVERNMENT, OR COUNTY OF EMERY, UT
LAFAYETTE CONSOLIDATED GOVERNMENT, LA COUNTY OF GRAND, UT
LAFAYETTE PARISH, LA COUNTY OF BEVER, UT
LAFAYETTE PARISH CONVENTION & VISITORS COUNTY OF PIUTE, UT
COMMISSION COUNTY OF WAYNE, UT
LAFOURCHE PARISH, LA COUNTY OF SAN JUAN, UT
KAUAI COUNTY, HI COUNTY OF GARFIELD, UT
KLAMATH COUNTY, OR COUNTY OF KANE, UT
LAKE COUNTY, OR COUNTY OF IRON, UT
LANE COUNTY, OR COUNTY OF WASHINGTON, UT
LINCOLN COUNTY, OR
LINN COUNTY, OR
Version June 16, 2023
Appendix B – OMNIA Partners Exhibits
OTHER AGENCIES INCLUDING ASSOCIATIONS, BELLE MER S.I.G.L. TRACTS SPECIAL ROAD
BOARDS, DISTRICTS, COMMISSIONS, COUNCILS, DISTRICT, OR
PUBLIC CORPORATIONS, PUBLIC BEND METRO PARK AND RECREATION DISTRICT
DEVELOPMENT AUTHORITIES, RESERVATIONS BENTON S.W.C.D., OR
AND UTILITIES INCLUDING BUT NOT LIMITED BERNDT SUBDIVISION WATER IMPROVEMENT
TO: DISTRICT, OR
ADAIR R.F.P.D., OR BEVERLY BEACH WATER DISTRICT, OR
ADEL WATER IMPROVEMENT DISTRICT, OR BIENVILLE PARISH FIRE PROTECTION DISTRICT 6,
ADRIAN R.F.P.D., OR LA
AGNESS COMMUNITY LIBRARY, OR BIG BEND IRRIGATION DISTRICT, OR
AGNESS-ILLAHE R.F.P.D., OR BIGGS SERVICE DISTRICT, OR
AGRICULTURE EDUCATION SERVICE EXTENSION BLACK BUTTE RANCH DEPARTMENT OF POLICE
DISTRICT, OR SERVICES, OR
ALDER CREEK-BARLOW WATER DISTRICT NO. 29, BLACK BUTTE RANCH R.F.P.D., OR
OR BLACK MOUNTAIN WATER DISTRICT, OR
ALFALFA FIRE DISTRICT, OR BLODGETT-SUMMIT R.F.P.D., OR
ALSEA R.F.P.D., OR BLUE MOUNTAIN HOSPITAL DISTRICT, OR
ALSEA RIVIERA WATER IMPROVEMENT DISTRICT, BLUE MOUNTAIN TRANSLATOR DISTRICT, OR
OR BLUE RIVER PARK & RECREATION DISTRICT, OR
AMITY FIRE DISTRICT, OR BLUE RIVER WATER DISTRICT, OR
ANTELOPE MEADOWS SPECIAL ROAD DISTRICT, BLY R.F.P.D., OR
OR BLY VECTOR CONTROL DISTRICT, OR
APPLE ROGUE DISTRICT IMPROVEMENT BLY WATER AND SANITARY DISTRICT, OR
COMPANY, OR BOARDMAN CEMETERY MAINTENANCE
APPLEGATE VALLEY R.F.P.D. #9, OR DISTRICT, OR
ARCH CAPE DOMESTIC WATER SUPPLY DISTRICT, BOARDMAN PARK AND RECREATION DISTRICT
OR BOARDMAN R.F.P.D., OR
ARCH CAPE SANITARY DISTRICT, OR BONANZA BIG SPRINGS PARK & RECREATION
ARNOLD IRRIGATION DISTRICT, OR DISTRICT, OR
ASH CREEK WATER CONTROL DISTRICT, OR BONANZA MEMORIAL PARK CEMETERY
ATHENA CEMETERY MAINTENANCE DISTRICT, OR DISTRICT, OR
AUMSVILLE R.F.P.D., OR BONANZA R.F.P.D., OR
AURORA R.F.P.D., OR BONANZA-LANGELL VALLEY VECTOR CONTROL
AZALEA R.F.P.D., OR DISTRICT, OR
BADGER IMPROVEMENT DISTRICT, OR BORING WATER DISTRICT #24, OR
BAILEY-SPENCER R.F.P.D., OR BOULDER CREEK RETREAT SPECIAL ROAD
BAKER COUNTY LIBRARY DISTRICT, OR DISTRICT, OR
BAKER R.F.P.D., OR BRIDGE R.F.P.D., OR
BAKER RIVERTON ROAD DISTRICT, OR BROOKS COMMUNITY SERVICE DISTRICT, OR
BAKER VALLEY IRRIGATION DISTRICT, OR BROWNSVILLE R.F.P.D., OR
BAKER VALLEY S.W.C.D., OR BUELL-RED PRAIRIE WATER DISTRICT, OR
BAKER VALLEY VECTOR CONTROL DISTRICT, OR BUNKER HILL R.F.P.D. #1, OR
BANDON CRANBERRY WATER CONTROL BUNKER HILL SANITARY DISTRICT, OR
DISTRICT, OR BURLINGTON WATER DISTRICT, OR
BANDON R.F.P.D., OR BURNT RIVER IRRIGATION DISTRICT, OR
BANKS FIRE DISTRICT, OR BURNT RIVER S.W.C.D., OR
BANKS FIRE DISTRICT #13, OR CALAPOOIA R.F.P.D., OR
BAR L RANCH ROAD DISTRICT, OR CAMAS VALLEY R.F.P.D., OR
BARLOW WATER IMPROVEMENT DISTRICT, OR CAMELLIA PARK SANITARY DISTRICT, OR
BASIN AMBULANCE SERVICE DISTRICT, OR CAMMANN ROAD DISTRICT, OR
BASIN TRANSIT SERVICE TRANSPORTATION CAMP SHERMAN ROAD DISTRICT, OR
DISTRICT, OR CANBY AREA TRANSIT, OR
BATON ROUGE WATER COMPANY CANBY R.F.P.D. #62, OR
BAY AREA HEALTH DISTRICT, OR CANBY UTILITY BOARD, OR
BAYSHORE SPECIAL ROAD DISTRICT, OR CANNON BEACH R.F.P.D., OR
BEAR VALLEY SPECIAL ROAD DISTRICT, OR CANYONVILLE SOUTH UMPQUA FIRE DISTRICT,
BEAVER CREEK WATER CONTROL DISTRICT, OR OR
BEAVER DRAINAGE IMPROVEMENT COMPANY, CAPE FERRELO R.F.P.D., OR
INC., OR CAPE FOULWEATHER SANITARY DISTRICT, OR
BEAVER SLOUGH DRAINAGE DISTRICT, OR CARLSON PRIMROSE SPECIAL ROAD DISTRICT, OR
BEAVER SPECIAL ROAD DISTRICT, OR CARMEL BEACH WATER DISTRICT, OR
BEAVER WATER DISTRICT, OR CASCADE VIEW ESTATES TRACT 2, OR
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Appendix B – OMNIA Partners Exhibits
CEDAR CREST SPECIAL ROAD DISTRICT, OR COLUMBIA COUNTY 4-H & EXTENSION SERVICE
CEDAR TRAILS SPECIAL ROAD DISTRICT, OR DISTRICT, OR
CEDAR VALLEY - NORTH BANK R.F.P.D., OR COLUMBIA DRAINAGE VECTOR CONTROL, OR
CENTRAL CASCADES FIRE AND EMS, OR COLUMBIA IMPROVEMENT DISTRICT, OR
CENTRAL CITY ECONOMIC OPPORTUNITY CORP, COLUMBIA R.F.P.D., OR
LA COLUMBIA RIVER FIRE & RESCUE, OR
CENTRAL LINCOLN P.U.D., OR COLUMBIA RIVER PUD, OR
CENTRAL OREGON COAST FIRE & RESCUE COLUMBIA S.W.C.D., OR
DISTRICT, OR COLUMBIA S.W.C.D., OR
CENTRAL OREGON INTERGOVERNMENTAL CONFEDERATED TRIBES OF THE UMATILLA
COUNCIL INDIAN RESERVATION
CENTRAL OREGON IRRIGATION DISTRICT, OR COOS COUNTY AIRPORT DISTRICT, OR
CHAPARRAL WATER CONTROL DISTRICT, OR COOS COUNTY AIRPORT DISTRICT, OR
CHARLESTON FIRE DISTRICT, OR COOS COUNTY AREA TRANSIT SERVICE DISTRICT,
CHARLESTON SANITARY DISTRICT, OR OR
CHARLOTTE ANN WATER DISTRICT, OR COOS COUNTY AREA TRANSIT SERVICE DISTRICT,
CHEHALEM PARK & RECREATION DISTRICT, OR OR
CHEHALEM PARK AND RECREATION DISTRICT COOS FOREST PROTECTIVE ASSOCIATION
CHEMULT R.F.P.D., OR COOS S.W.C.D., OR
CHENOWITH WATER P.U.D., OR COQUILLE R.F.P.D., OR
CHERRIOTS, OR COQUILLE VALLEY HOSPITAL DISTRICT, OR
CHETCO COMMUNITY PUBLIC LIBRARY CORBETT WATER DISTRICT, OR
DISTRICT, OR CORNELIUS R.F.P.D., OR
CHILOQUIN VECTOR CONTROL DISTRICT, OR CORP RANCH ROAD WATER IMPROVEMENT, OR
CHILOQUIN-AGENCY LAKE R.F.P.D., OR CORVALLIS R.F.P.D., OR
CHINOOK DRIVE SPECIAL ROAD DISTRICT, OR COUNTRY CLUB ESTATES SPECIAL WATER
CHR DISTRICT IMPROVEMENT COMPANY, OR DISTRICT, OR
CHRISTMAS VALLEY DOMESTIC WATER COUNTRY CLUB WATER DISTRICT, OR
DISTRICT, OR COUNTRY ESTATES ROAD DISTRICT, OR
CHRISTMAS VALLEY PARK & RECREATION COVE CEMETERY MAINTENANCE DISTRICT, OR
DISTRICT, OR COVE ORCHARD SEWER SERVICE DISTRICT, OR
CHRISTMAS VALLEY R.F.P.D., OR COVE R.F.P.D., OR
CITY OF BOGALUSA SCHOOL BOARD, LA CRESCENT R.F.P.D., OR
CLACKAMAS COUNTY FIRE DISTRICT #1, OR CRESCENT SANITARY DISTRICT, OR
CLACKAMAS COUNTY SERVICE DISTRICT #1, OR CRESCENT WATER SUPPLY AND IMPROVEMENT
CLACKAMAS COUNTY VECTOR CONTROL DISTRICT, OR
DISTRICT, OR CROOK COUNTY AGRICULTURE EXTENSION
CLACKAMAS RIVER WATER SERVICE DISTRICT, OR
CLACKAMAS RIVER WATER, OR CROOK COUNTY CEMETERY DISTRICT, OR
CLACKAMAS S.W.C.D., OR CROOK COUNTY FIRE AND RESCUE, OR
CLATSKANIE DRAINAGE IMPROVEMENT CROOK COUNTY PARKS & RECREATION
COMPANY, OR DISTRICT, OR
CLATSKANIE LIBRARY DISTRICT, OR CROOK COUNTY S.W.C.D., OR
CLATSKANIE P.U.D., OR CROOK COUNTY VECTOR CONTROL DISTRICT, OR
CLATSKANIE PARK & RECREATION DISTRICT, OR CROOKED RIVER RANCH R.F.P.D., OR
CLATSKANIE PEOPLE'S UTILITY DISTRICT CROOKED RIVER RANCH SPECIAL ROAD
CLATSKANIE R.F.P.D., OR DISTRICT, OR
CLATSOP CARE CENTER HEALTH DISTRICT, OR CRYSTAL SPRINGS WATER DISTRICT, OR
CLATSOP COUNTY S.W.C.D., OR CURRY COUNTY 4-H & EXTENSION SERVICE
CLATSOP DRAINAGE IMPROVEMENT COMPANY DISTRICT, OR
#15, INC., OR CURRY COUNTY PUBLIC TRANSIT SERVICE
CLEAN WATER SERVICES DISTRICT, OR
CLEAN WATER SERVICES, OR CURRY COUNTY S.W.C.D., OR
CLOVERDALE R.F.P.D., OR CURRY HEALTH DISTRICT, OR
CLOVERDALE SANITARY DISTRICT, OR CURRY PUBLIC LIBRARY DISTRICT, OR
CLOVERDALE WATER DISTRICT, OR DALLAS CEMETERY DISTRICT #4, OR
COALEDO DRAINAGE DISTRICT, OR DARLEY DRIVE SPECIAL ROAD DISTRICT, OR
COBURG FIRE DISTRICT, OR DAVID CROCKETT STEAM FIRE COMPANY #1, LA
COLESTIN RURAL FIRE DISTRICT, OR DAYS CREEK R.F.P.D., OR
COLTON R.F.P.D., OR DAYTON FIRE DISTRICT, OR
COLTON WATER DISTRICT #11, OR DEAN MINARD WATER DISTRICT, OR
COLUMBIA 911 COMMUNICATIONS DISTRICT, OR DEE IRRIGATION DISTRICT, OR
Version June 16, 2023
Appendix B – OMNIA Partners Exhibits
DEER ISLAND DRAINAGE IMPROVEMENT FARGO INTERCHANGE SERVICE DISTRICT, OR
COMPANY, OR FARMERS IRRIGATION DISTRICT, OR
DELL BROGAN CEMETERY MAINTENANCE FAT ELK DRAINAGE DISTRICT, OR
DISTRICT, OR FERN RIDGE PUBLIC LIBRARY DISTRICT, OR
DEPOE BAY R.F.P.D., OR FERN VALLEY ESTATES IMPROVEMENT DISTRICT,
DESCHUTES COUNTY 911 SERVICE DISTRICT, OR OR
DESCHUTES COUNTY R.F.P.D. #2, OR FOR FAR ROAD DISTRICT, OR
DESCHUTES PUBLIC LIBRARY DISTRICT, OR FOREST GROVE R.F.P.D., OR
DESCHUTES S.W.C.D., OR FOREST VIEW SPECIAL ROAD DISTRICT, OR
DESCHUTES VALLEY WATER DISTRICT, OR FORT ROCK-SILVER LAKE S.W.C.D., OR
DEVILS LAKE WATER IMPROVEMENT DISTRICT, FOUR RIVERS VECTOR CONTROL DISTRICT, OR
OR FOX CEMETERY MAINTENANCE DISTRICT, OR
DEXTER R.F.P.D., OR GARDINER R.F.P.D., OR
DEXTER SANITARY DISTRICT, OR GARDINER SANITARY DISTRICT, OR
DORA-SITKUM R.F.P.D., OR GARIBALDI R.F.P.D., OR
DOUGLAS COUNTY FIRE DISTRICT #2, OR GASTON R.F.P.D., OR
DOUGLAS S.W.C.D., OR GATES R.F.P.D., OR
DRAKES CROSSING R.F.P.D., OR GEARHART R.F.P.D., OR
DRRH SPECIAL ROAD DISTRICT #6, OR GILLIAM S.W.C.D., OR
DRY GULCH DITCH DISTRICT IMPROVEMENT GLENDALE AMBULANCE DISTRICT, OR
COMPANY, OR GLENDALE R.F.P.D., OR
DUFUR RECREATION DISTRICT, OR GLENEDEN BEACH SPECIAL ROAD DISTRICT, OR
DUMBECK LANE DOMESTIC WATER SUPPLY, OR GLENEDEN SANITARY DISTRICT, OR
DUNDEE R.F.P.D., OR GLENWOOD WATER DISTRICT, OR
DURKEE COMMUNITY BUILDING PRESERVATION GLIDE - IDLEYLD SANITARY DISTRICT, OR
DISTRICT, OR GLIDE R.F.P.D., OR
EAGLE POINT IRRIGATION DISTRICT, OR GOLD BEACH - WEDDERBURN R.F.P.D., OR
EAGLE VALLEY CEMETERY MAINTENANCE GOLD HILL IRRIGATION DISTRICT, OR
DISTRICT, OR GOLDFINCH ROAD DISTRICT, OR
EAGLE VALLEY R.F.P.D., OR GOSHEN R.F.P.D., OR
EAGLE VALLEY S.W.C.D., OR GOVERNMENT CAMP ROAD DISTRICT, OR
EAST FORK IRRIGATION DISTRICT, OR GOVERNMENT CAMP SANITARY DISTRICT, OR
EAST MULTNOMAH S.W.C.D., OR GRAND PRAIRIE WATER CONTROL DISTRICT, OR
EAST SALEM SERVICE DISTRICT, OR GRAND RONDE SANITARY DISTRICT, OR
EAST UMATILLA CHEMICAL CONTROL DISTRICT, GRANT COUNTY TRANSPORTATION DISTRICT, OR
OR GRANT S.W.C.D., OR
EAST UMATILLA COUNTY AMBULANCE AREA GRANTS PASS IRRIGATION DISTRICT, OR
HEALTH DISTRICT, OR GREATER BOWEN VALLEY R.F.P.D., OR
EAST UMATILLA COUNTY R.F.P.D., OR GREATER ST. HELENS PARK & RECREATION
EAST VALLEY WATER DISTRICT, OR DISTRICT, OR
ELGIN COMMUNITY PARKS & RECREATION GREATER TOLEDO POOL RECREATION DISTRICT,
DISTRICT, OR OR
ELGIN HEALTH DISTRICT, OR GREEN KNOLLS SPECIAL ROAD DISTRICT, OR
ELGIN R.F.P.D., OR GREEN SANITARY DISTRICT, OR
ELKTON ESTATES PHASE II SPECIAL ROAD GREENACRES R.F.P.D., OR
DISTRICT, OR GREENBERRY IRRIGATION DISTRICT, OR
ELKTON R.F.P.D., OR GREENSPRINGS RURAL FIRE DISTRICT, OR
EMERALD P.U.D., OR HAHLEN ROAD SPECIAL DISTRICT, OR
ENTERPRISE IRRIGATION DISTRICT, OR HAINES CEMETERY MAINTENANCE DISTRICT, OR
ESTACADA CEMETERY MAINTENANCE DISTRICT, HAINES FIRE PROTECTION DISTRICT, OR
OR HALSEY-SHEDD R.F.P.D., OR
ESTACADA R.F.P.D. #69, OR HAMLET R.F.P.D., OR
EUGENE R.F.P.D. # 1, OR HARBOR R.F.P.D., OR
EUGENE WATER AND ELECTRIC BOARD HARBOR SANITARY DISTRICT, OR
EVANS VALLEY FIRE DISTRICT #6, OR HARBOR WATER P.U.D., OR
FAIR OAKS R.F.P.D., OR HARNEY COUNTY HEALTH DISTRICT, OR
FAIRVIEW R.F.P.D., OR HARNEY S.W.C.D., OR
FAIRVIEW WATER DISTRICT, OR HARPER SOUTH SIDE IRRIGATION DISTRICT, OR
FALCON HEIGHTS WATER AND SEWER, OR HARRISBURG FIRE AND RESCUE, OR
FALCON-COVE BEACH WATER DISTRICT, OR HAUSER R.F.P.D., OR
FALL RIVER ESTATES SPECIAL ROAD DISTRICT, HAZELDELL RURAL FIRE DISTRICT, OR
OR HEBO JOINT WATER-SANITARY AUTHORITY, OR
Version June 16, 2023
Appendix B – OMNIA Partners Exhibits
HECETA WATER P.U.D., OR JEFFERSON COUNTY EMERGENCY MEDICAL
HELIX CEMETERY MAINTENANCE DISTRICT #4, SERVICE DISTRICT, OR
OR JEFFERSON COUNTY FIRE DISTRICT #1, OR
HELIX PARK & RECREATION DISTRICT, OR JEFFERSON COUNTY LIBRARY DISTRICT, OR
HELIX R.F.P.D. #7-411, OR JEFFERSON COUNTY S.W.C.D., OR
HEPPNER CEMETERY MAINTENANCE DISTRICT, JEFFERSON PARK & RECREATION DISTRICT, OR
OR JEFFERSON R.F.P.D., OR
HEPPNER R.F.P.D., OR JOB'S DRAINAGE DISTRICT, OR
HEPPNER WATER CONTROL DISTRICT, OR JOHN DAY WATER DISTRICT, OR
HEREFORD COMMUNITY HALL RECREATION JOHN DAY-CANYON CITY PARKS & RECREATION
DISTRICT, OR DISTRICT, OR
HERMISTON CEMETERY DISTRICT, OR JOHN DAY-FERNHILL R.F.P.D. #5-108, OR
HERMISTON IRRIGATION DISTRICT, OR JORDAN VALLEY CEMETERY DISTRICT, OR
HIDDEN VALLEY MOBILE ESTATES JORDAN VALLEY IRRIGATION DISTRICT, OR
IMPROVEMENT DISTRICT, OR JOSEPHINE COMMUNITY LIBRARY DISTRICT, OR
HIGH DESERT PARK & RECREATION DISTRICT, OR JOSEPHINE COUNTY 4-H & EXTENSION SERVICE
HIGHLAND SUBDIVISION WATER DISTRICT, OR DISTRICT, OR
HONOLULU INTERNATIONAL AIRPORT JOSEPHINE COUNTY 911 AGENCY, OR
HOOD RIVER COUNTY LIBRARY DISTRICT, OR JUNCTION CITY R.F.P.D., OR
HOOD RIVER COUNTY TRANSPORTATION JUNCTION CITY WATER CONTROL DISTRICT, OR
DISTRICT, OR JUNIPER BUTTE ROAD DISTRICT, OR
HOOD RIVER S.W.C.D., OR JUNIPER CANYON WATER CONTROL DISTRICT, OR
HOOD RIVER VALLEY PARKS & RECREATION JUNIPER FLAT DISTRICT IMPROVEMENT
DISTRICT, OR COMPANY, OR
HOODLAND FIRE DISTRICT #74 JUNIPER FLAT R.F.P.D., OR
HOODLAND FIRE DISTRICT #74, OR JUNO NONPROFIT WATER IMPROVEMENT
HORSEFLY IRRIGATION DISTRICT, OR DISTRICT, OR
HOSKINS-KINGS VALLEY R.F.P.D., OR KEATING R.F.P.D., OR
HOUSING AUTHORITY OF PORTLAND KEATING S.W.C.D., OR
HUBBARD R.F.P.D., OR KEIZER R.F.P.D., OR
HUDSON BAY DISTRICT IMPROVEMENT KELLOGG RURAL FIRE DISTRICT, OR
COMPANY, OR KENO IRRIGATION DISTRICT, OR
I N (KAY) YOUNG DITCH DISTRICT IMPROVEMENT KENO PINES ROAD DISTRICT, OR
COMPANY, OR KENO R.F.P.D., OR
ICE FOUNTAIN WATER DISTRICT, OR KENT WATER DISTRICT, OR
IDAHO POINT SPECIAL ROAD DISTRICT, OR KERBY WATER DISTRICT, OR
IDANHA-DETROIT RURAL FIRE PROTECTION K-GB-LB WATER DISTRICT, OR
DISTRICT, OR KILCHIS WATER DISTRICT, OR
ILLINOIS VALLEY FIRE DISTRICT KLAMATH 9-1-1 COMMUNICATIONS DISTRICT, OR
ILLINOIS VALLEY R.F.P.D., OR KLAMATH BASIN IMPROVEMENT DISTRICT, OR
ILLINOIS VALLEY S.W.C.D., OR KLAMATH COUNTY DRAINAGE SERVICE
IMBLER R.F.P.D., OR DISTRICT, OR
INTERLACHEN WATER P.U.D., OR KLAMATH COUNTY EXTENSION SERVICE
IONE LIBRARY DISTRICT, OR DISTRICT, OR
IONE R.F.P.D. #6-604, OR KLAMATH COUNTY FIRE DISTRICT #1, OR
IRONSIDE CEMETERY MAINTENANCE DISTRICT, KLAMATH COUNTY FIRE DISTRICT #3, OR
OR KLAMATH COUNTY FIRE DISTRICT #4, OR
IRONSIDE RURAL ROAD DISTRICT #5, OR KLAMATH COUNTY FIRE DISTRICT #5, OR
IRRIGON PARK & RECREATION DISTRICT, OR KLAMATH COUNTY LIBRARY SERVICE DISTRICT,
IRRIGON R.F.P.D., OR OR
ISLAND CITY AREA SANITATION DISTRICT, OR KLAMATH COUNTY PREDATORY ANIMAL
ISLAND CITY CEMETERY MAINTENANCE CONTROL DISTRICT, OR
DISTRICT, OR KLAMATH DRAINAGE DISTRICT, OR
JACK PINE VILLAGE SPECIAL ROAD DISTRICT, OR KLAMATH FALLS FOREST ESTATES SPECIAL
JACKSON COUNTY FIRE DISTRICT #3, OR ROAD DISTRICT UNIT #2, OR
JACKSON COUNTY FIRE DISTRICT #4, OR KLAMATH INTEROPERABILITY RADIO GROUP, OR
JACKSON COUNTY FIRE DISTRICT #5, OR KLAMATH IRRIGATION DISTRICT, OR
JACKSON COUNTY LIBRARY DISTRICT, OR KLAMATH RIVER ACRES SPECIAL ROAD
JACKSON COUNTY VECTOR CONTROL DISTRICT, DISTRICT, OR
OR KLAMATH S.W.C.D., OR
JACKSON S.W.C.D., OR KLAMATH VECTOR CONTROL DISTRICT, OR
JASPER KNOLLS WATER DISTRICT, OR KNAPPA-SVENSEN-BURNSIDE R.F.P.D., OR
Version June 16, 2023
Appendix B – OMNIA Partners Exhibits
LA GRANDE CEMETERY MAINTENANCE DISTRICT, LOWER POWDER RIVER IRRIGATION DISTRICT, OR
OR LOWER SILETZ WATER DISTRICT, OR
LA GRANDE R.F.P.D., OR LOWER UMPQUA HOSPITAL DISTRICT, OR
LA PINE PARK & RECREATION DISTRICT, OR LOWER UMPQUA PARK & RECREATION DISTRICT,
LA PINE R.F.P.D., OR OR
LABISH VILLAGE SEWAGE & DRAINAGE, OR LOWER VALLEY WATER IMPROVEMENT
LACOMB IRRIGATION DISTRICT, OR DISTRICT, OR
LAFAYETTE AIRPORT COMMISSION, LA LUCE LONG DITCH DISTRICT IMPROVEMENT CO.,
LAFOURCHE PARISH HEALTH UNIT – DHH-OPH OR
REGION 3 LUSTED WATER DISTRICT, OR
LAIDLAW WATER DISTRICT, OR LYONS R.F.P.D., OR
LAKE CHINOOK FIRE & RESCUE, OR LYONS-MEHAMA WATER DISTRICT, OR
LAKE COUNTY 4-H & EXTENSION SERVICE MADRAS AQUATIC CENTER DISTRICT, OR
DISTRICT, OR MAKAI SPECIAL ROAD DISTRICT, OR
LAKE COUNTY LIBRARY DISTRICT, OR MALHEUR COUNTY S.W.C.D., OR
LAKE CREEK R.F.P.D. - JACKSON, OR MALHEUR COUNTY VECTOR CONTROL DISTRICT,
LAKE CREEK R.F.P.D. - LANE COUNTY, OR OR
LAKE DISTRICT HOSPITAL, OR MALHEUR DISTRICT IMPROVEMENT COMPANY,
LAKE GROVE R.F.P.D. NO. 57, OR OR
LAKE GROVE WATER DISTRICT, OR MALHEUR DRAINAGE DISTRICT, OR
LAKE LABISH WATER CONTROL DISTRICT, OR MALHEUR MEMORIAL HEALTH DISTRICT, OR
LAKE POINT SPECIAL ROAD DISTRICT, OR MALIN COMMUNITY CEMETERY MAINTENANCE
LAKESIDE R.F.P.D. #4, OR DISTRICT, OR
LAKESIDE WATER DISTRICT, OR MALIN COMMUNITY PARK & RECREATION
LAKEVIEW R.F.P.D., OR DISTRICT, OR
LAKEVIEW S.W.C.D., OR MALIN IRRIGATION DISTRICT, OR
LAMONTAI IMPROVEMENT DISTRICT, OR MALIN R.F.P.D., OR
LANE FIRE AUTHORITY, OR MAPLETON FIRE DEPARTMENT, OR
LANE LIBRARY DISTRICT, OR MAPLETON WATER DISTRICT, OR
LANE TRANSIT DISTRICT, OR MARCOLA WATER DISTRICT, OR
LANGELL VALLEY IRRIGATION DISTRICT, OR MARION COUNTY EXTENSION & 4H SERVICE
LANGLOIS PUBLIC LIBRARY, OR DISTRICT, OR
LANGLOIS R.F.P.D., OR MARION COUNTY FIRE DISTRICT #1, OR
LANGLOIS WATER DISTRICT, OR MARION JACK IMPROVEMENT DISTRICT, OR
LAZY RIVER SPECIAL ROAD DISTRICT, OR MARION S.W.C.D., OR
LEBANON AQUATIC DISTRICT, OR MARY'S RIVER ESTATES ROAD DISTRICT, OR
LEBANON R.F.P.D., OR MCDONALD FOREST ESTATES SPECIAL ROAD
LEWIS & CLARK R.F.P.D., OR DISTRICT, OR
LINCOLN COUNTY LIBRARY DISTRICT, OR MCKAY ACRES IMPROVEMENT DISTRICT, OR
LINCOLN S.W.C.D., OR MCKAY DAM R.F.P.D. # 7-410, OR
LINN COUNTY EMERGENCY TELEPHONE AGENCY, MCKENZIE FIRE & RESCUE, OR
OR MCKENZIE PALISADES WATER SUPPLY
LINN S.W.C.D., OR CORPORATION, OR
LITTLE MUDDY CREEK WATER CONTROL, OR MCMINNVILLE R.F.P.D., OR
LITTLE NESTUCCA DRAINAGE DISTRICT, OR MCNULTY WATER P.U.D., OR
LITTLE SWITZERLAND SPECIAL ROAD DISTRICT, MEADOWS DRAINAGE DISTRICT, OR
OR MEDFORD IRRIGATION DISTRICT, OR
LONE PINE IRRIGATION DISTRICT, OR MEDFORD R.F.P.D. #2, OR
LONG PRAIRIE WATER DISTRICT, OR MEDFORD WATER COMMISSION
LOOKINGGLASS OLALLA WATER CONTROL MEDICAL SPRINGS R.F.P.D., OR
DISTRICT, OR MELHEUR COUNTY JAIL, OR
LOOKINGGLASS RURAL FIRE DISTRICT, OR MERLIN COMMUNITY PARK DISTRICT, OR
LORANE R.F.P.D., OR MERRILL CEMETERY MAINTENANCE DISTRICT,
LOST & BOULDER DITCH IMPROVEMENT OR
DISTRICT, OR MERRILL PARK DISTRICT, OR
LOST CREEK PARK SPECIAL ROAD DISTRICT, OR MERRILL R.F.P.D., OR
LOUISIANA PUBLIC SERVICE COMMISSION, LA METRO REGIONAL GOVERNMENT
LOUISIANA WATER WORKS METRO REGIONAL PARKS
LOWELL R.F.P.D., OR METROPOLITAN EXPOSITION RECREATION
LOWER MCKAY CREEK R.F.P.D., OR COMMISSION
LOWER MCKAY CREEK WATER CONTROL METROPOLITAN SERVICE DISTRICT (METRO)
DISTRICT, OR
Version June 16, 2023
Appendix B – OMNIA Partners Exhibits
MID COUNTY CEMETERY MAINTENANCE NEW CARLTON FIRE DISTRICT, OR
DISTRICT, OR NEW ORLEANS REDEVELOPMENT AUTHORITY, LA
MID-COLUMBIA FIRE AND RESCUE, OR NEW PINE CREEK R.F.P.D., OR
MIDDLE FORK IRRIGATION DISTRICT, OR NEWBERG R.F.P.D., OR
MIDLAND COMMUNITY PARK, OR NEWBERRY ESTATES SPECIAL ROAD DISTRICT,
MIDLAND DRAINAGE IMPROVEMENT DISTRICT, OR
OR NEWPORT R.F.P.D., OR
MILES CROSSING SANITARY SEWER DISTRICT, OR NEWT YOUNG DITCH DISTRICT IMPROVEMENT
MILL CITY R.F.P.D. #2-303, OR COMPANY, OR
MILL FOUR DRAINAGE DISTRICT, OR NORTH ALBANY R.F.P.D., OR
MILLICOMA RIVER PARK & RECREATION NORTH BAY R.F.P.D. #9, OR
DISTRICT, OR NORTH CLACKAMAS PARKS & RECREATION
MILLINGTON R.F.P.D. #5, OR DISTRICT, OR
MILO VOLUNTEER FIRE DEPARTMENT, OR NORTH COUNTY RECREATION DISTRICT, OR
MILTON-FREEWATER AMBULANCE SERVICE NORTH DOUGLAS COUNTY FIRE & EMS, OR
AREA HEALTH DISTRICT, OR NORTH DOUGLAS PARK & RECREATION
MILTON-FREEWATER WATER CONTROL DISTRICT, DISTRICT, OR
OR NORTH GILLIAM COUNTY HEALTH DISTRICT, OR
MIROCO SPECIAL ROAD DISTRICT, OR NORTH GILLIAM COUNTY R.F.P.D., OR
MIST-BIRKENFELD R.F.P.D., OR NORTH LAKE HEALTH DISTRICT, OR
MODOC POINT IRRIGATION DISTRICT, OR NORTH LEBANON WATER CONTROL DISTRICT, OR
MODOC POINT SANITARY DISTRICT, OR NORTH LINCOLN FIRE & RESCUE DISTRICT #1, OR
MOHAWK VALLEY R.F.P.D., OR NORTH LINCOLN HEALTH DISTRICT, OR
MOLALLA AQUATIC DISTRICT, OR NORTH MORROW VECTOR CONTROL DISTRICT,
MOLALLA R.F.P.D. #73, OR OR
MONITOR R.F.P.D., OR NORTH SHERMAN COUNTY R.F.P.D, OR
MONROE R.F.P.D., OR NORTH UNIT IRRIGATION DISTRICT, OR
MONUMENT CEMETERY MAINTENANCE NORTHEAST OREGON HOUSING AUTHORITY, OR
DISTRICT, OR NORTHEAST WHEELER COUNTY HEALTH
MONUMENT S.W.C.D., OR DISTRICT, OR
MOOREA DRIVE SPECIAL ROAD DISTRICT, OR NORTHERN WASCO COUNTY P.U.D., OR
MORO R.F.P.D., OR NORTHERN WASCO COUNTY PARK &
MORROW COUNTY HEALTH DISTRICT, OR RECREATION DISTRICT, OR
MORROW COUNTY UNIFIED RECREATION NYE DITCH USERS DISTRICT IMPROVEMENT, OR
DISTRICT, OR NYSSA ROAD ASSESSMENT DISTRICT #2, OR
MORROW S.W.C.D., OR NYSSA RURAL FIRE DISTRICT, OR
MOSIER FIRE DISTRICT, OR NYSSA-ARCADIA DRAINAGE DISTRICT, OR
MOUNTAIN DRIVE SPECIAL ROAD DISTRICT, OR OAK LODGE WATER SERVICES, OR
MT. ANGEL R.F.P.D., OR OAKLAND R.F.P.D., OR
MT. HOOD IRRIGATION DISTRICT, OR OAKVILLE COMMUNITY CENTER, OR
MT. LAKI CEMETERY DISTRICT, OR OCEANSIDE WATER DISTRICT, OR
MT. VERNON R.F.P.D., OR OCHOCO IRRIGATION DISTRICT, OR
MULINO WATER DISTRICT #1, OR OCHOCO WEST WATER AND SANITARY
MULTNOMAH COUNTY DRAINAGE DISTRICT #1, AUTHORITY, OR
OR ODELL SANITARY DISTRICT, OR
MULTNOMAH COUNTY R.F.P.D. #10, OR OLD OWYHEE DITCH IMPROVEMENT DISTRICT,
MULTNOMAH COUNTY R.F.P.D. #14, OR OR
MULTNOMAH EDUCATION SERVICE DISTRICT OLNEY-WALLUSKI FIRE & RESCUE DISTRICT, OR
MYRTLE CREEK R.F.P.D., OR ONTARIO LIBRARY DISTRICT, OR
NEAH-KAH-NIE WATER DISTRICT, OR ONTARIO R.F.P.D., OR
NEDONNA R.F.P.D., OR OPHIR R.F.P.D., OR
NEHALEM BAY FIRE AND RESCUE, OR OREGON COAST COMMUNITY ACTION
NEHALEM BAY HEALTH DISTRICT, OR OREGON HOUSING AND COMMUNITY SERVICES
NEHALEM BAY WASTEWATER AGENCY, OR OREGON INTERNATIONAL PORT OF COOS BAY,
NESIKA BEACH-OPHIR WATER DISTRICT, OR OR
NESKOWIN REGIONAL SANITARY AUTHORITY, OR OREGON LEGISLATIVE ADMINISTRATION
NESKOWIN REGIONAL WATER DISTRICT, OR OREGON OUTBACK R.F.P.D., OR
NESTUCCA R.F.P.D., OR OREGON POINT, OR
NETARTS WATER DISTRICT, OR OREGON TRAIL LIBRARY DISTRICT, OR
NETARTS-OCEANSIDE R.F.P.D., OR OTTER ROCK WATER DISTRICT, OR
NETARTS-OCEANSIDE SANITARY DISTRICT, OR OWW UNIT #2 SANITARY DISTRICT, OR
NEW BRIDGE WATER SUPPLY DISTRICT, OR
Version June 16, 2023
Appendix B – OMNIA Partners Exhibits
OWYHEE CEMETERY MAINTENANCE DISTRICT, PORT OF MORGAN CITY, LA
OR PORT OF MORROW, OR
OWYHEE IRRIGATION DISTRICT, OR PORT OF NEHALEM, OR
PACIFIC CITY JOINT WATER-SANITARY PORT OF NEWPORT, OR
AUTHORITY, OR PORT OF PORT ORFORD, OR
PACIFIC COMMUNITIES HEALTH DISTRICT, OR PORT OF PORTLAND, OR
PACIFIC RIVIERA #3 SPECIAL ROAD DISTRICT, OR PORT OF SIUSLAW, OR
PALATINE HILL WATER DISTRICT, OR PORT OF ST. HELENS, OR
PALMER CREEK WATER DISTRICT IMPROVEMENT PORT OF THE DALLES, OR
COMPANY, OR PORT OF TILLAMOOK BAY, OR
PANORAMIC ACCESS SPECIAL ROAD DISTRICT, PORT OF TOLEDO, OR
OR PORT OF UMATILLA, OR
PANTHER CREEK ROAD DISTRICT, OR PORT OF UMPQUA, OR
PANTHER CREEK WATER DISTRICT, OR PORT ORFORD CEMETERY MAINTENANCE
PARKDALE R.F.P.D., OR DISTRICT, OR
PARKDALE SANITARY DISTRICT, OR PORT ORFORD PUBLIC LIBRARY DISTRICT, OR
PENINSULA DRAINAGE DISTRICT #1, OR PORT ORFORD R.F.P.D., OR
PENINSULA DRAINAGE DISTRICT #2, OR PORTLAND DEVELOPMENT COMMISSION, OR
PHILOMATH FIRE AND RESCUE, OR PORTLAND FIRE AND RESCUE
PILOT ROCK CEMETERY MAINTENANCE DISTRICT PORTLAND HOUSING CENTER, OR
#5, OR POWDER R.F.P.D., OR
PILOT ROCK PARK & RECREATION DISTRICT, OR POWDER RIVER R.F.P.D., OR
PILOT ROCK R.F.P.D., OR POWDER VALLEY WATER CONTROL DISTRICT, OR
PINE EAGLE HEALTH DISTRICT, OR POWERS HEALTH DISTRICT, OR
PINE FLAT DISTRICT IMPROVEMENT COMPANY, PRAIRIE CEMETERY MAINTENANCE DISTRICT, OR
OR PRINEVILLE LAKE ACRES SPECIAL ROAD
PINE GROVE IRRIGATION DISTRICT, OR DISTRICT #1, OR
PINE GROVE WATER DISTRICT-KLAMATH FALLS, PROSPECT R.F.P.D., OR
OR QUAIL VALLEY PARK IMPROVEMENT DISTRICT,
PINE GROVE WATER DISTRICT-MAUPIN, OR OR
PINE VALLEY CEMETERY DISTRICT, OR QUEENER IRRIGATION IMPROVEMENT DISTRICT,
PINE VALLEY R.F.P.D., OR OR
PINEWOOD COUNTRY ESTATES SPECIAL ROAD RAINBOW WATER DISTRICT, OR
DISTRICT, OR RAINIER CEMETERY DISTRICT, OR
PIONEER DISTRICT IMPROVEMENT COMPANY, OR RAINIER DRAINAGE IMPROVEMENT COMPANY,
PISTOL RIVER CEMETERY MAINTENANCE OR
DISTRICT, OR RALEIGH WATER DISTRICT, OR
PISTOL RIVER FIRE DISTRICT, OR REDMOND AREA PARK & RECREATION DISTRICT,
PLEASANT HILL R.F.P.D., OR OR
PLEASANT HOME WATER DISTRICT, OR REDMOND FIRE AND RESCUE, OR
POCAHONTAS MINING AND IRRIGATION RIDDLE FIRE PROTECTION DISTRICT, OR
DISTRICT, OR RIDGEWOOD DISTRICT IMPROVEMENT COMPANY,
POE VALLEY IMPROVEMENT DISTRICT, OR OR
POE VALLEY PARK & RECREATION DISTRICT, OR RIDGEWOOD ROAD DISTRICT, OR
POE VALLEY VECTOR CONTROL DISTRICT, OR RIETH SANITARY DISTRICT, OR
POLK COUNTY FIRE DISTRICT #1, OR RIETH WATER DISTRICT, OR
POLK S.W.C.D., OR RIMROCK WEST IMPROVEMENT DISTRICT, OR
POMPADOUR WATER IMPROVEMENT DISTRICT, RINK CREEK WATER DISTRICT, OR
OR RIVER BEND ESTATES SPECIAL ROAD DISTRICT,
PONDEROSA PINES EAST SPECIAL ROAD OR
DISTRICT, OR RIVER FOREST ACRES SPECIAL ROAD DISTRICT,
PORT OF ALSEA, OR OR
PORT OF ARLINGTON, OR RIVER MEADOWS IMPROVEMENT DISTRICT, OR
PORT OF ASTORIA, OR RIVER PINES ESTATES SPECIAL ROAD DISTRICT,
PORT OF BANDON, OR OR
PORT OF BRANDON, OR RIVER ROAD PARK & RECREATION DISTRICT, OR
PORT OF BROOKINGS HARBOR, OR RIVER ROAD WATER DISTRICT, OR
PORT OF CASCADE LOCKS, OR RIVERBEND RIVERBANK WATER IMPROVEMENT
PORT OF COQUILLE RIVER, OR DISTRICT, OR
PORT OF GARIBALDI, OR RIVERDALE R.F.P.D. 11-JT, OR
PORT OF GOLD BEACH, OR RIVERGROVE WATER DISTRICT, OR
PORT OF HOOD RIVER, OR
Version June 16, 2023
Appendix B – OMNIA Partners Exhibits
RIVERSIDE MISSION WATER CONTROL DISTRICT, SILETZ KEYS SANITARY DISTRICT, OR
OR SILETZ R.F.P.D., OR
RIVERSIDE R.F.P.D. #7-406, OR SILVER FALLS LIBRARY DISTRICT, OR
RIVERSIDE WATER DISTRICT, OR SILVER LAKE IRRIGATION DISTRICT, OR
ROBERTS CREEK WATER DISTRICT, OR SILVER LAKE R.F.P.D., OR
ROCK CREEK DISTRICT IMPROVEMENT, OR SILVER SANDS SPECIAL ROAD DISTRICT, OR
ROCK CREEK WATER DISTRICT, OR SILVERTON R.F.P.D. NO. 2, OR
ROCKWOOD WATER P.U.D., OR SISTERS PARKS & RECREATION DISTRICT, OR
ROCKY POINT FIRE & EMS, OR SISTERS-CAMP SHERMAN R.F.P.D., OR
ROGUE RIVER R.F.P.D., OR SIUSLAW PUBLIC LIBRARY DISTRICT, OR
ROGUE RIVER VALLEY IRRIGATION DISTRICT, OR SIUSLAW S.W.C.D., OR
ROGUE VALLEY SEWER SERVICES, OR SIUSLAW VALLEY FIRE AND RESCUE, OR
ROGUE VALLEY SEWER, OR SIXES R.F.P.D., OR
ROGUE VALLEY TRANSPORTATION DISTRICT, OR SKIPANON WATER CONTROL DISTRICT, OR
ROSEBURG URBAN SANITARY AUTHORITY, OR SKYLINE VIEW DISTRICT IMPROVEMENT
ROSEWOOD ESTATES ROAD DISTRICT, OR COMPANY, OR
ROW RIVER VALLEY WATER DISTRICT, OR SLEEPY HOLLOW WATER DISTRICT, OR
RURAL ROAD ASSESSMENT DISTRICT #3, OR SMITH DITCH DISTRICT IMPROVEMENT
RURAL ROAD ASSESSMENT DISTRICT #4, OR COMPANY, OR
SAINT LANDRY PARISH TOURIST COMMISSION SOUTH CLACKAMAS TRANSPORTATION
SAINT MARY PARISH REC DISTRICT 2 DISTRICT, OR
SAINT MARY PARISH REC DISTRICT 3 SOUTH COUNTY HEALTH DISTRICT, OR
SAINT TAMMANY FIRE DISTRICT 4, LA SOUTH FORK WATER BOARD, OR
SALEM AREA MASS TRANSIT DISTRICT, OR SOUTH GILLIAM COUNTY CEMETERY DISTRICT,
SALEM MASS TRANSIT DISTRICT OR
SALEM SUBURBAN R.F.P.D., OR SOUTH GILLIAM COUNTY HEALTH DISTRICT, OR
SALISHAN SANITARY DISTRICT, OR SOUTH GILLIAM COUNTY R.F.P.D. VI-301, OR
SALMON RIVER PARK SPECIAL ROAD DISTRICT, SOUTH LAFOURCHE LEVEE DISTRICT, LA
OR SOUTH LANE COUNTY FIRE & RESCUE, OR
SALMON RIVER PARK WATER IMPROVEMENT SOUTH SANTIAM RIVER WATER CONTROL
DISTRICT, OR DISTRICT, OR
SALMONBERRY TRAIL INTERGOVERNMENTAL SOUTH SHERMAN FIRE DISTRICT, OR
AGENCY, OR SOUTH SUBURBAN SANITARY DISTRICT, OR
SANDPIPER VILLAGE SPECIAL ROAD DISTRICT, SOUTH WASCO PARK & RECREATION DISTRICT,
OR OR
SANDY DRAINAGE IMPROVEMENT COMPANY, OR SOUTHERN COOS HEALTH DISTRICT, OR
SANDY R.F.P.D. #72, OR SOUTHERN CURRY CEMETERY MAINTENANCE
SANTA CLARA R.F.P.D., OR DISTRICT, OR
SANTA CLARA WATER DISTRICT, OR SOUTHVIEW IMPROVEMENT DISTRICT, OR
SANTIAM WATER CONTROL DISTRICT, OR SOUTHWEST LINCOLN COUNTY WATER DISTRICT,
SAUVIE ISLAND DRAINAGE IMPROVEMENT OR
COMPANY, OR SOUTHWESTERN POLK COUNTY R.F.P.D., OR
SAUVIE ISLAND VOLUNTEER FIRE DISTRICT #30J, SOUTHWOOD PARK WATER DISTRICT, OR
OR SPECIAL ROAD DISTRICT #1, OR
SCAPPOOSE DRAINAGE IMPROVEMENT SPECIAL ROAD DISTRICT #8, OR
COMPANY, OR SPRING RIVER SPECIAL ROAD DISTRICT, OR
SCAPPOOSE PUBLIC LIBRARY DISTRICT, OR SPRINGFIELD UTILITY BOARD, OR
SCAPPOOSE R.F.P.D., OR ST. PAUL R.F.P.D., OR
SCIO R.F.P.D., OR STANFIELD CEMETERY DISTRICT #6, OR
SCOTTSBURG R.F.P.D., OR STANFIELD IRRIGATION DISTRICT, OR
SEAL ROCK R.F.P.D., OR STARR CREEK ROAD DISTRICT, OR
SEAL ROCK WATER DISTRICT, OR STARWOOD SANITARY DISTRICT, OR
SEWERAGE AND WATER BOARD OF NEW STAYTON FIRE DISTRICT, OR
ORLEANS, LA SUBLIMITY FIRE DISTRICT, OR
SHANGRI-LA WATER DISTRICT, OR SUBURBAN EAST SALEM WATER DISTRICT, OR
SHASTA VIEW IRRIGATION DISTRICT, OR SUBURBAN LIGHTING DISTRICT, OR
SHELLEY ROAD CREST ACRES WATER DISTRICT, SUCCOR CREEK DISTRICT IMPROVEMENT
OR COMPANY, OR
SHERIDAN FIRE DISTRICT, OR SUMMER LAKE IRRIGATION DISTRICT, OR
SHERMAN COUNTY HEALTH DISTRICT, OR SUMMERVILLE CEMETERY MAINTENANCE
SHERMAN COUNTY S.W.C.D., OR DISTRICT, OR
SHORELINE SANITARY DISTRICT, OR SUMNER R.F.P.D., OR
Version June 16, 2023
Appendix B – OMNIA Partners Exhibits
SUN MOUNTAIN SPECIAL ROAD DISTRICT, OR TWIN ROCKS SANITARY DISTRICT, OR
SUNDOWN SANITATION DISTRICT, OR TWO RIVERS NORTH SPECIAL ROAD DISTRICT, OR
SUNFOREST ESTATES SPECIAL ROAD DISTRICT, TWO RIVERS S.W.C.D., OR
OR TWO RIVERS SPECIAL ROAD DISTRICT, OR
SUNNYSIDE IRRIGATION DISTRICT, OR TYGH VALLEY R.F.P.D., OR
SUNRISE WATER AUTHORITY, OR TYGH VALLEY WATER DISTRICT, OR
SUNRIVER SERVICE DISTRICT, OR UMATILLA COUNTY FIRE DISTRICT #1, OR
SUNSET EMPIRE PARK & RECREATION DISTRICT, UMATILLA COUNTY S.W.C.D., OR
OR UMATILLA COUNTY SPECIAL LIBRARY DISTRICT,
SUNSET EMPIRE TRANSPORTATION DISTRICT, OR OR
SURFLAND ROAD DISTRICT, OR UMATILLA HOSPITAL DISTRICT, OR
SUTHERLIN VALLEY RECREATION DISTRICT, OR UMATILLA R.F.P.D. #7-405, OR
SUTHERLIN WATER CONTROL DISTRICT, OR UMATILLA-MORROW RADIO AND DATA
SWALLEY IRRIGATION DISTRICT, OR DISTRICT, OR
SWEET HOME CEMETERY MAINTENANCE UMPQUA S.W.C.D., OR
DISTRICT, OR UNION CEMETERY MAINTENANCE DISTRICT, OR
SWEET HOME FIRE & AMBULANCE DISTRICT, OR UNION COUNTY SOLID WASTE DISPOSAL
SWISSHOME-DEADWOOD R.F.P.D., OR DISTRICT, OR
TABLE ROCK DISTRICT IMPROVEMENT UNION COUNTY VECTOR CONTROL DISTRICT, OR
COMPANY, OR UNION GAP SANITARY DISTRICT, OR
TALENT IRRIGATION DISTRICT, OR UNION GAP WATER DISTRICT, OR
TANGENT R.F.P.D., OR UNION HEALTH DISTRICT, OR
TENMILE R.F.P.D., OR UNION R.F.P.D., OR
TERREBONNE DOMESTIC WATER DISTRICT, OR UNION S.W.C.D., OR
THE DALLES IRRIGATION DISTRICT, OR UNITY COMMUNITY PARK & RECREATION
THOMAS CREEK-WESTSIDE R.F.P.D., OR DISTRICT, OR
THREE RIVERS RANCH ROAD DISTRICT, OR UPPER CLEVELAND RAPIDS ROAD DISTRICT, OR
THREE SISTERS IRRIGATION DISTRICT, OR UPPER MCKENZIE R.F.P.D., OR
TIGARD TUALATIN AQUATIC DISTRICT, OR UPPER WILLAMETTE S.W.C.D., OR
TIGARD WATER DISTRICT, OR VALE OREGON IRRIGATION DISTRICT, OR
TILLAMOOK BAY FLOOD IMPROVEMENT VALE RURAL FIRE PROTECTION DISTRICT, OR
DISTRICT, OR VALLEY ACRES SPECIAL ROAD DISTRICT, OR
TILLAMOOK COUNTY EMERGENCY VALLEY VIEW CEMETERY MAINTENANCE
COMMUNICATIONS DISTRICT, OR DISTRICT, OR
TILLAMOOK COUNTY S.W.C.D., OR VALLEY VIEW WATER DISTRICT, OR
TILLAMOOK COUNTY TRANSPORTATION VANDEVERT ACRES SPECIAL ROAD DISTRICT, OR
DISTRICT, OR VERNONIA R.F.P.D., OR
TILLAMOOK FIRE DISTRICT, OR VINEYARD MOUNTAIN PARK & RECREATION
TILLAMOOK P.U.D., OR DISTRICT, OR
TILLER R.F.P.D., OR VINEYARD MOUNTAIN SPECIAL ROAD DISTRICT,
TOBIN DITCH DISTRICT IMPROVEMENT OR
COMPANY, OR WALLA WALLA RIVER IRRIGATION DISTRICT, OR
TOLEDO R.F.P.D., OR WALLOWA COUNTY HEALTH CARE DISTRICT, OR
TONE WATER DISTRICT, OR WALLOWA LAKE COUNTY SERVICE DISTRICT, OR
TOOLEY WATER DISTRICT, OR WALLOWA LAKE IRRIGATION DISTRICT, OR
TRASK DRAINAGE DISTRICT, OR WALLOWA LAKE R.F.P.D., OR
TRI CITY R.F.P.D. #4, OR WALLOWA S.W.C.D., OR
TRI-CITY WATER & SANITARY AUTHORITY, OR WALLOWA VALLEY IMPROVEMENT DISTRICT #1,
TRI-COUNTY METROPOLITAN TRANSPORTATION OR
DISTRICT OF OREGON WAMIC R.F.P.D., OR
TRIMET, OR WAMIC WATER & SANITARY AUTHORITY, OR
TUALATIN HILLS PARK & RECREATION DISTRICT WARMSPRINGS IRRIGATION DISTRICT, OR
TUALATIN HILLS PARK & RECREATION DISTRICT, WASCO COUNTY S.W.C.D., OR
OR WATER ENVIRONMENT SERVICES, OR
TUALATIN S.W.C.D., OR WATER WONDERLAND IMPROVEMENT DISTRICT,
TUALATIN VALLEY FIRE & RESCUE OR
TUALATIN VALLEY FIRE & RESCUE, OR WATERBURY & ALLEN DITCH IMPROVEMENT
TUALATIN VALLEY IRRIGATION DISTRICT, OR DISTRICT, OR
TUALATIN VALLEY WATER DISTRICT WATSECO-BARVIEW WATER DISTRICT, OR
TUALATIN VALLEY WATER DISTRICT, OR WAUNA WATER DISTRICT, OR
TUMALO IRRIGATION DISTRICT, OR WEDDERBURN SANITARY DISTRICT, OR
TURNER FIRE DISTRICT, OR
Version June 16, 2023
Appendix B – OMNIA Partners Exhibits
WEST EAGLE VALLEY WATER CONTROL BEND-LA PINE SCHOOL DISTRICT
DISTRICT, OR BOGALUSA HIGH SCHOOL, LA
WEST EXTENSION IRRIGATION DISTRICT, OR BOSSIER PARISH SCHOOL BOARD
WEST LABISH DRAINAGE & WATER CONTROL BROOKING HARBOR SCHOOL DISTRICT
IMPROVEMENT DISTRICT, OR CADDO PARISH SCHOOL DISTRICT
WEST MULTNOMAH S.W.C.D., OR CALCASIEU PARISH SCHOOL DISTRICT
WEST SIDE R.F.P.D., OR CANBY SCHOOL DISTRICT
WEST SLOPE WATER DISTRICT, OR CANYONVILLE CHRISTIAN ACADEMY
WEST UMATILLA MOSQUITO CONTROL DISTRICT, CASCADE SCHOOL DISTRICT
OR CASCADES ACADEMY OF CENTRAL OREGON
WEST VALLEY FIRE DISTRICT, OR CENTENNIAL SCHOOL DISTRICT
WESTERN HEIGHTS SPECIAL ROAD DISTRICT, OR CENTRAL CATHOLIC HIGH SCHOOL
WESTERN LANE AMBULANCE DISTRICT, OR CENTRAL POINT SCHOOL DISTRICT NO.6
WESTLAND IRRIGATION DISTRICT, OR CENTRAL SCHOOL DISTRICT 13J
WESTON ATHENA MEMORIAL HALL PARK & COOS BAY SCHOOL DISTRICT NO.9
RECREATION DISTRICT, OR CORVALLIS SCHOOL DISTRICT 509J
WESTON CEMETERY DISTRICT #2, OR COUNTY OF YAMHILL SCHOOL DISTRICT 29
WESTPORT FIRE AND RESCUE, OR CULVER SCHOOL DISTRICT
WESTRIDGE WATER SUPPLY CORPORATION, OR DALLAS SCHOOL DISTRICT NO.2
WESTWOOD HILLS ROAD DISTRICT, OR DAVID DOUGLAS SCHOOL DISTRICT
WESTWOOD VILLAGE ROAD DISTRICT, OR DAYTON SCHOOL DISTRICT NO.8
WHEELER S.W.C.D., OR DE LA SALLE N CATHOLIC HS
WHITE RIVER HEALTH DISTRICT, OR DESCHUTES COUNTY SCHOOL DISTRICT NO.6
WIARD MEMORIAL PARK DISTRICT, OR DOUGLAS EDUCATIONAL DISTRICT SERVICE
WICKIUP WATER DISTRICT, OR DUFUR SCHOOL DISTRICT NO.29
WILLAKENZIE R.F.P.D., OR EAST BATON ROUGE PARISH SCHOOL DISTRICT
WILLAMALANE PARK & RECREATION DISTRICT, ESTACADA SCHOOL DISTRICT NO.10B
OR FOREST GROVE SCHOOL DISTRICT
WILLAMALANE PARK AND RECREATION GEORGE MIDDLE SCHOOL
DISTRICT GLADSTONE SCHOOL DISTRICT
WILLAMETTE HUMANE SOCIETY GRANTS PASS SCHOOL DISTRICT 7
WILLAMETTE RIVER WATER COALITION, OR GREATER ALBANY PUBLIC SCHOOL DISTRICT
WILLIAMS R.F.P.D., OR GRESHAM BARLOW JOINT SCHOOL DISTRICT
WILLOW CREEK PARK DISTRICT, OR HEAD START OF LANE COUNTY
WILLOW DALE WATER DISTRICT, OR HIGH DESERT EDUCATION SERVICE DISTRICT
WILSON RIVER WATER DISTRICT, OR HILLSBORO SCHOOL DISTRICT
WINCHESTER BAY R.F.P.D., OR HOOD RIVER COUNTY SCHOOL DISTRICT
WINCHESTER BAY SANITARY DISTRICT, OR JACKSON CO SCHOOL DIST NO.9
WINCHUCK R.F.P.D., OR JEFFERSON COUNTY SCHOOL DISTRICT 509-J
WINSTON-DILLARD R.F.P.D., OR JEFFERSON PARISH SCHOOL DISTRICT
WINSTON-DILLARD WATER DISTRICT, OR JEFFERSON SCHOOL DISTRICT
WOLF CREEK R.F.P.D., OR JUNCTION CITY SCHOOLS, OR
WOOD RIVER DISTRICT IMPROVEMENT KLAMATH COUNTY SCHOOL DISTRICT
COMPANY, OR KLAMATH FALLS CITY SCHOOLS
WOODBURN R.F.P.D. NO. 6, OR LAFAYETTE PARISH SCHOOL DISTRICT
WOODLAND PARK SPECIAL ROAD DISTRICT, OR LAKE OSWEGO SCHOOL DISTRICT 7J
WOODS ROAD DISTRICT, OR LANE COUNTY SCHOOL DISTRICT 4J
WRIGHT CREEK ROAD WATER IMPROVEMENT LINCOLN COUNTY SCHOOL DISTRICT
DISTRICT, OR LINN CO. SCHOOL DIST. 95C
WY'EAST FIRE DISTRICT, OR LIVINGSTON PARISH SCHOOL DISTRICT
YACHATS R.F.P.D., OR LOST RIVER JR/SR HIGH SCHOOL
YAMHILL COUNTY TRANSIT AREA, OR LOWELL SCHOOL DISTRICT NO.71
YAMHILL FIRE PROTECTION DISTRICT, OR SALEM-KEIZER PUBLIC SCHOOLS 24J
YAMHILL SWCD, OR MARION COUNTY SCHOOL DISTRICT 103
YONCALLA PARK & RECREATION DISTRICT, OR MARIST HIGH SCHOOL, OR
YOUNGS RIVER-LEWIS & CLARK WATER MCMINNVILLE SCHOOL DISTRICT NOAO
DISTRICT, OR MEDFORD SCHOOL DISTRICT 549C
ZUMWALT R.F.P.D., OR MITCH CHARTER SCHOOL
MONROE SCHOOL DISTRICT NO.1J
K-12 INCLUDING BUT NOT LIMITED TO: MORROW COUNTY SCHOOL DIST, OR
ACADIA PARISH SCHOOL BOARD MULTNOMAH EDUCATION SERVICE DISTRICT
BEAVERTON SCHOOL DISTRICT MULTISENSORY LEARNING ACADEMY
Version June 16, 2023
Appendix B – OMNIA Partners Exhibits
MYRTLE PINT SCHOOL DISTRICT 41 CITY ACADEMY, UT
NEAH-KAH-NIE DISTRICT NO.56 DAGGETT SCHOOL DISTRICT, UT
NEWBERG PUBLIC SCHOOLS DAVINCI ACADEMY, UT
NESTUCCA VALLEY SCHOOL DISTRICT NO.101 DAVIS DISTRICT, UT
NOBEL LEARNING COMMUNITIES DUAL IMMERSION ACADEMY, UT
NORTH BEND SCHOOL DISTRICT 13 DUCHESNE SCHOOL DISTRICT, UT
NORTH CLACKAMAS SCHOOL DISTRICT EARLY LIGHT ACADEMY AT DAYBREAK, UT
NORTH DOUGLAS SCHOOL DISTRICT EAST HOLLYWOOD HIGH, UT
NORTH WASCO CITY SCHOOL DISTRICT 21 EDITH BOWEN LABORATORY SCHOOL, UT
NORTHWEST REGIONAL EDUCATION SERVICE EMERSON ALCOTT ACADEMY, UT
DISTRICT EMERY SCHOOL DISTRICT, UT
ONTARIO MIDDLE SCHOOL ENTHEOS ACADEMY, UT
OREGON TRAIL SCHOOL DISTRICT NOA6 EXCELSIOR ACADEMY, UT
ORLEANS PARISH SCHOOL DISTRICT FAST FORWARD HIGH, UT
PHOENIX-TALENT SCHOOL DISTRICT NOA FREEDOM ACADEMY, UT
PLEASANT HILL SCHOOL DISTRICT GARFIELD SCHOOL DISTRICT, UT
PORTLAND JEWISH ACADEMY GATEWAY PREPARATORY ACADEMY, UT
PORTLAND PUBLIC SCHOOLS GEORGE WASHINGTON ACADEMY, UT
RAPIDES PARISH SCHOOL DISTRICT GOOD FOUNDATION ACADEMY, UT
REDMOND SCHOOL DISTRICT GRAND SCHOOL DISTRICT, UT
REYNOLDS SCHOOL DISTRICT GRANITE DISTRICT, UT
ROGUE RIVER SCHOOL DISTRICT GUADALUPE SCHOOL, UT
ROSEBURG PUBLIC SCHOOLS HAWTHORN ACADEMY, UT
SCAPPOOSE SCHOOL DISTRICT 1J INTECH COLLEGIATE HIGH SCHOOL, UT
SAINT TAMMANY PARISH SCHOOL BOARD, LA IRON SCHOOL DISTRICT, UT
SEASIDE SCHOOL DISTRICT 10 ITINERIS EARLY COLLEGE HIGH, UT
SHERWOOD SCHOOL DISTRICT 88J JOHN HANCOCK CHARTER SCHOOL, UT
SILVER FALLS SCHOOL DISTRICT 4J JORDAN DISTRICT, UT
SOUTH LANE SCHOOL DISTRICT 45J3 JUAB SCHOOL DISTRICT, UT
SOUTHERN OREGON EDUCATION SERVICE KANE SCHOOL DISTRICT, UT
DISTRICT KARL G MAESER PREPARATORY ACADEMY, UT
SPRINGFIELD PUBLIC SCHOOLS LAKEVIEW ACADEMY, UT
SUTHERLIN SCHOOL DISTRICT LEGACY PREPARATORY ACADEMY, UT
SWEET HOME SCHOOL DISTRICT NO.55 LIBERTY ACADEMY, UT
TERREBONNE PARISH SCHOOL DISTRICT LINCOLN ACADEMY, UT
THE CATLIN GABEL SCHOOL LOGAN SCHOOL DISTRICT, UT
TIGARD-TUALATIN SCHOOL DISTRICT MARIA MONTESSORI ACADEMY, UT
UMATILLA MORROW ESD MERIT COLLEGE PREPARATORY ACADEMY, UT
WEST LINN WILSONVILLE SCHOOL DISTRICT MILLARD SCHOOL DISTRICT, UT
WILLAMETTE EDUCATION SERVICE DISTRICT MOAB CHARTER SCHOOL, UT
WOODBURN SCHOOL DISTRICT MONTICELLO ACADEMY, UT
YONCALLA SCHOOL DISTRICT MORGAN SCHOOL DISTRICT, UT
ACADEMY FOR MATH ENGINEERING & SCIENCE MOUNTAINVILLE ACADEMY, UT
(AMES), UT MURRAY SCHOOL DISTRICT, UT
ALIANZA ACADEMY, UT NAVIGATOR POINTE ACADEMY, UT
ALPINE DISTRICT, UT NEBO SCHOOL DISTRICT, UT
AMERICAN LEADERSHIP ACADEMY, UT NO UT ACAD FOR MATH ENGINEERING & SCIENCE
AMERICAN PREPARATORY ACADEMY, UT (NUAMES), UT
BAER CANYON HIGH SCHOOL FOR SPORTS & NOAH WEBSTER ACADEMY, UT
MEDICAL SCIENCES, UT NORTH DAVIS PREPARATORY ACADEMY, UT
BEAR RIVER CHARTER SCHOOL, UT NORTH SANPETE SCHOOL DISTRICT, UT
BEAVER SCHOOL DISTRICT, UT NORTH STAR ACADEMY, UT
BEEHIVE SCIENCE & TECHNOLOGY ACADEMY NORTH SUMMIT SCHOOL DISTRICT, UT
(BSTA) , UT ODYSSEY CHARTER SCHOOL, UT
BOX ELDER SCHOOL DISTRICT, UT OGDEN PREPARATORY ACADEMY, UT
CBA CENTER, UT OGDEN SCHOOL DISTRICT, UT
CACHE SCHOOL DISTRICT, UT OPEN CLASSROOM, UT
CANYON RIM ACADEMY, UT OPEN HIGH SCHOOL OF UTAH, UT
CANYONS DISTRICT, UT OQUIRRH MOUNTAIN CHARTER SCHOOL, UT
CARBON SCHOOL DISTRICT, UT PARADIGM HIGH SCHOOL, UT
CHANNING HALL, UT PARK CITY SCHOOL DISTRICT, UT
CHARTER SCHOOL LEWIS ACADEMY, UT PINNACLE CANYON ACADEMY, UT
Version June 16, 2023
Appendix B – OMNIA Partners Exhibits
PIUTE SCHOOL DISTRICT, UT COLLEGE OF THE MARSHALL ISLANDS
PROVIDENCE HALL, UT COLUMBIA GORGE COMMUNITY COLLEGE
PROVO SCHOOL DISTRICT, UT CONCORDIA UNIVERSITY
QUAIL RUN PRIMARY SCHOOL, UT GEORGE FOX UNIVERSITY
QUEST ACADEMY, UT KLAMATH COMMUNITY COLLEGE DISTRICT
RANCHES ACADEMY, UT LANE COMMUNITY COLLEGE
REAGAN ACADEMY, UT LEWIS AND CLARK COLLEGE
RENAISSANCE ACADEMY, UT LINFIELD COLLEGE
RICH SCHOOL DISTRICT, UT LINN-BENTON COMMUNITY COLLEGE
ROCKWELL CHARTER HIGH SCHOOL, UT LOUISIANA COLLEGE, LA
SALT LAKE ARTS ACADEMY, UT LOUISIANA STATE UNIVERSITY
SALT LAKE CENTER FOR SCIENCE EDUCATION, LOUISIANA STATE UNIVERSITY HEALTH
UT SERVICES
SALT LAKE SCHOOL DISTRICT, UT MARYLHURST UNIVERSITY
SALT LAKE SCHOOL FOR THE PERFORMING ARTS, MT. HOOD COMMUNITY COLLEGE
UT MULTNOMAH BIBLE COLLEGE
SAN JUAN SCHOOL DISTRICT, UT NATIONAL COLLEGE OF NATURAL MEDICINE
SEVIER SCHOOL DISTRICT, UT NORTHWEST CHRISTIAN COLLEGE
SOLDIER HOLLOW CHARTER SCHOOL, UT OREGON HEALTH AND SCIENCE UNIVERSITY
SOUTH SANPETE SCHOOL DISTRICT, UT OREGON INSTITUTE OF TECHNOLOGY
SOUTH SUMMIT SCHOOL DISTRICT, UT OREGON STATE UNIVERSITY
SPECTRUM ACADEMY, UT OREGON UNIVERSITY SYSTEM
SUCCESS ACADEMY, UT PACIFIC UNIVERSITY
SUCCESS SCHOOL, UT PIONEER PACIFIC COLLEGE
SUMMIT ACADEMY, UT PORTLAND COMMUNITY COLLEGE
SUMMIT ACADEMY HIGH SCHOOL, UT PORTLAND STATE UNIVERSITY
SYRACUSE ARTS ACADEMY, UT REED COLLEGE
THOMAS EDISON - NORTH, UT RESEARCH CORPORATION OF THE UNIVERSITY
TIMPANOGOS ACADEMY, UT OF HAWAII
TINTIC SCHOOL DISTRICT, UT ROGUE COMMUNITY COLLEGE
TOOELE SCHOOL DISTRICT, UT SOUTHEASTERN LOUISIANA UNIVERSITY
TUACAHN HIGH SCHOOL FOR THE PERFORMING SOUTHERN OREGON UNIVERSITY (OREGON
ARTS, UT UNIVERSITY SYSTEM)
UINTAH RIVER HIGH, UT SOUTHWESTERN OREGON COMMUNITY COLLEGE
UINTAH SCHOOL DISTRICT, UT TULANE UNIVERSITY
UTAH CONNECTIONS ACADEMY, UT TILLAMOOK BAY COMMUNITY COLLEGE
UTAH COUNTY ACADEMY OF SCIENCE, UT UMPQUA COMMUNITY COLLEGE
UTAH ELECTRONIC HIGH SCHOOL, UT UNIVERSITY OF HAWAII BOARD OF REGENTS
UTAH SCHOOLS FOR DEAF & BLIND, UT UNIVERSITY OF HAWAII-HONOLULU COMMUNITY
UTAH STATE OFFICE OF EDUCATION, UT COLLEGE
UTAH VIRTUAL ACADEMY, UT UNIVERSITY OF OREGON-GRADUATE SCHOOL
VENTURE ACADEMY, UT UNIVERSITY OF PORTLAND
VISTA AT ENTRADA SCHOOL OF PERFORMING UNIVERSITY OF NEW ORLEANS
ARTS AND TECHNOLOGY, UT WESTERN OREGON UNIVERSITY
WALDEN SCHOOL OF LIBERAL ARTS, UT WESTERN STATES CHIROPRACTIC COLLEGE
WASATCH PEAK ACADEMY, UT WILLAMETTE UNIVERSITY
WASATCH SCHOOL DISTRICT, UT XAVIER UNIVERSITY
WASHINGTON SCHOOL DISTRICT, UT UTAH SYSTEM OF HIGHER EDUCATION, UT
WAYNE SCHOOL DISTRICT, UT UNIVERSITY OF UTAH, UT
WEBER SCHOOL DISTRICT, UT UTAH STATE UNIVERSITY, UT
WEILENMANN SCHOOL OF DISCOVERY, UT WEBER STATE UNIVERSITY, UT
SOUTHERN UTAH UNIVERSITY, UT
HIGHER EDUCATION SNOW COLLEGE, UT
ARGOSY UNIVERSITY DIXIE STATE COLLEGE, UT
BATON ROUGE COMMUNITY COLLEGE, LA COLLEGE OF EASTERN UTAH, UT
BIRTHINGWAY COLLEGE OF MIDWIFERY UTAH VALLEY UNIVERSITY, UT
BLUE MOUNTAIN COMMUNITY COLLEGE SALT LAKE COMMUNITY COLLEGE, UT
BRIGHAM YOUNG UNIVERSITY - HAWAII UTAH COLLEGE OF APPLIED TECHNOLOGY, UT
CENTRAL OREGON COMMUNITY COLLEGE
CENTENARY COLLEGE OF LOUISIANA STATE AGENCIES
CHEMEKETA COMMUNITY COLLEGE ADMIN. SERVICES OFFICE
CLACKAMAS COMMUNITY COLLEGE BOARD OF MEDICAL EXAMINERS
Version June 16, 2023
Appendix B – OMNIA Partners Exhibits
HAWAII CHILD SUPPORT ENFORCEMENT AGENCY OREGON STATE POLICE
HAWAII DEPARTMENT OF TRANSPORTATION OREGON TOURISM COMMISSION
HAWAII HEALTH SYSTEMS CORPORATION OREGON TRAVEL INFORMATION COUNCIL
OFFICE OF MEDICAL ASSISTANCE PROGRAMS SANTIAM CANYON COMMUNICATION CENTER
OFFICE OF THE STATE TREASURER SEIU LOCAL 503, OPEU
OREGON BOARD OF ARCHITECTS SOH- JUDICIARY CONTRACTS AND PURCH
OREGON CHILD DEVELOPMENT COALITION STATE DEPARTMENT OF DEFENSE, STATE OF
OREGON DEPARTMENT OF EDUCATION HAWAII
OREGON DEPARTMENT OF FORESTRY STATE OF HAWAII
OREGON DEPT OF TRANSPORTATION STATE OF HAWAII, DEPT. OF EDUCATION
OREGON DEPT. OF EDUCATION STATE OF LOUISIANA
OREGON LOTTERY STATE OF LOUISIANA DEPT. OF EDUCATION
OREGON OFFICE OF ENERGY STATE OF LOUISIANA, 26TH JUDICIAL DISTRICT
OREGON STATE BOARD OF NURSING ATTORNEY
OREGON STATE DEPT OF CORRECTIONS STATE OF UTAH
Version June 16, 2023