request for proposal #2016-051 county-wide print shop … · 2020. 3. 13. · request for proposal...

Request for Proposal #2016-051 COUNTY-WIDE PRINT SHOP AND COPY SERVICES

Due Date: June 22, 2016 Time: 2:00 pm Receipt Location: Government Building

500 N. Main Street, Suite #709 Administrative Services, Procurement Division Monroe, NC 28112

Procurement Contact Person Name: Erin DeBerardinis Title: Procurement Specialist E-mail: [email protected] Telephone: (704) 283-3683

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Table of Contents

Section 1-Proposal Submittal Deadline & Proposal Addendum Info Section 2-Introduction Page 3 Section 3-Scope of Work Page 3 Section 4- Detailed Submittal Requirements Page 7 Section 5- Evaluation Criteria Page 9 Section 6-General Conditions and Requirements Page10 Attachment A- Sample Job Specifications Page15 Attachment B- Price Form Page 17 Attachment C- References Page 19 Attachment D- Propsal Submission Form Page 21 Attachment E- Addenda Receipt and Anti-Collusion Page 23 Attachment F- Iran Divestment Act Page 25

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Section 1 – Proposal Submittal Deadline and Proposal Addendum Information

A. Proposal Submission Deadline Submittals shall be sealed and labeled on the outside RFP# 2016-051 County-wide Print Shop and Copy Service RFP’s are to be received by the Union County Department of Procurement Division by 2:00 pm, June 22, 2016. Any submittals received after this date and time shall be rejected without exception. Mail or hand-deliver submission packets to: Union County Government Building Administrative Services, Procurement Division 500 North Main Street, Suite #709 Monroe, NC 28112 Attention: Erin DeBerardinis The proposal must be submitted electronically on a non-returnable CD or flash drive and in printed form. One (1) original (mark “ORIGINAL”) plus five (5) hard copies of the proposal must be submitted. The original proposal package must have original signatures and must be signed by a person who is authorized to bind the proposing firm. All additional proposal sets may contain photocopies of the original package. Electronic (email) or facsimile submissions will not be accepted. There is no expressed or implied obligation for Union County to reimburse firms for any expenses incurred in preparing proposals in response to this request. Union County reserves the right to reject any or all proposals or to select the proposal, which in its opinion, is in the best interest of the County. B. Proposal Questions Proposal questions will be due on June 7, 2016 at 5 pm EST. The primary purpose of this is to provide participating firms with the opportunity to ask questions, in writing, related to the RFP. Submit questions by e-mail to Erin DeBerardinis at [email protected] by the deadlines shown above. The email should identify the RFP number and project title. All questions and answers may be posted as addenda on www.co.union.nc.us and/or www.ips.state.nc.us. Union County may modify the RFP prior to the date fixed for submission of proposals by the issuance of an addendum. Any addenda to these documents shall be issued in writing. No oral statements, explanations, or commitments by anyone shall be of effect unless incorporated in the written addenda. Receipt of Addenda shall be acknowledged by the Proposer on Appendix E, Addenda Receipt and Anti-Collusion form.

http://www.ips.state.nc.us/

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Section 2 – Introduction

Union County is accepting proposals for printing and related services for all county departments. The

printing needs of the County are diverse and include both photocopying and printing services. Some

examples of printing requests include flyers, brochures, training manuals, envelopes, letterhead, forms,

business cards, newsletters, etc. Requests vary in quantity from a few hundred to a few thousand pages

or whole documents. The type of paper varies as well. The County will require the ability to produce

jobs in both PC compatible files, Word documents, PDF files, and personal computer files. On

occasion, there may be instances where a quick turnaround time is needed.

Section 3 - Scope of Work

General

This RFP is intended to cover all labor, tools, equipment, materials and any supervision necessary to

provide complete printing and related services necessary to the County. Printing services are defined as

those services, which are normally a part of an in-house print shop and may include, but not limited to

the following:

• Cutting • Collating • Padding

• 3-hole punching • 2- sided copies • Folding

• Stapling • Binding • Saddle Stitching

• Perforating • Numbering • Scoring

Photocopying, for the purpose of this RFP is defined as the reproduction of printed materials using a

xerographic-type of machine to reproduce the image. Some of the reproduction work required by the

County falls into the photocopying category. Typical reproduction work performed by the County

includes single and double sided forms, flyers, and brochures in various sizes including, but not limited

to letter, legal, and 11” x 17” sixes. The brightness is 92 or greater, and the overall quality of the

printed product is acceptable.

The County also has a need for offset type printing. Typical services required may include, but not

limited to:

• Typesetting

• Multiple color runs

• One and two-sided

• Cutting

• Folding

• Padding

• Form Numbering

• Graphic Design/Artwork

Offeror shall furnish all labor, supervision, methods and processes, implements, tools, machinery,

equipment, transportation and materials to provide printing services, including, but not limited to:

• Printing of 1 to 4 colors

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• Bindery services, such as collating, folding, stitching, die cutting, perforating, and perfect bind

• Both half-tones and duo-tones

• Pick-up and inside delivery

• Proofs, if required

• Price quotations prior to start of work

• Changes up to 48 hours prior to delivery

Placement of Orders – The selected offeror will be invited to quote on specific jobs based off approved

contract pricing throughout the contract term. Orders for specific jobs will be placed by requesting

Union County Department, based upon quoted price and printer’s ability and capacity to meet

County’s requirement.

Delivery / Pick-up will be arranged between the requesting Department and the bidder

Job Samples- Examples of the type of services commonly required by the County are detailed in

Attachment “A”. A hardcopy can be available for review upon request. Bidder shall carefully examine

Attachment A and sample documents.

Offerors Qualifications- Successful bidders will be expected to adequately stock all printing and

bindery materials commonly used by the County, and to maintain masters of commonly used County

forms, in order to ensure timely delivery of jobs to be produced on demand.

Travel time of County staff, and the cost of pickup and delivery will be a consideration in evaluating

the bids received. Production of actual printing jobs shall be completed at the bidder’s facilities

although bindery tasks may be subcontracted. Bidders shall list subcontractors on Bid Form.

SPECIFICATIONS AND SERVICE PERFORMANCE STANDARDS

1. Services will be provided Monday to Friday, 8 AM to 5 PM, except County Holidays.

2. A mutually agreed upon turnaround time, between the requesting department and the bidder for

printing or copying jobs must be met or exceeded. Some time-sensitive jobs will require an

expedited turnaround time. Failure to provide promised delivery times may be cause for

termination of the contract.

3. Supplier should have the ability to receive, edit and enhance print jobs electronically from

County employees in formats such as MS Office and Adobe applications and make minor

formatting changes and/or corrections before printing

4. Supplier should have the ability to offer pickup and delivery service to the requesting

department for free or for a fixed delivery fee (to be quoted in the bid pricing sheet.

5. All copies produced must be of commercially accepted quality, for instance; properly aligned,

no fading, smearing, correct contrast and color, and packaged in a manner to protect the

documents from damage in transit. Supplier mistakes or copies of unacceptable quality will be

corrected immediately at no cost to Union County.

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6. Supplier will provide monthly departmental invoice that are itemized; showing sufficient detail

to verify unit costs are in accordance with contract prices. All invoices should include

Department name, Contact name, and Contract number.

COUNTY’S RESPONSIBILITIES

1. The County Staff will provide all relevant job information on the vendor’s job ticket forms and

provide the graphics and text (in hardcopy or electronic format).

2. County Personnel may email, fax, or hand deliver any such forms unless the job is being picked

up by the vendor, in which case the job ticket form will be included with the relevant materials

to be picked up. References Offeror must provide a minimum of five (5) professional references related to this specific activity. Include company name, address, phone number, and contact name(s), project description(s), and length of service.

**********Remainder of Page Left Intentionally Blank**********

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Section 4 – Detailed Submittal Requirements

A. Proposal format

Proposals should be typed and should contain no more than 20 typed pages, excluding Index/Table of

Contents, tables, charts, and graphic exhibits. Each proposal will adhere to the following order and

content sections. Proposal should be straightforward, concise and provide “layman” explanations of

technical terms that are used. Emphasis should be concentrated on conforming to the RFP instructions,

responding to the RFP requirements, and on providing a complete and clear description of the offer.

The following proposal sections are to be included in the bidder’s response: The proposal should be organized into sections:

Tab A - Vendor Background and Experience

Tab B – Staff Information

Tab C – Methodology and Implementation Plan

Tab D- Price Form- Attachment B

Tab E- References

Tab F - Required Signature Forms: Proposal Submission Form-Attachment D, Addenda Receipt and Anti-Collusion-Attachment E, and Iran Divestment Act- Attachment F.

1. Tab A – Vendor Background and Experience

Please provide the following information about your company, experience and services. Respond to each item and provide supporting documentation and/or exhibits as requested or desired.

a. Company Name

Address Telephone Number Fax Number Email Address Name of Single Point of Contact Name/Signature of Person with binding authority to enter into contracts

b. The Background and Project Summary Section should describe your understanding of the

County, the work to be done, and the objectives to be accomplished. Refer to Scope of Work of

this RFP.

c. The letter must stipulate that the proposal price will be valid for a period of at least 90 days. d. Organization Chart or Organization Structure information.

e. Names of key staff that participated on named projects and their specific

responsibilities with respect to this scope of work.

f. A summary of your firm’s demonstrated capability, including length of time that your firm has

provided the services being requested in this Request for Proposal.

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2. Tab B – Staff Information

a. Provide a list of individual(s) who will be working on this project and indicate the functions

that each will perform.

b. Upon award and during the contract period, if the contractor chooses to assign different

personnel to the project, the Contractor must submit their names and qualifications including

information listed above to the County for approval before they begin work. 3. Tab C –Methodology and Implementation Plan

Provide a detailed description of the approach and methodology to be used to accomplish the

Scope of Work of this RFP. The Methodology Section should include:

a. An implementation plan that describes in detail (i) the methods, including controls by which

your firm manages projects of the type sought out by this RFP, (ii) methodology for soliciting

and documenting views of internal and external stakeholders, (iii) and any other project

management or implementation strategies or techniques that the respondent intends to use in

carrying out the work.

b. Detailed description of efforts your firm will undertake to achieve client satisfaction and to

satisfy the requirements of the “Scope of Work” section.

c. Detailed description of specific tasks you will require from County staff. Explain what the

respective roles of County staff and your staff would be to complete the tasks specified in the

Scope of Work.

4. Tab D –Price Form

a. All prices quoted are to include all forms, supplies, proofs, packaging, software, consumables,

overhead, and any other related cost no specifically, mentioned herein. All per copy prices must

include the cost of standard bright white paper, and all labor and equipment necessary to

produce the copies required. Upcharges for colored paper, heavier stock, and finishing such as

binding are to be itemized separately on the Bid Price Sheet.

b. The per copy price quoted is to be based on the mutually agreed upon turnaround time between

the requesting department and the bidder. Standard pricing should be based upon delivery to

the requesting department.

c. Offers should quote a per-trip pickup and delivery charges charge (both one way and round

trip) from the County Government Center and other County facilities located in the Monroe,

NC.

d. Pricing shall be firm for the initial year of the contract. Adjustments may only be proposed

during the contract renewal period and reviewed/approved by the county after the initial year.

Such increases may not exceed the change in the previous 12 month period of the Consumer

Price Index for the Union County area, except in the even event of extraordinary increases in

the cost of paper. In the event of paper manufacturer’s price increases, exceeding 10%, an

equitable price adjustment or alternative will be negotiated, based on the pass-through of the

increased material cost. All price increase requests must be supported by relevant

documentation, such as letters of price increases from paper manufacturers.

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5. Tab E – References

Provide at least five (5) local references that received similar services from your firm. Union

County reserves the right to contact any of the organizations of individuals listed. Information

provided shall include:

a. Client Name

b. Project Description

c. Project start and end dates

d. Client project manager name, telephone number and email address

6. Tab F – Required Signature Forms Proposers should include signed copies of the following documents:

Attachment D- Proposal Submission Form Attachment E – Addenda Receipt and Anti-Collusion Attachment F- Iran Divestment Act Certification

***REMAINDER OF PAGE LEFT INTENTIONALLY BLANK***

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Section 5 – Evaluation Criteria

A. Selection Participants Evaluation Team- The Evaluation Team will be responsible for the evaluation and scoring of the proposals. The Evaluation Team is responsible for reviewing and evaluating each proposal based on evaluation criteria listed in the RFP. The Evaluation Team will make the recommendation for vendor selection to the County Manager or Board of Commissioners. County Stakeholders- County stakeholders consist of subject matter experts from County departments. County stakeholders will support the Evaluation Team during the procurement process. B. Evaluation of Proposals

Evaluation criteria will be used to assist in determining the finalist vendor. The vendor’s proposal will be evaluated based on the following criteria below. These criteria are provided for informational purposes and are not intended to represent an order of preference.

Vendor Background and Experience

Staff Information

Methodology and Implementation Plan

Price

Compliance with the general bidding requirements, general submittal requirements, and detailed submittal requirements of the RFP.

C. Evaluation Selection Process

A weighted analysis of the evaluation criteria will be utilized to determine the offeror that represents the best value solution for the County. D. Award Procedures The County reserves the right to make an award without further discussion of the proposals received. Therefore, it is important that the proposal be submitted initially on the most favorable terms from both a technical and cost standpoint. A proposal may be rejected if it is incomplete. Union County may reject any or all proposals and may waive any immaterial deviation in a proposal. At a minimum, proposals will be evaluated based upon the criteria above, as well as compliance with the RFP. The County may accept the proposal that best serves its needs, as determined by County officials in their sole discretion. More than one proposal from an individual, firm, partnership, corporation or association under the same or different names, will not be considered.

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Section 6 – General Conditions and Requirements

A. Terms and Conditions

The term of contract shall be for one (1) year, with two (2) one year renewal options pending annual budget appropriation. All proposals submitted in response to this request shall become the property of Union County and as such, may be subject to public review upon award of contract. Union County has the right to reject any or all proposals, to engage in further negotiations with any firm submitting a proposal, and/or to request additional information or clarification. The County is not obligated to accept the lowest cost proposal. The County may accept the proposal that best serves its needs, as determined by County officials in their sole discretion. All payroll taxes, liability and worker’s compensation are the sole responsibility of the Proposer. The Proposer understands that an employer/employee relationship does not exist under this contract. B. Sub-Contractor/Partner Disclosure A single firm or multiple firms may propose the entire solution. If the proposal by any firm requires the use of subcontractor, partners, and/or third-party products or services, this must be clearly stated in the proposal. The firm submitting the proposal shall remain solely responsible for the performance of all work, including work that is done by subcontractor. C. Modification or Withdrawal of Proposal Prior to the scheduled closing time for receiving proposals, any Vendor may withdraw their proposal. After the scheduled closing time for receiving proposals, no proposal may be withdrawn for 180 days. Only written requests for the modification or correction of a previously submitted proposal that are addressed in the same manner as proposals and are received by the County prior to the closing time for receiving proposals will be accepted. The proposal will be corrected in accordance with such written requests, provided that any such written request is in a sealed envelope that is plainly marked “Modification of Proposal – “2016-051 County-wide Print Shop and Copy Service”. Oral, telephone, or fax modifications or corrections will not be recognized or considered. D. Insurance

At Contractor’s sole expense, Contractor shall procure and maintain the following minimum

insurances with insurers authorized to do business in North Carolina and rated A-VII or better by A.M.

Best.

A. WORKERS’ COMPENSATION

Statutory limits covering all employees, including Employer’s Liability with limits of:

$500,000 Each Accident

$500,000 Disease - Each Employee

$500,000 Disease - Policy Limit

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B. COMMERCIAL GENERAL LIABILITY

Covering Ongoing and Completed Operations involved in this Agreement.

$2,000,000 General Aggregate

$2,000,000 Products/Completed Operations Aggregate

$1,000,000 Each Occurrence

ADDITIONAL INSURANCE REQUIREMENTS

A. Before commencement of any work or event, Contractor shall provide a Certificate of

Insurance in satisfactory form as evidence of the insurances required above.

B. Contractor shall have no right of recovery or subrogation against Union County

(including its officers, agents and employees).

B. It is the intention of the parties that the insurance policies afforded by contractor shall

protect both parties and be primary and non-contributory coverage for any and all losses

covered by the above-described insurance.

D. Union County shall have no liability with respect to Contractor’s personal property

whether insured or not insured. Any deductible or self-insured retention is the sole

responsibility of Contractor.

E. Notwithstanding the notification requirements of the Insurer, Contractor hereby agrees

to notify County’s Risk Manager at 500 N. Main Street # 130, Monroe, NC 28112,

within two (2) days of the cancellation or substantive change of any insurance policy set

out herein. Union, in its sole discretion, may deem failure to provide such notice as a

breach of this Agreement.

F. The Certificate of Insurance should note in the Description of Operations the following:

Department: _____________________

Contract #: _____________________

G. Insurance procured by Contractor shall not reduce nor limit Contractor’s contractual

obligation to indemnify, save harmless and defend Union County for claims made or

suits brought which result from or are in connection with the performance of this

Agreement.

H. Certificate Holder shall be listed as follows:

Union County

Attention: Keith A. Richards, Risk Manager

500 N. Main Street, Suite #130

Monroe, NC 28112

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E. Indemnification

Contractor agrees to protect, defend, indemnify and hold Union County, its officers, employees and

agents free and harmless from and against any and all losses, penalties, damages, settlements, costs,

charges, professional fees or other expenses or liabilities of every kind and character arising out of or

relating to any and all claims, liens, demands, obligations, actions, proceedings, or causes of action of

every kind in connection with or arising out of this agreement and/or the performance hereof that are

due, in whole or in part, to the negligence of the Contractor, its officers, employees, subcontractors or

agents. Contractor further agrees to investigate, handle, respond to, provide defense for, and defend

the same at its sole expense and agrees to bear all other costs and expenses related thereto.

***REMAINDER OF PAGE LEFT INTENTIONALLY BLANK***

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Hold Harmless: The Firm shall indemnify Union County against any and all loss or damage to the extent arising out of the Firm’s negligence in the performance of services under this Request and for infringement of any copyright or patent occurring in connection with or in any way incidental to or arising out of the occupancy, use, service, operations or performance of work under this Request. Equal Employment Opportunity: All Firms will be required to follow Federal Equal Employment Opportunity (EEO) policies. Union County will affirmatively assure that on any project constructed pursuant to this advertisement, equal employment opportunity will be offered to all persons without regard to race, color, creed, religion, national origin, sex, and marital status, status with regard to public assistance, membership or activity in a local commission, disability, sexual orientation, or age. Minority Businesses (MBE) or Disadvantaged Businesses (DBE): It is the policy of Union County that Minority Businesses (MBEs), Disadvantaged Business Enterprises (DBEs) and other small businesses shall have the opportunity to compete fairly in contracts financed in whole or in part with public funds. Consistent with this policy, Union County will not allow any person or business to be excluded from participation in, denied the benefits of, or otherwise be discriminated against in connection with the award and performance of any contract because of sex, race, religion, or national origin. Drug-Free Workplace: During the performance of this Request, the Firm agrees to provide a drug-free workplace for his employees; post in conspicuous places, available to employees and applicants for employment, a statement notifying employees that the unlawful manufacture, sale, distribution, dispensation, possession, or use of a controlled substance or marijuana is prohibited in the workplace and specify the actions that will be taken against employees for violations of such prohibition; and state in all solicitations or advertisements for employees placed by or on behalf of the firm that the Firm maintains a drug-free workplace. For the purposes of this section, “drug-free workplace” means a site for the performance of work done in connection with a specific contract awarded to a Contractor/firm in accordance with this chapter, the employees of whom are prohibited from engaging in the unlawful manufacture, sale, distribution, dispensation, possession or use of any controlled substance or marijuana during the performance of the Request. E-Verify Proposer shall utilize the U.S. Department of Homeland Security’s E-Verify system to confirm the employment eligibility of all persons employed by the Proposer during the term of the Contract to perform employment duties within North Carolina and all persons, including subcontractors, assigned by the Proposer to perform work pursuant to the contract with the County, as may be required by North Carolina statutes. Iran Divestment Act Notice for Local Governments in North Carolina Iran Divestment Act: Pursuant to G.S. 147-86.59, any person identified as engaging in investment activities in Iran, determined by appearing on the Final Divestment List created by the State Treasurer pursuant to G.S. 147-86.58, is ineligible to contract with the State of North Carolina or any political subdivision of the State. The Iran Divestment Act of 2015, G.S. 147-86.55 et seq.* requires that each vendor, prior to contracting with the State certify:

1. That the vendor is not identified on the Final Divestment List of entities that the State Treasures has determined engages in investment activities in Iran;

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2. That the vendor shall not utilize on any contract with the State agency any contractor that is identified on the Final Divestment List; and

3. That the undersigned is authorized by the Vendor to make this certification.

UNION COUNTY RESERVES THE RIGHT TO REJECT ANY AND/OR ALL QUALIFICATIONS AND TO WAIVE ANY AND ALL TECHNICALITIES.

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Attachment A

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UNION COUNTY GOVERNMENT

SAMPLE JOB SPECIFICATIONS

Attachment A

BIDDER SHALL SUBMIT SAMPLES OF PRINTING JOBS SIMILAR TO THOSE

LISTED BELOW ON THIS ATTACHMENT (IF AVAILABLE):

Job #1 – Human Services Annual Report

16-18 pages each

100 copies

8.5 x 11, 50lb gloss, 90 brightness

Job #2 - Parks and Recreation Form Documents

8 Originals

750 copies (estimate)

Full Color / B&W

8.5 x 11 and 11 x 17, 20lb, 92 brightness

Job # 3 - Library Newsletter (Book Format)

1 Original

5,400 copies (450 per month)

11” X 17” 2 sided folder booklet (4 pages)

Full Color

100 lb gloss text, with a 4/4 bleed, score, and fold

Job # 4 - Human Resources (Orientation Manuals)

1 original

150 Books (50 pages)

Full Color / B&W

8.5 x 11, 20lb, 92 brightness

Job # 5 - Human Resources (Training Materials)

6 Originals

300 Copies (ranging from 6 pages to 175 pages)

Full Color / B&W


Job # 6 - Emergency Services (Emergency Operations Plan)

1 Original

60 copies (250 page spiral bound manual)

Full Color


Job # 7 - Growth Management (Transportation Plan, Unified Development Ordinance, Comprehensive

Plan)

3 Originals

120 Copies (75-125 Page bound document)

Full Color

8.5x11, 22-24lb, 96-98 brightness

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Attachment B

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Attachment B – Price Form for County-wide Print Shop and Copy Services

Request for Proposal (RFP) #2016-051

COMPANY NAME: ___________________________________________

The undersigned hereby offers to perform the required services in strict compliance with the

specifications, terms and conditions set forth in this bid invitation.

Item

No. Description Bid Price Bid Price

Job #1

Standard Lead Time_____days $__________ Rush Lead Time $___________

Job #2


Job #3


Job #4


Job #5


Job #6


Job #7


Total: $__________ $___________

*Do not include sales tax

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Attachment C

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Attachment C– References

Request for Proposal (RFP) #2016-051 County-wide Print Shop and Copy Service

Reference #1: Company Name:

Project Manager Name:

Address:

Phone Number:

Project Description:

Performed work from (month/year) to (month/year)



Address:

Phone Number:





Address:

Phone Number:





Address:

Phone Number:





Address:

Phone Number:



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Attachment D

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Attachment D – Proposal Submission Form


This Proposal is submitted by: Provider Name: ____________________________________________________________ Representative (printed):__________________________________________________________ Representative (signed):__________________________________________________________ Address: ________________________________________________________________ ________________________________________________________________ City/State/Zip:__________________________________________________________ E-mail Address:_______________________________________________________________ Telephone:_____________________________________________________________ (Area Code) Telephone Number Facsimile:______________________________________________________________ (Area Code) Fax Number

It is understood by the Proposer that Union County reserves the right to reject any and all Proposals, to make awards according to the best interest of the County, to waive formalities, technicalities, to recover and rebid this RFP. Proposal is valid for ninety (90) calendar days from the Proposal due date.

Proposer ____________________________________ Date ___________________ Authorized Signature __________________________________________________ Please type or print Name ______________________________________________

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Attachment E

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Attachment E – Addenda Receipt and Anti-Collusion


Please acknowledge receipt of all addenda by including this form with your Proposal. Any questions or changes received will be posted as an addendum on www.co.union.nc.us and/or www.ips.state.nc.us. It is your responsibility to check these sites for this information. ADDENDUM #: DATE ADDENDUM DOWNLOADED _________________________ _________________________

_________________________ _________________________

_________________________ _________________________

_________________________ _________________________

_________________________ _________________________ I certify that this proposal is made in good faith and without collusion with any other proposer or officer or employee of Union County. ___________________________________ _________________________ (Please Print Name) Date ___________________________________ Authorized Signature ___________________________________ Title ___________________________________ E-Mail Address ___________________________________ Company Name

http://www.co.union.nc.us/

http://www.ips.state.nc.us/

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Attachment F

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RFP Number (if applicable): Name of Vendor or Bidder:

IRAN DIVESTMENT ACT CERTIFICATION REQUIRED BY N.C.G.S. 143C-6A-5(a)

As of the date listed below, the vendor or bidder listed above is not listed on the Final Divestment List created by the State Treasurer pursuant to N.C.G.S. 143-6A-4.

The undersigned hereby certifies that he or she is authorized by the vendor or bidder listed above to make the foregoing statement.

Signature Date

Printed Name Title

Notes to persons signing this form:

N.C.G.S. 143C-6A-5(a) requires this certification for bids or contracts with the State of North Carolina, a North Carolina local government, or any other political subdivision of the State of North Carolina. The certification is required at the following times:

When a bid is submitted

When a contract is entered into (if the certification was not already made when the vendor made its bid)

When a contract is renewed or assigned N.C.G.S. 143C-6A-5(b) requires that contractors with the Proposer shall utilize the U.S. Department of Homeland Security’s E-Verify system to confirm the employment eligibility of all persons employed by the Proposer during the term of the Contract to perform employment duties within North Carolina and all persons, including subcontractors, assigned by the Proposer to perform work pursuant to the contract with the County, as may be required by North Carolina statutes.

State, a North Carolina local government, or any other political subdivision of the State of North Carolina must not utilize any subcontractor found on the State Treasurer’s Final Divestment List.

The State Treasurer’s Final Divestment List can be found on the State Treasurer’s website at the address www.nctreasurer.com/Iran and will be updated every 180

http://www.nctreasurer.com/Iran