ATTACHMENT J.2.1

Offer Letter

[Insert Date]

University of the District of Columbia 4200 Connecticut Avenue, NW Building 39, Room 200C Washington, DC 20008

Attn: Mary Ann Harris

Attachment J .2.1

[Contractor's Letterhead]

Reference: Design-Build Renovation of "CAUSES - Firebird Fann Site Development"

Dear Ms. Harris,

On behalf of [insert name of offeror], I am pleased to submit this proposal in response to the University of the District of Columbia's Request for Proposal (RFP) to provide Design Build Services for "Architectural Program Consolidation Level 2, Building 32". The Offeror has reviewed the RFP and the attachments thereto, any addenda thereto, any available design documents for the Project, and has conducted due diligence and analysis as the Offeror, in its sole judgment, has deemed necessary in order to submit its Proposal in response to the RFP. The Offeror's Phase I proposal, the Design Fee, the Design Build Fee, the General Construction Budget and Phase II for construction cost range.

Offeror's Proposal is as follows:

Design Fee $

Design-Builder Fee (profit and overhead) $

Design-Builder General Conditions $

Total $

Phase II Construction (Target GMP)

Construction Cost • $ to $

Total Project Cost $

ATTACHMENT J.2.2

First Source Employment Agreement

Download from website www.ocp.dc.gov

*** GOVERNMENT OF THE DISTRICT OF COLUMBIA FIRST SOURCE EMPLOYMENT AGREEMENT FOR

CONSTRUCTION PROJECTS ONLY

GOVERNMENT-ASSISTED PROJECT/CONTRACT INFORMATION

***

CONTRACT/SOLICITATION NUMBER: _______________ _ DISTRICT CONTRACTING AGENCY: _______________ _ CONTRACTING OFFICER: ___________________ _

TELEPHONE NUMBER: __ --- - ---------------­TOTAL CONTRACT AMOUNT: EMPLOYERCONTRACTAMOUN~T~:------------------

PROJECTNAME:~ _ _ _____________ _____ ___

PROJECT ADDRESS: -----=-c=,..----- - - -::-:::-=:=::-------CITY: STATE: ZIP CODE: PROJE""C--T""""'S--T""A--R--T""D'"'A""T==E:-: ---- - ---=-P-=-RO-=-J=E=-=C--T:-::E""'N=D DATE: -----

EMPLOYER START DATE: EMPLOYER END DATE:

EMPLOYER INFORMATION EMPLOYER NAME: EMPLOYERADDRE=SS~:------------------------

CITY: _____ ~,__---- STATE: ZIP CODE: ____ _ TELEPHONE NUMBER: FEDERAL IDENTIFICATION NO.:, _____ _ CONTACTPERSON: ___________________ __ _ TITLE: _________ _ _ ______ -=-________ ------ --E-MAIL: TELEPHONE NUMBER: LOCAL, SMALL, DISADVANTAGED BUSINESS ENTERPRISE (LSDBE) C=ER=CT=I-=FI:-::C'"'A-=T""'IO::7N-=--NUMBER:; ____ ~~~ D.C. APPRENTICESHIP COUNCIL REGISTRATION NUMBER: =-=-=-==-=-_____ _ ARE YOU A SUBCONTRACTOR DYES D NO IF YES, NAME OF PRIME CONTRACTOR: ________________________ _

This First Source Employment Ab ... eement (Agreement), in accordance with Workforce Intermediary Establishment and Refonn of the First Source Amendment Act of201 I (D.C. Official Code §§ 2-219.01 - 2.219.05), and relevant provisions of the Apprenticeship Requirements Amendment Act of 2004 (D.C. Official Code § 2-219.03 and § 32-1431) for recruitment, referral, and placement of District of Columbia residents, is between the District of Columbia Department of Employment Services, (DOES) and EMPLOYER. Pursuant to this Agreement, the EMPLOYER shall use DOES as its first source for recruitment, referral, and placement of new hires or employees for all jobs created by the Government Assisted Project or Contract (Project). The EMPLOYER shall meet the hiring or hours worked percentage requirements for all jobs created by the Project as outlined below in Section VII. The EMPLOYER shall ensure that District of Columbia residents (DC residents) registered in prob ... ams approved by the District of Columbia Apprenticeship Council shall work 35% (or 60% where applicable) of all apprenticeship hours worked in connection with the Project.

I. DEFINITIONS

The following definitions shall govern the terms used in this Agreement.

A. Apprentice means a worker who is employed to learn an apprenticeable occupation under the terms and conditions of approved apprenticeship standards.

B. Beneficiary means:

I. The signatory to a contract executed by the Mayor which involves any District of Page 1 o f 11 Fjr:st Source Agreement Red:sed]fIl J

Columbia government funds, or funds which, in accordance with a federal grant or otherwise, the District government administers and which details the number and description of all jobs created by a government-assisted project or contract for which the beneficiary is required to use the First Source Register;

2. A recipient of a District government economic development action including contracts, !,'I"ants, loans, tax abatements, land transfers for redevelopment, or tax increment financing that results in a financial benefit of $300,000 or more from an agency, commission, instrumentality, or other entity of the District government, including a financial or banking institution which serves as the repository for $1 million or more of District of Columbia funds.

3. A retail or commercial tenant that is a direct recipient of a District government economic development action, including contracts, grants, loans, tax abatements, land transfers for public redevelopment, or tax increment financing in excess of $300,000.

C. Contracting Agency means any District of Columbia agency that awarded a government assisted project or contract totaling $300,000 or more.

D. Direct labor costs means all costs, including wages and benefits, associated with the hiring and employment of personnel assigned to a process in which payroll expenses are traced to the units of output and are included in the cost of goods sold.

E. EMPLOYER means any entity awarded a government assisted project or contract totaling $300,000 or more.

F. First Source Employer Portal means the website consisting of a connected group of static and dynamic (functional) pages and forms on the World Wide Web accessible by Unifonn Resource Locator (URL) and maintained by DOES to provide information and reporting functionality to EMPLOYERS.

G. First Source Register means the DOES Automated Applicant Files, which consists of the names of DC residents registered with DOES.

H. Good faith effort means an EMPLOYER has exhausted all reasonable means to comply with any affirmative action, hiring, or contractual goal(s) pursuant to the First Source law and A!,'I"eement.

I. Government-assisted project or contract (Project) means any construction or non­construction project or contract receiving funds or resources from the District of Columbia, or funds or resources which, in accordance with a federal grant or otherwise, the District of Columbia government administers, including contracts, grants, loans, tax abatements or exemptions, land transfers, land disposition and development agreements, tax increment financing, or any combination thereof, that is valued at $300,000 or more.

J. Hard to employ means a District of Columbia resident who is confirmed by DOES as:

I. An ex-offender who has been released from prison within the last 10 years;

2. A participant of the Temporary Assistance for Needy Families program;

3. A participant of the Supplemental Nutrition Assistance Program;

4. Living with a permanent disability verified by the Social Security Administration or

Page 2 of 11 First SOl/Tee Agreemmt Rel'ueJ 1fJ/ J

District vocational rehabilitation program;

5. Unemployed for 6 months or more in the last 12-month period;

6. Homeless;

7. A participant or b ... aduate of the Transitional Employment Program established by .Ii 32-1331; or

8. An individual who q~alified for inclusion in the Work Opportunity Tax Credit Program as certified by the Department of Employment Services.

K. Indirect labor costs means all costs, including wages and benefits, that are part of operating expenses and are associated with the hiring and employment of personnel assigned to tasks other than producing products.

L. Jobs means any union and non-union managerial, nonmanagerial, professional, nonprofessional, technical or nontechnical position including: clerical and sales occupations, service occupations, processing occupations, machine trade occupations, bench work occupations, structural work occupations, agricultural, fishery, forestry, and related occupations, and any other occupations as the Department of Employment Services may identifY in the Dictionary of Occupational Titles, United States Department of Labor.

M. Journeyman means a worker who has attained a level of skill, abilities and competencies recognized within an industry as having mastered the skills and competencies required for the occupation.

N. Revised Employment Plan means a document prepared and submitted by the EMPLOYER that includes the following:

I. A projection of the total number of hours to be worked on the project or contract by trade;

2. A projection of the total number of journey worker hours, by trade, to be worked on the project or contract and the total number of journey worker hours, by trade, to be worked by DC residents;

3. A projection of the total number of apprentice hours, by trade, to be worked on the project or contract and the total number of apprentice hours, by trade, to be worked by DC residents;

4. A projection of the total number of skilled laborer hours, by trade, to be worked on the project or contract and the total number of skilled laborer hours, by trade, to be worked by DC residents;

5. A projection of the total number of common laborer hours to be worked on the project or contract and the total number of common laborer hours to be worked by DC residents;

6. A timetable outlining the total hours worked by trade over the life of the project or contract and an associated hiring schedule;

7. Descriptions of the skill requirements by job title or position, including industry­recognized certifications required for the different positions;

Page 3 of 11 FirSI SOl/ree "'green/em Rtl'ised !iJ/;

8. A strategy to fill the hours required to be worked by DC residents pursuant to this paragraph, including a component on communicating these requirements to contractors and subcontractors and a component on potential community outreach partnerships with the University of the District of Columbia, the University of the District of Columbia Community College, the Department of Employment Services, Jointly Funded Apprenticeship Programs, the District of Columbia Workforce Intermediary, or other government-approved, community-based job training providers;

9. A remedIation strategy to ameliorate any problems associated with me~ting these hiring requirements, including any problems encountered with contractors and subcontractors;

10. The designation of a senior official from the general contractor who will be responsible for implementing the hiring and reporting requirements;

II. Descriptions of the health and retirement benefits that will be provided to DC residents working on the project or contract;

12. A strategy to ensure that District residents who work on the project or contract receive ongoing employment and training opportunities after they complete work on the job for which they were initially hired and a review of past practices in continuing to employ DC residents from one project or contract to the next;

13. A strategy to hire graduates of District of Columbia Public Schools, District of Columbia public charter schools, and community-based job training providers, and hard-to-employ residents; and

14. A disclosure of past compliance with the Workforce Act and the Davis-Bacon Act, where applicable, and the bidder or offeror's general DC resident hiring practices on projects or contracts completed within the last 2 years.

O. Tier Subcontractor means any contractor selected by the primary subcontractor to perfonn portion(s) or all work related to the trade or occupation area(s) on a contract or project subject to this First Source Agreement.

P. Washington Metropolitan Statistical Area means the District of Columbia; Virginia Cities of Alexandria, Fairfax, Falls Church, Fredericksburg, Manassas, and Manassas Park; the Virginia Counties of Arlington, Clarke, Fairfax, Fauquier, Loudon, Prince William, Spotsylvania, Stafford, and Warren; the Maryland Counties of Calvert, Charles, Frederick, Montgomery and Prince Georges; and the West Virginia County of Jefferson.

Q. Workforce Intermediary Pilot Program means the intermediary between employers and training providers to provide employers with qualified DC resident job applicants. See DC Official Code § 2-219.04b.

II. GENERAL TERMS

A. Subject to the terms and conditions set forth herein, DOES will receive the Agreement from the Contracting Agency no less than 7 calendar days in advance of the Project start date, whichever is later. No work associated with the relevant Project can begin until the Agreement has been accepted by DOES.

B. The EMPLOYER will require all Project contractors and Project subcontractors with contracts or subcontracts totaling $300,000 or more to enter into an Agreement with DOES.

Page 4 of 11 First Sourc~ Agreemtnt Rtl'ised 20/3

C. DOES will provide recruitment, referral, and placement services to the EMPLOYER, subject to the limitations in this Agreement.

D. This Ab'feement will take effect when signed by the parties below and will be fully effective through the duration, any extension or modification of the Project and until such time as construction is complete and a certificate of occupancy is issued.

E. DOES and the EMPLOYER ab'fee that, for purposes of this Agreement, new hires and jobs created for the Project (both union and nonunion) include all of EMPLOYER'~ job openings and vacancies in the Washington Metropolitan Statistical Area created for the Project as a result of internal promotions, terminations, and expansions of the EMPLOYER'S workforce, as a result of this Project, including loans, lease agreements, zoning applications, bonds, bids, and contracts.

F. This Agreement includes apprentices as defined in D.C. Official Code §§ 32-1401- 1431.

G. DOES will make every effort to work within the terms of all collective bargaining agreements to which the EMPLOYER is a party. The EMPLOYER will provide DOES with written documentation that the EMPLOYER has provided the representative of any collective bargaining unit involved with this Project a copy of this Agreement and has requested comments or objections. If the representative has any comments or objections, the EMPLOYER will promptly provide them to DOES.

H. The EMPLOYER who contracts with the District of Columbia government to perform construction, renovation work, or information technology work with a single contract, or cumulative contracts, of at least $500,000, let within a 12-month period will be required to register an apprenticeship program with the District of Columbia Apprenticeship Council as required by DC Code 32-1431.

I. If, during the tenn of this Agreement, the EMPLOYER should transfer possession of all or a portion of its business concerns affected by this Agreement to any other party by lease, sale, assignment, merger, or otherwise this First Source Agreement shall remain in full force and effect and transferee shall remain subject to all provisions herein. In addition, the EMPLOYER as a condition of transfer shall:

I. Notify the party taking possession of the existence of this EMPLOYER'S First Source Employment Agreement.

2. Notify DOES within 7 business days of the transfer. This notice will include the name of the party taking possession and the name and telephone of that party's representative.

J. The EMPLOYER and DOES may mutually agree to modify this Agreement. Any modification shall be in writing, signed by the EMPLOYER and DOES and attached to the original Agreement.

K. To the extent that this Agreement is in conflict with any federal labor laws or governmental regulations, the federal laws or regulations shall prevail.

III. TRAINING

A. DOES and the EMPLOYER may agree to develop skills training and on-the-job training programs as approved by DOES; the training specifications and cost for such training will be mutually agreed upon by the EMPLOYER and DOES and will be set forth in a separate

Page 5 of 11 FirSI SOltrU Agreement Red.fed 1013

Training Ab'feement.

IV. RECRUITMENT

A. The EMPLOYER will complete the attached Revised Employment Plan that will include the infonnation outlined in Section I.N., above.

B. The EMPLOYER will post all job vacancies with the Job Bank Services of DOES at l!!.U1:/ldoes.dc.gov within 7 days of executing the Agreement. Should you need assistance posting job vacancies, please contact Job Bank Services at (202) 698-6001.

C. The EMPLOYER will noti fY DOES of all new jobs created for the Project within at least 7 business days (Monday - Friday) of the EMPLOYERS' identification/creation of the new jobs. The Notice of New Job Creation shall include the number of employees needed by job title, qualifications and specific skills required to perfonn the job, hiring date, rate of pay, hours of work, duration of employment, and a description of the work to be perfonned. This must be done before using any other referral source.

D. Job openings to be filled by internal promotion from the EMPLOYER'S current workforce shall be reponed to DOES for placement and referral, if the job is newly created. EMPLOYER shall provide DOES a Notice of New Job Creation that details such promotions in accordance with Section IV.C.

E. The EMPLOYER will submit to DOES, prior to commencing work on the Project, a list of Current Employees that includes the name, social security number, and residency status of all current employees, including apprentices, trainees, and laid-off workers who will be employed on the Project. All EMPLOYER infonnation reviewed or gathered, including social security numbers, as a result of DOES' monitoring and enforcement activities will be held confidential in accordance with all District and federal confidentiality and privacy laws and used only for the purposes that it was reviewed or gathered.

V. REFERRAL

A. DOES will screen applicants through carefully planned recruitment and training events and provide the EMPLOYER with a list of qualified applicants according to the number of employees needed by job title, qualifications and specific skills required to perfonn the job, hiring date, rate of pay, hours of work, duration of employment, and a description of the work to be perfonned as supplied by the EMPLOYER in its Notice set fonh above in Section IV.C.

B. DOES will notifY the EMPLOYER of the number of applicants DOES will refer, prior to the anticipated hiring dates.

VI. PLACEMENT

A. EMPLOYER shall in good faith, use reasonable effons to select its new hires or employees from among the qualified applicants referred by DOES. All hiring decisions are made by the EMPLOYER.

B. In the event that DOES is unable to refer qualified applicants meeting the EMPLOYER'S established qualifications, within 7 business days (Monday - Friday) from the date of notification from the EMPLOYER, the EMPLOYER will be free to directly fill remaining positions for which no qualified applicants have been referred. The EMPLOYER will still be required to meet the hiring or hours worked percentages for all jobs created by the Project.

C. After the EMPLOYER has selected its employees, DOES is not responsible for the

Page 6 of 11 Firs/ Source /lgr«mtl1l R~I·ls~ ](J/3

employees' actions and the EMPLOYER hereby releases DOES, and the Government of the District of Columbia, the District of Columbia Municipal Corporation, and the officers and employees of the District of Columbia from any liability for employees' actions.

VII. REPORTING REQUIREMENTS

A. EMPLOYER is given the choice to report hiring or hours worked percentages either by Prime Contractor for the entire Project or per each Sub·contractor.

B. EMPLOYER with Projects valueo at a minimum of $300,000 shall hire DC residents for at least 51 % of all new jobs created by the Project.

C. EMPLOYER with Projects totaling $5 million or more shall meet the following hours worked percentages for all jobs created by the Project:

I. At least 20% of journey worker hours by trade shall be performed by DC residents;

2 . At least 60% of apprentice hours by trade shall be performed by DC residents;

3. At least 51 % of the skilled laborer hours by trade shall be performed by DC residents; and

4. At least 70% of common laborer hours shall be performed by DC residents.

D. EMPLOYER shall have a user name and password for the First Source Employer Portal for electronic submission of all monthly Contract Compliance Fonns, weekly certified payrolls and any other documents required by DOES for reporting and monitoring.

E. EMPLOYER with Projects valued at a minimum of $300,000 shall provide the following monthly and cumulative statistics on the Contract Compliance Fonn:

I. Number of new job openings created/available; 2. Number of new job openings listed with DOES, or any other District Agency; 3. Number of DC residents hired for new jobs; 4. Number of employees transferred to the Project; 5. Number of DC residents transferred to the Project; 6. Direct or indirect labor cost associated with the project; 7. Each employee's name,job title, social security number, hire date, residence,

and referral source; and 8. Workforce statistics throughout the entire project tenure.

F. In addition to the reporting requirements outlined in E, EMPLOYER with Projects totaling $5 million or more.shall provide the following monthly and cumulative statistics on the Contract Compliance Fonn:

I. Number of journey worker hours worked by DC residents by trade; 2. Number of hours worked by all journey workers by trade; 3. Number of apprentice hours worked by DC residents by trade; 4. Number of hours worked by all apprentices by trade; 5. Number of skilled laborer worker hours worked by DC residents by trade; 6. Number of hours worked by all skilled laborers by trade; 7. Number of common laborer hours worked by DC residents by trade; and 8. Number of hours worked by all common laborers by trade.

Page 7 of 11

G. EMPLOYER can "double count" hours for the "hard to employ" up to 15% of total hours worked by DC Residents.

H. For construction Projects that are not subject to Davis-Bacon law in which certified payroll records do not exist, EMPLOYER must submit monthly documents of workers employed on the Project to DOES, including DC residents and all employment classifications of hours worked.

I. EMPLOYER may also be required to provide verification of hours worked or hiring percentages of DC residents, such as internal payroll records for construction Projects that are not subject to Davis-Bacon.

J. Monthly, EMPLOYER must submit weekly certified payrolls from all subcontractors at any tier working on the Project to the Contracting Agency. EMPLOYER is also required to make payroll records available to DOES as a part of compliance monitoring, upon request at job sites.

VIII. FINAL REPORT AND GOOD FAITH EFFORTS

A. With the submission of the final request for payment from the Contracting Agency, the EMPLOYER shall:

I. Document in a report to DOES its compliance with the hiring or hours worked percentage requirements for all jobs created by the Project and the percentages of DC residents employed in all Trade Classifications, for each area of the Project; or

2. Submit to DOES a request for a waiver of the hiring or hours worked percentage requirements for all jobs created by the Project that will include the following documentation:

a. Documentation supporting EMPLOYER'S good faith effort to comply; b. Referrals provided by DOES and other referral sources; and c. Advertisement of job openings listed with DOES and other referral sources.

B. DOES may waive the hiring or hours worked percentage requirements for all jobs created by the Project, andlor the required percentages of DC residents in all Trade Classifications areas on the Project, if DOES finds that:

I. EMPLOYER demonstrated a good faith effort to comply, as set forth in Section C, below; or

2. EMPLOYER is located outside the Washington Metropolitan Statistical Area and none of the contract work is perfonned inside the Washington Metropolitan Statistical Area.

3. EMPLOYER entered into a special workforce development training or placement arrangement with DOES or with the District of Columbia Workforce Intermediary; or

4. DOES certified that there are insufficient numbers of DC residents in the labor market possessing the skills required by the EMPLOYER for the positions created as a result of the Project. No failure by Employer to request a waiver under any other provision hereunder shall be considered relevant to a requested waiver under this Subsection.

C. DOES shall consider documentation of the following when making a determination of a good-faith effort to comply:

Page 8 of 11 First Souru Agreement Rel'iseJ 20/ J

I. Whether the EMPLOYER posted the jobs on the DOES job website for a minimum of 10 calendar days;

2. Whether the EMPLOYER advertised each job opening in a District newspaper with city-wide circulation for a minimum of 7 calendar days;

3. Whether the EMPLOYER advertised each job opening in special interest publications and on special interest media for a minimum of 7 calendar days;

4. Whether the EMPLOYER hosted infonnational/recruiting or hiring fairs;

5. Whether the EMPLOYER contacted churches, unions, andlor additional Workforce Development Organizations;

6. Whether the EMPLOYER interviewed employable candidates;

7. Whether the EMPLOYER created or participated in a workforce development program approved by DOES;

8. Whether the EMPLOYER created or participated in a workforce development proj,,'I"am approved by the District of Columbia Workforce lntennediary;

9. Whether the EMPLOYER substantially complied with the relevant monthly reporting requirements set forth in this section;

10. Whether the EMPLOYER has submitted and substantially complied with its most recent employment plan that has been approved by DOES; and

II. Any additional documented efforts.

IX. MONITORING

A. DOES is the District agency authorized to monitor and enforce the requirements of the Workforce lntennediary Establishment and Refonn of the First Source Amendment Act of 2011 (D.C. Official Code §§ 2 219.01 - 2.219.05), and relevant provisions of the Apprenticeship Requiremcnts Amendment Act of 2004 (D.C. Official Code § 2-219.03 and § 32-1431). As a part of monitoring and enforcement, DOES may require and EMPLOYER shall grant access to Project sites, employees, and documents.

B. EMPLOYER'S noncompliance with the provisions of this A!,'I"eement may result in the imposition of penalties.

C. All EMPLOYER infonnation reviewed or gathered, including social security numbers, as a result of DOES' monitoring and enforcement activities will be held confidential in accordance with all District and federal confidentiality and privacy laws and used only for the purposes that it was reviewed or gathered.

D. DOES shall monitor all Projects as authorized by law. DOES will:

I. Review all contract controls to detennine if Prime Contractors and Subcontractors are subject to DC Law 14-24.

2. NotifY stakeholders and company officials and establish meetings to provide technical assistance involving the First Source Process.

Page 9 of 11 Firsl Souru "grumtnt Rtl'i.Jtd ](/1 J

3. Make regular construction site visits to determine if the Prime or Subcontractors' workforce is in concurrence with the submitted Agreement and Monthly Compliance Reports.

4. Inspect and copy certified payroll, personnel records and any other records or information necessary to ensure the required workforce utilization is in compliance with the First Source Law.

5. Conduct desk reviews of MOllthly CVlllpiiall~e Reports.

6. Educate EMPLOYERS about additional services offered by DOES, such as On-the-lob training programs and tax incentives for EMPLOYERS who hire from certain categories.

7. Monitor and complete statistical reports that identify the overall project, contractor, and sub contractors' hiring or hours worked percentages.

8. Provide formal notification of non-compliance with the required hiring or hours worked percentages, or any alleged breach of the First Source Law to all contracting agencies, and stakeholders. (Please lillIe: EMPLOYERS are grallletl30 tlClYS 10 correct (lilY allegetl tleficiellcies statetl ill tlte /wtijicati(m.)

x. PENALTIES

A. Willful breach of the Agreement by the EMPLOYER, failure to submit the Contract Compliance Reports, deliberate submission of falsified data or failure to reach specific hiring or hours worked requirements may result in DOES imposing a fine of5% of the total amount of the direct and indirect labor costs of the contract for the positions created by EMPLOYER. Fines will also include additional prorated fines of 118 of 1% of total contract amount for not reaching specific hiring or hours worked requirements. Prime Contractors who choose to report all hiring or hours worked percentages cumulatively (overall construction project) will be penalized, if hiring or hours worked percentage requirements are not met.

B. EMPLOYERS who have been found in violation 2 times or more over a 10 year period may be debarred and/or deemed ineligible for consideration for Projects for a period of 5 years.

C. Appeals of violations or fines are to be filed with the Contract Appeals Board.

Page 10 of 11 Fir:st Sourer Agreement Rel'iJefI lOI j

I hereby certify that I have the authority to bind the EMPLOYER to this Agreement.

By:

EMPLOYER Senior Official

Name of Company

Address

Telephone

Email

Associate Director for First Source Department of Employment Services 4058 Minnesota Avenue, NE Third Floor Washington, DC 20019 202-698-6284 tirstsource@dc.gov

Date

Page 11 of 11 First SOIlru Agr('t'nlttnt Rl!l'ised 2013

ATTACHMENT J.2.3

Equal Employment Opportunity

Download from website www.ocp.dc.gov

EQUAL EMPLOYMENT OPPORTUNITY EMPLOYER INFORMATION REPORT

GOVERNMENT OF THE DISTRICT OF COLUMBIA Reply to: DC Office of Contracting and Procurement Office of Contracting and Procurement

Employer Information Report (EEO) 441 4th Street, NW, Suite 700 South Washington, DC 2000 I Washington, DC 20001

Instructions: Two (2) copies ofDAS 84-404 or Federal Form EEO-I shall be submil1ed to the Office ofConlracling and ProcuremcnL One copy shall be retained by the Contractor.

Section A - TYPE OF REPORT 1. lndic.,e by marking in the appropriate box the type of reporting unit for which this copy of the form is submitted (MARK ONLY ONE BOX)

Single Establishment Employer Multi .. stablishment Employer: (I) . Single-establishment Employer Report (2) 0 Consolidated Report

(3) 0 Hendquarters Report (4) 0 Individual Establishment Report (submit one

for each establishment with 25 or more employees) (5) 0 Special Report

I. Total number ofrcporu being mod by this Company.

Section B COMPANY IDENTIFICATION (To be • .........t by all employers) OFFICIAL OFFICIAL USE ONLY

1. Name of Company which owns or controls the establishment for which this report is med .. Address (Number and street) City or Town Country State ZipCodc b.

b. Employer

I I " I I I I I Identification No.

2. Establishment for which this report is filed. OFFICIAL USE ONLY

a. Name of establishment c. Address (Number and street) City or Town Country Stale ZipCodc d.

b. Employer I I I I I I I I I ldcnlilication No. 3. Parent ofaffilislcd Company

B. Name of parent or affiliated Company b. Employer Identification No. I I III -' I Address (Number and street) City or Town Coontry State ZipCodc

Section C - ESTABLISHMENT INFORMATION 1. Is the location of the establishment the same as tJuat reported last year? 2. Is the major business activily 81 this establishment the same OFACIAL

Yes No Did not report Report on combined os that n:portod last yeat/ Yes No USE

last year basis No report Iasr: year Reponed on combined ONLY

basis 2. What is the major a<:tivity of this establishment? (Be specirle, i.e., manufa<:turing steel castings, mail grocer, wholesa1e phunbing e. supplies, tide insurance. ctc. Indude the specific type of product or service provided, as well as the principal business or industria] activity.

3. MINORITY GROUP MEMBERS: Indicate if you are. minority business enterprise (SO%ownod or 51% controlled by minority members). Yes No

DAS 84-404 (Replaces D.C. Form 2640.9 Sept. 74 wh,ch IS Obsolete) 84-2P89I

BUSINESS LmERHEAD HERE

ASSURANCE OF COMPLIANCE WITH EQUAL EMPLOYMENT OPPORTUNITY REQUIREMENTS

MAYOR'S ORDER 85-85, "COMPLIANCE WITH EQUAL OPPORTUNITY REQUIREMENTS IN CONTRACTS,"

EFFECTIVE JUNE 10, 1985, THE RULES IMPLEMENTING MAYORS ORDER 85-85, 33 OCR 4952 (PU8l1SHED AUGUST 15, 1986), AND THE DC HUMAN RIGHTS ACT OF 1977, AS AMENDED, D.C. OFFICIAL CODE § 2-

1401.01, ET SEQ. ("D.C. HUMAN RIGHTS ACT") ARE HEREBY INCLUDED AS PART OF THIS BID/PROPOSAl. THEREFORE, EACH BIDDER/OFFEROR SHALL INDICATE BELOW THEIR WRITTEN COMMITMENT TO ASSURE COMPLIANCE WITH MAYOR'S ORDER 85-85, THE IMPLEMENTING RULES, AND THE D.C. HUMAN

RIGHTS ACT. FAILURE TO COMPLY WITH THESE PROVISIONS SHALL RESULT IN REJECTION OF THE RESPECTIVE BID/PROPOSAl.

I, _______________ ---', THE AUTHORIZED REPRESENTATIVE OF

(VENDER/COMPANY), HEREINAFTER REFERRED TO AS "THE

CONTRACTOR," CERTIFY THAT THE CONTRACTOR IS FULLY AWARE OF ALL OF THE PROVISIONS OF MAYOR'S ORDER 85-85, EFFECTIVE JUNE 10, 1985, THE RULES IMPLEMENTING MAYOR'S ORDER 85-85,

AND THE D.C. HUMAN RIGHTS ACT. I FURTHER CERTIFY AND ASSURE THAT THE CONTRACTOR WILL FULLY COMPLY WITH ALL APPLICABLE PROVISIONS REFERENCED HEREIN IF AWARDED THE D.C. GOVERNMENT CONTRACT REFERENCED BY THE CONTRACT NUMBER ENTERED BELOW. FURTHER, THE

CONTRACTOR ACKNOWLEDGES AND UNDERSTANDS THAT THE AWARD OF SAID CONTRACT AND ITS CONTINUATION ARE SPECIFICAllY CONDITIONED UPON THE CONTRACTOR'S COMPLIANCE WITH THE

ABOVE-CITED PROVISIONS.

NAME OF CONTRACTOR

NAME OF AUTHORIZEO REPRESENTATIVE

SIGNATURE OF AUTHORIZED REPRESENTATIVE

CONTRACT NUMBER/SOLICITATION NUMBER/BID NUMBER

DATE

BUSINESS LETTERHEAD HERE

EEO POLICY COMMITMENT

_______ (NAME OF CONTRACTOR/BUSINESS) SHALL NOT DISCRIMINATE AGAINST ANY

EMPLOYEE OR APPLICANT FOR EMPLOYMENT BECAUSE OF THEIR ACTUAL OR PERCEIVED: RACE, COLOR, RELIGION, NATIONAL ORIGIN, SEX, AGE, MARITAL STATUS, PERSONAL APPEARANCE, SEXUAL ORIENTATION, GENDER IDENTITY OR EXPRESSION, FAMILY RESPONSIBILITIES, MATRICULATION,

POLITICAL AFFILIATION, GENETIC INFORMATION, OR DISABllITY.1

(NAME OF CONTRACTOR/BUSINESS) AGREES TO EQUAL EMPLOYMENT OPPORTUNITY FOR ALL APPLICANTS AND THAT ALL EMPLOYEES ARE TREATED EQUALLY DURING

EMPLOYMENT, WITHOUT REGARD TO THEIR ACTUAL OR PERCEIVED: RACE, COLOR, RELIGION, NATIONAL ORIGIN, SEX, AGE, MARITAL STATUS, PERSONAL APPEARANCE, SEXUAL ORIENTATION,

GENDER IDENTITY OR EXPRESSION, FAMILY RESPONSIBILITIES, MATRICULATION, POLITICAL AFFILIATION, GENETIC INFORMATION, OR DISABILITY. THE EQUAL EMPLOYMENT OPPORTUNITY SHALL INCLUDE, BUT NOT BE LIMITED TO THE FOLLOWING: (A) EMPLOYMENT, UPGRADING, OR TRANSFER; (B) RECRUITMENT

OR RECRUITMENT ADVERTISING; (C) DEMOTION, LAYOFF, OR TERMINATION; (D) RATES OF PAY, OR

OTHER FORMS OF COMPENSATION; AND (E) SELECTION FOR TRAINING AND APPRENTICESHIP.

________ (NAME OF CONTRACTOR/BUSINESS) AGREES TO POST IN CONSPICUOUS

PLACES THE ABOVE PROVISIONS CONCERNING NON-DISCRIMINATION AND EQUAL EMPLOYMENT

OPPORTUNITY.

________ (NAME OF CONTRACTOR/BUSINESS) SHALL STATE THAT ALL QUALIFIED

APPLICANTS WILL RECEIVE CONSIDERATION FOR EMPLOYMENT PURSUANT TO MAYOR'S ORDER 85-85,

"COMPLIANCE WITH EQUAL EMPLOYMENT OPPORTUNITY OBLIGATIONS IN CONTRACTS· AND THE RULES IMPLEMENTING MAYORS ORDER 85-85, SUBSECTIONS 1103.2 THROUGH 1103.10 OF 33 OCR

4952 (PUBLISHED AUGUST 15, 1986).

________ (NAME OF CONTRACTOR/BUSINESS) AGREES TO PERMIT ACCESS TO ALL

BOOKS, RECORDS, AND ACCOUNTS PERTAINING TO ITS EMPLOYMENT PRACTICES, AND TO REQUIRE EACH SUBCONTRACTOR TO PERMIT ACCESS TO BOOKS AND RECORDS.

_______ (NAME OF CONTRACTOR/BUSINESS) AGREES TO COMPLY WITH ALL GUIDELINES

FOR EQUAL EMPLOYMENT OPPORTUNITY APPLICABLE IN THE DISTRICT OF COLUMBIA, INCLUDING

MAYOR'S ORDER 85-85, THE RULES IMPLEMENTING MAYORS ORDER 85-85, AND THE DC HUMAN RIGHTS ACT OF 1977, AS AMENDED, D.C. OFFICIAL CODE § 2-1401.01, ET SEQ.

_______ (NAME OF CONTRACTOR/BUSINESS) SHALL INCLUDE AS EXPRESS CONTRACTUAL

PROVISIONS THE LANGUAGE CONTAINED IN SUBSECTIONS 1103.2 THROUGH 1103.10 OF 33 OCR 4952

1 Familial status, source of income, place of residence, and place of business are not currently protected under the employment section of the D.C. Human Rights Act, D.C. Code §2-1402.11.

ATTACHMENT J.2.4

Tax Affidavit

Download from website www.ocp.dc.gov

------ -

GOVERNMENT OF THE DISTRICT OF COLUMBIA Office of the Chief Financial Officer

Office of Tax and Revenue

* * *

TAX CERTIFICATION AFFIDAVIT

THIS AFFIDAVIT IS TO BE COMPLETED ONLY BY THOSE WHO ARE REGISTERED TO CONDUCT BUSINESS IN THE DISTRICT OF COLUMBIA.

Date 1-1 ____ ---'

Name of Organization/Entity Business Address (include zip codel Business Phone Number(sl

Principal Officer Name and Title Square and Lot Information Federal Identification Number Contract Number Unemployment Insurance Account No.

"I hereby authorize the District of Columbia, Office of the Chief Financial Officer, Office ofTax and Revenue; consent to release my tax information to an authorized representative of the District of Columbia agency from which I am seeking to enter into a contractual relationship. I understand that the information released under this consent will be limited to whether or not I am in compliance with the District of Columbia tax laws and regulations as of the date found on the government request. I understand that this information is to be used solely for the purpose of determining my eligibility to enter into a contractual relationship with a District of Columbia agency. I further authorize that this consent be valid for one year from the date of this authorization."

I hereby certify that I am in compliance with the applicable tax filing and payment requirements of the District of Columbia.

The Office ofTax and Revenue is hereby authorized to verify the above information with the appropriate govemment authorities. The penalty for making false statements is a fine not to exceed $5,000.00, imprisonment for not more than 180 days, or both, as prescribed by D.C. Official Code § 47-4106.

Signature of Authorizing Agent '-1 ___________ --'1 TItle 1'-__________ --'

OffIce of Tax and Revenue, PO Box 37559, Washington, DC 20013

ATTACHMENT J.2.5

Disclosure Statement

COST I PRICE DISCLOSURE CERTIFICATION

RFP Number: __________ Closing Date: __________ _

Caption: ___________ Total Proposed Amount: _______ _

The undersigned ________________________ _

(please print name and title of offeror's authorized signatory) hereby certifies that, to the best of my knowledge, the cost and pricing data (i.e. at the time of price agreement this certification represents all material facts which prudent buyers and sellers would reasonably expect to affect price negotiations in any significant manner) submitted is accurate, complete, and current as of =-_--,._,.---,.-:---:-___ (date ofRFP closing or conclusion of negotiations as appropriate). The undersigned further agrees that it is under a continuing duty to update cost or pricing data through the date that negotiations, if any, with the District are completed. The undersigned further agrees that the price, including profit or fee, will be adjusted to exclude any significant price increases occurring because the cost or pricing data was inaccurate, incomplete or not current. (See D.C. Procurement Regulations, 27 DCMR, Chapter 16, § 1642, Chapter 24, §2405 and Chapter 33; and Section 25 of the Standard Contract Provisions for Use with District of Columbia Goveroment Supply and Services Contracts, dated July, 2010).

Signed: ____________ _ Date:, ________ _

Title: _____________ _

Company: ______________ _

Address: ____________ _

DUNS #: __________ _

Phone: _____________ __

Fax:

June 2015

ATTACHMENT J.2.6

Past Performance Evaluation Form

UNIV ... t>lH . D"rHll 101·

COI.lJ.\IIUA --, ..

PAST PERFORMANCE EVALUATION FORM

Contractor Name: ________________________ _

Project Name: ____ __________ _ _________ _ _

Project Location: _ ______________________ _ _

Contract Amount: $, ________ _ _ _ ____ _________ _

Period of Performance: ______________________ _

TypeofSe~ice: ________ _________ _ ___________ ___

(Check appropriate box)

Periormance Excellent Good Acceptable Poor Unacceptable Elements

Quality of Se~ices and Report Provided Timeliness of Deliverables

Cost Control

Business Relations

Customer Satisfaction

1. Name & Title of Evaluator: _ ___________ _______ ___ _

2. Signature of Evaluator: ____________________ ____ _

3. Name of Organization: ___ _________ ___ __________ _

4. Telephone Number of Evaluator: __________________ _ _ _

Page 1 of2

5. Remarks on Excellent Perfonnance: Provide data supporting this observation. (Continue on separate sheet if needed)

6. Remarks on Unacceptable Perfonnance: Provide data supporting this observation. (Continue on separate sheet if needed)

Page 2 of2

---- - - -----

ATTACHMENT J.2.7

Bidder IOfferor Certifications

BIDDER/OFFEROR CERTIFICATION FORM

COMrLEnON

The person(s) completing Ihis fonn must hi: knowk'11gcabll! aboullh\! bidtkfsfolli.'for's business and o,k:rntions.

RES r ONSES

Ewry question must be answcn.'tI. Each response must pm~'idc all n:k\-':mt infonnali,m that can be obtained within the limits orlhl.: law. lrn.J.i ... itluals and sole propriClors may usc a Social Security number but arc cncourngcd 10 oblain :nul usc: a fl.'tIcrnl Employer Identification Number (ElN) . J'ro."idc any explanation nt the cnd of the st.'I;linn or all:l.ch additional sheets with numbcn.'tI responses. Include Ihe biddds/oni:mr's name at the top oreach allachcd page.

GENERAL INSTRUCTIO~S

This rhnn contains 'hur (4) sections. Section I concerns the hiddcr'sfuffcmr's n.:sponsibility; Section II includes additional t\.'<luired ct.-nifications; Sc..'Clion III relates to the Buy American >\cl lirapplicahle); and Sc..'Clion IV requires Ihe hiddcr's/olft!ror's signature.

SEaJlJON I, BIDDBRle' RBRIiIR RlISPONSIBIUITY GBRlIIFJCA11.0N

r llSltttcUMlSTor$«tiiM 1: St!r!tIOiifi contllllfs "'~' f- j JHlr/i. PwH'rttquats JnftwlHlIiION CrHfut'If/lfl ~!!!: bh/ller'ilii/liFOr's IiIUInGS tlfiJIJI. Purt..2IIf,.1rrs 1l1i01I1I r:fIrrtlfl Of' fpntf"" DWn«:s. ptlrtlfers, dirttJInr:s. offlf:ns fir princl]H!l.~ hrt 3,rellltes to tilt ~II$lbIIHr oft"!!!: hidd",'slojJ'trrJt1~ #JlIsilf tlSS. P.tm., flOIfcet'lfS tlrt blJder's!ojftJror's Iws/lftlSS Cf!J11'pctltts !!.ndi/iCtnus. I'ft,.,.S·i"fll;r&f lib,,", I~I procftdings. ¥ 6 ra. tlS til tht lildurJ/tJJ/tr.M'S'JilUJlfdlll,,1II/ Dt'gtJtil:.IItltntul ~hf.s. hft,? rqulrtfS tile. bldlltrlofforor to ",,-« 10 uPtl-!c ,lre..lnftNMlldoii ~rorldaL hrt 8 rilmtlf trJ tlistlosllres IIJUkr tht IHstild o/troht",1II1I erHlloM of' ~"'or,;;tnlDII"'" (RmJ.J PART 1: BIDDBRiOFIIBROR INHORMI\'l!JOrr-

l .. -gill BUSiness Entity Namt! SoliCItation II:

Addn.'5s of the Principal Place of Busim:ss (stn.'CI, city, sbte. zip code) Tclc:phonc II and ext. : FaJ. II:

Em.uIAddn.:ss: W.;bsKc:'

Additiunal Leeal Business Entity Identities: )fapplicablc, list any other DBA, Tmde Name. Fonner Name, Other Id\.."t1tity and EIN used in the last fj"e (5) years and the status (aclh·c or inacti\"C).

Typc: Name: EIN: Status:

1.1 Business Type (Please dk:cL: the appropriatc box ami pruvide additional inronnation iflK'Cess.uy.):

o Cflrporation (including JlC) Dale of Inc:orpor.uion.

o Joint Ventun.: D31e ofOrg.mization:

o Limitcd Li3bi lit)' Company (LlC or PllC) Dale ufOrg:lIIization:

o Nonprofil Orkani7.nlion D:lte of Organization:

o P:mncrship (int:lulling lLI', lP or Gem .. 'r.I!) D:lte of Registration or Estahlislunent:

o Sole Proprictllr How many years in business?:

o Other Date eswblished'!:

If ~Other," please explain:

1.2 W:1S the biddcr'sfo lf\..'mr's husinL'5S fonn .. 'C.Illr inclltporat .. 'C.I in thc District of Columbia:' 0 ves D No

If "No" 10 Sub(u11 t .2, provitk die jurisdiction wm...-c tlle hidtk..o(slon ... TOr'S busioc..-ss was fonnc..'C.I or incDq"lOtUIL'lI. Attach a C .... "f1iftCllle or lL1IL.,. of Good Standing from tile applic;)ble jurisdiction ami a CCftilkd Application for Aulhority from the District, or rruvitk an expl:malion if the documc..'Rts an: not :lVOlilable.

Swte COURtlY

1.3 PIc:1Se provide a cop)' of each District of Col urn hi a licensc, recistr.nion or certification thaI the hidd .. .,./ofTeror is n.:quin.:d by law 10 obtain (other than thosc provided in Subpan 1..2) . If the bidder/offeror is not providing a copy of its license. reeistr:l.tion or certification to tr:I.nsnct business in thc District of Columbia, it shall either:

(a) Certify its intent to ohwin the nc..'Ccssmy licl;!nse, registr.:llion or certification prior to contmct awanl; or

(b) Explain its exemption from the requirement

BAA'll ]: INDIVlDUAlJ RESr.oNSm ll.!11TtY -

Page 1 of 5 (Last updated: December 16, 2014

?fdilitIOtlallllstrudlflllsforStctinn'/ 1 Parts J th rOflgh a: Provide an:t1.l:pltmaIIOIl oflhe usue(s), "leI ani datn. Iht government enliN im",llwf CUtvT'ClflMlal or

~r1"fcm~ acbou(s) tnkr-" and Iht! CUn't!11' stalus o(rhe ISSllt~(S)

\Vllhin Ihc past fivc (5) ycar.>. has any cum:nt or runm .... owm ..... partner, dio.'Clor. offiet. .... principal ur any ~'"fSOn in a position involwtl in the :ulminislmtion of funds, or cum.11tlyor fonnL.,ly having the authority In sign. eXL'Cuh: Of app")\"\: bids. pmpos<lts. conlr.u:lS or supporting documL11mtion on hl.:lmlfnfthe bitklcr:olTLTOr with any l!ovemmt.111 enlitv: 2.1 Deen ~nctionL-d. or propo~-d «Ir sanction reLlth·c to <lny business or pmfL'Ssional pennil or license'! 0 Yes 0 No

2.2 Uet.'Tlunder suspension. debanncnt. vohmtary exclusion or detennined ineligible undL'" :my ft.-deml. District or smte statules? 0 Yes 0 No

2.3 Dt."'Cn proposed for suspension or debannent'! 0 Yes 0 No

1.4 Deen Ihe suhj\.'Ct of an investigation, wbether open or closed, by tiny govemlnent entity for a civil or criminal violation for any 0 Yes 0 hu:;iness·rellllcd conduct? No

2.5 B\."'Cn charut.-d with a misdemeanor or felony, indictcd. granted imlnunity, convicted ofa crime. or subject to ajudgment or a 0 Yes 0 No plea bargain «Ir;

(a) Any business-related activity; or

(b) ;\ny crime the untkrlying conduct of which was related 10 truthfulncss?

2.6 ik'Cn suspendcd, cancellt.-d. 1\."'f1ninatt.'t1 Of found non ·o.'5pnnsihlc on nny gm·cmment contraCl, or hOO a sun:ty called upon 10 0 Yes 0 No cocnpkte an awnnk-d. c(lntr.tC('~

Jlk"aSC provule an explanatIOn for each -'\'5" m P"n 2_

PAR'I1 3~ BUSINJ!SS RESPONSIBIllJ1fY Within thc P3.o;t Jj,·c (5) ycars. has thc bidder:olTeror:

3.1 Own under suspension, dehannent, voluntary cxclusion or detenninctl ineligible under any ft.''(k.'tal . District or smle statutes? 0 Yes 0 No

3.2 Been pRlptlsed for suspension or dcbannent? 0 Yes 0 No

3.3 Been the suhjcct of an investigation, whether open or closed. by any i:0\"Cmmenl entity for a civil or criminal violation for any 0 Yes 0 busint.'Ss·relalcd conduc!'! No

3.4 Been charged with a misdemeanor or felony, indicted. gr.mted immunity, convicted ofa crimc, or subj'-'Ct to ajudgment or 0 Yes 0 No pica barilain for:

(a) Any business-related activity; or

(b) Any crime the underlying conduct of which was relalt.'C.Ito truthfulness'!

3.5 Been disqualifit.'tI or rmpos'-'tl furdlsqualirtC,,(ion on any Gowrruncnt pennit or lictllSC'! 0 y<sO No

3.6 0\.'\:11 lknicd a contrac. awam oc llad a hid 01"" JIfllposoll rcj\.'Ct\.'tl basc..'tI upon a non·responsibility finding by a govemmL'tI1 0 Yes 0 entity'! No

3.71100 a low bid or proposal re~'Ct\.'C.I on a gnwmm\.'flt contract f\lr failing 10 make good faith elTons on any C'enified Dusint.'Ss 0 Yes 0 No Enterprise glial or statutory amnnatiw action tc..'tluirements on a previously held conlmet'!

3.N Iken sllspcmlc..-d. cancelled, tennirulted or filUnd non-responsible Oil any government contract, or had II surety called upon to 0 Yes 0 No complete an awank-d contmct?

Ilk-ase pnwltle an cxplanatlon for each "Ycs" in Part 3.

IlAR1I 4: (lUR!J'l ~U;:NI1J!S AND UI(lENSJ!S -

Wilhin the past five (5) years, has the bidder/offeror:

4.1 II"d" denial. dt.'Cenification. fC'·ocation or filffdture of District of Columbia cenHieation of any Certified Business Enterprisc 0 Yes 0 or federal cenification of Disadvantaged Busin,-'Ss EnlCT]1risc sml\ls for ottlCl"" than a change of ownership'! No

Please pro\'lde nn explanatIOn for ''''' 'es'' in Subpart 4.1.

4.2 Pk.~ provide a copy o(thc biddt.'1"'sloff\.TOr'S District ofColwnbia OfflCC o(Tax and Revenue Tax C\.'f1ification Affidavit

r ARl\5: UEGAL PROOBBDINGS Wilhin thc past live (5) yea~.)us the bidtkr,'oO"eror.

5.1 Ilad any Iit.'ns nl" jlklgmcnts (nOf. including UCC filings) ovcr S2S.000 fik-d against it which o.-main undischarged? 0 Yes 0 No

Jf"Ycs" 10 Subpart 5.1. provide an explanation oflhe issue(s), relevant dales, thc Lien Ilulderor Claimant's name, the amount oflhe lit.'n(s) and the cum'flt status of the issut.is) .

5.1 !-lad a &ovemm\."R1 enlity find a willful violation of District ofColumhia compensation or prevailing wage laws, the Service 0 Yes 0 No Contr.lCI Act 01"" the Davis-Dacon Act?

Page 2 of 5 (Last updated' December 16, 2014

5.3 H1.'Cch·cd any OSIIA citalion ami Notilication ofr1.· ... "ty containinG a vjot.1tion cL1ssilied as serious or willful'! 0 Yes 0 No

Please provide nn explanation for each "Ycs" in Part S.

PART 6, FINANm AL AND ORGANIZAT IONAL INFORMATION

6.1 Within the past Ii"e (5) yeOlts,lw the bidder:olTeror f\.'Ceiwd any fonn .. 1 unsOltisf.'1ctory perfonnOlnce nssessmcnt(s) from any 0 Yes 0 No government entity 011 any contract'?

If"Ycs" to Subp:llt 6 .1, provide an explanation of the issuc(s), relev,mt dOltes, the government cntily involved, nny remedial or com:cli\'l.! action(s) tnken nnd the cum:nt status of the issue(s) .

0 .2 Within the past five (5) year.;, has the hidderloncror had :my li'luidah'd daln.1L\cs ass..:sscd by a go~ernmeltl cntilY over 0 Yes 0 No S2S,(}OO?

If"Yes" to SubpOln 6.1, provide an explanation of the issue(s), reh:\'ant d:ues, the gO\'ernment entity il1\'oln-d, Ihe amount assessed and the current stalus of the issue(s).

6 .3 Within the bst seven (7) year.;, has the bidder:ulTerur initiated or 1","Cn the suhj1.'Ct cf:my hankruptcy pmc1.'l.'thngs, wheth1.'f Of 0 Yes 0 No nol closed, or is .:any hankruptcy pruc1.'\.-ding pending'!

If"\' .. :s" 10 Subpan 6 .3. pm\'ide the hankruptcychaph.'f number. the court name nnd the docket numb...'I'. Indicah: III\: cumnt stalus of the pmcl."Cdings as '"initiatl.-d,'" "p.·JUjing" or "clost.'tI".

6.4 Ouring the past IInce (3) years, has the biddl.'T{olTeror failr..'tIlo file a tax return or pay taxes ",.'quired by federal , slate, District 0 Yes 0 No of Columbia or local laws?

If "Yes" 10 Suhpan 6.4, pmvide the ta.\ingjurisdiction, Ihe type "ftax, the liability yc:u(s), the tax liability nmount the bidder,'olTerur fa iled to filclpayand the current sl.'1tus of the tax liability.

6.5 During the past Ihn."C (3) years, has the bidder,'olTemr failr..·d to file a DiSlrict of Columbia unemployment insurance return or 0 vesD failed to pay District ofColumhia unemployment insurance'! No

If "Yes" lu Suhp.'ln 6.5, provide the years the hidder,'olTemr failed to file the return or pay the insurance, cxplain the situation and any n:m1.'ttlal or com:ctiw action(s) taken and the current status of the issue(s).

6.6 During I.he past three (3) year.;, has the hidderiofTl.'TUr faikd 10 comply with any payment agn."Clncnt with the Inlemal Rewnue 0 Yes 0 No Service, the District of Columbia Onice of Tax and Revenue and the Dcpanm1."f1t of Employment Services?

If"Yes" to Suhpart 6.6, provide the )'Cars the hKkk,!offcror faikd to cumply wilh the ruyttl(,:nt agn."Cml.'Rt. explain the Situation and any n.'1ncdial (Ircom:clh'e aclion(s) taken and the cum:nt status of the issu~:(s} .

6.7 )mlic:.te whelher the biddl.'T:olTl.'mr OWI."5 any lIulslanding debt 10 any slale, fl.'tk.'rul or District of Columbia governlncn!. 0 Yes 0 No

If"Yes" 10 Subpan 6.7, provide an expl:matioll of the issue(s), relevant <lal .... s, the government elltity involved, ,IllY remedml (lr ":UTn'Clh'e :1.I:lion{s) laken and the current slalus of the issul.is) .

6.8 During the past three (3) years, has Ihe hidder/olTemr lJ\.'Cn audilcd by any government entity'! 0 Yes 0 No

(a) If"Yes" to Subpan 6.8, did any audit of the hidderlolTemr identify any signilicant deficiencies in internal controls, fraud or 0 Yes 0 No illegal aclS; signilicant violations of provisions of contruet or grunt agrcements; significant abuse; or any material disallowance'!

(h) If "Yes" to Subpan 6.8(a), provide an explanation of the issue(s), rclevant dates, the governm1.'Rt entity involwd, any reml.'tIial orcom:cth'e action(s) taken and thc cum:nt status of the issuc(s).

RART 7, RESP.ONSB Ur.DI\.'I1S RI!Q UlRBMI!N1i

7.1 In accordance with the n.'quircment ofSl.'Ctioo 302(c) ofthc Procun;ml.'tlt Pmcliccs Refllnn Act of2010 (D.C. Official ClKk § ~·3S3.02) . the biilik:r,'om.'fOC' shall update any n."5ponse provitk.'tt in SL"Ction I of Ihis fonn during the h.'flfI of this contract:

(a) Within sixty (60) days ofa mah ... rial change 10 a f\.'Sponsc; imd

(b) Prior to the eXI.'Jt:ise of an oplion Y1."3r contract.

PARTl I , I'RBBDOM OF IN~ORM)\'IIION AcrI1 (l!0 1l\)1

8.1 Indlcote whether the bldder{olTeror assens that any information provldt:d In response to :10 question in SI.'Ction liS eltempt from 0 Yes 0 disclosure under the Dlstnct of Columbia Frcl.-dOln oflnformation Act (FOIA), effective March 25, 1977 (D.C. lnw 1-96, D.c' No

Official Code §§ 2-531, et seq.). Include the question numbcr(s) and \'!xplam the basis for the claim. (The District will determine whether such inronnation is, in fact. exempt from FOIA at the time of n.:quest for disclosure undt.'f' FOIA)

Page 3 of 5 (L.ast updated, December 16, 2014

S£IRIION)I. AOOlmIONAt. ·RKQUlRKO BIDOERIOI'I'ERGR a R'TIFIlrATlONS ·

l itSi-lleiiOltS/tk&tlfon II: SemtNf II conlttllfsflHlr (4f pBfs. I'iIrl J r~Jlests IlIj'orlHtttion,CM~;ng Dli/Hct o/(JoIJlmlilll mt"01~n. P.Qrllll1pp1ier to fU bidtJn{Djf~s p'!!"cJ!u.~-J ~ t~!!fMai t~JtI""'Qft tlpfHlftNlliIJ' ~"11'eM~lS. Part 4'rdlies to ~;rst.s1Hl1P rga/r!!lfwtts. P.ARl'"I. DlSl'RIC'J\ I!MPIlOVEES'NOl' 'TO DENII~IT

nlC builk.'f 'om:ror ccrtl(iL'S that

1.2 No p!:rson hsted In d :msc 13 ofthe Standanl ('oolmet Provisions. "Dlslricl [mploYL'CS Not To Benefit", will benefit from Ihis contract

1.3 The foliowinc (lcrson(s) lis ted in clause J3 or the StanrJani Contract "Nvisions may benefit from Ihls contract. (For each person hSh:d, attach the affidavit n:quin.'tI by clause 13,)

(.)

(h)

rART I : INDSP.8NDEN11 PRIDE D£Te RMI NA'lJIDN RKQIlIR£MBNTS

The bldckr,ofTcmrCL'tufil."S thai"

l . 1 The siCnJlure of the h.tllIer'offeror is consitk:n:d to b: a cCT1ific:!olion by the si~ruJloty dUll.

(a) ThL! contmel pnccs haw b...-cn :uT1\'I.'tl al imh.'fICOOcnlly wllhout. for the flUJTIOse of~lriclm.: cotnpclilion. any consuhallon. communication or agn.'\.·nl(nl wilh any b,dtlt:r,oITL'mr or compctilor n:lah.:d to

(t) Those priCL'S.

(II) The mtentlon to submit a bill proposal: or

(ill) The methods or Hacturs used to C'.alculale Ihe priCL'S in the coolr.ICt

Ib) The: prices in this contmct have 001 been and Will not be knowingly disc losc:d by the bidder 'olTeror. directly or indu\.'ttly. to any other bidder;oncrur or compc:tilor bdhn: bid/proposal opc:ning onless otherwise n:qum .. 'tI by law, and

(c) No attempt has tx'Cn made or will be made by the.: bidder:otTerur to induce any other com:enl to submit or not to submit a (ontmet filr the purpose of restricting ctllnpctitmn.

2.2 The signatun: on the ImUpmposal is considered 10 be a certilication by the signatory that the $ 1 ~matOlY'

(a) Is the person in the bldder's.folTerur's 0l1:ilOIz.lllOn responsible furdetennining the prices hemg olTL'rCd in this cOl1tmct. and that the signatory has nol paniclpal"d ami Will not participate in any action contmry to sUhpamgrnphs 1.1(a)(ilthrough (a)( lill allow, or

(b) Has been aUlhonzed. m wntm~. to act as an a~ent for till: following pnnclpal in certifying that the prinl:lfUllms nul partlctp:ltL-d. :tod Will not participate, m ~ny action contrary ttl subparagraphs 2.I(a)(I) thruul:!h (3)(111) abuve

{Insert /111/ tlame 0/ PUSOI/(S) ;" ,"e orgalJl;atwlI responSible {or (/('l l.'mllfl;ng ,1,e pr;~s ojTu('d

ill IhlS com,".1 am' '''e ';tl,> of his ur I,,'r positioll in tile b/(ld(,r~/r)(Terur 's argtJm:miUllj (I) I\s an authnrized agent. certirk.'S Ihat the principals naltl1..'tI1O suhp:lra~r.1ph 2.2(b) above ha ... e not part,clpalcd, and will not participate. 10 any 'lC,j(ln

contrary IU sub)):trngmphs 2. I(a)( i) through (a)(I;') ahow; and

(II) As:tn "'l:ellt. has 110t participated :lIld Will nut pm1,cipale 10 any actlOli contrary to subp.II'3~r.1phs 2 l(a)(I) thmu;h (a)(iil) ahu\'\!.

2.3 Iflhe biddcr. nlTcror ddclcs or modi lies snbparagrolph 2. I(b) above. the bidlkr olTeror must furnish with iL~ bid a slgnL'ti st.lh:lllent sctlmg furth 10 detml the circumst:mces of Ihe disc losure

IPART 3< S QUAll O~rORII'UNIT" OBUJGA'I1IONS

3.1 I hL"1l:hy cCMlfy that I mn fully aw:tre of the contents of Mayors Order 85·85 :lOll the OlflCe o flluman R1Vhts' regul:ttions in Chapter II of the DC~IR. and agree to comply with them while pL"Tfonmng thiS contract.

!!ART 4\ mR811 SOURO£ GB W!,;A1JIraNS

4.1 I hereby certify Ihall am fully a .... arc of the requirements ofthc Workforce InlL"TTTIcdlary Establishment and Refunn oflhe Flrsl Source Amendment Act 0(2011 (D.C law 19·84). and agn."C to enter into a First SoUtee.: EmploYI11L'nl Agreement \\.illt the Department ofEmploymcnt Services Ifawanlcd any contract valued at 5300,000 or morc which n:ceh'es funds or rcsoUrcL"S from the Dlstrkt. or funds or reSOUteL'S willch. in acconl:mce with a r"dernl grant or othervlISe. is administered by the DistriC1I:O\·L'ffIItl1..'tlt

4,2 I cL"rtify that the I01l1:Ji Emplo)mcnt Pbn subm,UctI WIth my bid Of' proposal IS true:1Jld accurnte,

Sl!cnorON 011 BUY AM£RIIrAN A!!:1I OIIR'IImU!A'I'lON

~_foi'S<t:"'7Um lilt $ccnon 11{ conramf' otii7Jj pnr:t' ..... lfic;, shOtifJl on~v be compl~tMVgoods atYDtirrg pru\,/(fell ilfm are Sli!fii:tlo Jlie requirements oHhe 8'0' AmtMcaJi net.

PART I: BUY-AMJlRlcrAN ACMrcroMl'lIrANOB

1.1 The biddcr,'olTerorct.'T1ifies that each end product. except the end products IistL'ti below. is a domL'Stic end product (as delincd in Porngrnph 23 of the Standanl ('ontlOlct Pro\·isions. "Buy American Act"), and that components ofunl:nown origin are considered to have bt."en minL'tI. producL-d or manufactun .. d outside the UnitL'tl States.

Page 4 of 5 (Last updated December 16 2014

EXCLUDED END PRODUCTS

COUNTII Y OF ORIGIN

SEGTlON IV. GRRTIPl CAl110N

-h,struclitJlf1or. 'SiCt/mir/Jf: TJais-s'idf"" mllst bt! c""''''rtt1J '''')~-IIU hli/der/oUt!I'tH'S.

!Ill C ~ '1b;:;r'I IJG' glil IlIID.D r r!"' 1.1 1. as the person authonzcd to sign these certificatIOns. hcn:by certify thalthc infonnallOn pm\',dcd In this fonn is (rue and accurulc_

Name (Print and si~nl ; T e1ephont.: II: Fa~ II:

Title; Email Address

Date:

n,t! District a/CoIllmbia;s hcrrb.I' (IIIt/rorj:cd If1 n:rijj· Ih t! abon~ ittrormalion 1I';lh appmprialt! goW!mmc,,' authorities P(!na/(Ifor makmg false Slatl'm£'n/S is a fine 0/ 1101 mor(' them sumo (HI, imprisollllll.'tll.lor nol mor(' ,fmn nm days. or bolh. as 11fescriwl/ ill D.C Ojlicial emil! f ]]·UIIJ I'ClloltyforJalse slI"caring IS a/inc qf 1/01

marc them S],j(lfUIO. imprisonmcm/or lIol more llwl/lllrt·(· (3) )'('ors, or both. tlS prescribed in D.C Ollicial COlle ~ 21· ].I(J.I

Page 5 of 5 (Lastupdatsd: December 16, 2014

ATTACHMENT J.2.8

Price Breakdown

Design Build Renovation of "CA USES - Firebird Farm Site Development

Solicitation Number: GF-2017-R-005J

B.6 PRICE BREAKDOWN FORM

The Offeror must complete this breakdown of prices and submit it with its proposal. In case of any discrepancy in the total price entered here and the lump sum price in Section B.5, Section B.S shall govern.

DIVISION NO. * DESCRIPTION TOTAL PRICE BREAKDOWN

Div.Ol General Requirements $

Div.02 Existing Condition $ Div.03 Concrete

$ Div. 04 Masonry $ Div. OS Metals

$ Div.06 Wood, Plastic, & Composites $ Div. 07 Thermal and Moisture Protection $ Div. 08 Doors-Hardware-Openings

$ Div.09 Finishes

$ Div. 10 Specialties $ Div. 11 Equipment $ Div. 12 Furnishings $ Div. 14 Conveying System

$ Div.21 Fire Suppression

$ Div.22 Plumbing

$ Div.23 Heating, Ventilating & Air Conditioning

$ Div.26 Electrical

$ Div.27 Communications

$ Div. 28 Electronic Safety & Security

$ Div. 31 Earthwork

$ Div. 32 Exterior Improvements

$ Div. 33 Utilities

$ Lump Sum Price Lump Sum Price (must equal the

Guaranteed Maximum Price in Section B.S) $ * DIVISION means a dIscrete component of the work for which a separate pnce IS requested. The

"Total Price Breakdown" is the sum total of all components, and must equal the Target GMP in Section B.5.

ATTACHMENT J.2.9

Disclaimer

llli:IVERSITY8fE DISTRICT OF

COLUMBIA ---1851

DISCLAIMER

Office of Contracting and Procurement Division of Capital Procurement

This is to confinn that the contractor listed below has no legal claim(s) against the District of Columbia andlor the United States Federal Government. If the contractor does have legal claim(s) against the District of Columbia, please list them below.

Contractor: _______________ _

Address:

Signature Date

Title

Claim(s) against tbe District:

1.

2.

3.

4.

4200 Connecticut Avenue NW, Bldg. 38 Rm. C04, Washington, DC 20008 I 202.274.6322 I udc.edu