1 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “A”
ATTACHMENT “A”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
SIGNATURE AUTHORIZATION
Proposer:____________________________________________________________
A. I hereby certify that I have the authority to submit this Proposal to the City of Rialto for the above listed individual or company. I certify that I have the authority to bind myself/this company in a contract should I be successful in my proposal.
____________________________________
SIGNATURE
B. The following information relates to the legal contractor listed above, whether an individual or a company. Place check marks as appropriate:
1. If successful, the contract language should refer to me/my company as:
____ An individual;
____ A partnership, Partners’ names:
____ A company; (registered in ________)
____ A corporation; (incorporated in _______)
2. My tax identification number is: __________________________
ADDENDA ACKNOWLEDGMENT:
Acknowledgment of Receipt of any Addenda issued by the City for this RFP is required by including the acknowledgment with your proposal. Failure to acknowledge the Addenda issued may result in your proposal being deemed non-responsive.
In the space provided below, please acknowledge receipt of each Addenda:
Addendum(s) # _______________ is/are hereby acknowledged.
The “Small Business Concerns Information” sheet shall be included as part of Attachment “A”
Griffin/Swinerton, LLC (Griffin|Swinerton)
1, 2, 3
A Limited Liability Company (LLC) incorporated in Delaware. X 82-3603195
2 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “A”
Attachment “A” – Small Business Concerns Information
The Proposer shall furnish the following information. Additional sheets may be attached, if necessary.
(1) Name: ________________________________________________________________ (2) Address: ________________________________________________________________ (3) Phone No.: ______________________________Fax No.:___________________________ (4) E-Mail: ________________________________________________________________ (5) Type of Firm: (Check all that apply)
______ Individual ______ Partnership ______ Corporation ______ Minority Business Enterprise (MBE) ______ Women Business Enterprise (WBE) ______ Small Disadvantaged Business (SDB) ______ Veteran Owned Business ______ Disabled Veteran Owned Business ______ Other (6) Business License: _____Yes _____No License Number: ___________________________ (7) Tax Identification Number: _____________________________________________________ (8) Names and Titles of corporate members of the firm:
____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ ____________________________________ (9) Three (3) projects of this type recently completed:
Type of project: ________________________________________________________________ Contract Amount: _________________________ Date Completed: _______________________ Owner: _________________________________ Phone: _______________________________ Type of project: ________________________________________________________________ Contract Amount: _________________________ Date Completed: _______________________ Owner: _________________________________ Phone: _______________________________ Type of project: ________________________________________________________________ Contract Amount: _________________________ Date Completed: _______________________ Owner: _________________________________ Phone: _______________________________ Griffin|Swinerton
1 Technology Drive, Suite I-829, Irvine, California 92618 [email protected]
Orange County Civic Center
(County Administration South Building - Phase I, County Administration North Building - Phase II) $188 M - Phase I, $200M - Phase II Phase I: 08/2019, Phase II: 07/2022 County of Orange, Thomas Miller, Chief Real Estate Officer 714.834.6019 Police Services Headquarters, Salinas, California
$51M 04/2020
City of Salinas, David Jacobs, Director of Public Works 831.758.7241 Quartz Hill Public Library
$12M 07/2016
County of Los Angeles, Fred Hungerford 951.444.6141
Former Chief County Librarian (retired)
949.497.9000
X Limited Liability Company (LLC)
82-3603195
X
Swinerton Builders Managing Member
Griffin Structures Managing Member
3 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “B”
ATTACHMENT “B”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
NON-COLLUSION AFFIDAVIT
The undersigned, being first duly sworn, deposes and says that he or she is the following person authorized to submit the attached proposal from the following firm (herein the “Proposer”):
Further, that the Proposal is not made in the interests of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the Proposal is genuine and not collusive or sham; that the Proposer has not directly or indirectly induced or solicited any other Proposer to put in a false or sham Proposal, and has not directly or indirectly colluded, conspired, connived, or agreed with any Proposer or anyone else to put in a sham Proposal, or that anyone shall refrain from Proposing; that the Proposer has not in any man ner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the Proposal price of the Proposer or any other Proposer, or to fix any overhead, profit, or cost element of the Proposal price, or of that of any other Proposer, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the Proposal are true; and, further, that the Proposer has not, directly or indirectly, submitted his or her Proposal price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereof, or paid, and will not pay, any fee to any corporation, partnership, company, association, organization, Proposal depository, or any other member or agent thereof to effectuate a collusive or sham Proposal.
By:
Signature
Title:
Subscribed and sworn to before this ____ day of ___________________, 20__.
Griffin/Swinerton, LLC (Griffin|Swinerton)
Executive Vice President
29 July 22
Korin Crawford
4 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
CONFLICT DISCLOSURE FORM
Griffin/Swinerton, LLC (Griffin|Swinerton)
Executive Vice President
July 29, 2022
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Korin Crawford
5 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
CONFLICT DISCLOSURE FORM
6 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
CONFLICT DISCLOSURE FORM
7 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “D”
ATTACHMENT “D”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
DEBARMENT AND SUSPENSION CERTIFICATION
The Consultant, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, and manager:
• Is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency;
• Has not been suspended, debarred, voluntarily excluded or determined ineligible by any federal agency within the past 3 years;
• Does not have a proposed debarment pending; and
• Has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years.
If there are any exceptions to this certification, insert the exceptions in the following space.
Exceptions will not necessarily result in denial of award, but will be considered in determining Proposer responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action.
Notes: Providing false information may result in criminal prosecution or administrative sanctions.
Consultant Name:
(Date) (Signature)
(Name & Title)
Griffin/Swinerton, LLC (Griffin|Swinerton)
July 29, 2022
Korin Crawford, Executive Vice President
Proposer
Proposer
None.
8 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “E”
ATTACHMENT “E”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
NON-DISCRIMINATION CERTIFICATION
In connection with its performance under this Agreement, the Consultant hereby certifies that it shall not discriminate in its employment with regard to age, handicap, race, color, religion, gender, gender identity, sex, sexual orientation, or national origin; that it is in compliance with all federal, state, local directives, and executive orders regarding non- discrimination in employment; and that it agrees to demonstrate positively and aggressively the principle of equal employment opportunity in employment.
We agree specifically:
1. To establish or observe employment policies which affirmatively promote opportunities for minority persons at all job levels.
2. To communicate this policy to all persons concerned, including all company employees, outside recruiting services, especi ally those serving minority communities, and to the minority communities at large.
3. To take affirmative steps to hire minority employees within the company.
Consultant Name:
(Date) (Signature)
(Name & Title)
Attached herewith is a copy of the Consultant ’s currently adopted equal opportunity employment program.
Griffin/Swinerton, LLC (Griffin|Swinerton)
July 29, 2022
Korin Crawford, Executive Vice President
Proposer
Proposer
Proposer's
9 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station
EQUAL EMPLOYMENT OPPORTUNITY STATEMENT
This Company is an equal opportunity employer and makes employment decisions on the basis of merit, qualifications, and competence.
We want to have the best available persons in every job. Company policy prohibits unlawful discrimination based on race, ethnicity, color, gender (including gender identity and gender expression) religion (all aspects of religious beliefs, observance or practice, including religious dress or grooming practices) marital status, registered domestic partner status, age, national origin (includes language use and possession of a driver’s license issued to persons unable to prove their presence in the United States is authorized under federal law), ancestry, physical or mental disability, protected medical condition,(including cancer or a record or history of cancer, and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, military and veteran status, citizenship status, or any other consideration made unlawful by federal, state or local laws. It also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics. Discrimination can also include failing to reasonably accommodate religious practices or qualified individuals with disabilities where the accommodation does not pose an undue hardship. All such discrimination is unlawful.
The Company is committed to complying with all applicable laws providing equal employment opportunities. This commitment applies to all persons involved in the company operations. The Company prohibits unlawful discrimination against any job applicant, employee or unpaid intern by any employee of the Company, including supervisors and co-workers.
If you believe you have been subjected to any form of unlawful discrimination, provide a written complaint to your supervisor or other company supervisor. An employee is not required to complain to their supervisor or the individual with day-to-day personnel responsibilities if that person is the individual who allegedly and/or is unlawfully discriminating against the employee, but may instead report the unlawful discrimination to any other member of management, including the Head of the Human Resources Department.
Supervisors and managers who receive complaints or who observe unlawful discriminatory conduct should immediately inform the Head of the Human Resources Department or other appropriate company employee so that an investigation may be initiated.
Your complaint should be specific and should include the names of the individuals involved and the names of any witnesses. If you need assistance with your compliant, or if you prefer to make a compliant in person, contact the Head of Human Resources Department. The Company will immediately undertake an investigation intended to be effective, thorough and objective and will attempt to resolve the situation.
If the Company determines that unlawful discrimination has occurred, remedial action will be taken commensurate with the severity of the offense. Appropriate action will also be taken to deter any future discrimination. The Company will not retaliate against you for filing a complaint and will not knowingly permit retaliation by management employees or your co-workers.
To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship would result. The Company is also committed to complying with all laws protecting employees’, unpaid interns’ and volunteers’ religious beliefs and observances.
Any applicant or employee who requires an accommodation in order to perform the essential functions of the job should contact the Head of the Human Resources Department and discuss the need for an accommodation. The Company will engage in an interactive process and assessment with the employee to identify possible accommodations, if any that will help the applicant or employee perform the job. An applicant or employee who requires an accommodation of a religious belief or practice (including religious dress and grooming practices, such as religious clothing or hairstyles) job should contact a Company representative with day-to-day personnel responsibilities and discuss the need for accommodation. If the accommodation is reasonable, considering various factors, including, but not limited to, the nature and cost of the accommodation, the availability of tax credits and deductions, outside funding, the facility’s overall financial resources and organization, and the accommodation’s impact on the operation of the facility, including its impact on the ability of other employees to perform their essential job functions and on the facility’s ability to conduct business, and will not impose an undue hardship, the Company will make the accommodation. 10 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “B”
ATTACHMENT “B”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
NON-COLLUSION AFFIDAVIT
The undersigned, being first duly sworn, deposes and says that he or she is the following person authorized to submit the attached proposal from the following firm (herein the “Proposer”):
Further, that the Proposal is not made in the interests of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the Proposal is genuine and not collusive or sham; that the Proposer has not directly or indirectly induced or solicited any other Proposer to put in a false or sham Proposal, and has not directly or indirectly colluded, conspired, connived, or agreed with any Proposer or anyone else to put in a sham Proposal, or that anyone shall refrain from Proposing; that the Proposer has not in any man ner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the Proposal price of the Proposer or any other Proposer, or to fix any overhead, profit, or cost element of the Proposal price, or of that of any other Proposer, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the Proposal are true; and, further, that the Proposer has not, directly or indirectly, submitted his or her Proposal price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereof, or paid, and will not pay, any fee to any corporation, partnership, company, association, organization, Proposal depository, or any other member or agent thereof to effectuate a collusive or sham Proposal.
By:
Signature
Title:
Subscribed and sworn to before this ____ day of ___________________, 20__.
President
29 July 22
Public Facilities Group (PFG)
John Finke
11 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
CONFLICT DISCLOSURE FORM
John Finke
President
N.A. N.A. N.A.
07/29/2022
Public Facilities Group (PFG)
John Finke
12 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
CONFLICT DISCLOSURE FORM
13 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
CONFLICT DISCLOSURE FORM
14 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “D”
ATTACHMENT “D”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
DEBARMENT AND SUSPENSION CERTIFICATION
The Consultant, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, and manager:
• Is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency;
• Has not been suspended, debarred, voluntarily excluded or determined ineligible by any federal agency within the past 3 years;
• Does not have a proposed debarment pending; and
• Has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years.
If there are any exceptions to this certification, insert the exceptions in the following space.
Exceptions will not necessarily result in denial of award, but will be considered in determining Proposer responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action.
Notes: Providing false information may result in criminal prosecution or administrative sanctions.
Consultant Name:
(Date) (Signature)
(Name & Title)
Proposer
---------------
Proposer
---------------
Public Facilities Group
John Finke, President
07/29/2022
15 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “E”
ATTACHMENT “E”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
NON-DISCRIMINATION CERTIFICATION
In connection with its performance under this Agreement, the Consultant hereby certifies that it shall not discriminate in its employment with regard to age, handicap, race, color, religion, gender, gender identity, sex, sexual orientation, or national origin; that it is in compliance with all federal, state, local directives, and executive orders regarding non- discrimination in employment; and that it agrees to demonstrate positively and aggressively the principle of equal employment opportunity in employment.
We agree specifically:
1. To est ablish or observe employment policies which affirmatively promote opportunities for minority persons at all job levels.
2. To c ommunicate this policy to all persons concerned, including all company employees, outside recruiting services, especi ally those serving minority communities, and to the minority communities at large.
3. To take affirmative steps to hire minority employees within the company.
Consultant Name:
(Date) (Signature)
(Name & Title)
Attached h erewith i s a c opy of the Proposer's currently adopted equal opportunity employment program.
Proposer
---------------
Proposer
--------------- Public Facilities Group
John Finke, President
07/29/2022
16 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station
EQUAL EMPLOYMENT OPPORTUNITY STATEMENT
This Company is an equal opportunity employer and makes employment decisions on the basis of merit, qualifications, and competence.
We want to have the best available persons in every job. Company policy prohibits unlawful discrimination based on race, ethnicity, color, gender (including gender identity and gender expression) religion (all aspects of religious beliefs, observance or practice, including religious dress or grooming practices) marital status, registered domestic partner status, age, national origin (includes language use and possession of a driver’s license issued to persons unable to prove their presence in the United States is authorized under federal law), ancestry, physical or mental disability, protected medical condition,(including cancer or a record or history of cancer, and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, military and veteran status, citizenship status, or any other consideration made unlawful by federal, state or local laws. It also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics. Discrimination can also include failing to reasonably accommodate religious practices or qualified individuals with disabilities where the accommodation does not pose an undue hardship. All such discrimination is unlawful.
The Company is committed to complying with all applicable laws providing equal employment opportunities. This commitment applies to all persons involved in the company operations. The Company prohibits unlawful discrimination against any job applicant, employee or unpaid intern by any employee of the Company, including supervisors and co-workers.
If you believe you have been subjected to any form of unlawful discrimination, provide a written complaint to your supervisor or other company supervisor. An employee is not required to complain to their supervisor or the individual with day-to-day personnel responsibilities if that person is the individual who allegedly and/or is unlawfully discriminating against the employee, but may instead report the unlawful discrimination to any other member of management, including the Head of the Human Resources Department.
Supervisors and managers who receive complaints or who observe unlawful discriminatory conduct should immediately inform the Head of the Human Resources Department or other appropriate company employee so that an investigation may be initiated.
Your complaint should be specific and should include the names of the individuals involved and the names of any witnesses. If you need assistance with your compliant, or if you prefer to make a compliant in person, contact the Head of Human Resources Department. The Company will immediately undertake an investigation intended to be effective, thorough and objective and will attempt to resolve the situation.
If the Company determines that unlawful discrimination has occurred, remedial action will be taken commensurate with the severity of the offense. Appropriate action will also be taken to deter any future discrimination. The Company will not retaliate against you for filing a complaint and will not knowingly permit retaliation by management employees or your co-workers.
To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship would result. The Company is also committed to complying with all laws protecting employees’, unpaid interns’ and volunteers’ religious beliefs and observances.
Any applicant or employee who requires an accommodation in order to perform the essential functions of the job should contact the Head of the Human Resources Department and discuss the need for an accommodation. The Company will engage in an interactive process and assessment with the employee to identify possible accommodations, if any that will help the applicant or employee perform the job. An applicant or employee who requires an accommodation of a religious belief or practice (including religious dress and grooming practices, such as religious clothing or hairstyles) job should contact a Company representative with day-to-day personnel responsibilities and discuss the need for accommodation. If the accommodation is reasonable, considering various factors, including, but not limited to, the nature and cost of the accommodation, the availability of tax credits and deductions, outside funding, the facility’s overall financial resources and organization, and the accommodation’s impact on the operation of the facility, including its impact on the ability of other employees to perform their essential job functions and on the facility’s ability to conduct business, and will not impose an undue hardship, the Company will make the accommodation. 17 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “B”
ATTACHMENT “B”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
NON-COLLUSION AFFIDAVIT
The undersigned, being first duly sworn, deposes and says that he or she is the following person authorized to submit the attached proposal from the following firm (herein the “Proposer”):
Further, that the Proposal is not made in the interests of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the Proposal is genuine and not collusive or sham; that the Proposer has not directly or indirectly induced or solicited any other Proposer to put in a false or sham Proposal, and has not directly or indirectly colluded, conspired, connived, or agreed with any Proposer or anyone else to put in a sham Proposal, or that anyone shall refrain from Proposing; that the Proposer has not in any man ner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the Proposal price of the Proposer or any other Proposer, or to fix any overhead, profit, or cost element of the Proposal price, or of that of any other Proposer, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the Proposal are true; and, further, that the Proposer has not, directly or indirectly, submitted his or her Proposal price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereof, or paid, and will not pay, any fee to any corporation, partnership, company, association, organization, Proposal depository, or any other member or agent thereof to effectuate a collusive or sham Proposal.
By:
Signature
Title:
Subscribed and sworn to before this ____ day of ___________________, 20__.
Griffin Structures, Inc.
Chief Executive Officer
29 July 22
Roger Torriero
18 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
CONFLICT DISCLOSURE FORM
Griffin Structures, Inc.
Chief Executive Officer
July 29, 2022
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Roger Torriero
19 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
CONFLICT DISCLOSURE FORM
20 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
CONFLICT DISCLOSURE FORM
21 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “D”
ATTACHMENT “D”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
DEBARMENT AND SUSPENSION CERTIFICATION
The Consultant, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, and manager:
• Is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency;
• Has not been suspended, debarred, voluntarily excluded or determined ineligible by any federal agency within the past 3 years;
• Does not have a proposed debarment pending; and
• Has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years.
If there are any exceptions to this certification, insert the exceptions in the following space.
Exceptions will not necessarily result in denial of award, but will be considered in determining Proposer responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action.
Notes: Providing false information may result in criminal prosecution or administrative sanctions.
Consultant Name:
(Date) (Signature)
(Name & Title)
Griffin Structures, Inc.
July 29, 2022
Roger Torriero, Chief Executive Officer
Proposer
Proposer
None.
22 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “E”
ATTACHMENT “E”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
NON-DISCRIMINATION CERTIFICATION
In connection with its performance under this Agreement, the Consultant hereby certifies that it shall not discriminate in its employment with regard to age, handicap, race, color, religion, gender, gender identity, sex, sexual orientation, or national origin; that it is in compliance with all federal, state, local directives, and executive orders regarding non- discrimination in employment; and that it agrees to demonstrate positively and aggressively the principle of equal employment opportunity in employment.
We agree specifically:
1. To establish or observe employment policies which affirmatively promote opportunities for minority persons at all job levels.
2. To communicate this policy to all persons concerned, including all company employees, outside recruiting services, especi ally those serving minority communities, and to the minority communities at large.
3. To take affirmative steps to hire minority employees within the company.
Consultant Name:
(Date) (Signature)
(Name & Title)
Attached herewith is a copy of the Consultant ’s currently adopted equal opportunity employment program.
Griffin Structures, Inc.
July 29, 2022
Roger Torriero, Chief Executive Officer
Proposer
Proposer
Proposer's
23 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station
EQUAL EMPLOYMENT OPPORTUNITY STATEMENT
This Company is an equal opportunity employer and makes employment decisions on the basis of merit, qualifications, and competence.
We want to have the best available persons in every job. Company policy prohibits unlawful discrimination based on race, ethnicity, color, gender (including gender identity and gender expression) religion (all aspects of religious beliefs, observance or practice, including religious dress or grooming practices) marital status, registered domestic partner status, age, national origin (includes language use and possession of a driver’s license issued to persons unable to prove their presence in the United States is authorized under federal law), ancestry, physical or mental disability, protected medical condition,(including cancer or a record or history of cancer, and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, military and veteran status, citizenship status, or any other consideration made unlawful by federal, state or local laws. It also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics. Discrimination can also include failing to reasonably accommodate religious practices or qualified individuals with disabilities where the accommodation does not pose an undue hardship. All such discrimination is unlawful.
The Company is committed to complying with all applicable laws providing equal employment opportunities. This commitment applies to all persons involved in the company operations. The Company prohibits unlawful discrimination against any job applicant, employee or unpaid intern by any employee of the Company, including supervisors and co-workers.
If you believe you have been subjected to any form of unlawful discrimination, provide a written complaint to your supervisor or other company supervisor. An employee is not required to complain to their supervisor or the individual with day-to-day personnel responsibilities if that person is the individual who allegedly and/or is unlawfully discriminating against the employee, but may instead report the unlawful discrimination to any other member of management, including the Head of the Human Resources Department.
Supervisors and managers who receive complaints or who observe unlawful discriminatory conduct should immediately inform the Head of the Human Resources Department or other appropriate company employee so that an investigation may be initiated.
Your complaint should be specific and should include the names of the individuals involved and the names of any witnesses. If you need assistance with your compliant, or if you prefer to make a compliant in person, contact the Head of Human Resources Department. The Company will immediately undertake an investigation intended to be effective, thorough and objective and will attempt to resolve the situation.
If the Company determines that unlawful discrimination has occurred, remedial action will be taken commensurate with the severity of the offense. Appropriate action will also be taken to deter any future discrimination. The Company will not retaliate against you for filing a complaint and will not knowingly permit retaliation by management employees or your co-workers.
To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship would result. The Company is also committed to complying with all laws protecting employees’, unpaid interns’ and volunteers’ religious beliefs and observances.
Any applicant or employee who requires an accommodation in order to perform the essential functions of the job should contact the Head of the Human Resources Department and discuss the need for an accommodation. The Company will engage in an interactive process and assessment with the employee to identify possible accommodations, if any that will help the applicant or employee perform the job. An applicant or employee who requires an accommodation of a religious belief or practice (including religious dress and grooming practices, such as religious clothing or hairstyles) job should contact a Company representative with day-to-day personnel responsibilities and discuss the need for accommodation. If the accommodation is reasonable, considering various factors, including, but not limited to, the nature and cost of the accommodation, the availability of tax credits and deductions, outside funding, the facility’s overall financial resources and organization, and the accommodation’s impact on the operation of the facility, including its impact on the ability of other employees to perform their essential job functions and on the facility’s ability to conduct business, and will not impose an undue hardship, the Company will make the accommodation. 24 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “B”
ATTACHMENT “B”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
NON-COLLUSION AFFIDAVIT
The undersigned, being first duly sworn, deposes and says that he or she is the following person authorized to submit the attached proposal from the following firm (herein the “Proposer”):
Further, that the Proposal is not made in the interests of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the Proposal is genuine and not collusive or sham; that the Proposer has not directly or indirectly induced or solicited any other Proposer to put in a false or sham Proposal, and has not directly or indirectly colluded, conspired, connived, or agreed with any Proposer or anyone else to put in a sham Proposal, or that anyone shall refrain from Proposing; that the Proposer has not in any man ner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the Proposal price of the Proposer or any other Proposer, or to fix any overhead, profit, or cost element of the Proposal price, or of that of any other Proposer, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the Proposal are true; and, further, that the Proposer has not, directly or indirectly, submitted his or her Proposal price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereof, or paid, and will not pay, any fee to any corporation, partnership, company, association, organization, Proposal depository, or any other member or agent thereof to effectuate a collusive or sham Proposal.
By:
Signature
Title:
Subscribed and sworn to before this ____ day of ___________________, 20__.
Swinerton Builders
President & COO
29 July 22
Dave Callis
25 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
CONFLICT DISCLOSURE FORM
Swinerton Builders
President & COO
July 29, 2022
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Dave Callis
26 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
CONFLICT DISCLOSURE FORM
27 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
CONFLICT DISCLOSURE FORM
28 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “D”
ATTACHMENT “D”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
DEBARMENT AND SUSPENSION CERTIFICATION
The Consultant, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, and manager:
• Is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency;
• Has not been suspended, debarred, voluntarily excluded or determined ineligible by any federal agency within the past 3 years;
• Does not have a proposed debarment pending; and
• Has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years.
If there are any exceptions to this certification, insert the exceptions in the following space.
Exceptions will not necessarily result in denial of award, but will be considered in determining Proposer responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action.
Notes: Providing false information may result in criminal prosecution or administrative sanctions.
Consultant Name:
(Date) (Signature)
(Name & Title)
Swinerton Builders
July 29, 2022
Dave Callis, President & COO
Proposer
Proposer
None.
29 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “E”
ATTACHMENT “E”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
NON-DISCRIMINATION CERTIFICATION
In connection with its performance under this Agreement, the Consultant hereby certifies that it shall not discriminate in its employment with regard to age, handicap, race, color, religion, gender, gender identity, sex, sexual orientation, or national origin; that it is in compliance with all federal, state, local directives, and executive orders regarding non- discrimination in employment; and that it agrees to demonstrate positively and aggressively the principle of equal employment opportunity in employment.
We agree specifically:
1. To establish or observe employment policies which affirmatively promote opportunities for minority persons at all job levels.
2. To communicate this policy to all persons concerned, including all company employees, outside recruiting services, especi ally those serving minority communities, and to the minority communities at large.
3. To take affirmative steps to hire minority employees within the company.
Consultant Name:
(Date) (Signature)
(Name & Title)
Attached herewith is a copy of the Consultant ’s currently adopted equal opportunity employment program.
Swinerton Builders
July 29, 2022
Dave Callis, President & COO
Proposer
Proposer
Proposer's
30 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station
EQUAL EMPLOYMENT OPPORTUNITY STATEMENT
This Company is an equal opportunity employer and makes employment decisions on the basis of merit, qualifications, and competence.
We want to have the best available persons in every job. Company policy prohibits unlawful discrimination based on race, ethnicity, color, gender (including gender identity and gender expression) religion (all aspects of religious beliefs, observance or practice, including religious dress or grooming practices) marital status, registered domestic partner status, age, national origin (includes language use and possession of a driver’s license issued to persons unable to prove their presence in the United States is authorized under federal law), ancestry, physical or mental disability, protected medical condition,(including cancer or a record or history of cancer, and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, military and veteran status, citizenship status, or any other consideration made unlawful by federal, state or local laws. It also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics. Discrimination can also include failing to reasonably accommodate religious practices or qualified individuals with disabilities where the accommodation does not pose an undue hardship. All such discrimination is unlawful.
The Company is committed to complying with all applicable laws providing equal employment opportunities. This commitment applies to all persons involved in the company operations. The Company prohibits unlawful discrimination against any job applicant, employee or unpaid intern by any employee of the Company, including supervisors and co-workers.
If you believe you have been subjected to any form of unlawful discrimination, provide a written complaint to your supervisor or other company supervisor. An employee is not required to complain to their supervisor or the individual with day-to-day personnel responsibilities if that person is the individual who allegedly and/or is unlawfully discriminating against the employee, but may instead report the unlawful discrimination to any other member of management, including the Head of the Human Resources Department.
Supervisors and managers who receive complaints or who observe unlawful discriminatory conduct should immediately inform the Head of the Human Resources Department or other appropriate company employee so that an investigation may be initiated.
Your complaint should be specific and should include the names of the individuals involved and the names of any witnesses. If you need assistance with your compliant, or if you prefer to make a compliant in person, contact the Head of Human Resources Department. The Company will immediately undertake an investigation intended to be effective, thorough and objective and will attempt to resolve the situation.
If the Company determines that unlawful discrimination has occurred, remedial action will be taken commensurate with the severity of the offense. Appropriate action will also be taken to deter any future discrimination. The Company will not retaliate against you for filing a complaint and will not knowingly permit retaliation by management employees or your co-workers.
To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship would result. The Company is also committed to complying with all laws protecting employees’, unpaid interns’ and volunteers’ religious beliefs and observances.
Any applicant or employee who requires an accommodation in order to perform the essential functions of the job should contact the Head of the Human Resources Department and discuss the need for an accommodation. The Company will engage in an interactive process and assessment with the employee to identify possible accommodations, if any that will help the applicant or employee perform the job. An applicant or employee who requires an accommodation of a religious belief or practice (including religious dress and grooming practices, such as religious clothing or hairstyles) job should contact a Company representative with day-to-day personnel responsibilities and discuss the need for accommodation. If the accommodation is reasonable, considering various factors, including, but not limited to, the nature and cost of the accommodation, the availability of tax credits and deductions, outside funding, the facility’s overall financial resources and organization, and the accommodation’s impact on the operation of the facility, including its impact on the ability of other employees to perform their essential job functions and on the facility’s ability to conduct business, and will not impose an undue hardship, the Company will make the accommodation. 31 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “B”
ATTACHMENT “B”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
NON-COLLUSION AFFIDAVIT
The undersigned, being first duly sworn, deposes and says that he or she is the following person authorized to submit the attached proposal from the following firm (herein the “Proposer”):
Further, that the Proposal is not made in the interests of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the Proposal is genuine and not collusive or sham; that the Proposer has not directly or indirectly induced or solicited any other Proposer to put in a false or sham Proposal, and has not directly or indirectly colluded, conspired, connived, or agreed with any Proposer or anyone else to put in a sham Proposal, or that anyone shall refrain from Proposing; that the Proposer has not in any man ner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the Proposal price of the Proposer or any other Proposer, or to fix any overhead, profit, or cost element of the Proposal price, or of that of any other Proposer, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the Proposal are true; and, further, that the Proposer has not, directly or indirectly, submitted his or her Proposal price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereof, or paid, and will not pay, any fee to any corporation, partnership, company, association, organization, Proposal depository, or any other member or agent thereof to effectuate a collusive or sham Proposal.
By:
Signature
Title:
Subscribed and sworn to before this ____ day of ___________________, 20__.
LPA, Inc.
Associate Principal, Director of Civic + Cultural
29 July 22
Jeremy Hart
32 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
CONFLICT DISCLOSURE FORM
LPA, Inc.
Associate Principal, Director of Civic + Cultural
July 29, 2022
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
N/A
Jeremy Hart
33 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
CONFLICT DISCLOSURE FORM
34 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
CONFLICT DISCLOSURE FORM
35 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “D”
ATTACHMENT “D”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
DEBARMENT AND SUSPENSION CERTIFICATION
The Consultant, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, and manager:
• Is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency;
• Has not been suspended, debarred, voluntarily excluded or determined ineligible by any federal agency within the past 3 years;
• Does not have a proposed debarment pending; and
• Has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years.
If there are any exceptions to this certification, insert the exceptions in the following space.
Exceptions will not necessarily result in denial of award, but will be considered in determining Proposer responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action.
Notes: Providing false information may result in criminal prosecution or administrative sanctions.
Consultant Name:
(Date) (Signature)
(Name & Title)
LPA, Inc.
July 29, 2022
Jeremy Hart, Associate Principal, Director of Civic + Cultural Proposer
Proposer
None.
36 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “E”
ATTACHMENT “E”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
NON-DISCRIMINATION CERTIFICATION
In connection with its performance under this Agreement, the Consultant hereby certifies that it shall not discriminate in its employment with regard to age, handicap, race, color, religion, gender, gender identity, sex, sexual orientation, or national origin; that it is in compliance with all federal, state, local directives, and executive orders regarding non- discrimination in employment; and that it agrees to demonstrate positively and aggressively the principle of equal employment opportunity in employment.
We agree specifically:
1. To establish or observe employment policies which affirmatively promote opportunities for minority persons at all job levels.
2. To communicate this policy to all persons concerned, including all company employees, outside recruiting services, especi ally those serving minority communities, and to the minority communities at large.
3. To take affirmative steps to hire minority employees within the company.
Consultant Name:
(Date) (Signature)
(Name & Title)
Attached herewith is a copy of the Consultant ’s currently adopted equal opportunity employment program.
LPA, Inc.
July 29, 2022
Jeremy Hart, Associate Principal, Director of Civic + Cultural Proposer
Proposer
Proposer's
37 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station
EQUAL EMPLOYMENT OPPORTUNITY STATEMENT
This Company is an equal opportunity employer and makes employment decisions on the basis of merit, qualifications, and competence.
We want to have the best available persons in every job. Company policy prohibits unlawful discrimination based on race, ethnicity, color, gender (including gender identity and gender expression) religion (all aspects of religious beliefs, observance or practice, including religious dress or grooming practices) marital status, registered domestic partner status, age, national origin (includes language use and possession of a driver’s license issued to persons unable to prove their presence in the United States is authorized under federal law), ancestry, physical or mental disability, protected medical condition,(including cancer or a record or history of cancer, and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, military and veteran status, citizenship status, or any other consideration made unlawful by federal, state or local laws. It also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics. Discrimination can also include failing to reasonably accommodate religious practices or qualified individuals with disabilities where the accommodation does not pose an undue hardship. All such discrimination is unlawful.
The Company is committed to complying with all applicable laws providing equal employment opportunities. This commitment applies to all persons involved in the company operations. The Company prohibits unlawful discrimination against any job applicant, employee or unpaid intern by any employee of the Company, including supervisors and co-workers.
If you believe you have been subjected to any form of unlawful discrimination, provide a written complaint to your supervisor or other company supervisor. An employee is not required to complain to their supervisor or the individual with day-to-day personnel responsibilities if that person is the individual who allegedly and/or is unlawfully discriminating against the employee, but may instead report the unlawful discrimination to any other member of management, including the Head of the Human Resources Department.
Supervisors and managers who receive complaints or who observe unlawful discriminatory conduct should immediately inform the Head of the Human Resources Department or other appropriate company employee so that an investigation may be initiated.
Your complaint should be specific and should include the names of the individuals involved and the names of any witnesses. If you need assistance with your compliant, or if you prefer to make a compliant in person, contact the Head of Human Resources Department. The Company will immediately undertake an investigation intended to be effective, thorough and objective and will attempt to resolve the situation.
If the Company determines that unlawful discrimination has occurred, remedial action will be taken commensurate with the severity of the offense. Appropriate action will also be taken to deter any future discrimination. The Company will not retaliate against you for filing a complaint and will not knowingly permit retaliation by management employees or your co-workers.
To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship would result. The Company is also committed to complying with all laws protecting employees’, unpaid interns’ and volunteers’ religious beliefs and observances.
Any applicant or employee who requires an accommodation in order to perform the essential functions of the job should contact the Head of the Human Resources Department and discuss the need for an accommodation. The Company will engage in an interactive process and assessment with the employee to identify possible accommodations, if any that will help the applicant or employee perform the job. An applicant or employee who requires an accommodation of a religious belief or practice (including religious dress and grooming practices, such as religious clothing or hairstyles) job should contact a Company representative with day-to-day personnel responsibilities and discuss the need for accommodation. If the accommodation is reasonable, considering various factors, including, but not limited to, the nature and cost of the accommodation, the availability of tax credits and deductions, outside funding, the facility’s overall financial resources and organization, and the accommodation’s impact on the operation of the facility, including its impact on the ability of other employees to perform their essential job functions and on the facility’s ability to conduct business, and will not impose an undue hardship, the Company will make the accommodation. 38 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “B”
ATTACHMENT “B”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
NON-COLLUSION AFFIDAVIT
The undersigned, being first duly sworn, deposes and says that he or she is the following person authorized to submit the attached proposal from the following firm (herein the “Proposer”):
Further, that the Proposal is not made in the interests of, or on the behalf of, any undisclosed person, partnership, company, association, organization, or corporation; that the Proposal is genuine and not collusive or sham; that the Proposer has not directly or indirectly induced or solicited any other Proposer to put in a false or sham Proposal, and has not directly or indirectly colluded, conspired, connived, or agreed with any Proposer or anyone else to put in a sham Proposal, or that anyone shall refrain from Proposing; that the Proposer has not in any man ner, directly or indirectly, sought by agreement, communication, or conference with anyone to fix the Proposal price of the Proposer or any other Proposer, or to fix any overhead, profit, or cost element of the Proposal price, or of that of any other Proposer, or to secure any advantage against the public body awarding the contract of anyone interested in the proposed contract; that all statements contained in the Proposal are true; and, further, that the Proposer has not, directly or indirectly, submitted his or her Proposal price or any breakdown thereof, or the contents thereof, or divulged information or data relative thereof, or paid, and will not pay, any fee to any corporation, partnership, company, association, organization, Proposal depository, or any other member or agent thereof to effectuate a collusive or sham Proposal.
By:
Signature
Title:
Subscribed and sworn to before this ____ day of ___________________, 20__.
Lori Coleman, Kidder Mathews SVP Market Leader
29 July 2022
Kidder Mathews
39 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
CONFLICT DISCLOSURE FORM
Lori Coleman
Kidder Mathews- SVP Market Leader
7/29/22
N/A N/A N/A
40 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
CONFLICT DISCLOSURE FORM
41 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “C”
ATTACHMENT “C”
CONFLICT DISCLOSURE FORM
42 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “D”
ATTACHMENT “D”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
DEBARMENT AND SUSPENSION CERTIFICATION
The Consultant, under penalty of perjury, certifies that, except as noted below, he/she or any other person associated therewith in the capacity of owner, partner, director, officer, and manager:
• Is not currently under suspension, debarment, voluntary exclusion, or determination of ineligibility by any federal agency;
• Has not been suspended, debarred, voluntarily excluded or determined ineligible by any federal agency within the past 3 years;
• Does not have a proposed debarment pending; and
• Has not been indicted, convicted, or had a civil judgment rendered against it by a court of competent jurisdiction in any matter involving fraud or official misconduct within the past 3 years.
If there are any exceptions to this certification, insert the exceptions in the following space.
Exceptions will not necessarily result in denial of award, but will be considered in determining Proposer responsibility. For any exception noted above, indicate below to whom it applies, initiating agency, and dates of action.
Notes: Providing false information may result in criminal prosecution or administrative sanctions.
Consultant Name:
(Date) (Signature)
(Name & Title)
Proposer
---------------
Proposer
---------------
7/29/22
Kidder Mathews
Lori Coleman, SVP Market Leader
43 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station Request for Proposals
Development of a New Police Station
Attachment “E”
ATTACHMENT “E”
REQUEST FOR PROPOSAL #22-062
Development of a New Police Station
NON-DISCRIMINATION CERTIFICATION
In connection with its performance under this Agreement, the Consultant hereby certifies that it shall not discriminate in its employment with regard to age, handicap, race, color, religion, gender, gender identity, sex, sexual orientation, or national origin; that it is in compliance with all federal, state, local directives, and executive orders regarding non- discrimination in employment; and that it agrees to demonstrate positively and aggressively the principle of equal employment opportunity in employment.
We agree specifically:
1. To est ablish or observe employment policies which affirmatively promote opportunities for minority persons at all job levels.
2. To c ommunicate this policy to all persons concerned, including all company employees, outside recruiting services, especi ally those serving minority communities, and to the minority communities at large.
3. To take affirmative steps to hire minority employees within the company.
Consultant Name:
(Date) (Signature)
(Name & Title)
Attached herewith is a copy of the Consultant ’s currently adopted equal opportunity employment program.
Proposer
---------------
Proposer
--------------- Kidder Mathews
7/29/22
Lori Coleman, SVP Market Leader
44 ATTACHMENTS
City of Rialto | Request For Proposal #22-062 To Design-Build-Finance-Operate-Maintain A New Police Station
EQUAL EMPLOYMENT OPPORTUNITY STATEMENT
This Company is an equal opportunity employer and makes employment decisions on the basis of merit, qualifications, and competence.
We want to have the best available persons in every job. Company policy prohibits unlawful discrimination based on race, ethnicity, color, gender (including gender identity and gender expression) religion (all aspects of religious beliefs, observance or practice, including religious dress or grooming practices) marital status, registered domestic partner status, age, national origin (includes language use and possession of a driver’s license issued to persons unable to prove their presence in the United States is authorized under federal law), ancestry, physical or mental disability, protected medical condition,(including cancer or a record or history of cancer, and genetic characteristics), sex (including pregnancy, childbirth, breastfeeding or related medical condition), genetic information, sexual orientation, military and veteran status, citizenship status, or any other consideration made unlawful by federal, state or local laws. It also prohibits unlawful discrimination based on the perception that anyone has any of those characteristics. Discrimination can also include failing to reasonably accommodate religious practices or qualified individuals with disabilities where the accommodation does not pose an undue hardship. All such discrimination is unlawful.
The Company is committed to complying with all applicable laws providing equal employment opportunities. This commitment applies to all persons involved in the company operations. The Company prohibits unlawful discrimination against any job applicant, employee or unpaid intern by any employee of the Company, including supervisors and co-workers.
If you believe you have been subjected to any form of unlawful discrimination, provide a written complaint to your supervisor or other company supervisor. An employee is not required to complain to their supervisor or the individual with day-to-day personnel responsibilities if that person is the individual who allegedly and/or is unlawfully discriminating against the employee, but may instead report the unlawful discrimination to any other member of management, including the Head of the Human Resources Department.
Supervisors and managers who receive complaints or who observe unlawful discriminatory conduct should immediately inform the Head of the Human Resources Department or other appropriate company employee so that an investigation may be initiated.
Your complaint should be specific and should include the names of the individuals involved and the names of any witnesses. If you need assistance with your compliant, or if you prefer to make a compliant in person, contact the Head of Human Resources Department. The Company will immediately undertake an investigation intended to be effective, thorough and objective and will attempt to resolve the situation.
If the Company determines that unlawful discrimination has occurred, remedial action will be taken commensurate with the severity of the offense. Appropriate action will also be taken to deter any future discrimination. The Company will not retaliate against you for filing a complaint and will not knowingly permit retaliation by management employees or your co-workers.
To comply with applicable laws ensuring equal employment opportunities to qualified individuals with a disability, the Company will make reasonable accommodations for the known physical or mental limitations of an otherwise qualified individual with a disability who is an applicant or an employee unless undue hardship would result. The Company is also committed to complying with all laws protecting employees’, unpaid interns’ and volunteers’ religious beliefs and observances.
Any applicant or employee who requires an accommodation in order to perform the essential functions of the job should contact the Head of the Human Resources Department and discuss the need for an accommodation. The Company will engage in an interactive process and assessment with the employee to identify possible accommodations, if any that will help the applicant or employee perform the job. An applicant or employee who requires an accommodation of a religious belief or practice (including religious dress and grooming practices, such as religious clothing or hairstyles) job should contact a Company representative with day-to-day personnel responsibilities and discuss the need for accommodation. If the accommodation is reasonable, considering various factors, including, but not limited to, the nature and cost of the accommodation, the availability of tax credits and deductions, outside funding, the facility’s overall financial resources and organization, and the accommodation’s impact on the operation of the facility, including its impact on the ability of other employees to perform their essential job functions and on the facility’s ability to conduct business, and will not impose an undue hardship, the Company will make the accommodation.