230122-EXHIBIT C-PPP NATIONAL COOP DOCUMENTS.PDF

Maricopa County — Formal (2023-06-28)

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EXHIBIT C: PPP NATIONAL COOPERATIVE DOCUMENTS

CONTRACT BY
MARICOPA COUNTY, ARIZONA
FOR
ELEVATOR, ESCALATOR, WALKWAY AND LIFT,
NEW CONSTRUCTION, MODERNIZATION,
MAINTENANCE, AND REPAIR SERVICES
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

ON BEHALF OF ITSELF AND OTHER GOVERNMENT

AGENCIES AND MADE AVAILABLE THROUGH

PUBLIC PROMISE PROCUREMENT
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TABLE OF CONTENTS

Article 1 – Representations and Covenants
Appendix 1 – Master Intergovernmental Cooperative Purchasing Agreement
Appendix 2 – Administration Agreement
Appendix 3 – Supplier Worksheet
Appendix 4 – Implementation Schedule
Appendix 5 – Federal Contract Terms and Conditions
Appendix 6 – New Jersey Business Requirements
Appendix 7 – State Notice Addendum

ARTICLE 1
PUBLIC PROMISE PROCUREMENT
REPRESENTATIONS AND CONVENANTS

A. Overview

Public Promise Procurement (hereinafter, “P.P.P.”) is a National Association of Counties
(hereinafter, “NACo”) program to help Participating Public Agency acquire Goods and
Services efficiently and cost effectively through strategic sourcing that harnesses the power
of state and local government purchasing nationwide. This is accomplished through an
award of competitively solicited contracts for high quality products and services by a well-
respected public agency (hereinafter, “Lead Public Agency” or “LPA”). The contracts are
available for use by the Lead Public Agency and, also, by other Participating Public
Agencies.

NACo is a non-profit membership organization that represents 40,000 county elected
officials and 3.6 million county staff. Learn more about NACo here.

B. Lead Public Agency

Maricopa County, AZ (herein “Lead Public Agency” on behalf of itself and all states, local
governments, school districts, and higher education institutions in the United States of
America, and other government agencies and nonprofit organizations (herein “Participating
Public Agencies”) is acting as the Lead Public Agency for this solicitation to enter into a
Master Agreement for a complete line of elevator and escalator new construction,
modernization, maintenance and repair services. Services proposed shall include, but are not
limited to, repairs, replacement (or alteration), modernization solutions, new construction,
calibration, and service of elevator(s), escalator(s), or related equipment.

C. Procurement Advisory Committee
The Public Promise Procurement Advisory Committee, (hereinafter, “Procurement Advisory
Committee” or “PAC”) is made up of public procurement organizations from all across the
United States. The PAC members representing these organizations actively participate in the
development of solicitations and evaluation of proposals, and they serve as Lead Public
Agencies that issue solicitations and administer awarded contracts on behalf of the program.

Current Procurement Advisory Committee Members

Megan A. Perry-Balonier
Franklin County, Ohio
Director, Purchasing Department

Stephanie D. Brice, CPPO, CPPB, NIGP-CPP
Cobb County, Georgia
Deputy Director, Purchasing Department

Eric J. Carlson
Douglas County, Nebraska
Purchasing Agent

Patrick Flanary
Wake County, North Carolina
Chief Financial Officer

James Foley
Maricopa County, Arizona
Deputy Chief Procurement Officer

Mike Frosch
Dallas County, Texas
Director, Purchasing

Adam Manne, MBA, CPPO, VCO, CPM
Prince William County, Virginia
Assistant Director of Finance

Maria Miles
Guilford County, North Carolina
MWBE Program Director

Dana Noffke
Ramsey County, Minnesota
Procurement Manager

Gilbert Odonkor, AIA-CDT, MBA
Hennepin County, Minnesota
Manager of Construction Procurement

Jack Pelligrino, NIGP-CPP, CPPO, CPCM
San Diego County, California
Director, Department of Purchasing and
Contracting

Gerald Reiner, Jr.
Bergen County Utilities Authority
Purchasing Manager

Felicia Strong-Whitaker, CPPO, MCA
Fulton County, Georgia
Chief Purchasing Agent
D. Participating Public Agencies

There are approximately 95,000 public agencies eligible for this program. Each Public
Agency Participant enters into a Master Intergovernmental Cooperative Purchasing
Agreement (hereinafter, “MICPA”) outlining the terms and conditions allowing access to the
Lead Public Agency’s Master Agreement(s). Under the terms of the MICPA, the
procurement by the Public Agency Participant will be construed to be in accordance with,
and governed by, the laws of the state in which the Public Agency Participant is located. A
copy of the MICPA is attached as Appendix 1.

The Lead Public Agency is acting as "Contracting Agent" for the Participating Public
Agencies and shall not be held liable for any costs, damages, expenses, fees, liabilities,
etc. incurred by any other Participating Public Agency.

E. Estimated Volume

The estimated dollar volume of Products and Services purchased under the proposed
Master Agreement is $100 Million Dollars annually. This estimate is based on the
anticipated volume of the Lead Public Agency, the Public Promise Procurement
Advisory Committee members, and current estimates of sales for this classification of
Products and Services within state and local government. While there is no minimum
quantity of products required to be purchased under the proposed Master Agreement,
Maricopa County along with the Public Promise Procurement Advisory Committee
Members are committed to utilizing the Master Agreement. The Advisory Committee
members shall determine if the Master Agreement is of value to their agency and will
promote the Master Agreement among other public agencies nationwide.

F. Evaluation of Proposals and Contract Award

i.
Proposals will be evaluated by the LPA in accordance with, and subject to, this
Request for Proposals, (“RFP”) the relevant statues, ordinances, rules, and regulations
that govern its procurement practices.
ii.
Public Promise Procurement Advisory Committee members and other Participating
Public Agency may provide technical assistance the LPA in evaluating proposals,
however the decision to award lies solely with the LPA. Public Promise Procurement
reserves the right to make available or not make available Master Agreements
awarded by the LPA to Participating Public Agencies.

G. Administrative Agreement

Suppliers that are awarded a contract by the Lead Public Agency and whose Master
Agreements Public Promise Procurement agrees to make available to Participating Public
Agency shall enter into an Administrative Agreement with Public Promise Procurement.
Refer to Appendix 2.

H. Marketing Support

i.
Public Promise Procurement provides marketing collaboration and support for each
Supplier’s Products and Services through its affiliates, sales and marketing personnel
that directly promote the Public Promise Procurement Program and its Suppliers to
Participating Public Agency, as well as a myriad of social media and collaboration
platforms.

ii.
Public Promise Procurement will collaborate with Supplier’s government sales team
to conduct training and utilize tools to facilitate marketing and sales to government
entities.

I. Public Promise Procurement will participate in periodic performance review meetings with
Supplier and, when available, the Lead Public Agency.

J. For the entire term of the Master Agreement, Supplier commits to the Supplier Commitments
as stated herein (APPENDIX 3).

APPENDIX 1
MICPA

MASTER INTERGOVERNMENTAL COOPERATIVE PURCHASING AGREEMENT
This agreement is made between certain government agencies that execute a Lead Public Agency
Certificate (“Lead Public Agencies”) to be appended and made a part hereof and other
governmental agencies (“Participating Public Agencies”) that agree to their terms and
conditions hereof through the Public Promise Procurement registration and made a part
hereof.
RECITALS
WHEREAS, after a competitive solicitation and selection process by Lead Public Agencies, a
number of Suppliers have entered into Master Agreements to provide a variety of goods,
products and services based on national and international volumes (herein “Products and
Services”);
WHEREAS, Master Agreements are made available by Lead Public Agencies through Public
Promise Procurement and provide that Participating Public Agencies may purchase Products
and Services on the same terms, conditions and pricing as the Lead Public Agency, subject to
any applicable local purchasing ordinances and the laws of the State of purchase;
WHEREAS, the parties desire to comply with the requirements and formalities of the
Intergovernmental Cooperation Act as may be applicable to the laws of the State of purchase;
WHEREAS, the parties hereto desire to conserve resources and reduce procurement cost;
WHEREAS, the parties hereto desire to improve the efficiency, effectiveness and economy of
the procurement of necessary Products and Services;
NOW, THEREFORE, in consideration of the mutual promises contained in this agreement, and
of the mutual benefits to result, the parties agree as follows:
1. That each party will facilitate the cooperative procurement of Products and Services.
2. That the procurement of Products and Services subject to this agreement shall be
conducted in accordance with and subject to the relevant statutes, ordinances, rules and
regulations that govern each party’s procurement practices.
3. That the cooperative use of solicitations obtained by a party to this agreement shall be in
accordance with the terms and conditions of the solicitation, except as modification of
those terms and conditions is otherwise allowed or required by law.
4. That the Lead Public Agencies will make available, upon reasonable request and subject
to convenience, information which may assist in improving effectiveness, efficiency and
economy of Participating Public Agencies procurement of Products and Services.
5. That a procuring party will make timely payments to the Supplier for Products and
Services received in accordance with the terms and conditions of the procurement.
Payment, inspections and acceptance of Products and Services ordered by the procuring
party shall be the exclusive obligations of such procuring party. Disputes between

APPENDIX 1
MICPA

procuring party and Supplier are to be resolved in accord with the law and venue rules of
the State of purchase.
6. The procuring party shall not sue this agreement as a method for obtaining additional
concessions or reduced prices for similar products or services.
7. The procuring party shall be responsible for the ordering of Products and Services under
this agreement. A non-procuring party shall not be liable in any fashion for any violation
by a procuring party, and the procuring party shall hold non-procuring party harmless
from any liability that may arise from action or inaction of the procuring party.
8. The exercise of any rights or remedies by the procuring party shall be the exclusive
obligation of such procuring party.
9. This agreement shall remain in effect until termination by a party giving 30 days written
notice to Public Promise Procurement at The National Association of Counties Office at
660 North Capital Street, NW, Suite 400, Washington, DC 20016.
10. This agreement shall take effect after execution of the Lead Public Agency certificate or
Participating Public Agency Registration, as applicable.

APPENDIX 2
PPP ADMIN AGR

ADMINISTRATION AGREEMENT
This ADMINISTRATION AGREEMENT (the “Agreement”) is effective as of July 1 2023, by and between
PUBLIC PROMISE PROCUREMENT, LLC (“P.P.P.”) and Kone Inc dba Inc (the “Supplier”).
RECITALS
WHEREAS, Maricopa County (“Lead Public Agency”) has entered into a certain Master Agreement dated as
of even date herewith, referenced as Agreement No. 230122-RFP, by and between Lead Public Agency and
Supplier (as amended from time to time in accordance with the terms thereof, the “Master Agreement”) for the
purchase of purchase of a complete line of elevator and escalator new construction, modernization,
maintenance and repair services (the “Products, Services and Solutions”);
WHEREAS, the Master Agreement provides that any county, state, city, special district, local government,
tribal governments, school district, private K-12 school, technical or vocational school, higher education
institution (including community colleges, colleges and universities, both public and private), other
government agency or nonprofit organization (each a “Public Agency” and collectively, “Public Agencies”)
may purchase Products, Services and Solutions at the prices indicated in the Master Agreement upon prior
registration with P.P.P., in which case the Public Agency becomes a “Participating Public Agency”;
WHEREAS, P.P.P. has the administrative and legal capacity to administer purchases under the Master
Agreement to Participating Public Agencies;
WHEREAS, P.P.P. serves in an administrative capacity for Lead Public Agency and other lead public agencies
in connection with other master agreements offered by P.P.P.;
WHEREAS, Lead Public Agency desires P.P.P. to proceed with administration of the Master Agreement on
the same basis as other master agreements;
WHEREAS, P.P.P. and Supplier desire to enter into this Agreement to make available the Master Agreement
to Participating Public Agencies; and
NOW, THEREFORE, in consideration of the mutual covenants contained in this Agreement, P.P.P. and
Supplier hereby agree as follows:
ARTICLE 1
GENERAL TERMS AND CONDITIONS
1.1
The Master Agreement, attached hereto as Exhibit A and incorporated herein by
reference as though fully set forth herein, and the terms and conditions contained therein shall
apply to this Agreement except as expressly changed or modified by this Agreement.
1.2
P.P.P. shall be afforded all of the rights, privileges and indemnifications afforded
to Lead Public Agency under the Master Agreement, and such rights, privileges and
indemnifications shall accrue and apply with equal effect to P.P.P. under this Agreement
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APPENDIX 2
PPP ADMIN AGR

including, without limitation, Supplier’s obligation to provide insurance and indemnifications to
Lead Public Agency.
1.3
Supplier shall perform all duties, responsibilities and obligations required under
the Master Agreement.
1.4
P.P.P. shall perform all of its duties, responsibilities and obligations as
administrator of purchases under the Master Agreement as set forth herein, and Supplier
acknowledges that P.P.P. shall act in the capacity of administrator of purchases under the Master
Agreement.
1.5
Each of Supplier and P.P.P. hereby grant to the other, during the term of this
Agreement, a limited, revocable, non-exclusive, non-transferable, non-sublicensable right to use
such party’s name, trademark and logo solely to perform its obligations under this Agreement
and the Master Agreement. Each party shall provide the other party with the standard terms of
use of such party’s name, trademark and logo, and such party shall comply with such terms in all
material respects. Each party shall assist the other party by providing camera-ready logos and by
participating in related trade shows and conferences. Both parties shall obtain approval from the
other party prior to use of such party’s name, trademark and logo. Notwithstanding the
foregoing, the parties understand and agree that except as provided herein neither party shall
have any right, title or interest in the other party’s name, trademark and logo. Upon termination
of this Agreement, each party shall immediately cease use of the other party’s name, trademark
and logo.
1.6
With respect to any purchases made by Lead Public Agency or any Participating
Public Agency pursuant to the Master Agreement, P.P.P (a) shall not be construed as a dealer,
remarketer, representative, partner, or agent of any type of Supplier, Lead Public Agency or
such Participating Public Agency, (b) shall not be obligated, liable or responsible (i) for any
orders made by Lead Public Agency, any Participating Public Agency or any employee of Lead
Public Agency or a Participating Public Agency under the Master Agreement, or (ii) for any
payments required to be made with respect to such order, and (c) shall not be obligated, liable or
responsible for any failure by a Participating Public Agency to (i) comply with procedures or
requirements of any federal, state, local or foreign constitution, treaty, statute, ordinance, code,
rule, law or regulation (“Law”), industry self-regulatory standards that may apply to Supplier or
the Master Agreement, or (ii) obtain the due authorization and approval necessary to purchase
under the Master Agreement. P.P.P makes no representations or guarantees with respect to any
minimum purchases required to be made by Lead Public Agency, any Participating Public
Agency, or any employee of Lead Public Agency or a Participating Public Agency under the
Master Agreement. The terms of this section shall survive the termination of this Agreement.
1.7
Supplier acknowledges that, in connection with its access to P.P.P. confidential
information and/or supply of data to P.P.P., it has complied with and shall continue to comply
with all Law and industry self-regulatory standards that may apply to Supplier, including,
without limitation Law and industry self-regulatory standards governing data protection, privacy
and the use and processing of Personal Information (collectively, “Data Regulations”). With
regard to Personal Information that Supplier collects, receives, or otherwise processes under the
Agreement or otherwise in connection with performance of the Agreement, Supplier agrees that

APPENDIX 2
PPP ADMIN AGR

it will not: (i) sell, rent, release, disclose, disseminate, make available, transfer, or otherwise
communicate orally, in writing, or by electronic or other means, such Personal Information to
another business or third party for monetary or other valuable consideration; or (ii) retain, use, or
disclose such Personal Information outside of the direct business relationship between Supplier
and P.P.P. or for any purpose other than for the specific purpose of performance of the
Agreement, including retaining, using, or disclosing such Personal Information for a commercial
purpose other than for performance of the Agreement. By entering into the Agreement, Supplier
certifies that it understands the specific restrictions contained in this Section 1.6 and will comply
with them. For purposes hereof, “Personal Information” means information that identifies, relates
to, describes, is reasonably capable of being associated with, or could reasonably be linked,
directly or indirectly, with a particular consumer or household, and includes the specific
elements of “personal information” or “individually identifiable information” as defined under
Data Regulations. Supplier will reasonably assist P.P.P. in timely responding to any third party
“request to know” or “request to delete” (as defined pursuant to Data Regulations) and will
promptly provide P.P.P. with information reasonably necessary for P.P.P. to respond to such
requests. Where Supplier collects Personal Information directly from Public Agencies or others
on P.P.P.’s behalf, Supplier will maintain records and the means necessary to enable P.P.P. to
respond to such requests to know and requests to delete.]
ARTICLE 2
TERM OF AGREEMENT
2.1
This Agreement shall terminate upon termination of the Master Agreement or
any earlier termination in accordance with the terms of this Agreement, provided, however,
that (i) (A) the obligation to pay all amounts owed by Supplier to P.P.P. through the
termination of this Agreement, and (B) all indemnifications afforded by Supplier to P.P.P.
pursuant to Section 6.1, shall survive the termination of this Agreement, and (ii) Sections
1.5, 4.1 and 7.10 shall survive the term of this Agreement pursuant to the terms of such
sections. [Upon termination of the Master Agreement for any reason, Supplier shall
continue making payments of all amounts to P.P.P. that are generated by individual
Participating Public Agency purchases of Products, Services and Solutions for a period of
either (i) one (1) year from the date of termination, or (ii) through the then current expiration
date of the Master Agreement, whichever is shorter, to the extent that Supplier continues to
generate revenue from each Participating Public Agency’s purchase of Products, Services
and Solutions following the termination of the Master Agreement.]
ARTICLE 3
REPRESENTATIONS AND COVENANTS
P.P.P. views the relationship with the Supplier as an opportunity to provide benefits to the Lead Public
Agency, Public Agencies and Supplier. The successful foundation of the relationship requires certain
representations and covenants from both P.P.P. and the Supplier.

3.1
P.P.P. Representations and Covenants.

APPENDIX 2
PPP ADMIN AGR

(a)
Marketing. P.P.P. shall proactively market the Master Agreement to
Public Agencies using resources such as a network of major sponsors, including the National
Association of Counties (“NACo”), and named individual national, regional and state-level
sponsors. P.P.P. will incorporate information about the Products, Services and Solutions into
P.P.P.’s website and general collateral materials. In addition, P.P.P. staff shall make
commercially reasonable efforts to enhance Supplier’s marketing efforts through meetings with
Public Agencies, participation in key events and tradeshows and other marketing activities such
as webinars, speaking engagement, advertising, social media, articles and promotional
campaigns.
(b)
Training and Educational Management Support. P.P.P. shall provide
support for the education, training and engagement of Supplier’s sales force as provided herein.
Through its staff (each, a “Program Manager” and collectively, the “Program Managers”), P.P.P.
may help with scheduling assistance from Supplier, conduct training sessions and conduct
educational calls jointly with Supplier to Public Agencies. P.P.P. shall also provide Supplier with
presentations, documents and information to assist Supplier’s sales force in effectively
promoting the Master Agreement.
WITHOUT LIMITING THE GENERALITY OF THE FOREGOING, P.P.P.
EXPRESSLY DISCLAIMS ALL EXPRESS OR IMPLIED REPRESENTATIONS AND
WARRANTIES REGARDING P.P.P.’S PERFORMANCE AS A PROGRAM
ADMINISTRATOR OF THE MASTER AGREEMENT. P.P.P. SHALL NOT BE LIABLE IN
ANY WAY FOR ANY SPECIAL, INCIDENTAL, INDIRECT, CONSEQUENTIAL,
EXEMPLARY, PUNITIVE, OR RELIANCE DAMAGES, EVEN IF P.P.P. IS ADVISED OF
THE POSSIBILITY OF SUCH DAMAGES.
3.2
Supplier’s Representations and Covenants. Supplier hereby represents and
covenants as follows in order to ensure that Supplier is providing the highest level of public
benefit to Participating Public Agencies (such representations and covenants are sometimes
referred to as “Supplier’s Commitments” and are comprised of the Corporate Commitment,
Pricing Commitment, and Sales Commitment):
(a)
Corporate Commitment.
(i)
The pricing, terms and conditions of the Master Agreement shall,
at all times, be a Supplier’s contractual offering of Products, Services, and Solutions to Public
Agencies. All of Supplier’s direct and indirect marketing and sales efforts to Public Agencies
shall demonstrate that the Master Agreement is a Supplier’s offering.
(ii)
Supplier’s sales force (including inside, direct and/or authorized
dealers, distributors and representatives) shall always present the Master Agreement when
marketing Products, Services and Solutions to Public Agencies.
(iii)
Supplier shall advise all Public Agencies that are existing
customers of Supplier as to the pricing and other value offered through the Master Agreement.

APPENDIX 2
PPP ADMIN AGR

(iv)
Upon request and authorization by a Public Agency, Supplier shall
transition such Public Agency to the pricing, terms and conditions of the Master Agreement.
(v)
Supplier shall ensure that the P.P.P. program and the Master
Agreement are actively supported by Supplier’s senior executive management.
(vi)
Supplier shall provide a national/senior management level
representative with the authority and responsibility to ensure that the Supplier’s Commitments
are maintained at all times. Supplier shall also designate a contact person who shall be
responsible for receiving communications from P.P.P. concerning new Participating Public
Agency registrations and for ensuring timely follow-up by Supplier’s staff to requests for contact
from Participating Public Agencies. Supplier shall also provide the personnel necessary to
implement and support a Supplier-based internet web page (micro-site) dedicated to Supplier’s
P.P.P. program and linked to P.P.P.’s website and shall implement and support such web page.
(vii)
Supplier shall demonstrate in its procurement solicitation response
and throughout the term of the Master Agreement that Supplier’s National/Senior Management
fully supports the P.P.P. program and its commitments and requirements. For purposes hereof,
Supplier’s National/Senior Management is defined as Supplier’s executive officers.
(b)
Pricing Commitment.
(i)
Supplier represents to P.P.P. that the pricing offered under the
Master Agreement is equal to or lower than the lowest overall available pricing (net to the buyer)
on Products, Services and Solutions that it offers to Public Agencies in current market
conditions. Supplier’s pricing shall be evaluated on either an overall project basis or the Public
Agency’s actual usage for more frequently purchased Products, Services and Solutions.
(ii)
Contracts Offering Lower Prices. If a pre-existing contract and/or a
Public Agency’s unique buying pattern provide one or more Public Agencies a lower price than
that offered under the Master Agreement, Supplier shall provide pricing within the current
market conditions, customer equipment usage, site conditions, agency characteristics, terms and
conditions and any other factor influencing pricing under the Master Agreement. If an eligible
Public Agency requests to be transitioned to the Master Agreement, Supplier shall do so and
report the Public Agency’s purchases made under the Master Agreement going forward.

(iii)
Deviating Buying Patterns. Occasionally P.P.P. and Supplier may
interact with a Public Agency that has a buying pattern or terms and conditions that considerably
deviate from the normal Public Agency buying pattern and terms and conditions and causes
Supplier’s pricing under the Master Agreement to be higher than an alternative contract held by
Supplier. This could be created by a unique end-user preference or requirements. In the event
that this situation occurs, Supplier may address the issue by lowering the price under the Master
Agreement on the item(s) causing the large deviation for that Public Agency. Supplier would not
be required to lower the price for other Public Agencies.

APPENDIX 2
PPP ADMIN AGR

(iv)
Supplier’s Options in Responding to a Third Party Procurement
Solicitation. While it is the objective of P.P.P. to encourage Public Agencies to piggyback on to
the Master Agreement rather than issue their own procurement solicitations, P.P.P. recognizes
that for various reasons some Public Agencies will issue their own solicitations. The following
options are available to Supplier when responding to a Public Agency solicitation:
(A)
Supplier may opt not to respond to the procurement
solicitation. Supplier may make the Master Agreement available to the Public Agency as
a comparison to its solicitation responses.
(B)
Supplier may respond with the pricing, terms and
conditions of the Master Agreement. If Supplier is awarded the contract, the sales would
be reported as sales under the Master Agreement.
(C)
If competitive conditions require pricing lower than the
standard Master Agreement pricing, Supplier may submit lower pricing through the
Master Agreement. If Supplier is awarded the contract, the sales would be reported as
sales under the Master Agreement. Supplier would not be required to extend the lower
price to other Public Agencies.
(D)
Supplier may respond to the procurement solicitation with
pricing that is higher (net to buyer) than the pricing offered under the Master Agreement.
If awarded a contract, Supplier shall still be bound by all obligations set forth in this
Section 3.2, including, without limitation, the requirement to continue to advise the
awarding Public Agency of the pricing, terms and conditions of the Master Agreement.
(E)
Supplier may respond to the procurement solicitation with
pricing that is higher (net to buyer) than the pricing offered under the Master Agreement
and if an alternative response is permitted, Supplier may offer the pricing under the
Master Agreement as an alternative for consideration.
(c)
Sales Commitment. Supplier shall proactively market the Master
Agreement through Supplier’s sales force or dealer network that is properly trained, engaged and
committed to offering the Master Agreement to Public Agencies. Supplier’s sales force
compensation and incentives shall be greater than or equal to the compensation and incentives
earned under other contracts to Public Agencies.
(i)
Supplier Sales. Supplier shall be responsible for proactive sales of
Supplier’s Products, Services and Solutions to Public Agencies and the timely follow-up to sales
leads identified by P.P.P. Use of product catalogs, targeted advertising, social media, online
marketing and other sales initiatives are encouraged. All of Supplier’s sales materials targeted
towards Public Agencies shall include the P.P.P. logo. At a minimum, Supplier’s sales initiatives
shall communicate that (i) the Master Agreement was competitively solicited by the Lead Public
Agency, (ii) the Master Agreement provides the Supplier’s best overall pricing and value to
eligible agencies, (iii) there is no cost to Participating Public Agencies, and (iv) the Master
Agreement is a non-exclusive contract.

APPENDIX 2
PPP ADMIN AGR

(ii)
Branding and Logo Compliance. Supplier shall be responsible for
complying with the P.P.P. branding and logo standards and guidelines. Prior to use by Supplier,
all P.P.P. related marketing material must be submitted to P.P.P. for review and approval.
(iii)
Sales Force Training. Supplier shall train its national sales force on
the Master Agreement and P.P.P. program. P.P.P. shall be available to train on a national,
regional or local level and generally assist with the education of sales personnel.
(iv)
Participating Public Agency Access. Supplier shall establish the
following communication links to facilitate customer access and communication:
(A)
A dedicated Government and Public internet web-based
homepage that is accessible from Supplier’s homepage or main menu navigation
containing:
(1)
P.P.P. standard logo;
(2)
Copy of original procurement solicitation;
(3)
Copy of Master Agreement including any
amendments;
(4)
Summary of Products, Services and Solutions
pricing;
(5)
Electronic link to P.P.P.’s online registration page;
and
(6)
Other promotional material as requested by P.P.P
(A)
A dedicated email address for general inquiries in the
following format: PPP@(name of supplier).com.
(v)
Electronic Registration. Supplier shall encourage t each Public
Agency to complete P.P.P.’s online registration process prior to processing the Public Agency’s
first sales order
(vi)
Supplier’s Performance Review. Upon request by P.P.P., Supplier
shall participate in a performance review meeting with P.P.P. to evaluate Supplier’s performance
of the covenants set forth in this Agreement.
(vii)
Supplier Content. Supplier may, from time to time, provide certain
graphics, media, and other content to P.P.P. (collectively, “Supplier Content”) for use on P.P.P.
websites and for general marketing and publicity purposes. During the term of the Agreement,
Supplier hereby grants to P.P.P. and its affiliates a non-exclusive, worldwide, free, transferrable,
license to reproduce, modify, distribute, publicly perform, publicly display, and use Supplier
Content in connection with P.P.P. websites and for general marketing and publicity purposes,
with the right to sublicense each and every such right. Supplier warrants that: (a) Supplier is the
owner of or otherwise has the unrestricted right to grant the rights in and to Supplier Content as
contemplated here under; and (b) the use of Supplier Content and any other materials or services
provided to P.P.P. as contemplated hereunder will not violate, infringe, or misappropriate the
intellectual property rights or other rights of any third party. Notwithstanding the foregoing,

APPENDIX 2
PPP ADMIN AGR

P.P.P. shall not have any right, title, or interest in Supplier’s Content. Upon termination of this
Agreement, P.P.P. shall immediately cease use of Supplier’s Content.
3.3
Breach of Supplier’s Representations and Covenants. The representations and
covenants set forth in this Agreement are the foundation of the relationship between P.P.P. and
Supplier. If Supplier is found to be in violation of, or non-compliance with, one or more of the
representations and covenants set forth in this Agreement, Supplier shall have ninety (90) days
from the notice of default to cure such violation or non-compliance and, if Supplier fails to cure
such violation or non-compliance within such notice period, it shall be deemed a cause for
immediate termination of the Master Agreement at Lead Public Agency’s sole discretion or this
Agreement at P.P.P.’s sole discretion.
ARTICLE 4
PRICING AUDITS
4.1
P.P.P. shall have the authority to conduct random audits of Supplier’s pricing that
is offered to Participating Public Agencies at P.P.P.’s sole cost and expense. Notwithstanding the
foregoing, in the event that P.P.P. is made aware of any pricing being offered to three (3) or more
Participating Public Agencies that is materially inconsistent with the pricing under the Master
Agreement, P.P.P. shall have the ability to conduct a reasonable audit of Supplier’s pricing at
Supplier’s sole cost and expense during regular business hours upon reasonable notice. P.P.P.
may conduct audits internally or may engage a third-party auditing firm on a non-contingent
basis. In the event of an audit, the requested materials shall be provided in the format and at the
location where kept in the ordinary course of business by Supplier.
ARTICLE 5
FEES & REPORTING
5.1
Administrative Fees. Supplier shall pay to P.P.P. a monthly administrative fee
based upon the total revenue received pursuant to the Master Agreement, excluding taxes, in the
amount of 2% during each calendar month (individually and collectively, “Administrative
Fees”) for all new eligible accounts from and date of contract award and 1% for all existing
accounts. All Administrative Fees shall be payable in U.S. dollars and shall be made by wire to
P.P.P., or its designee or trustee as may be directed in writing by P.P.P.. Administrative Fees
shall be due and payable within thirty (30) days of the end of each calendar month for purchases
shipped and billed during such calendar month. P.P.P. agrees to pay to Lead Public Agency a
percentage of all Administrative Fees received from Supplier to help offset Lead Public
Agency’s costs incurred in connection with managing the Master Agreement nationally.
5.2
Sales Reports. Within thirty (30) days of the end of each calendar month, Supplier
shall deliver to P.P.P. an electronic accounting report, in the format prescribed by Exhibit B
attached hereto, summarizing all revenue received pursuant to the Master Agreement during such
calendar month (“Sales Report”). Contractor revenue received indicated in the Sales Report shall
be denominated in U.S. dollars. All revenue paid by Participating Public Agencies and received
by Contractor for the applicable calendar month shall be included in the Sales Report. Submitted

APPENDIX 2
PPP ADMIN AGR

reports shall be verified by P.P.P. against its registration database. Any data that is inconsistent
with the registration database shall be changed prior to processing. P.P.P. reserves the right upon
reasonable advance notice to Supplier to change the prescribed report format to accommodate
the distribution of the Administrative Fees to its program sponsors and state associations.
5.3
Exception Reporting/Sales Reports Audits. Supplier shall, at Suppliers sole
expense, maintain an accounting of all purchases made by Lead Public Agency and Participating
Public Agencies under the Master Agreement. P.P.P. or its designee may, at its sole discretion,
compare Supplier’s Sales Reports with Participating Public Agency records or other sales
analysis performed by Participating Public Agencies, sponsors, advisory board members or
P.P.P. staff. If there is a material discrepancy between the Sales Report and such records or sales
analysis resulting in an underreporting of purchases and underpayment of Administrative Fees as
determined by P.P.P., P.P.P. shall notify Supplier in writing and Supplier shall have thirty (30)
days from the date of such notice to resolve the discrepancy to P.P.P.’s reasonable satisfaction.
Upon resolution of the discrepancy, Supplier shall remit payment of any additional agreed-upon
Administrative Fees, together with interest thereon in accordance with Section 5.5, to P.P.P.
within fifteen (15) calendar days. Any questions regarding an exception report should be directed
to P.P.P. in writing to reporting@[ppp].org. If Supplier does not resolve the discrepancy to
P.P.P.’s reasonable satisfaction within thirty (30) days, P.P.P. shall have the right to engage a
third party to conduct an independent audit of Supplier’s Sales Reports. Supplier shall solely be
responsible for the cost of the audit. In the event of such an audit, Supplier shall provide all
materials reasonably requested relating to such audit by P.P.P. at the location designated by
P.P.P. In the event an underreporting of purchases and a resulting underpayment of
Administrative Fees is revealed as a result of the audit, Supplier shall remit payment of any such
Administrative Fees, together with interest thereon in accordance with Section 5.5, to P.P.P.
within fifteen (15) calendar days of Supplier’s receipt of the audit results.
5.4
Usage Reporting. Within thirty (30) days of the end of each contract year,
Supplier shall deliver to P.P.P. an electronic usage report of all sales under the Master
Agreement, including:
Supplier’s Product Number
Product Description
Manufacturer Name
Manufacturer Number
Unit of Measure
P.P.P. Price
Number of times ordered
Units Sold
Sales by Manufacturer

APPENDIX 2
PPP ADMIN AGR

5.5
Supplier’s Failure to Provide Reports or Pay Administrative Fees. Failure to
provide a Sales Report or pay Administrative Fees within the time and in the manner specified
herein shall be regarded as a material breach under this Agreement and if not cured within thirty
(30) days of written notice to Supplier, shall be deemed a cause for termination of the Master
Agreement at Lead Public Agency’s sole discretion or this Agreement at P.P.P.’s sole discretion.
All Administrative Fees not paid within thirty (30) days of the end of the previous calendar
month shall bear interest at the rate of one and one-half percent (1.5%) per month until paid in
full.
ARTICLE 6
INDEMNITY
6.1
Indemnity. Supplier hereby agrees to indemnify and defend P.P.P. and its parent
companies, subsidiaries, affiliates, shareholders, member, manager, officers, directors,
employees, agents, and representatives from and against any and all claims, costs, proceedings,
demands, losses, damages, and expenses (including, without limitation, reasonable attorney’s
fees and legal costs) of any kind or nature, arising from or relating to, (i) the acts or omissions of
Supplier in connection with this Agreement and the Master Agreement, (ii) any actual or alleged
breach of any of Supplier’s representations, warranties, or covenants in this Agreement, and (iii)
the use of any Supplier Content, including copyright infringement claims related thereto.
ARTICLE 7
MISCELLANEOUS
7.1
Entire Agreement. This Agreement and the Master Agreement, together with
all attachments, appendices, and exhibits hereto, constitutes the entire agreement between
the parties with respect to the subject matter hereof, and supersedes any and all other
agreements, either oral or in writing, between the parties hereto with respect to the subject
matter hereof, and no other agreement, statement, or promise relating to the subject matter of
this Agreement which is not contained herein shall be valid or binding. In the event of any
conflict between the provisions of this Agreement and the Master Agreement, as between P.P.P.
and Supplier, the provisions of this Agreement shall prevail. The parties acknowledge that this
Agreement has been negotiated and incorporates their collective agreement as to the
provisions to be contained herein. Therefore, no presumption will arise giving benefit of
interpretation by virtue of authorship of any provision of this Agreement, and any ambiguity
may not be construed for or against any Party.
7.2
Assignment.
(a)
Supplier. Neither this Agreement nor any rights or obligations
hereunder shall be assignable by Supplier without prior written consent of P.P.P., and any
assignment without such consent shall be void.

APPENDIX 2
PPP ADMIN AGR

(b)
P.P.P. This Agreement and any rights or obligations hereunder may be
assigned by P.P.P. in P.P.P.’s sole discretion, to an existing or newly established legal entity
that has the authority and capacity to perform P.P.P.’s obligations hereunder.
7.3
Notices. All notices, claims, certificates, requests, demands, and other
communications required or permitted hereunder must be in writing and will be deemed
given to the addresses set forth herein (a) when delivered personally to the recipient, (b)
upon delivery by reputable overnight courier service (charges prepaid), or (c) upon delivery
or refusal of delivery by certified or registered mail, return receipt requested, and addressed
to the intended recipient. The Parties agree that day-to-day business communications,
including notification of a change of address, may be made via electronic communication,
including email.
P.P.P.:
660 North Capital Street
Washington D.C. 20001

Attn: Program Manager Administration

Kone Inc.:
4639 S. 36th Street

Phoenix, AZ 85040

Attn: P.P.P. Program Manager
7.4
Severability. If any provision of this Agreement shall be deemed to be, or
shall in fact be, illegal, inoperative or unenforceable, the same shall not affect any other
provision or provisions herein contained or render the same invalid, inoperative or
unenforceable to any extent whatever.
7.5
Waiver. Any failure of a party to enforce, for any period of time, any of the
provisions under this Agreement shall not be construed as a waiver of such provisions or of
the right of said party thereafter to enforce each and every provision under this Agreement.
7.6
Independent Contractors. In the performance of this Agreement, Supplier shall be
an independent contractor to P.P.P., and shall not be or act as, or be deemed to otherwise be an
agent, employee, or representative of P.P.P. P.P.P. shall be an independent contractor to
Supplier, and shall not be or act as, or be deemed to be an agent, employee, or representative of
Supplier. Supplier’s employees will not be deemed to be P.P.P. employees. P.P.P.’s employees
will not be deemed to be Supplier’s employees. Nothing contained in this Agreement may be
construed to be inconsistent with that relationship or status. Neither party exercises direct control
or supervision over the employees of the other party and, in fact, each party disavows any right
to do so, and no party in any way directs the operations of the other party or the manner of the
other party’s performance. No partnership, joint venture, or other relationship between the
parties is created hereby.
7.7
Counterparts; Electronic Signatures. This Agreement may be executed in
several counterparts, each of which shall be an original and all of which shall constitute but

APPENDIX 2
PPP ADMIN AGR

one and the same instrument. The exchange of copies of this Agreement and of signature
pages by facsimile, by .pdf or similar electronic transmission (including any electronic
signature complying with the U.S. federal ESIGN Act of 2000, e.g., www.docusign.com or
www.echosign.com), will constitute effective execution and delivery of this Agreement as
to the parties and may be used in lieu of the original Agreement for all purposes.
7.8
Modifications. This Agreement may not be effectively amended, changed,
modified, altered or terminated without the prior written consent of the parties hereto.
7.9
Governing Law; Arbitration. This Agreement will be governed by and
interpreted in accordance with the laws of the State of Delaware without regard to any
conflict of laws principles. Any dispute, claim, or controversy arising out of or relating to
this Agreement or the breach, termination, enforcement, interpretation or validity thereof,
including the determination of the scope or applicability of this dispute resolution clause,
shall be determined by arbitration in the District of Columbia, before one (1) arbitrator. The
arbitration shall be administered by JAMS pursuant to its Comprehensive Arbitration Rules
and Procedures. Judgment on the award may be entered in any court having jurisdiction.
This clause shall not preclude parties from seeking provisional remedies in aid of arbitration
from a court of appropriate jurisdiction. The prevailing party will be entitled to recover its
reasonable attorneys’ fees and arbitration costs from the other party. The arbitration award
shall be final and binding. Each party commits that prior to commencement of arbitration
proceedings, the parties shall submit the dispute to JAMS for mediation. The parties will
cooperate with JAMS and with one another in selecting a mediator from JAMS panel of
neutrals, and in promptly scheduling the mediation proceedings. The parties covenant that
they will participate in the mediation in good faith, and that they will share equally in its
costs. The mediation will be conducted by each party designating a duly authorized officer
or other representative to represent the party with the authority to bind the party, and that the
parties agree to exchange informally such information as is reasonably necessary and
relevant to the issues being mediated. All offers, promises, conduct, and statements, whether
oral or written, made in the course of the mediation by any of the parties, their agents,
employees, experts, and attorneys, and by the mediator or any JAMS employees, are
confidential, privileged, and inadmissible for any purpose, including impeachment, in any
arbitration or other proceeding involving the parties, provided that evidence that is otherwise
admissible or discoverable shall not be rendered inadmissible or nondiscoverable as a result
of its use in the mediation. If the dispute is not resolved within thirty (30) days from the date
of the submission of the dispute to mediation (or such later date as the parties may mutually
agree in writing), the administration of the arbitration shall proceed. The mediation may
continue, if the parties so agree, after the appointment of the arbitrator. Unless otherwise
agreed by the parties, the mediator shall be disqualified from serving as arbitrator in the
case. The pendency of a mediation shall not preclude a party from seeking provisional
remedies in aid of the arbitration from a court of appropriate jurisdiction, and the parties
agree not to defend against any application for provisional relief on the ground that a
mediation is pending.
7.10
No Third-Party Beneficiaries; Survival of Representations. This Agreement is
made solely for the benefit of the parties to it, and no other persons will acquire or have any right

APPENDIX 2
PPP ADMIN AGR

under or by virtue of this Agreement. Except as otherwise provided herein, all representations,
warranties, covenants, and agreements of the parties shall remain in full force and effect
regardless of any termination of this Agreement, in whole or in part.
7.11
Successors and Assigns. This Agreement shall inure to the benefit of and shall
be binding upon P.P.P., Supplier and any successor and assign thereto; subject, however, to
the limitations contained herein.
[Remainder of Page Intentionally Left Blank - Signatures Follow]

IN WITNESS WHEREOF, P.P.P. has caused this Agreement to be executed in its name and Supplier has
caused this Agreement to he executed in its name, all effective as of the date first written above.
P.P.P.:
PUBLIC PROMISE PROCUREMENT, LLC:

By:

Name: Paul Terragno
Title: Managing Director

KONE:

By:

Name:

Title:

APPENDIX 3
SUPPLIER WORKSHEET

SUPPLIER WORKSHEET FOR NATIONAL PROGRAM CONSIDERATION

Suppliers are required to meet specific qualifications for national program consideration.
Please respond in the spaces provided after each qualification statement below:

A. Will pricing for all Products/Services offered be equal to or lower than the most
competitive pricing offered by your organization to Participating Public Agencies
nationally?

YES____
*NO_____

(*If no, identify the states/localities where pricing will not be equal to or lower.)

B. Does your company have the ability to provide products and services to any
Participating Public Agency in all 50 states?

YES_____
*NO_____

(*If no, identify the states where you do not have the ability to provide products
and services to Participating Public Agencies.)

C. Does your company have a national sales force, dealer network or distributor with
the ability to call on Participating Public Agencies in at least 35 U.S. states?

YES_____
*NO_____

(*If no, identify the states where you have the ability to call on Participating
Public Agencies.)

D. Check which applies for your company sales last year in the United States:

_____Sales between $0 and $25,000,000
_____Sales between $25,000,001 and $50,000,000
_____Sales between $50,000,001 and $100,000,000
_____Sales greater than $100,000,00

E. Will your company assign a National Account Manager to support the resulting
Public Promise Procurement contract?

YES_____
NO_____

F. Will your company commit to the following implementation schedule?

APPENDIX 3
SUPPLIER WORKSHEET

YES_____
NO_____

G. Will the Public Promise Procurement contract be one of your public offerings to
Participating Public Agencies?

YES_____
NO_____

Submitted by:

__________________________________________________________________________
(Company Name)

Representative: __________________________ Signature: __________________________

(Printed Name)

___________________________
________________________________

(Title)

(Date)

APPENDIX 4
IMPLEMENTATION SCHEDULE

New Supplier Implementation Schedule
IMPLEMENTATION ACTIVITY
TARGET COMPLETION
AFTER CONTRACT AWARD
1. First Conference Call – Initial kick-off call to:
discuss expectations; set contract launch date &
outline kick-off plan; establish contact people,
numbers/e-mails, roles/responsibilities;
establish supplier login credentials; and set
contract roll-out webinar dates.
One week
2. Executed Legal Documents – Obtain executed
copies of: Master Agreement along with
associated solicitation and other ancillary
documents; Public Promise Procurement
Administration Agreement; and Lead Public
Agency Revenue Sharing Agreement.
One week
3. Second Conference Call – Planning call to:
establish sales training webinar dates; complete
supplier set-up; identify dates for senior
management meeting; and review contract
commitments.
Two weeks
4. Marketing Kick-off Call – Initial kick-off call to:
go over marketing requirements; establish
timeline for marketing deliverables; establish
cadence for regular marketing calls; and review
contract roll-out webinar slides.
Two weeks
5. Web Development – Meeting of marketing and
IT staff to initiate e-commerce and supplier
specific microsite discussion.
Two Weeks
6. Initial Management & Staff Training Meetings –
Training sessions with national team and staff
to: discuss expectations, roles and
responsibilities; introduce and review program
technology tools; discuss sales team training
Three Weeks

APPENDIX 4
IMPLEMENTATION SCHEDULE

schedule; and review lead referral process and
expectations.
7. Senior Management Meeting - Meeting of
senior management to: familiarize the
management team with the NACo and PPP
organization; track implementation progress;
and discuss contract commitments.
Four Weeks
8. Review Top Target Opportunities – Meeting of
PPP and supplier sales team to: review top
county opportunities; and review suppliers top
10 existing local contracts.
Five Weeks
9. Program Manager/National Account Manager
Planning Meeting and Sales Training - Meeting
to discuss training strategy and initiate sales
team remote and in-person training.
Five Weeks
10. Program Roll Out – Initiate contact with
Advisory Board members and other top target
opportunities.

Six Weeks

APPENDIX 5
FEDERAL TERMS & CONDITIONS

FEDERAL CONTRACT TERMS AND CONDITIONS
Participating Public Agencies may choose to utilize federal funds to purchase under the Master
Agreement. This Appendix includes language that meets the requirements of Appendix II to the
Federal Uniform Guidance. Complete the Certifications in this Appendix 6 and submit as
part of your response.
A. Nondiscrimination – In performing this contract, CONTRACTOR will not exclude a
person from participating in, deny them a benefit of, or discriminate against them
because of race, color, religion, national origin, sex, disability, or age. See 42
U.S.C.A. § 2000d et seq.; 42 U.S.C.A. § 3601 et seq.; 42 U.S.C.A. § 6101 et seq.; 29
U.S.C.A § 794; 42 U.S.C.A § 12132; and 49 U.S.C.A. § 5332. The CONTRACTOR
also agrees that it will not discriminate against any employee or applicant for
employment because of race, color, religion, national origin, sex, disability or age.
See 29 U.S.C.A. § 623; 42 U.S.C.A. § 12101. In addition, the CONTRACTOR agrees
to comply with applicable Federal implementing regulations regarding the subject
matter of this clause.

B. Recycled Products – CONTRACTOR must comply with section 6002 of the Solid
Waste Disposal Act, as amended by the Resource Conservation and Recovery Act.
The requirements of Section 6002 include procuring only items designated in
guidelines of the Environmental Protection Agency (EPA) at 40 CFR part 247 that
contain the highest percentage of recovered materials practicable, consistent with
maintaining a satisfactory level of competition, where the purchase price of the item
exceeds $10,000 or the value of the quantity acquired during the preceding fiscal year
exceeded $10,000; procuring solid waste management services in a manner that
maximizes energy and resource recovery; and establishing an affirmative
procurement program for procurement of recovered materials identified in the EPA
guidelines.

C. Clean Air Act (42 U.S.C. 7401–7671q.) and the Federal Water Pollution Control
Act (33 U.S.C. 1251–1387), as amended – CONTRACTOR agrees to comply with
all applicable standards, orders or regulations issued pursuant to the Clean Air Act
(42 U.S.C. 7401–7671q) and the Federal Water Pollution Control Act as amended (33
U.S.C. 1251–1387). Violations of these standards by the CONTRACTOR must be
reported to the U.S. Department of the Treasury and the Regional Office of the
Environmental Protection Agency (EPA).

D. Debarment and Suspension – CONTRACTOR certifies, by execution of Exhibit F -
1, that neither it nor any of its principals are presently debarred, suspended, proposed

APPENDIX 5
FEDERAL TERMS & CONDITIONS

for disbarment, declared ineligible, or voluntarily excluded from participation in this
transaction by any Federal department or agency.

E. Byrd Anti-Lobbying Amendment – CONTRACTOR certifies by execution of
Exhibit F - 2 that it adheres to the federal restrictions on lobbying using federal funds.

F. Termination for Convenience – This Contract may be terminated in whole or in part
by the County in accordance with this clause whenever the Purchasing Agent
determines that such a termination is in the best interest of the County. Any such
termination will be effected by delivery to the Contractor of a Notice of Termination
specifying the extent to which performance is terminated and the date upon which
termination becomes effective. An equitable adjustment in the contract price, as
determined by the Purchasing Agent, will be made for completed service, but no
amount will be allowed for anticipated profit on unperformed services.

G. Termination for Cause
1. If, through any cause, the Contractor fails to fulfill in a timely and proper
manner its obligations under this contract, or if the Contractor violates any of
the covenants, agreements, or stipulations of this contract, the County has the
right to terminate the contract. Any such termination will be affected by
delivery to the Contractor of a Notice of Termination specifying the extent to
which performance shall be terminated and the date upon which termination
becomes effective. In such event all finished or unfinished documents, data,
studies, surveys, drawings, maps, models, and reports prepared by the
Contractor under the contract shall, at the option of the County, become its
property and the Contractor shall be entitled to receive just and equitable
compensation for any satisfactory work completed on such documents
2. Termination of the Contract for Cause does not relieve the Contractor of
liability to the County for damages sustained by the County by virtue of any
breach of contract by the Contractor for the purpose of set off until such time
as the exact amount of damages due to the County from the Contractor is
determined.

H. Prohibition on certain telecommunications and video surveillance services or
equipment – CONTRACTOR certifies that equipment, services, or systems used in
covered telecommunications equipment and provided to the COUNTY is not
produced by Huawei Technologies Company, ZTE Corporation, Hytera
Communications Corporation, Hangzhou Hikvision Digital Technology Company, or
Dahua Technology Company (or any subsidiary or affiliate of such entities).

APPENDIX 5
FEDERAL TERMS & CONDITIONS

I. Equal Employment Opportunity – During the performance of this contract,
CONTRACTOR agrees as follows:

1. CONTRACTOR will not discriminate against any employee or applicant for
employment because of race, color, religion, sex, sexual orientation, gender
identity, or national origin. CONTRACTOR will take affirmative action to
ensure that applicants are employed, and that employees are treated during
employment without regard to their race, color, religion, sex, sexual
orientation, gender identity, or national origin. Such action shall include, but
not be limited to the following: Employment, upgrading, demotion, or
transfer; recruitment or recruitment advertising; layoff or termination; rates of
pay or other forms of compensation; and selection for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available
to employees and applicants for employment, notices to be provided setting
forth the provisions of this nondiscrimination clause.
2. CONTRACTOR will, in all solicitations or advertisements for employees
placed by or on behalf of the contractor, state that all qualified applicants will
receive consideration for employment without regard to race, color, religion,
sex, sexual orientation, gender identity, or national origin.
3. CONTRACTOR will not discharge or in any other manner discriminate
against any employee or applicant for employment because such employee or
applicant has inquired about, discussed, or disclosed the compensation of the
employee or applicant or another employee or applicant. This provision shall
not apply to instances in which an employee who has access to the
compensation information of other employees or applicants as a part of such
employee's essential job functions discloses the compensation of such other
employees or applicants to individuals who do not otherwise have access to
such information, unless such disclosure is in response to a formal complaint
or charge, in furtherance of an investigation, proceeding, hearing, or action,
including an investigation conducted by the employer, or is consistent with the
contractor's legal duty to furnish information.
4. CONTRACTOR will send to each labor union or representative of workers
with which he has a collective bargaining agreement or other contract or
understanding, a notice to be provided advising the said labor union or
workers' representatives of the contractor's commitments under this section
and shall post copies of the notice in conspicuous places available to
employees and applicants for employment.
5. CONTRACTOR will comply with all provisions of Executive Order 11246 of
September 24, 1965, and of the rules, regulations, and relevant orders of the
Secretary of Labor.

APPENDIX 5
FEDERAL TERMS & CONDITIONS

6. CONTRACTOR will furnish all information and reports required by
Executive Order 11246 of September 24, 1965, and by rules, regulations, and
orders of the Secretary of Labor, or pursuant thereto, and will permit access to
his books, records, and accounts by the administering agency and the
Secretary of Labor for purposes of investigation to ascertain compliance with
such rules, regulations, and orders.
7. In the event of the CONTRACTOR's noncompliance with the
nondiscrimination clauses of this contract or with any of the said rules,
regulations, or orders, this contract may be canceled, terminated, or suspended
in whole or in part and the CONTRACTOR may be declared ineligible for
further Government contracts or federally assisted construction contracts in
accordance with procedures authorized in Executive Order 11246 of
September 24, 1965, and such other sanctions may be imposed and remedies
invoked as provided in Executive Order 11246 of September 24, 1965, or by
rule, regulation, or order of the Secretary of Labor, or as otherwise provided
by law.
8. CONTRACTOR will include the portion of the sentence immediately
preceding paragraph (1) and the provisions of paragraphs (1) through (8) in
every subcontract or purchase order unless exempted by rules, regulations, or
orders of the Secretary of Labor issued pursuant to section 204 of Executive
Order 11246 of September 24, 1965, so that such provisions will be binding
upon each subcontractor or vendor. CONTRACTOR will take such action
with respect to any subcontract or purchase order as the administering agency
may direct as a means of enforcing such provisions, including sanctions for
noncompliance:
Provided, however, that in the event a CONTRACTOR becomes involved in,
or is threatened with, litigation with a subcontractor or vendor as a result of
such direction by the administering agency, the contractor may request the
United States to enter into such litigation to protect the interests of the United
States.

J. Davis–Bacon Act, as amended (40 U.S.C. 3141–3148).
1. CONTRACTOR must comply with the Davis–Bacon Act (40 U.S.C. 3141–
3144, and 3146–3148) as supplemented by Department of Labor regulations
(29 CFR Part 5, “Labor Standards Provisions Applicable to Contracts
Covering Federally Financed and Assisted Construction”). CONTRACTOR
must pay wages to laborers and mechanics at a rate not less than the prevailing
wages specified in a wage determination made by the Secretary of Labor.
CONTRACTOR must pay wages not less than once a week. By executing this
Contract, CONTRACTOR accepts the Department of Labor wage
determination for this work.

APPENDIX 5
FEDERAL TERMS & CONDITIONS

2. CONTRACTOR must comply with the Copeland “Anti–Kickback” Act (40
U.S.C. 3145), as supplemented by Department of Labor regulations (29 CFR
Part 3, “Contractors and Subcontractors on Public Building or Public Work
Financed in Whole or in Part by Loans or Grants from the United States”).
CONTRACTOR is prohibited from inducing, by any means, any person
employed in the construction, completion, or repair of public work, to give up
any part of the compensation to which he or she is otherwise entitled.

K. Contract Work Hours and Safety Standards Act – CONTRACTOR agrees to
comply with 40 U.S.C. 3702 and 3704, as supplemented by Department of Labor
regulations (29 CFR Part 5). Under 40 U.S.C. 3702 of the Act. Specifically,
CONTRACTOR must compute the wages of every mechanic and laborer on the basis
of a standard work week of 40 hours. Work in excess of the standard work week is
permissible provided that the worker is compensated at a rate of not less than one and
a half times the basic rate of pay for all hours worked in excess of 40 hours in the
work week. The requirements of 40 U.S.C. 3704 are applicable to construction work
and provide that no laborer or mechanic must be required to work in surroundings or
under working conditions which are unsanitary, hazardous or dangerous. This clause
does not apply to the purchases of supplies or materials or articles ordinarily available
on the open market, or contracts for transportation or transmission of intelligence.

L. Program Fraud, False or Fraudulent Statements, and Related Acts 1
1. CONTRACTOR acknowledges that the provisions of the Program Fraud Civil
Remedies Act of 1986, as amended, 31 U.S.C. § 3801 et. seq. and all
appropriate federal agency regulations apply to CONTRACTOR’s actions
pertaining to this Contract. Upon execution of this Contract, CONTRACTOR
certifies or affirms the truthfulness and accuracy of any statement it has made,
it makes, it may make, or causes to be made, pertaining to the underlying
CONTRACT. When submitting requests for payment under this Contract, the
CONTRACTOR is deemed to certify or affirm the truthfulness and accuracy
of any statement made in support of its request for payment. In addition to
other penalties that may be applicable CONTRACTOR further acknowledges
that if it makes, or caused to be made, a false, fictitious, or fraudulent claim,
statement, submission, or certification, the Federal Government reserves the
right to impose the penalties of the Program Fraud Civil Remedies Act of
1986 on the Contractor, to the extent the Federal Government deems
appropriate. Finally, CONTRACTOR acknowledges that that if it makes, or
causes to be made, a false, fictitious, or fraudulent claim, statement,
submission, or certification to the Federal Government under this
CONTRACT, the Federal Government reserves the right to impose the

APPENDIX 5
FEDERAL TERMS & CONDITIONS

additional penalties of 18 U.S.C. § 1001 and 49 U.S.C. § 5307(n)(1) on the
Contractor, to the extent the Federal Government deems appropriate.
2. The Contractor agrees to include the above two clauses in each subcontract
financed in whole or in part with Federal assistance. It is further agreed that
the clause shall not be modified, except to identify the subcontractor who will
be subject to the provisions.

M. Interest of Members of Congress – No member of or delegates to the Congress of
the United States shall be admitted to a share or part of this Contract or to any benefit
arising there from.

N. Protections for Whistleblowers
1. In accordance with 41 U.S.C. § 4712, Contractor may not discharge, demote,
or otherwise discriminate against an employee as a reprisal for disclosing
information to any of the list of persons or entities provided below that the
employee reasonably believes is evidence of gross mismanagement of a
federal contract or grant, a gross waste of federal funds, an abuse of authority
relating to a federal contract or grant, a substantial and specific danger to
public health or safety, or a violation of law, rule, or regulation related to a
federal contract (including the competition for or negotiation of a contract) or
grant.
2. The list of persons and entities referenced in the paragraph above includes the
following:
a. A member of Congress or a representative of a committee of Congress.
b. An Inspector General.
c. The Government Accountability Office.
d. A Treasury employee responsible for contract or grant oversight or
management.
e. An authorized official of the Department of Justice or other law
enforcement agency.
f. A court or grand jury; and/or
g. A management official or other employee of Contractor, contractor, or
subcontractor who has the responsibility to investigate, discover, or
address misconduct.
Contractor shall inform its employees in writing of the rights and remedies provided under this
section, in the predominant native language of the workforce.

APPENDIX 5
FEDERAL TERMS & CONDITIONS

O. RIGHTS TO INVENTIONS MADE UNDER A CONTRACT OR
AGREEMENT –
If the Federal award meets the definition of "funding agreement" under 37 CFR § 401.2 (a) and
the recipient or subrecipient wishes to enter into a contract with a small business firm or nonprofit
organization regarding the substitution of parties, assignment or performance of experimental,
developmental, or research work under that "funding agreement," the recipient or subrecipient
must comply with the requirements of 37 CFR Part 401, "Rights to Inventions Made by
Nonprofit Organizations and Small Business Firms Under Government Grants, Contracts and
Cooperative Agreements," and any implementing regulations issued by the awarding agency.

P . CONTRACTS FOR MORE THAN THE SIMPLIFIED ACQUISITION
THRESHOLD, which is the inflation adjusted amount determined by the Civilian Agency
Acquisition Council and the Defense Acquisition Regulations Council (Councils) as authorized
by 41.U.S.C. 1908, must address administrative, contractual, or legal remedies in instances
where contractors violate or breach contract terms, and provide for such sanctions and penalties
as appropriate.

Q. § 200.321 CONTRACTING WITH SMALL AND MINORITY BUSINESSES,
WOMEN'S BUSINESS ENTERPRISES, AND LABOR SURPLUS AREA FIRMS.
(a) The non-Federal entity must take all necessary affirmative steps to assure that minority
businesses, women's business enterprises, and labor surplus area firms are used when possible.
(b) Affirmative steps must include:
(1) Placing qualified small and minority businesses and women's business enterprises on
solicitation lists;
(2) Assuring that small and minority businesses, and women's business enterprises are solicited
whenever they are potential sources;
(3) Dividing total requirements, when economically feasible, into smaller tasks or quantities to
permit maximum participation by small and minority businesses, and women's business
enterprises;
(4) Establishing delivery schedules, where the requirement permits, which encourage
participation by small and minority businesses, and women's business enterprises;
(5) Using the services and assistance, as appropriate, of such organizations as the Small Business
Administration and the Minority Business Development Agency of the Department of
Commerce; and
(6) Requiring the prime contractor, if subcontracts are to be let, to take the affirmative steps
listed in paragraphs (b)(1) through (5) of this section.

APPENDIX 5
FEDERAL TERMS & CONDITIONS

R. § 200.322 DOMESTIC PREFERENCES FOR PROCUREMENTS.
(a) As appropriate and to the extent consistent with law, the non-Federal entity should, to the
greatest extent practicable under a Federal award, provide a preference for the purchase,
acquisition, or
use of goods, products, or materials produced in the United States (including but not limited to
iron, aluminum, steel, cement, and other manufactured products). The requirements of this
section must be included in all subawards including all contracts and purchase orders for work or
products under this award.
(b) For purposes of this section:
(1) “Produced in the United States” means, for iron and steel products, that all manufacturing
processes, from the initial melting stage through the application of coatings, occurred in the
United States.
(2) “Manufactured products” means items and construction materials composed in whole or in
part of non-ferrous metals such as aluminum; plastics and polymer-based products such as
polyvinyl chloride pipe; aggregates such as concrete; glass, including optical fiber; and lumber

APPENDIX 5
FEDERAL TERMS & CONDITIONS

FEDERAL CONTRACT TERMS AND CONDITIONS
(Debarment and Suspension Certification)

In compliance with contracts and grants agreements applicable under the U.S. Federal Awards Program, the
following certification is required by the Contractor entering into this Contract.
1. The Contractor certifies, to the best of its knowledge and belief:
a.
that neither the Contractor nor its Principals are suspended, debarred, proposed for debarment, declared
ineligible or voluntarily excluded for the award of Contracts from the United States federal government
procurement or nonprocurement programs, or are listed in the List of Parties Excluded from Federal
Procurement and Nonprocurement Programs issued by the General Services Administration;
b. that neither the Contractor nor its Principals have had within a three-year period preceding this proposal
been convicted of or had a civil judgment rendered against them for commission of fraud or a criminal
offense in connection with obtaining, attempting to obtain, or performing a public (Federal, State or local)
transaction or contract under a public transaction; violation of Federal or State antitrust statutes or
commission of embezzlement, theft, forgery, bribery, falsification or destruction of records, making false
statements, or receiving stolen property;
c.
that neither the Contractor nor its Principals are presently indicted for or otherwise criminally or civilly
charged by a governmental entity (Federal, State or local) with commission of any of the offenses
enumerated in paragraph (1)(b) of this certification; and
d. that neither the Contractor nor its Principals have within a three-year period preceding this
application/proposal had one or more public transactions (Federal, State or local) terminated for cause or
default.

2. “Principals,” for the purposes of this certification, means officers, directors, owners, partners, and persons
having primary management or supervisory responsibilities within a business entity (e.g., general manager,
plant manager, head of a subsidiary, division, or business segment, and similar positions).

3. The Contractor shall provide immediate written notice to the Fairfax County Purchasing Agent if, at any time
during the period of this Contract, the Contractor learns that this certification was erroneous when submitted or
has become erroneous by reason of changed circumstances. Additionally, where the Contractor is unable to
certify to any of the statements in this certification, such prospective participant shall attach an explanation to
this proposal. 4. This certification is a material representation of fact upon which reliance will be placed when
making the award. If it is later determined that the Contractor rendered an erroneous certification, in addition to
other remedies available to Fairfax County government, the Fairfax County Purchasing Agent may terminate
this Contract for default.

Printed Name of Representative: _______________________________________________

Signature/Date: _______________________________/_____________________________

Company Name: ____________________________________________________________

Address: ___________________________________________________________________

City/State/Zip: ______________________________________________________________

DUNS No: _________________________________________________________________

APPENDIX 5
FEDERAL TERMS & CONDITIONS

FEDERAL CONTRACT TERMS AND CONDITIONS
(Byrd Anti-Lobbying Certification)
31 U.S.C. 1352 et seq.
The undersigned certifies, to the best of his or her knowledge and belief, that:

1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any
person for influencing or attempting to influence an officer or employee of an agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with
the awarding of any Federal contract, the making of any Federal grant, the making of any Federal Loan, the
entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or
modification of and Federal contract, grant, loan, or cooperative agreement.

2. If any funds or than Federal appropriated funds have been paid or will be paid to any person for making
lobbying contacts to an officer or employee of an agency, a Member of Congress, an officer or employee of
Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or
cooperative agreement, the undersigned shall complete and submit Standard Form—LLL, “Disclosure
Form to Report Lobbying,” in accordance with its instructions [as amended by “Government wide
Guidance for New Restrictions on Lobbying,” 61 Fed. Reg. 1413 (1/19/96). Note: Language in paragraph
(2) herein has been modified in accordance with Section 10 of the Lobbying Disclosure Act of 1995 (P.L.
104-65, to be codified at 2 U.S.C. 1601, et.seq.

3. The undersigned shall require that the language of this certification be included in the award documents for
all contracts at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and
cooperative agreements) and that all Contractors shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was made
or entered into. Submission of this certification is a prerequisite for making or entering into this transaction by 31,
U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the required
certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such
failure.
[Note: Pursuant to 31 U.S.C. § 1352(c)(1)-(2)(A), any person who makes a prohibited expenditure or fails to file or
amend a required certification or disclosure form shall be subject to a civil penalty of not less than $10,000 and not
more than $100,000 for each such expenditure or failure.]
The CONTRACTOR, certifies or affirms the truthfulness and accuracy of each statement of its certification and
disclosure, if any. In addition, the CONTRACTOR understands and agrees that the provisions of 31 U.S.C. A 3801,
et seq., apply to this certification and disclosure, if any.

Printed Name of Representative: ___________________________________________
Signature/Date: _________________________________________________________
Company Name: ________________________________________________________
Address: _______________________________________________________________
City/State/Zip: __________________________________________________________
DUNS No: _____________________________________________________________

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

Suppliers intending to do business in the State of New Jersey must comply with policies and procedures required
by New Jersey statutes. All Suppliers submitting proposals must complete the following forms to meet the
requirements of doing business in this state.

All forms in this Exhibit should be submitted as a part of your proposal response. Failure to comply will
affect the ability to promote the Master Agreement in the State of New Jersey.

(a)
Checklist of Documents Required
INCLUDED IN
PROPOSAL
ATTACHMENT
FORM
Attachment 1
Ownership Disclosure Form
Attachment 2
Non-Collusion Affidavit
Attachment 3
Affirmative Action Affidavit
Attachment 4
Political Contribution Disclosure Form
Attachment 5
Stockholder Disclosure Certification
Attachment 6
Certification of Non-Involvement in Prohibited Activities in
Iran and Russia
Attachment 7
New Jersey Business Registration Certification

New Jersey suppliers are required to comply with the following New Jersey statutes when applicable:

(1) All anti-discrimination laws, including those contained in N.J.S.A. 10:2-1 through N.J.S.A. 10:2-14,
N.J.S.A. 10:5-1, and N.J.S.A. 10:5-31 through 10:5-38;

(2) Prevailing Wage Act, N.J.S.A. 34:11-56.26, for all contracts within the contemplation of the Act;

(3) Public Works Contractor Registration Act, N.J.S.A. 34:11-56.26; and

(4) Bid and Performance Security, as required by the applicable municipal or state statutes.

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

STATEMENT OF OWNERSHIP DISCLOSURE
N.J.S.A. 52:25-24.2 (P.L. 1977, c.33, as amended by P.L. 2016, c.43)

This statement shall be completed, certified to, and included with all bid and proposal submissions. Failure to submit
the required information is cause for automatic rejection of the bid or proposal.

Name of Organization:_________________________________________________________________

Organization Address:_________________________________________________________________

Part I Check the box that represents the type of business organization:
Sole Proprietorship (skip Parts II and III, execute certification in Part IV)
Non-Profit Corporation (skip Parts II and III, execute certification in Part IV)
For-Profit Corporation (any type) Limited Liability Company (LLC)
Partnership
Limited Partnership
Limited Liability Partnership (LLP)
Other (be specific): ______________________________________________

Part II

 The list below contains the names and addresses of all stockholders in the corporation who own 10
percent or more of its stock, of any class, or of all individual partners in the partnership who own a 10
percent or greater interest therein, or of all members in the limited liability company who own a 10
percent or greater interest therein, as the case may be. (COMPLETE THE LIST BELOW IN THIS SECTION)

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

 No one stockholder in the corporation owns 10 percent or more of its stock, of any class, or no individual
partner in the partnership owns a 10 percent or greater interest therein, or no member in the limited
liability company owns a 10 percent or greater interest therein, as the case may be. (SKIP TO PART IV)

(Please attach additional sheets if more space is needed):

Name of Individual or Business Entity
Address

Part III DISCLOSURE OF 10% OR GREATER OWNERSHIP IN THE STOCKHOLDERS, PARTNERS OR LLC MEMBERS
LISTED IN PART II

If a bidder has a direct or indirect parent entity which is publicly traded, and any person holds a 10 percent or
greater beneficial interest in the publicly traded parent entity as of the last annual federal Security and Exchange
Commission (SEC) or foreign equivalent filing, ownership disclosure can be met by providing links to the website(s)
containing the last annual filing(s) with the federal Securities and Exchange Commission (or foreign equivalent) that
contain the name and address of each person holding a 10% or greater beneficial interest in the publicly traded parent
entity, along with the relevant page numbers of the filing(s) that contain the information on each such person. Attach
additional sheets if more space is needed.

Website (URL) containing the last annual SEC (or foreign equivalent) filing
Page #’s

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

Please list the names and addresses of each stockholder, partner or member owning a 10 percent or greater interest
in any corresponding corporation, partnership and/or limited liability company (LLC) listed in Part II other than for any
publicly traded parent entities referenced above. The disclosure shall be continued until names and addresses of
every noncorporate stockholder, and individual partner, and member exceeding the 10 percent ownership criteria
established pursuant to N.J.S.A. 52:25-24.2 has been listed. Attach additional sheets if more space is needed.

Stockholder/Partner/Member and
Corresponding Entity Listed in Part II
Address

Part IV Certification

I, being duly sworn upon my oath, hereby represent that the foregoing information and any attachments thereto to the best
of my knowledge are true and complete. I acknowledge: that I am authorized to execute this certification on behalf of the
bidder/proposer; that the <name of contracting unit> is relying on the information contained herein and that I am under a
continuing obligation from the date of this certification through the completion of any contracts with <type of contracting
unit> to notify the <type of contracting unit> in writing of any changes to the information contained herein; that I am aware
that it is a criminal offense to make a false statement or misrepresentation in this certification, and if I do so, I am subject to
criminal prosecution under the law and that it will constitute a material breach of my agreement(s) with the, permitting the
<type of contracting unit> to declare any contract(s) resulting from this certification void and unenforceable.

Full Name (Print):

Title:

Signature:

Date:

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

7.12
NON-COLLUSION AFFIDAVIT
N.J.S.A. 52:34-15

State of New Jersey
County of

ss:

(name of municipality)
residing
in
(name of affiant)
in the County of
and State of
of
full age, being duly sworn according to law on my oath depose and say that:

I am

of the firm of

(title or position)

(name of firm)

the bidder making this Proposal for the bid

entitled
, and that I executed the said proposal with
(title of bid proposal)
full authority to do so that said bidder has not, directly or indirectly entered into any agreement, participated in
any collusion, or otherwise taken any action in restraint of free, competitive bidding in connection with the above-
named project; and that all statements contained in said proposal and in this affidavit are true and correct, and
made with full knowledge that the

relies upon the truth of the statements contained in said Proposal (name of
contracting unit)
and in the statements contained in this affidavit in awarding the contract for the said project.

I further warrant that no person or selling agency has been employed or retained to solicit or secure such contract
upon an agreement or understanding for a commission, percentage, brokerage, or contingent fee, except bona
fide employees or bona fide established commercial or selling agencies maintained by
.
(name of firm)
Subscribed and sworn to

before me this day
Signature

, 2

(Type or print name of affiant under signature)

Notary public of

My Commission expires

(Seal)

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

7.13
AFFIRMATIVE ACTION AFFIDAVIT
(a) P.L. 1975, c.127

Company Name:

Address:

Proposal Certification: Indicate below your company’s compliance with New Jersey Affirmative Action
regulations. Company’s proposal will be accepted even if not in compliance at this time. No contract and/or
purchase order may be issued, however, until all Affirmative Action requirements are met.

(b)
Required Affirmative Action Documentation:
The Supplier shall submit with its proposal, ONE of the following three documents:

(1) Letter of Federal Affirmative Action Plan Approval

(2) Certificate of Employee Information Report

(3) Employee Information Report Form AA302

(1) If company has no approved Federal or New Jersey Affirmative Action Plan. Company will
complete New Jersey Form AA-201 upon award; or

(2) Company has a Federal or New Jersey Affirmative Action Plan – certificate is enclosed.

I further certify the statements and information contained herein, are complete and correct to the best of
my knowledge and belief.

Authorized Signature

Printed Name

Title

Date

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

43
7.14
MANDATORY AFFIRMATIVE ACTION LANGUAGE
N.J.S.A. 10:5-31 et seq. (P.L. 1975, C. 127)
7.15
N.J.A.C. 17:27

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

ARTICLE 8EXHIBIT B
MANDATORY EQUAL EMPLOYMENT OPPORTUNITY LANGUAGE
N.J.S.A. 10:5-31 et seq. (P.L.1975, c.127)
N.J.A.C. 17:27-1.1 et seq.
CONSTRUCTION CONTRACTS
During the performance of this contract, the contractor agrees as follows:

The contractor or subcontractor, where applicable, will not discriminate against any employee or applicant
for employment because of age, race, creed, color, national origin, ancestry, marital status, affectional or
sexual orientation, gender identity or expression, disability, nationality or sex. Except with respect to
affectional or sexual orientation and gender identity or expression, the contractor will ensure that equal
employment opportunity is afforded to such applicants in recruitment and employment, and that employees
are treated during employment, without regard to their age, race, creed, color, national origin, ancestry,
marital status, affectional or sexual orientation, gender identity or expression, disability, nationality or sex.
Such equal employment opportunity shall include, but not be limited to the following: employment,
upgrading, demotion, or transfer; recruitment or recruitment advertising; layoff or termination; rates of pay or
other forms of compensation; and selection for training, including apprenticeship. The con- tractor agrees to
post in conspicuous places, available to employees and applicants for employment, notices to be provided by
the Public Agency Compliance Officer setting forth provisions of this nondiscrimination clause.

The contractor or subcontractor, where applicable will, in all solicitations or advertisements for employees
placed by or on behalf of the contractor, state that all qualified applicants will receive consideration for
employment without regard to age, race, creed, color, national origin, ancestry, marital status, affectional or
sexual orientation, gender identity or expression, disability, nationality or sex.

The contractor or subcontractor will send to each labor union, with which it has a collective bar- gaining
agreement, a notice, to be provided by the agency contracting officer, advising the labor union or workers'
representative of the contractor's commitments under this act and shall post copies of the notice in conspicuous
places available to employees and applicants for employment.

The contractor or subcontractor, where applicable, agrees to comply with any regulations promulgated by the
Treasurer, pursuant to N.J.S.A. 10:5-31 et seq., as amended and supplemented from time to time and the
Americans with Disabilities Act.

When hiring or scheduling workers in each construction trade, the contractor or subcontractor agrees to make
good faith efforts to employ minority and women workers in each construction trade consistent with the
targeted employment goal prescribed by N.J.A.C. l7:27-7.2; provided, however, that the Dept. of LWD,
Construction EEO Monitoring Program, may, in its discretion, exempt a contractor or subcontractor from
compliance with the good faith procedures pre- scribed by the following provisions, A, B, and C, as long as the
Dept. of LWD, Construction EEO Monitoring Program is satisfied that the contractor or subcontractor is
employing workers

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

EXHIBIT B (Cont.)

provided by a union which provides evidence, in accordance with standards prescribed by the Dept. of LWD,
Construction EEO Monitoring Program, that its percentage of active “card carrying” members who are minority
and women workers is equal to or greater than the targeted employment goal established in accordance with
N.J.A.C. 17:27-7.2. The contractor or subcon- tractor agrees that a good faith effort shall include compliance
with the following procedures:

(A)
If the contractor or subcontractor has a referral agreement or arrangement with a
union for a construction trade, the contractor or subcontractor shall, within three business days
of the contract award, seek assurances from the union that it will cooperate with the contractor
or sub- contractor as it fulfills its affirmative action obligations under this contract and in
accordance with the rules promulgated by the Treasurer pursuant to N.J.S.A. 10:5-31 et. seq.,
as supplemented and amended from time to time and the Americans with Disabilities Act. If the
contractor or subcontractor is unable to obtain said assurances from the construction trade
union at least five business days prior to the commencement of construction work, the
contractor or sub- contractor agrees to afford equal employment opportunities minority and
women workers directly, consistent with this chapter. If the contractor's or subcontractor's
prior experience with a construction trade union, regardless of whether the union has provided
said assurances, indicates a significant possibility that the trade union will not refer sufficient
minority and women workers consistent with affording equal employment opportunities as
specified in this chapter, the contractor or subcontractor agrees to be prepared to provide such
opportunities to minority and women workers directly, consistent with this chapter, by
complying with the hiring or scheduling procedures prescribed under (B) below; and the
contractor or subcontractor further agrees to take said action immediately if it determines that
the union is not referring minority and women workers consistent with the equal employment
opportunity goals set forth in this chapter.

(B)
If good faith efforts to meet targeted employment goals have not or cannot be met
for each construction trade by adhering to the procedures of (A) above, or if the contractor does
not have a referral agreement or arrangement with a union for a construction trade, the
contractor or subcontractor agrees to take the following actions:

(l) To notify the public agency compliance officer, the Dept. of LWD, Construction EEO Monitoring Program,
and minority and women referral organizations listed by the Division pursuant to N.J.A.C. 17:27-5.3, of its
workforce needs, and request referral of minority and women workers;

(2) To notify any minority and women workers who have been listed with it as awaiting available vacancies;

(3) Prior to commencement of work, to request that the local construction trade union refer
minority and women workers to fill job openings, provided the contractor or subcontractor has
a referral agreement or arrangement with a union for the construction trade;

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

EXHIBIT B (Cont.)
(4) To leave standing requests for additional referral to minority and women workers with the
local construction trade union, provided the contractor or subcontractor has a referral
agreement or arrangement with a union for the construction trade, the State Training and
Employment Service and other approved referral sources in the area;

(5) If it is necessary to lay off some of the workers in a given trade on the construction site,
layoffs shall be conducted in compliance with the equal employment opportunity and non-
discrimination standards set forth in this regulation, as well as with applicable Federal and State
court decisions;

(6) To adhere to the following procedure when minority and women workers apply or are
referred to the contractor or subcontractor:

(i) The contactor or subcontractor shall interview the referred minority or women worker.

(ii) If said individuals have never previously received any document or certification signifying a
level of qualification lower than that required in order to perform the work of the construction
trade, the contractor or subcontractor shall in good faith determine the qualifications of such
individuals. The contractor or subcontractor shall hire or schedule those individuals who satisfy
appropriate qualification standards in conformity with the equal employment opportunity and
non-discrimination principles set forth in this chapter. However, a contractor or subcontractor
shall determine that the individual at least possesses the requisite skills, and experience
recognized by a union, apprentice program or a referral agency, provided the referral agency is
acceptable to the Dept. of LWD, Construction EEO Monitoring Program. If necessary, the con-
tractor or subcontractor shall hire or schedule minority and women workers who qualify as
trainees pursuant to these rules. All of the requirements, however, are limited by the provisions
of (C) below.

(iii) The name of any interested women or minority individual shall be maintained on a waiting
list, and shall be considered for employment as described in (i) above, whenever vacancies
occur. At the request of the Dept. of LWD, Construction EEO Monitoring Program, the contractor
or subcontractor shall provide evidence of its good faith efforts to employ women and
minorities from the list to fill vacancies.

(iv) If, for any reason, said contractor or subcontractor determines that a minority individual or
a woman is not qualified or if the individual qualifies as an advanced trainee or apprentice, the
contractor or subcontractor shall inform the individual in writing of the reasons for the
determination, maintain a copy of the determination in its files, and send a copy to the public
agency compliance officer and to the Dept. of LWD, Construction EEO Monitoring Program.

(7) To keep a complete and accurate record of all requests made for the referral of workers in
any trade covered by the contract, on forms made available by the Dept. of LWD, Construction
EEO Monitoring Program and submitted promptly to the Dept. of LWD, Construction EEO
Monitoring Program upon request.

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

EXHIBIT B (Cont.)
(C) The contractor or subcontractor agrees that nothing contained in (B) above shall
preclude the contractor or subcontractor from complying with the union hiring hall or
apprentice- ship policies in any applicable collective bargaining agreement or union hiring hall
arrangement, and, where required by custom or agreement, it shall send journeymen and
trainees to the union for referral, or to the apprenticeship program for admission, pursuant to
such agreement or arrangement. However, where the practices of a union or apprenticeship
program will result in the exclusion of minorities and women or the failure to refer minorities
and women consistent with the targeted county employment goal, the contractor or
subcontractor shall consider for employment persons referred pursuant to (B) above without
regard to such agreement or arrangement; provided further, however, that the contractor or
subcontractor shall not be re- quired to employ women and minority advanced trainees and
trainees in numbers which result in the employment of advanced trainees and trainees as a
percentage of the total workforce for the construction trade, which percentage significantly
exceeds the apprentice to journey worker ratio specified in the applicable collective bargaining
agreement, or in the absence of a collective bargaining agreement, exceeds the ratio
established by practice in the area for said construction trade. Also, the contractor or
subcontractor agrees that, in implementing the procedures of (B) above, it shall, where
applicable, employ minority and women workers residing within the geographical jurisdiction
of the union.

After notification of award, but prior to signing a construction contract, the contractor shall submit to the public
agency compliance officer and the Dept. of LWD, Construction EEO Monitoring Program an initial project
workforce report (Form AA-201) electronically provided to the public agency by the Dept. of LWD,
Construction EEO Monitoring Program, through its web- site, for distribution to and completion by the
contractor, in accordance with N.J.A.C. 17:27-7. The contractor also agrees to submit a copy of the Monthly
Project Workforce Report once a month thereafter for the duration of this contract to the Dept. of LWD,
Construction EEO Monitoring Program, and to the public agency compliance officer.

The contractor agrees to cooperate with the public agency in the payment of budgeted funds, as is necessary,
for on-the-job and/or off-the-job programs for outreach and training of minorities and women.

(D) The contractor and its subcontractors shall furnish such reports or other documents
to the Dept. of LWD, Construction EEO Monitoring Program as may be requested by the Dept.
of LWD, Construction EEO Monitoring Program from time to time in order to carry out the
purposes of these regulations, and public agencies shall furnish such information as may be re-
quested by the Dept. of LWD, Construction EEO Monitoring Program for conducting a
compliance investigation pursuant to N.J.A.C. 17:27-1.1 et seq.

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

ARTICLE 9PUBLIC CONTRACT EEO/AA
COMPLIANCE PROCEDURES FLOW CHART

EEO/AA Procedures In Awarding Public Contracts

Public Agency
Vendor
Contractor

 Include Mandatory
Language in
advertisements
for receipt of bids,
solicitation and/or
request for
proposals.

 Include
appropriate-
ate Mandatory
Language in
contracts and bid
specifications.
 Obtain Required
EEO/AA evidence
from vendor or
contractor.
Goods, Professional Services,
and General Services Contracts

Subject to Mandatory Language of
Exhibit A

Selected vendors must submit one
of
the
following
forms
of
evidence:

1. Copy of Letter of Federal
Approval
Or

2. Certificate of Employee In-
formation Report

3. Complete Form AA-302
(Employee Information
Report)

EEO/AA Evidence must be
submitted after notification of
award, but prior to signing of the
contract
Construction Contracts

Subject to Mandatory Language of Exhibit B

Additional Mandatory Language
EO 151 and P.L.2009, c.335 (State
Agencies, Independent Authorities, Colleges &
Universities Only)

Selected construction contractors must
submit the following form of evidence:

Complete Form AA-201 (Initial Project
Workforce Report)

Submit Form AA-202 (Monthly Project
Workforce Report) once a month for the
duration of the contract to the Dept. of Labor
and to the Public Agency Compliance
Officer

EEO/AA Evidence must be
submitted after notification of award, but
prior to signing of a construction contract

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

STATE OF NEW JERSEY
DEPARTMENT OF LABOR & WORKFORCE DEVELOPMENT
CONSTRUCTION EEO MONITORING PROGRAM

ATTENTION ALL CONSTRUCTION CONTRACTORS

For
your convenience, all contractors have two options in filing the Form AA-202, Monthly Project Workforce Report. As always,
you may complete the form manually and mail it to the Dept. of LWD, Construction EEO Monitoring Program, with a copy to
the Public Agency Compliance Officer, or you may input your employment data directly onto the Form AA-202 located on our
website, with a copy to the Public Agency Officer. To access the Division’s website, simply follow these steps:
1.
Type http://www.state.nj.us/treasury/contract_compliance/.

2.
Select the “Premier Business Services Online Forms Account Instructions” link.

3.
Please follow all the instructions to set up online access to the web application.

The web application will provide access to current and past reports that can be printed and submitted to the Public Agency
awarding the contract as required.

NJ Department of Labor & Workforce Development
Construction EEO Monitoring Program
PO Box 209
Trenton, New Jersey 08625-0209
(609) 292-9550
Fax (609) 984-4023

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY
DIVISION OF PURCHASE & PROPERTY
CONTRACT COMPLIANCE AUDIT UNIT EEO
MONITORING PROGRAM

ATTENTION ALL GOODS, GENERAL SERVICES AND PROFESSIONAL
SERVICES VENDORS

For your convenience and for renewal of Certificates only, all goods, general services and professional ser- vices vendors have
two options in filing the Form AA-302, Employee Information Report and Vendor Activity Summary Report forms. You may
complete the form manually and mail it to this Division, or you may in- put your employment data directly onto the AA-302
and Vendor Activity Summary Report located on our website. To access the Division’s website, simply follow these steps:
1. Type http://www.state.nj.us/treasury/contract_compliance/.

2. Select the “Premier Business Services Online Forms Account Instructions” link.

3. Please follow all the instructions to set up online access to the New Web Application.

4. Once your Renewal Forms have been completed online, please mail your $150.00 certificate fee, in the
form of a check or money order, made payable to “Treasurer, State of New Jersey” to the address
below:

NJ Department of the Treasury Division
of Purchase and Property Contract
Compliance and Audit Unit EEO
Monitoring Program
PO Box 206
Trenton, NJ 08625-0206
Telephone (609) 292-5473
Fax (609) 292-1102

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

ARTICLE 10ADDITIONAL MANDATORY CONSTRUCTION
CONTRACT LANGUAGE FOR STATE AGENCIES, INDEPENDENT
AUTHORITIES, COLLEGES AND UNIVERSITIES ONLY
Executive Order 51 (Corzine, August 28, 2009) and P.L.2009, c.335 include a provision which
require all state agencies, independent authorities and colleges and universities to include
additional mandatory equal employment and affirmative action language in its construction
con- tracts. It is important to note that this language is in addition to and does not replace the
mandatory contract language and good faith efforts requirements for construction
contracts re- quired by N.J.A.C. 17:27-3.6, 3.7 and 3.8, also known as Exhibit B. The
additional mandatory equal employment and affirmative action language is as follows:

It is the policy of the [Reporting Agency] that its contracts should create a work-
force that reflects the diversity of the State of New Jersey. Therefore,
contractors engaged by the [Reporting Agency] to perform under a construction
contract shall put forth a good faith effort to engage in recruitment and
employment practices that further the goal of fostering equal opportunities to
minorities and women.

The contractor must demonstrate to the [Reporting Agency’s] satisfaction that
a good faith effort was made to ensure that minorities and women have been
afford- ed equal opportunity to gain employment under the [Reporting
Agency’s] contract with the contractor. Payment may be withheld from a
contractor’s contract for failure to comply with these provisions.

Evidence of a “good faith effort” includes, but is not limited to:

1. The Contractor shall recruit prospective employees through the State Job
bank website, managed by the Department of Labor and Workforce
Development, avail- able online at http://NJ.gov/JobCentralNJ;
2. The Contractor shall keep specific records of its efforts, including records of
all individuals interviewed and hired, including the specific numbers of
minorities and women;
3. The Contractor shall actively solicit and shall provide the [Reporting Agency]
with proof of solicitations for employment, including but not limited to
advertisements in general circulation media, professional service publications
and electronic media; and
4. The Contractor shall provide evidence of efforts described at 2 above to the
[Reporting Agency] no less frequently than once every 12 months.
5. The Contractor shall comply with the requirements set forth at N.J.A.C. 17:27-
1.1 et seq.

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

55
GOODS, PROFESSIONAL SERVICE AND GENERAL SERVICE CONTRACTS

During the performance of this contract, the contractor agrees as follows:

The contractor or subcontractor, where applicable, will not discriminate against any employee or
applicant for employment because of age, race, creed, color, national origin, ancestry, marital status, affectional
or sexual orientation, gender identity or expression, disability, nationality or sex. Except with respect to
affectional or sexual orientation and gender identity or expression, the contractor will take affirmative action to
ensure that such applicants are recruited and employed, and that employees are treated during employment,
without regard to their age, race, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation, gender identity or expression, disability, nationality or sex. Such action shall include, but not be
limited to the following: employment, upgrading, demotion, or transfer; recruitment or recruitment advertising;
layoff or termination; rates of pay or other forms of compensation; and selection for training, including
apprenticeship. The contractor agrees to post in conspicuous places, available to employees and applicants for
employment, notices to be provided by the Public Agency Compliance Officer setting forth provisions of this
nondiscrimination clause.

The contractor or subcontractor, where applicable, will send to each labor union or representative or
workers with which it has a collective bargaining agreement or other contract or understanding, a notice, to be
provided by the agency contracting officer advising the labor union or workers' representative of the contractor's
commitments under this act and shall post copies of the notice in conspicuous places available to employees and
applicants for employment.

The contractor or subcontractor, where applicable, agrees to comply with any regulations promulgated by the
Treasurer pursuant to N.J.S.A. 10:5-31 et seq., as amended and supplemented from time to time and the
Americans with Disabilities Act.

The contractor or subcontractor agrees to make good faith efforts to employ minority and women workers
consistent with the applicable county employment goals established in accordance with N.J.A.C. l7:27-5.2, or a
binding determination of the applicable county employment goals determined by the Division, pursuant to
N.J.A.C. 17:27-5.2.
The contractor or subcontractor agrees to inform in writing its appropriate recruitment agencies including,
but not limited to, employment agencies, placement bureaus, colleges, universities, labor unions, that it does not
discriminate on the basis of age, creed, color, national origin, ancestry, marital status, affectional or sexual
orientation, gender identity or expression, disability, nationality or sex, and that it will discontinue the use of any
recruitment agency which engages in direct or indirect discriminatory practices.

The contractor or subcontractor agrees to revise any of its testing procedures, if necessary, to assure that
all personnel testing conforms with the principles of job-related testing, as established by the statutes and court
decisions of the State of New Jersey and as established by

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

applicable Federal law and applicable Federal court decisions.

In conforming with the applicable employment goals, the contractor or subcontractor agrees to review all
procedures relating to transfer, upgrading, downgrading and layoff to ensure that all such actions are taken
without regard to age, creed, color, national origin, ancestry, marital status, affectional or sexual orientation,
gender identity or expression, disability, nationality or sex, consistent with the statutes and court decisions of the
State of New Jersey, and applicable Federal law and applicable Federal court decisions.

The contractor and its subcontractors shall furnish such reports or other documents to the Div. of Contract
Compliance & EEO as may be requested by the office from time to time in order to carry out the purposes of
these regulations, and public agencies shall furnish such information as may be requested by the Div. of Contract
Compliance & EEO for conducting a compliance investigation pursuant to Subchapter 10 of the
Administrative Code at N.J.A.C. 17:27.

Signature of Procurement Agent

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

10.1
C.271 POLITICAL CONTRIBUTION DISCLOSURE FORM

(a)
Public Agency Instructions

This page provides guidance to public agencies entering into contracts with business entities that are required to
file Political Contribution Disclosure forms with the agency. It is not intended to be provided to contractors.
What follows are instructions on the use of form local units can provide to contractors that are required to disclose
political contributions pursuant to N.J.S.A. 19:44A-20.26 (P.L. 2005, c. 271, s.2). Additional information on the
process
is
available
in
Local
Finance
Notice
2006-1
(http://www.nj.gov/dca/divisions/dlgs/resources/lfns_2006.html). Please refer back to these instructions for the
appropriate links, as the Local Finance Notices include links that are no longer operational.

1. The disclosure is required for all contracts in excess of $17,500 that are not awarded
pursuant to a “fair and open” process (N.J.S.A. 19:44A-20.7).
2. Due to the potential length of some contractor submissions, the public agency should consider
allowing data to be submitted in electronic form (i.e., spreadsheet, pdf file, etc.). Submissions
must be kept with the contract documents or in an appropriate computer file and be available for
public access. The form is worded to accept this alternate submission. The text should be
amended if electronic submission will not be allowed.
3. The submission must be received from the contractor and on file at least 10 days prior to award
of the contract. Resolutions of award should reflect that the disclosure has been received and is
on file.
4. The contractor must disclose contributions made to candidate and party committees covering a
wide range of public agencies, including all public agencies that have elected officials in the county
of the public agency, state legislative positions, and various state entities. The Division of Local
Government Services recommends that contractors be provided a list of the affected agencies.
This will assist contractors in determining the campaign and political committees of the officials
and candidates affected by the disclosure.
a. The Division has prepared model disclosure forms for each county. They can be
downloaded from the “County PCD Forms” link on the Pay-to-Play web site at
http://www.nj.gov/dca/divisions/dlgs/programs/lpcl.html#12. They will be updated from
time-to-time as necessary.
b. A public agency using these forms should edit them to properly reflect the correct
legislative district(s). As the forms are county-based, they list all legislative districts in
each county. Districts that do not represent the public agency should be removed from
the lists.
c. Some contractors may find it easier to provide a single list that covers all contributions,
regardless of the county. These submissions are appropriate and should be accepted.
d. The form may be used “as-is”, subject to edits as described herein.
e. The “Contractor Instructions” sheet is intended to be provided with the form. It is
recommended that the Instructions and the form be printed on the same piece of paper.
The form notes that the Instructions are printed on the back of the form; where that is
not the case, the text should be edited accordingly.
f.
The form is a Word document and can be edited to meet local needs, and posted for
download on web sites, used as an e-mail attachment, or provided as a printed document.

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

5. It is recommended that the contractor also complete a “Stockholder Disclosure Certification.”
This will assist the local unit in its obligation to ensure that contractor did not make any prohibited
contributions to the committees listed on the Business Entity Disclosure Certification in the 12
months prior to the contract. (See Local Finance Notice 2006-7 for additional information on this
obligation
at
http://www.nj.gov/dca/divisions/dlgs/resources/lfns_2006.html)
A
sample
Certification form is part of this package and the instruction to complete it is included in the
Contractor Instructions. NOTE: This section is not applicable to Boards of Education.

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

10.2
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
(a)
Co
ntractor Instructions

Business entities (contractors) receiving contracts from a public agency that are NOT awarded pursuant to a “fair
and open” process (defined at N.J.S.A. 19:44A-20.7) are subject to the provisions of P.L. 2005, c. 271, s.2
(N.J.S.A. 19:44A-20.26). This law provides that 10 days prior to the award of such a contract, the contractor
shall disclose contributions to:
•
any State, county, or municipal committee of a political party
•
any legislative leadership committee*
•
any continuing political committee (a.k.a., political action committee)
•
any candidate committee of a candidate for, or holder of, an elective office:
o of the public entity awarding the contract
o of that county in which that public entity is located
o of another public entity within that county
o or of a legislative district in which that public entity is located or, when the
public entity is a county, of any legislative district which includes all or part of
the county
The disclosure must list reportable contributions to any of the committees that exceed $300 per election cycle
that were made during the 12 months prior to award of the contract. See N.J.S.A. 19:44A-8 and 19:44A-16 for
more details on reportable contributions.

N.J.S.A. 19:44A-20.26 itemizes the parties from whom contributions must be disclosed when a business entity
is not a natural person. This includes the following:
•
individuals with an “interest” ownership or control of more than 10% of the profits or assets
of a business entity or 10% of the stock in the case of a business entity that is a corporation
for profit
•
all principals, partners, officers, or directors of the business entity or their spouses
•
any subsidiaries directly or indirectly controlled by the business entity
•
IRS Code Section 527 New Jersey based organizations, directly or indirectly controlled by the
business entity and filing as continuing political committees, (PACs).
When the business entity is a natural person, “a contribution by that person’s spouse or child, residing therewith,
shall be deemed to be a contribution by the business entity.” [N.J.S.A. 19:44A- 20.26(b)] The contributor must be
listed on the disclosure.
Any business entity that fails to comply with the disclosure provisions shall be subject to a fine imposed by
ELEC in an amount to be determined by the Commission which may be based upon the amount that the business
entity failed to report.
The enclosed list of agencies is provided to assist the contractor in identifying those public agencies whose elected
official and/or candidate campaign committees are affected by the disclosure requirement. It is the contractor’s
responsibility to identify the specific committees to which contributions may have been made and need to be
disclosed. The disclosed information may exceed the minimum requirement.
The enclosed form, a content-consistent facsimile, or an electronic data file containing the required details (along
with a signed cover sheet) may be used as the contractor’s submission and is disclosable to the public under the
Open Public Records Act.
The contractor must also complete the attached Stockholder Disclosure Certification. This will assist the
agency in meeting its obligations under the law. NOTE: This section does not apply to Board of Education
contracts.

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

* N.J.S.A. 19:44A-3(s): “The term "legislative leadership committee" means a committee established, authorized
to be established, or designated by the President of the Senate, the Minority Leader of the Senate, the Speaker of
the General Assembly or the Minority Leader of the General Assembly pursuant to section 16 of P.L.1993, c.65
(C.19:44A-10.1) for the purpose of receiving contributions and making expenditures.”

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

10.3
C. 271 POLITICAL CONTRIBUTION DISCLOSURE FORM
(a)
Required Pursuant to N.J.S.A. 19:44A-20.26

Part I – Vendor Information
Vendor Name:
Address:
City:
State:
Zip:

The undersigned being authorized to certify, hereby certifies that the submission provided herein represents
compliance with the provisions of N.J.S.A. 19:44A-20.26 and as represented by the Instructions accompanying this
form.

Signature
Printed Name
Title

(b)
Part II – Contribution Disclosure

 Check here if disclosure is provided in electronic form.

Contributor Name
Recipient Name
Date
Dollar
Amount
$

 Check here if the information is continued on subsequent page(s)
This form or its permitted facsimile must be submitted to the local unit no later
than 10 days prior to the award of the contract.
Disclosure requirement: Pursuant to N.J.S.A. 19:44A-20.26 this disclosure must include all reportable political
contributions (more than $300 per election cycle) over the 12 months prior to submission to the committees of
the government entities listed on the form provided by the local unit.

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

List of Agencies with Elected Officials Required for Political Contribution Disclosure
10.4 N.J.S.A. 19:44A-20.26
(a)
County Name:
State: Governor, and Legislative Leadership Committees Legislative
District #s:
State Senator and two members of the General Assembly per district.

County:
Freeholders
County Clerk
Sheriff
{County Executive}
Surrogate

Municipalities (Mayor and members of governing body, regardless of title):

USERS SHOULD CREATE THEIR OWN FORM, OR DOWNLOAD FROM the
Pay to Play section OF THE DLGS WEBSITE A COUNTY-BASED, CUSTOMIZABLE
FORM

APPENDIX 6
NEW JERSEY BUSINESS REQUIREMENTS

STANDARD BID DOCUMENT REFERENCE

Name of Form
COMBINED CERTIFICATION: PROHIBITED ACTIVITIES IN RUSSIA AND
BELARUS & INVESTMENT ACTIVITIES IN IRAN
Statutory
Reference
P.L. 2022, c. 3
N.J.S.A. 52:32-55 et seq.
N.J.S.A. 40A:11-2.1
N.J.S.A. 18A:18A-49.4
Applicability

Y/N

Mandatory
Optional
N/A
LPCL
Y
Goods and
Services
X

PSCL
Y
Construction

X
Instructions
Reference
Description
P.L. 2022, c. 3 prohibits the award, renewal, amendment, or extension of State and
local public contracts for goods or services with persons or entities engaging in
prohibited activities in Russia or Belarus. P.L. 2012, c.25 prohibits the award or
renewal of State and local public contracts for goods and services with persons or
entities engaged in certain investment activities in the energy or finance sectors of
Iran.
Before a goods and services contract can be entered into, vendors and contractors
must certify that neither they nor any parent entity, subsidiary, or affiliate is listed
on the New Jersey Department of the Treasury’s list of entities determined to be
engaged in prohibited activities in Russia or Belarus pursuant to P.L. 2022, c. 3
(“Russia-Belarus list”) or in Iran pursuant to P.L. 2012, c. 25 ("Chapter 25 list").

Prohibited Russia-Belarus Activities & Iran Investment Activities

Person or
Entity

Part 1: Certification
COMPLETE PART 1 BY CHECKING ONE OF THE THREE BOXES BELOW
Pursuant to law, any person or entity that is a successful bidder or proposer, or otherwise proposes to
enter into or renew a contract, for goods or services must complete the certification below prior to
contract award to attest, under penalty of perjury, that neither the person or entity, nor any parent
entity, subsidiary, or affiliate, is identified on the Department of Treasury's Russia-Belarus list or
Chapter 25 list as a person or entity engaging in prohibited activities in Russia, Belarus or Iran. Before
a contract for goods or services can be amended or extended, a person or entity must certify that
neither the person or entity, nor any parent entity, subsidiary, or affiliate, is identified on the
Department of Treasury's Russia-Belarus list. Both lists are found on Treasury’s website at the
following web addresses:
https://www.nj.gov/treasury/administration/pdf/RussiaBelarusEntityList.pdf
www.state.nj.us/treasury/purchase/pdf/Chapter25List.pdf.
As applicable to the type of contract, the above-referenced lists must be reviewed prior to completing
the below certification.
A person or entity unable to make the certification must provide a detailed, accurate, and precise
description of the activities of the person or entity, or of a parent entity, subsidiary, or affiliate,
engaging in prohibited activities in Russia or Belarus and/or investment activities in Iran. The person
or entity must cease engaging in any prohibited activities and provide an updated certification before
the contract can be entered into.
If a vendor or contractor is found to be in violation of law, action may be taken as appropriate and as
may be provided by law, rule, or contract, including but not limited to imposing sanctions, seeking
compliance, recovering damages, declaring the party in default, and seeking debarment or suspension
of the party.
CONTRACT AWARDS AND RENEWALS

I certify, pursuant to law, that neither the person or entity listed above, nor any parent
entity, subsidiary, or affiliate appears on the N.J. Department of Treasury’s lists of
entities engaged in prohibited activities in Russia or Belarus pursuant to P.L. 2022, c. 3
or in investment activities in Iran pursuant to P.L. 2012, c. 25 ("Chapter 25 List"). I
further certify that I am the person listed above, or I am an officer or representative of
the entity listed above and am authorized to make this certification on its behalf. (Skip
Part 2 and sign and complete the Certification below.)

CONTRACT AMENDMENTS AND EXTENSIONS

I certify, pursuant to law, that neither the person or entity listed above, nor any parent
entity, subsidiary, or affiliate is listed on the N.J. Department of the Treasury’s lists of
entities determined to be engaged in prohibited activities in Russia or Belarus pursuant
to P.L. 2022, c. 3. I further certify that I am the person listed above, or I am an officer
or representative of the entity listed above and am authorized to make this certification
on its behalf. (Skip Part 2 and sign and complete the Certification below.)
IF UNABLE TO CERTIFY

I am unable to certify as above because the person or entity and/or a parent entity,
subsidiary, or affiliate is listed on the Department's Russia-Belarus list and/or Chapter
25 Iran list. I will provide a detailed, accurate, and precise description of the activities as
directed in Part 2 below, and sign and complete the Certification below. Failure to
provide such will prevent the award of the contract to the person or entity, and
appropriate penalties, fines, and/or sanctions will be assessed as provided by law.

Part 2: Additional Information
PLEASE PROVIDE FURTHER INFORMATION RELATED TO PROHIBITED ACTIVITIES IN
RUSSIA OR BELARUS AND/OR INVESTMENT ACTIVITIES IN IRAN.
You must provide a detailed, accurate, and precise description of the activities of the person or entity, or of
a parent entity, subsidiary, or affiliate, engaging in prohibited activities in Russia or Belarus and/or
investment activities in Iran in the space below and, if needed, on additional sheets provided by you.
Part 3: Certification of True and Complete Information
I, being duly sworn upon my oath, hereby represent and state that the foregoing information and any attachments there,
to the best of my knowledge, are true and complete. I attest that I am authorized to execute this certification on behalf of the
above-referenced person or entity.
I acknowledge that the local unit is relying on the information contained herein and hereby acknowledge that I am under
a continuing obligation from the date of this certification through the completion of any contracts with the local unit to notify
the local unit in writing of any changes to the answers of information contained herein.
I acknowledge that I am aware that it is a criminal offense to make a false statement or misrepresentation in this
certification. If I do so, I recognize that I am subject to criminal prosecution under the law and that it will also constitute a
material breach of my agreement(s) with the local unit and that the local unit at its option may declare any contract(s) resulting
from this certification void and unenforceable.
Full Name
(Print)

Title

Signature

Date

10.5
NEW JERSEY
BUSINESS
REGISTRATION
CERTIFICATE
(N.J.S.A. 52:32-44)

Suppliers wishing to do business in New Jersey must submit their State Division of
Revenue issued Business Registration Certificate as a part of their proposal. Failure to do
so will disqualify the Supplier from offering products or services in New Jersey through
any resulting contract.

State of NJ - Department of the Treasury - Division of Revenue Business
Registration Certificate

APPENDIX 7
STATE NOTICE ADDENDEM

STATE NOTICE ADDENDUM
Pursuant to certain state notice provisions the following public agencies and political subdivisions of
the referenced public agencies are eligible to access the contract award made pursuant to this
solicitation. Public agencies and political subdivisions are hereby given notice of the foregoing
request for proposal for purposes of complying with the procedural requirements of said statutes:

Nationwide:
http://www.usa.gov/Agencies/Local_Government/Cities.shtml
All 50 states in the United States of America:

Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey New
Mexico New
York North
Carolina North
Dakota
Ohio Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming

Public Agency Name
State
BISHOP MUSEUM
HI
84th Engineer Battalion
HI
BOARD OF WATER SUPPLY
HI
ADMIN. SERVICES OFFICE
HI
BRIGHAM YOUNG UNIVERSITY -
HAWAII
HI
ALOCHOLIC REHABILITATION SVS
OF HI INC DBA HINA MAUKA
HI
BUILDING INDUSTRY ASSOCIATION
OF HAWAII
HI
Chamber of Commerce Hawaii
HI
Aloha United Way
HI
CHAMINADE UNIVERSITY OF
HONOLULU
HI
ALOHACARE
HI
AMERICAN LUNG ASSOCIATION
HI
Child and Family Service
HI
Angels at Play Preschool &
Kindergarten
HI
CITY AND COUNTY OF HONOLULU
HI
AOAO Royal Capitol Plaza
HI
COLLEGE OF THE MARSHALL
ISLANDS
HI
ARGOSY UNIVERSITY
HI
Commander, Navy Region Hawaii
HI
ASSOSIATION OF OWNERS OF
KUKUI PLAZA
HI
Community Empowerment Resources
HI
Big Brothers Big Sisters
HI

APPENDIX 7
STATE NOTICE ADDENDEM

CONGREGATION OF CHRISTIAN
BROTHERS OF HAWAII, INC.
HI
COUNTY OF HAWAII
HI
COUNTY OF MAUI
HI
CTR FOR CULTURAL AND TECH
INTERCHNG BETW EAST AND
WEST
HI
DCCA
HI
Defense Information System Agency
HI
DEPARTMENT OF EDUCATION
HI
Department of Veterans Affairs
HI
DOT Airports Division Hilo International
Airport
HI
E Malama In Keiki O Lanai
HI
EAH, INC.
HI
EASTER SEALS HAWAII
HI
Ewa Makai Middle School
HI
FAMILY SUPPORT SERVICES OF
WEST HAWAII
HI
First United Methodist Church
HI
GOODWILL INDUSTRIES OF HAWAII,
INC.
HI
HABITAT FOR HUMANITY MAUI
HI
Haggai Institute
HI
HALE MAHAOLU
HI
HANAHAU`OLI SCHOOL
HI
HAROLD K.L. CASTLE FOUNDATION HI
HAWAII AGRICULTURE RESEARCH
CENTER
HI
Hawaii Area Committee
HI
Hawaii Baptist Academy
HI
Hawaii Bicycling League
HI
Hawaii Carpenters Market Recovery
Program Fund
HI
HAWAII CHILD SUPPORT
ENFORCEMENT AGENCY
HI
Hawaii commerce and consumer affairs HI
HAWAII EMPLOYERS COUNCIL
HI
HAWAII FAMILY LAW CLINIC DBA
ALA KUOLA
HI
Hawaii Health Connector
HI
HAWAII HEALTH SYSTEMS
CORPORATION
HI
Hawaii Information Consortium
HI
Hawaii Island Humane Society
HI
Hawaii Medical College
HI
HAWAII PACIFIC UNIVERSITY
HI
Hawaii Peace and Justice
HI
Hawaii Psychological Association
HI
HAWAII STATE FCU
HI
HAWAII TECHNOLOGY ACADEMY
HI
Holy Nativity School
HI
Homewise Inc.
HI
Honolulu Community College
HI
Honolulu Fire Department
HI
HONOLULU HABITAT FOR
HUMANITY
HI
International Archaeological Research
Institute, Inc.
HI
Iolani School
HI
ISLAND SCHOOL
HI
Islands Hospice Inc
HI
IUPAT, DISTRICT COUNCIL 50
HI
Judiciary - State of Hawaii
HI
Kailua High School
HI
Kailua Racquet Club, Ltd.
HI
Kama'aina Care Inc
HI
KAMEHAMEHA SCHOOLS
HI
Kauai Community College
HI
Kauai County Council
HI
Kauai Youth Basketball Association
HI
KE KULA O S. M. KAMAKAU
HI
Keawala'i Congregational Church
HI
KIHEI CHARTER SCHOOL
HI
Kipuka o Ke Ola
HI
KONA PACIFIC PUBLIC CHARTER
SCHOOL
HI
Kroc Center Hawaii
HI
Kumpang Lanai
HI
Kumulani Chapel
HI
Kupu
HI
Lanai Community Health Center
HI
Lanai Community Hospital
HI
Lanai Federal Credit Union
HI
Lanai Youth Center
HI
LANAKILA REHABILITATION
CENTER INC.
HI
LearningRx Honolulu West
HI
Leeward Community Church
HI
LEEWARD HABITAT FOR HUMANITY HI
Malama Honua Public Charter School
HI

APPENDIX 7
STATE NOTICE ADDENDEM

Manoa Heritage Center
HI
Marine Corps Community Service
HI
MARINE SURF WAIKIKI, INC.
HI
MARYKNOLL SCHOOL
HI
Maui Aids Foundation Inc
HI
MAUI COUNTY COUNCIL
HI
MAUI COUNTY FCU
HI
MAUI ECONOMIC DEVELOPMENT
BOARD
HI
MAUI ECONOMIC OPPORTUNITY,
INC.
HI
MAUI FAMILY YMCA
HI
Maui High Band Booster Club
HI
Maui Police Department
HI
Montessori Community School
HI
Mutual Housing Association of Hawaii
HI
NA HALE O MAUI
HI
NA LEI ALOHA FOUNDATION
HI
Naalehu Assembly of God
HI
Native Hawaiian Hospitality Association HI
NETWORK ENTERPRISES, INC.
HI
Office of the Governor
HI
Olanur
HI
One Kalakaua
HI
ORI ANUENUE HALE, INC.
HI
Our Savior Lutheran School
HI
outrigger canoe club
HI
PACIFIC BUDDHIST ACADEMY
HI
PARTNERS IN DEVELOPMENT
FOUNDATION
HI
Pohaha I Ka Lani
HI
POLYNESIAN CULTURAL CENTER
HI
Pukalani Baptist Church
HI
PUNAHOU SCHOOL
HI
Puu Heleakala Community Association HI
Queen Emma Gardens AOAO
HI
READ TO ME INTERNATIONAL
FOUNDATION
HI
RESEARCH CORPORATION OF THE
UNIVERSITY OF HAWAII
HI
Ricoh
HI
ROMAN CATHOLIC CHURCH IN THE
STATE OF HAWAII
HI
Saint Louis School
HI
School Lunch Program
HI
Silver Dolphin Bistro
HI
SOH- JUDICIARY CONTRACTS AND
PURCH
HI
ST JOHN THE BAPTIST
HI
St. Francis Healthcare System
HI
St. Theresa School
HI
STATE DEPARTMENT OF DEFENSE HI
STATE OF HAWAII
HI
State of Hawaii - Office of Enterprise
Technology Services
HI
State of Hawaii Department of Human
Services
HI
State of Hawaii Department of
Transportation
HI
State of Hawaii-Department of Health-
Disability & Communication Access
HI
STATE OF HAWAII, DEPT. OF
EDUCATION
HI
Tetrahedron Sourcing
HI
Third Judicial Circuit - State of Hawaii
HI
Tri-Isle RC&D
HI
Tri-Isle Resource Conservation and
Development District
HI
Tutu and Me Traveling Preschool
HI
United Chinese Society
HI
UNIVERSITY OF HAWAII AT MANOA
HI
UNIVERSITY OF HAWAII FEDERAL
CREDIT UNION
HI
University of the Nations
HI
US Navy
HI
Variety School of Hawaii
HI
W. M. KECK OBSERVATORY
HI
WAIANAE COMMUNITY OUTREACH
HI
Waimanalo Elementary and
Intermediate
School
HI
West Maui Community Federal Credit
Union
HI
Western Pacific Fisheries Council
HI
YMCA OF HONOLULU
HI
Hawaii County
HI
Honolulu County
HI
Kauai County
HI
Maui County
HI
Kalawao County
HI
Aiea
HI
Anahola
HI
Barbers Point N A S
HI

APPENDIX 7
STATE NOTICE ADDENDEM

Camp H M Smith
HI
Captain Cook
HI
Eleele
HI
Ewa Beach
HI
Fort Shafter
HI
Haiku
HI
Hakalau
HI
Haleiwa
HI
Hana
HI
Hanalei
HI
Hanamaulu
HI
Hanapepe
HI
Hauula
HI
Hawaii National Park
HI
Hawaiian Ocean View
HI
Hawi
HI
Hickam AFB
HI
Hilo
HI
Holualoa
HI
Honaunau
HI
Honokaa
HI
Honolulu
HI
Honomu
HI
Hoolehua
HI
Kaaawa
HI
Kahuku
HI
Kahului
HI
Kailua
HI
Kailua Kona
HI
Kalaheo
HI
Kalaupapa
HI
Kamuela
HI
Kaneohe
HI
Kapaa
HI
Kapaau
HI
Kapolei
HI
Kaumakani
HI
Kaunakakai
HI
Kawela Bay
HI
Keaau
HI
Kealakekua
HI
Kealia
HI
Keauhou
HI
Kekaha
HI
Kihei
HI
Kilauea
HI
Koloa
HI
Kualapuu
HI
Kula
HI
Kunia
HI
Kurtistown
HI
Lahaina
HI
Laie
HI
Lanai City
HI
Laupahoehoe
HI
Lawai
HI
Lihue
HI
M C B H Kaneohe Bay
HI
Makawao
HI
Makaweli
HI
Maunaloa
HI
Mililani
HI
Mountain View
HI
Naalehu
HI
Ninole
HI
Ocean View
HI
Ookala
HI
Paauhau
HI
Paauilo
HI
Pahala
HI
Pahoa
HI
Paia
HI
Papaaloa
HI
Papaikou
HI
Pearl City
HI
Pearl Harbor
HI
Pepeekeo
HI
Princeville
HI
Pukalani
HI
Puunene
HI
Schofield Barracks
HI
Tripler Army Medical Center
HI

APPENDIX 7
STATE NOTICE ADDENDEM

Volvano
HI
Wahiawa
HI
Waialua
HI
Waianae
HI
Waikoloa
HI
Wailuku
HI
Waimanalo
HI
Waimea
HI
Waipahu
HI
Wake Island
HI
Wheeler Army Airfield
HI
Brigham Young University - Hawaii
HI
Chaminade University of Honolulu
HI
Hawaii Business College
HI
Hawaii Pacific University
HI
Hawaii Technology Institute
HI
Heald College - Honolulu
HI
Remington College - Honolulu Campus HI
University of Phoenix - Hawaii Campus HI
Hawaii Community College
HI
Honolulu Community College
HI
Kapiolani Community College
HI
Kauai Community College
HI
Leeward Community College
HI
Maui Community College
HI
University of Hawaii at Hilo
HI
University of Hawaii at Manoa
HI
Windward Community College
HI
123d Fighter Squadron
OR
211INFO
OR
300 Main Inc
OR
1000 FRIENDS OF OREGON
OR
A FAMILY FOR EVERY CHILD
OR
A Hope For Autism Foundation
OR
A Jesus Church Family
OR
A. C. Gilbert's Discovery Village
OR
A&I Benefit Plan Administrators, Inc.
OR
ABIQUA SCHL
OR
Abuse Recovery Ministry & Services
OR
Access Inc
OR
ACUMENTRA HEALTH
OR
Adapt
OR
ADDICTIONS RECOVERY CENTER,
INC
OR
Adelante Mujeres
OR
advocate care
OR
African American Health Coaliton, Inc.
OR
Agia Sophia Academy
OR
Aging and People with Disabilities
OR
Albany Partnership for Housing and
Community Development
OR
Albany Police Department
OR
Albertina Kerr Centers
OR
Aldersgate Camps and Retreats
OR
All God's Children International
OR
ALLFOURONE/CRESTVIEW
CONFERENCE CTR.
OR
ALLIANCE CHARTER ACADEMY
OR
Alpha Lambda House Corporation
OR
Alvord Taylor
OR
ALVORD-TAYLOR INDEPENDENT
LIVING SERVICES
OR
ALZHEIMERS NETWORK OF
OREGON
OR
Amani Center
OR
American Legion Aloha Post 104
OR
American Tinnitus Association
OR
Amity Fire District
OR
Amity School District 4-J
OR
Ananda Center at Laurelwood
OR
ANGELL JOB CORPS
OR
Apostolic Church of Jesus Christ
OR
ARCHBISHOP FRANCIS NORBERT
BLANCHET SCHOOL
OR
ARLINGTON SCHOOL DISTRICT NO.
3
OR
Ascension Episcopal Parish
OR
Ashbrook Independent School
OR
Ashland Art Center
OR
ASHLAND COMMUNITY HOSPITAL
OR
ASHLAND PUBLIC SCHLS
OR
Association of Oregon Community
Mental Health Programs
OR
Association of Oregon Corrections
Employees, Inc.
OR
ASSOCIATION OF OREGON
COUNTIES
OR

APPENDIX 7
STATE NOTICE ADDENDEM

ASTORIA SCHOOL DISTRICT 1C
OR
ATHENA LIBRARY FRIENDS
ASSOCIATION
OR
Athena Weston School District 29RJ
OR
Aurora Rural FIre District
OR
Auxiliary services
OR
AVON
OR
Bags of Love
OR
Baker County
OR
BAKER COUNTY SCHOOL DIST. 16J -
MALHEUR ESD
OR
Baker Elks
OR
BAKER SCHOOL DISTRICT 5-J
OR
BANDON SCHOOL DISTRICT
OR
Banks Fire District #13
OR
BANKS SCHOOL DISTRICT
OR
BARLOW YOUTH FOOTBALL
OR
Barter Union International
OR
BAY AREA FIRST STEP, INC.
OR
BAY AREA HOSPITAL DISTRICT
OR
Bay Area Labor Center
OR
Beaverton Christians Church
OR
Beaverton Rock Creek Foursquare
Church
OR
BEAVERTON SCHOOL DISTRICT
OR
Bend Elks Lodge 1371
OR
Bend International School
OR
Bend Metro Park & Recreation District
OR
Bend Park and Recreation District
OR
BEND-LA PINE SCHOOL DISTRICT
OR
Bend-La Pine Schools
OR
BENTON COUNTY
OR
BENTON HOSPICE SERVICE
OR
Benton Soil & Water Conservation
District
OR
Best Care Treatment Center
OR
Beta Omega Alumnae
OR
BETHEL CHURCH OF GOD
OR
Bethel School District #52
OR
Bethesda Lutheran Church
OR
Bethlehem Christian Pre-School
OR
BIENESTAR, INC.
OR
BILL HUNT
OR
Billy Webb Elks lodge #1050
OR
BioGift Anatomical
OR
BIRCH COMMUNITY SERVICES, INC. OR
BIRTHINGWAY COLLEGE OF
MIDWIFERY
OR
BLACHLY LANE ELECTRIC
COOPERATIVE
OR
Blachly-Lane Electric Co-op
OR
Blanchet House of Hospitality
OR
BLIND ENTERPRISES OF OREGON
OR
BLUE MOUNTAIN COMMUNITY
COLLEGE
OR
BNAI BRITH CAMP
OR
BOARD OF MEDICAL EXAMINERS
OR
Boardman Rural Fire Protection District OR
Bob Belloni Ranch, Inc.
OR
BONNEVILLE ENVIRONMENTAL
FOUNDATION
OR
Bonneville Power Administration
OR
Boys & Girls Club of Corvallis
OR
Boys & Girls Club of Salem, Marion &
Polk Counties
OR
Boys & Girls Clubs of Emerald Valley
OR
Boys and Girls Club of the rogue valley OR
BOYS AND GIRLS CLUBS OF
PORTLAND METROPOLITAN AREA
OR
Breast Friends
OR
Bridgeport Community Chapel
OR
Bridges to Change
OR
BROAD BASE PROGRAMS INC.
OR
BROOKING HARBOR SCHOOL
DISTRICT NO.17-C
OR
Brookings Elks Lodge
OR
Brookings Fire / Rescue
OR
Brookings Harbor Christian School
OR
Brookings- HArbor School District 17c
OR
Brooklyn Primary PTO
OR
Building Healthy Family
OR
Bureau Of Land Management
OR
Burns Paiute Tribe
OR
Butte Creek Scout Ranch
OR
Butte Falls School District
OR
Calvary Assembly of God
OR
Camelto Theatre Company
OR
Camp Fire Columbia
OR
CANBY FOURSQUARE CHURCH
OR
CANBY SCHOOL DISTRICT
OR

APPENDIX 7
STATE NOTICE ADDENDEM

Canby School District No 86
OR
Canby Utility
OR
CANCER CARE RESOURCES
OR
Cannon Beach Fire
OR
CANYONVILLE CHRISTIAN
ACADEMY
OR
Cappella Romana
OR
CARE OREGON
OR
CASA of Marion County
OR
cascade AIDS
OR
Cascade Health Solutions
OR
Cascade Height Public Charter School
PTA
OR
Cascade Housing Association
OR
CASCADE SCHOOL DISTRICT
OR
CASCADES ACADEMY OF CENTRAL
OREGON
OR
CASCADES WEST FINANCIAL
SERVICES IN
OR
CASCADIA BEHAVIORAL
HEALTHCARE
OR
CASCADIA REGION GREEN
BUILDING COUNCIL
OR
CATHOLIC CHARITIES
OR
CATHOLIC COMMUNITY SERVICES
OR
CCI Enterprises Inc
OR
Cedar Hills Baptist Church
OR
CEDAR MILL COMMUNITY LIBRARY
OR
Cedar Sinai Park-Robison Jewish
Healthcare
OR
CENTENNIAL SCHOOL DISTRICT
OR
CENTER FOR COMMUNITY CHANGE OR
Center For Continuous Improvement
OR
Center for Family Development
OR
Center for Human Development
OR
CENTER FOR RESEARCH TO
PRACTICE
OR
CENTRAL BIBLE CHURCH
OR
CENTRAL CATHOLIC HIGH SCHOOL OR
CENTRAL CITY CONCERN
OR
CENTRAL CURRY SCHL DIST#1
OR
CENTRAL DOUGLAS COUNTY
FAMILY YMCA
OR
Central Lincoln People's Utility District
OR
CENTRAL OREGON COMMUNITY
COLLEGE
OR
CENTRAL OREGON
INTERGOVERNMENTAL COUNCIL
OR
CENTRAL OREGON IRRIGATION
DISTRICT
OR
Central Oregon Visitors Association
OR
CENTRAL POINT SCHOOL DISTRICT
NO. 6
OR
Central Presbyterian Church
OR
CENTRAL SCHOOL DISTRICT 13J
OR
Central School District 13J (Polk
County,
Oregon)
OR
CHEHALEM PARK AND
RECREATION DISTRICT
OR
CHEMEKETA COMMUNITY
COLLEGE
OR
Child Evangelism Fellowship
OR
CHILDPEACE MONTESSORI
OR
Children’s Relief Nursery
OR
Childswork Learning Center
OR
Christian Church of Woodburn
OR
Christians As Family Advocates
OR
Church of Christ
OR
CITY BIBLE CHURCH
OR
CITY COUNTY INSURANCE
SERVICES
OR
City Government
OR
CITY OF ADAIR VILLAGE
OR
CITY OF ALBANY
OR
CITY OF ASHLAND
OR
City of Astoria Fire Department
OR
CITY OF ASTORIA OREGON
OR
City of Astoria Parks Dept.
OR
CITY OF AUMSVILLE
OR
CITY OF AURORA
OR
City of Baker City
OR
City of Banks
OR
CITY OF BEAVERTON
OR
City Of Bend
OR
CITY OF BOARDMAN
OR
CITY OF BURNS
OR
CITY OF CANBY
OR
CITY OF CANNON BEACH OR
OR
CITY OF CANYONVILLE
OR
City of Carlton
OR
City of Cascade Locks
OR
City of Central Point Parks and
Recreation
OR
CITY OF CENTRAL POINT POLICE
OR

APPENDIX 7
STATE NOTICE ADDENDEM

CITY OF CLATSKANIE
OR
CITY OF COBURG
OR
City of Columbia City
OR
CITY OF CONDON
OR
CITY OF COOS BAY
OR
City of Cornelius, OR
OR
CITY OF CORVALLIS
OR
City of Corvallis Parks and Recreation
OR
CITY OF COTTAGE GROVE
OR
CITY OF CRESWELL
OR
CITY OF DALLAS
OR
CITY OF DAMASCUS
OR
City of Dayton
OR
City of Donald
OR
CITY OF DUNDEE
OR
City of Durham
OR
CITY OF EAGLE POINT
OR
CITY OF ECHO
OR
CITY OF ESTACADA
OR
City of Eugene
OR
CITY OF EUGENE
OR
CITY OF FAIRVIEW
OR
CITY OF FALLS CITY
OR
City of Florence
OR
City of Forest Grove
OR
CITY OF GATES
OR
CITY OF GEARHART
OR
CITY OF GERVAIS
OR
CITY OF GOLD HILL
OR
CITY OF GRANTS PASS
OR
CITY OF GRESHAM
OR
CITY OF HALSEY
OR
CITY OF HAPPY VALLEY
OR
City of Harrisburg
OR
CITY OF HEPPNER
OR
CITY OF HERMISTON
OR
CITY OF HILLSBORO
OR
CITY OF HOOD RIVER
OR
City of Independence
OR
CITY OF JOHN DAY
OR
City of Joseph
OR
City of junction city
OR
CITY OF KLAMATH FALLS
OR
CITY OF LA GRANDE
OR
CITY OF LAKE OSWEGO
OR
CITY OF LAKESIDE
OR
CITY OF LEBANON
OR
CITY OF LINCOLN CITY
OR
CITY OF MADRAS
OR
CITY OF MALIN
OR
CITY OF MCMINNVILLE
OR
CITY OF MEDFORD
OR
CITY OF MILL CITY
OR
CITY OF MILLERSBURG
OR
City of Milton-Freewater
OR
CITY OF MILWAUKIE
OR
City Of Molalla
OR
City of Monmouth
OR
City of Monmouth / Public Works
OR
CITY OF MORO
OR
CITY OF MOSIER
OR
City of Mt. Angel
OR
City of Nehalem
OR
CITY OF NEWBERG
OR
CITY OF NORTH PLAINS
OR
City of North Powder
OR
City of Ontario
OR
CITY OF OREGON CITY
OR
City of Pendleton Convention Center
OR
City of Pendleton Parks & Recreation
OR
City of Philomath
OR
CITY OF PHOENIX
OR
CITY OF PILOT ROCK
OR
CITY OF PORT ORFORD
OR
CITY OF PORTLAND
OR
City of Portland Parks Bureau
OR
CITY OF POWERS
OR
CITY OF PRAIRIE CITY
OR
CITY OF REDMOND
OR
CITY OF REEDSPORT
OR
City of Richland
OR
CITY OF RIDDLE
OR

APPENDIX 7
STATE NOTICE ADDENDEM

CITY OF SALEM
OR
City of Salem Fire Department
OR
CITY OF SANDY
OR
CITY OF SCAPPOOSE
OR
CITY OF SCIO
OR
CITY OF SEASIDE
OR
City of Seaside Police Department
OR
CITY OF SHADY COVE
OR
City of Sheridan
OR
CITY OF SHERWOOD
OR
CITY OF SILVERTON
OR
City of Sodaville
OR
CITY OF SPRINGFIELD
OR
City of St. Helens
OR
CITY OF ST. PAUL
OR
CITY OF STAYTON
OR
City of Sublimity
OR
CITY OF SWEETHOME
OR
City of Talent
OR
CITY OF THE DALLES
OR
CITY OF TIGARD, OREGON
OR
City of Troutdale
OR
CITY OF TUALATIN, OREGON
OR
City of Union
OR
City of Veneta
OR
CITY OF WARRENTON
OR
CITY OF WEST LINN/PARKS
OR
City of Westfir
OR
CITY OF WILSONVILLE
OR
CITY OF WINSTON
OR
CITY OF WOOD VILLAGE
OR
CITY OF WOODBURN
OR
CITY OF YACHATS
OR
City of Yoncalla
OR
CLACKAMAS COMMUNITY
COLLEGE
OR
clackamas county
OR
Clackamas County Disaster
Management
OR
Clackamas County Juvenile Dept
OR
Clackamas County Service District
# 1/Tri-City Service District
OR
Clackamas County Water Environment
Services
OR
CLACKAMAS EDUCATION SERVICE
DISTRICT
OR
CLACKAMAS FIRE DIST#1
OR
Clackamas River Trout Unlimited
OR
CLACKAMAS RIVER WATER
OR
Clackamas River Water Providers
OR
CLACKAMS COUNTY COMMUNITY
CORRECTIONS
OR
CLASSROOM LAW PROJECT
OR
Clatskanie People's Utility District
OR
Clatskanie RFPD
OR
CLATSKANIE SCHL DIST #6J
OR
Clatsop Behavioral Healthcare
OR
Clatsop Care Health District-Clatsop
Retirement Village
OR
Clatsop Community College
OR
CLATSOP COUNTY
OR
Clatsop County Sheriff’s Office
OR
Clean Slate Canine Rescue &
Rehabilitation
OR
CLEAN WATER SERVICES
OR
Clear Creek Middle School
OR
Coalition for a Livable Future
OR
COAST REHABILITATION SERVICES OR
Coastal Family Health Center
OR
COLLEGE HOUSING NORTHWEST
OR
College Possible
OR
College United Methodist Church
OR
COLTON SCHL DIST 53
OR
COLUMBIA 911 COMMUNICATIONS
DISTRICT
OR
Columbia Academy
OR
COLUMBIA CHRISTIAN SCHOOL
OR
COLUMBIA COMMUNITY MENTAL
HEALTH
OR
COLUMBIA COUNTY, OREGON
OR
COLUMBIA GORGE COMMUNITY
COLLEGE
OR
columbia gorge discovery center and
museum
OR
Columbia Gorge ESD
OR
COLUMBIA PACIFIC ECONOMIC
DEVELOPMENT DISTRICT OF
OREGON
OR
Columbia River Fire & Rescue
OR
Columbia River Inter-tribal Fish
Commission
OR
COLUMBIA RIVER PUD
OR

APPENDIX 7
STATE NOTICE ADDENDEM

COMMUNITY ACTION
ORGANIZATION
OR
COMMUNITY ACTION TEAM, INC.
OR
COMMUNITY CANCER CENTER
OR
Community Connection of Northeast
Oregon, Inc.
OR
Community Energy Project
OR
COMMUNITY HEALTH CENTER, INC
OR
Community in Action
OR
Community Shelter and Assistance
Corporation
OR
COMMUNITY VETERINARY CENTER OR
CONCORDIA UNIV
OR
CONFEDERATED TRIBES OF GRAND
RONDE
OR
Confederated Tribes of Warm Springs
OR
Confederation of Oregon School
Administrators
OR
CONFLUENCE ENVIRONMENTAL
CENTE
OR
CONSERVATION BIOLOGY
INSTITUTE
OR
Constructing Hope Pre-Apprenticeship
Program
OR
Consumers Power Inc.
OR
CONTEMPORARY CRAFTS MUSEUM
AND GALLERY
OR
Coos Art Museum
OR
COOS BAY SCHOOL DISTRICT
OR
COOS BAY SCHOOL DISTRICT NO.9 OR
coos county
OR
Coquille Economic Development
Corporation
OR
Coquille Indian Housing Authority
OR
COQUILLE SCHOOL DISTRICT 8
OR
Corban College
OR
CORBETT SCHL DIST #39
OR
Corvallis Caring Place
OR
CORVALLIS MOUNTAIN RESCUE
UNIT
OR
Corvallis School District 509J
OR
Corvallis Waldorf School
OR
COUNTY OF YAMHILL SCHOOL
DISTRICT 29
OR
Cove City Hall
OR
COVENANT CHRISTIAN HOOD
RIVER
OR
crescent grove cemetery
OR
CRESWELL SCHOOL DISTRICT
OR
CROOK COUNTY ROAD
DEPARTMENT
OR
CROOK COUNTY SCHOOL DISTRICT OR
Crooked River Ranch Rural Fire
Protection District
OR
CROSSROADS CHRISTIAN SCHOOL OR
CS LEWIS ACADEMY
OR
CULVER SCHOOL DISTRICT NO.
OR
Curry County Habitat for Humanity
OR
CURRY COUNTY OREGON
OR
Curry Health Network
OR
Curry Public Transit Inc
OR
Dallas Church
OR
DALLAS SCHOOL DISTRICT NO. 2
OR
DAVID DOUGLAS SCHOOL DISTRICT OR
Dayspring Fellowship
OR
Daystar Education, Inc.
OR
Dayton Christian Church
OR
DAYTON SCHOOL DISTRICT NO.8
OR
DE LA SALLE N CATHOLIC HS
OR
DECISION SCIENCE RESEARCH
INSTITUTE, INC.
OR
Deer Creek Elementary School
OR
Deer Meadow Assisted Living
OR
DELIGHT VALLEY CHURCH OF
CHRIST
OR
Delphian School
OR
Department of Administrative Services OR
DePaul Treatment Centers, Inc.
OR
DESCHUTES COUNTY
OR
DESCHUTES COUNTY RFPD NO.2
OR
DESCHUTES COUNTY SD NO.6 -
SISTERS SD
OR
DESCHUTES PUBLIC LIBRARY
OR
DESCHUTES PUBLIC LIBRARY
SYSTEM
OR
DFHFJDG
OR
Dial-A-Bus
OR
Direction Service, Inc.
OR
Disjecta Contemporary Art Center
OR
DOGS FOR THE DEAF, INC.
OR
DOUGLAS COUNTY
OR
DOUGLAS COUNTY SCHOOL
DISTRICT 116
OR
DOUGLAS EDUCATION SERVICE
DISTRICT
OR

APPENDIX 7
STATE NOTICE ADDENDEM

DOUGLAS ELECTRIC COOPERATIVE,
INC.
OR
DOUGLAS FOREST PROTECTIVE
OR
Dove Medical
OR
Dress for Success Oregon
OR
DrupalCon Inc., DBA Drupal Association OR
Dufur Christian Church
OR
DUFUR SCHOOL DISTRICT NO.29
OR
Eagle Point School District #9
OR
Eagle point school district #9
OR
EagleRidge High School
OR
Early College High School
OR
EAST HILL CHURCH
OR
EAST MULTNOMAH SOIL AND
WATER CONSERVANCY
OR
East River Fellowship
OR
EAST SIDE FOURSQUARE CHURCH OR
EAST WEST MINISTRIES
INTERNATIONAL
OR
Eastern Oregon Alcoholism Foundation OR
Eastern Oregon Trade and Event Center OR
EASTERN OREGON UNIVERSITY
OR
Echo School District
OR
Echo Theater Company
OR
Ecola Bible School
OR
Ecotrust
OR
EDUCATION NORTHWEST
OR
Education Travel & Culture, Inc.
OR
EDUCATIONAL POLICY
IMPROVEMENT CENTER
OR
Edwards Center Inc
OR
eickhoff dev co inc
OR
ELAW
OR
Elderhealth and Living
OR
Elgin school dist.
OR
ELKTON SCHOOL DISTRICT NO.34
OR
ELMIRA CHURCH OF CHRIST
OR
Emerald Media Group
OR
EMERALD PUD
OR
Emmanuel Bible Church
OR
EMMAUS CHRISTIAN SCHOOL
OR
EN AVANT, INC.
OR
Energy Trust of Oregon
OR
ENTERPRISE FOR EMPLOYMENT
OR
AND EDUCATION
environmental law alliance worldwide
OR
EPUD-Emerald People's Utility District
OR
Estacada Rural Fire District
OR
ESTACADA SCHOOL DISTRICT
NO.108
OR
EUGENE BALLET COMPANY
OR
Eugene Builders Exchange
OR
EUGENE CHRISTIAN FELLOWSHIP
OR
Eugene Country Club
OR
Eugene Swim and Tennis Club
OR
EUGENE SYMPHONY ASSOCIATION,
INC.
OR
EUGENE WATER & ELECTRIC
BOARD
OR
EVERGREEN AVIATION MUSEUM
AND CAP. MICHAEL KING.
OR
Evergreen Wings and Waves
OR
FACILITIES
OR
FAIRFIELD BAPTIST CHURCH
OR
FAITH CENTER
OR
Faith Christian Fellowship
OR
FAITHFUL SAVIOR MINISTRIES
OR
Falls City School District #57
OR
FAMILIES FIRST OF GRANT
COUNTY, INC.
OR
Family Building Blocks
OR
FAMILY CARE INC
OR
FANCONI ANEMIA RESEARCH FUND
INC.
OR
FARMWORKER HOUISNG DEV CORP OR
Farmworkers Housing Development
Corporation
OR
Feral Cat Awareness Team
OR
Fern Ridge Library District
OR
Fern Ridge School District 28J
OR
First Baptist Church
OR
First Baptist Church of Enterprise
OR
FIRST BAPTIST CHURCH OF
EUGENE
OR
FIRST CHRISTIAN CHURCH
OR
FIRST CHURCH OF THE NAZARENE OR
First Congregational Church
OR
First Evangelical Presbyterian Church of
Oregon City
OR
First Lutheran Church of Astoria
OR
First Presbyterian Church of La Grande OR

APPENDIX 7
STATE NOTICE ADDENDEM

FIRST UNITARIAN CHURCH
OR
First United Methodist Church
OR
First United Presbyterian Church
OR
FLORENCE AREA CHAMBER OF
COMMERCE
OR
Florence Police Department
OR
Florence United Methodist Church
OR
Food for Lane County
OR
FORD FAMILY FOUNDATION
OR
FOREST GROVE SCHOOL DISTRICT OR
Forest Park Conservancy
OR
FOSSIL SCHOOL DISTRICT 21J
OR
FOUNDATIONS FOR A BETTER
OREGON
OR
Fr. Bernard Youth Center
OR
French American International School
OR
French American School
OR
Friendly House, Inc.
OR
Friends for Animals
OR
Friends of Driftwood Library
OR
FRIENDS OF THE CHILDREN
OR
Friends of the Opera House
OR
Full Access
OR
fund for christain charity
OR
Fund For Christian Charity
OR
Fur Footed Rescue, Inc.
OR
G.O.B.H.I
OR
Garten Services Inc
OR
GASTON RURAL FIRE DEPARTMENT OR
GASTON SCHOOL DISTRICT 511J
OR
Gates Community Church of Christ
OR
Gateway Presbyterian Church
OR
GATEWAY TO COLLEGE NATIONAL
NETWORK
OR
Gearhart Fire Department
OR
GeerCrest Farm & Historical Society
OR
GEN CONF OF SDA CHURCH
WESTERN OR
OR
GEORGE FOX UNIVERSITY
OR
GERVAIS SCHOOL DIST. #1
OR
GILLIAM COUNTY
OR
GILLIAM COUNTY OREGON
OR
Girl Scouts of Oregon and SW
Washington, Inc.
OR
GLADSTONE POLICE DEPARTMENT OR
Gladstone Public Library
OR
GLADSTONE SCHOOL DISTRICT
OR
Gladstone Senior Center
OR
GLENDALE RURAL FIRE DISTRICT
OR
GLENDALE SCHOOL DISTRICT
OR
GLIDE SCHOOL DISTRICT NO.12
OR
GOAL ONE COALITION
OR
God's Storehouse Pantry
OR
GOLD BEACH POLICE DEPARTMENT OR
Golf Charities Foundation, Inc.
OR
Gollux
OR
Good Samaritan Ministries
OR
Good Samaritan Ministry
OR
GOOD SHEPHERD COMMUNITIES
OR
Good Shepherd Medical Center
OR
Goodwill Industries of Lane and South
Coast
OR
GOODWILL INDUSTRIES OF LANE
AND SOUTH COAST COUNTIES
OR
GRACE BAPTIST CHURCH
OR
Grace Baptist Church of St. Helens, Lil
Learners Preschool
OR
Grace Christian Fellowship
OR
Grace Community Church
OR
Grace Lutheran Church of Molalla
OR
Grace Lutheran School
OR
Grand View Baptist Church
OR
Grande Ronde Model Watershed
Foundation
OR
Grant Community School
OR
Grant County Economic Development
OR
GRANT COUNTY, OREGON
OR
GRANT PARK CHURCH
OR
Grantmakers for Education
OR
GRANTS PASS MANAGEMENT
SERVICES, DBA
OR
GRANTS PASS SCHOOL DISTRICT 7 OR
Grants Pass Seventh-day Adventist
Church
OR
Great Portland Bible
OR
GREATER ALBANY PUBLIC SCHOOL
DISTRICT
OR
GREATER HILLSBORO AREA
CHAMBER OF COMMERCE
OR
Greater Portland INC
OR

APPENDIX 7
STATE NOTICE ADDENDEM

Green Electronics Council
OR
Greenleaf Industries
OR
Gresham Police Department
OR
GRESHAM-BARLOW SCHOOL
DISTRICT
OR
GWPMS
OR
HALFWAY HOUSE SERVICES, INC.
OR
Halsey-Shedd Fire District
OR
Happy Canyon Company
OR
Harney County Community Corrections OR
HARNEY COUNTY SCHOOL DIST.
NO.3
OR
HARNEY COUNTY SHERIFFS OFFICE OR
HARNEY EDUCATION SERVICE
DISTRICT
OR
HARRISBURG SCHL DIST
OR
Harvest Church
OR
HEAD START OF LANE COUNTY
OR
Health Share of Oregon
OR
HEARING AND SPEECH INSTITUTE
INC
OR
Heartfelt Obstetrics & Gynecology
OR
Helix School Dist #1 R
OR
Helix School District
OR
HELP NOW! ADVOCACY CENTER
OR
Hemp Shield
OR
HERITAGE CHRISTIAN SCHOOL
OR
Hermiston Christian Center & School
OR
Hermiston Fire & Emergency Svcs
OR
hermiston school district
OR
HHoly Trinity Greek Orthodox Cathedral OR
HIGH DESERT EDUCATION SERVICE
DISTRICT
OR
hillsboro school district
OR
Hinson Baptist Church
OR
Historical Outreach Foundation
OR
HIV ALLIANCE, INC
OR
HOLT INTL CHILD
OR
Holy Family Academy
OR
Home Builders
OR
homeforward
OR
HOOD RIVER COUNTY
OR
HOOD RIVER COUNTY SCHOOL
DISTRICT
OR
HOODLAND FIRE DISTRICT NO.74
OR
Hope Chinese charter
OR
Hope Church of The Assemblies of God
Albany Oregon
OR
HOPE LUTHERAN CHURCH
OR
HOPE POINT CHURCH
OR
HOSANNA CHRISTIAN SCHL
OR
Hospice Center Bend La Pine
OR
House of Prayer for All Nations
OR
HOUSING AUTHORITY AND
COMMUNITY SERVICES AGENCY
OR
HOUSING AUTHORITY OF
CLACKAMAS COUNTY
OR
Housing Authority of Douglas County
OR
HOUSING AUTHORITY OF LINCOLN
COUNTY
OR
HOUSING AUTHORITY OF
PORTLAND
OR
HOUSING AUTHORITY OF THE CITY
OF SALEM
OR
Housing Authority of Yamhill County
OR
Housing Development Center
OR
HOUSING NORTHWEST
OR
Human Solutions, Inc.
OR
IBEW280
OR
Ike Box Cafe
OR
Illinois Valley Fire District
OR
Imbler School District #11
OR
Immanuel Lutheran School
OR
Incite Incorporated
OR
Independent Development Enterprise
Alliance
OR
Independent Environments Inc
OR
INDEPENDENT INSURANCE
AGENTS AND BROKERS OF
OREGON
OR
Insight School of Oregon Painted Hills
OR
Institute of Technology
OR
Instituto de Cultura y Arte In Xochitl In
Cuicatl
OR
INTER MOUNTAIN ESD
OR
INTERNATIONAL SOCIETY FOR
TECHNOLOGY IN EDUCATION
OR
INTERNATIONAL SUSTAINABLE
DEVELOPMENT FOUNDATION
OR
InventSuccess
OR
IONE HIGH SCHOOL
OR
IRCO
OR

APPENDIX 7
STATE NOTICE ADDENDEM

JACKSON CO SCHOOL DIST NO.9
OR
jackson county
OR
Jackson County School District No. 5
OR
Jackson-Josephine 4-C Council
OR
Jason Lee Manor/UMRC
OR
JASPER MOUNTAIN
OR
JEFFERSON COUNTY
OR
JEFFERSON COUNTY SCHOOL
DISTRICT 509-J
OR
Jefferson Park and Recreation
OR
JEFFERSON SCHOOL DISTRICT
OR
JENCO INTERNATIONAL, INC.
OR
JESUIT HIGH SCHL EXEC OFC
OR
Jesus Pursuit Church
OR
Joseph School District
OR
josephine county
OR
Josephine County Public Works
OR
Joy Church Eugene
OR
Joyful Servant Lutheran Church
OR
Junction City High School
OR
Junction City/Harrisburg/Monroe Habitat
for Humanity
OR
JUNIOR ACHIEVEMENT
OR
Kairos
OR
Kartini Clinic
OR
Kbps Public Radio
OR
Keizer Fire District
OR
KEIZER POLICE DEPARTMENT
OR
Kid Time
OR
KIDS INTERVENTION AND
DIAGNOSTIC CENTER
OR
Kids Unlimited Academy
OR
Kilchis House
OR
KLAMATH COMMUNITY COLLEGE
DISTRICT
OR
klamath county
OR
KLAMATH COUNTY 9-1-1
OR
Klamath County Association of Realtors OR
Klamath County Fire District No. 1
OR
Klamath County School District
OR
KLAMATH FALLS CITY SCHOOLS
OR
KLAMATH HOUSING AUTHORITY
OR
Klamath Siskiyou Wildlands Center
OR
Knova Learning
OR
Korean Central Covenant Church of
Eugene
OR
L'Etoiile French Immersion School
OR
LA CLINICA DEL CARINO FAMILY
HEALTH CARE CENTER
OR
La Grande Church of the Nazarene
OR
La Grande Family Practice
OR
La Grande Foursquare Church
OR
La Grande Police Department
OR
LA GRANDE SCHOOL DISTRICT
OR
LA GRANDE SCHOOL DISTRICT 001
OR
LA GRANDE UNITED METHODIST
CHURCH
OR
La Pine Chamber of Commerce
OR
La Pine Park & Recreation District
OR
Lake Chinook Fire & Rescue
OR
LAKE COUNTY
OR
Lake County Chamber of Commerce Inc OR
Lake Grove Presbyterian Church
OR
Lake Oswego Montessori School
OR
LAKE OSWEGO SCHOOL DISTRICT 7JOR
LANE COMMUNITY COLLEGE
OR
Lane Council of Governments
OR
LANE COUNTY
OR
LANE COUNTY SCHOOL DISTRICT 4J OR
LANE COUNTY SCHOOL DISTRICT 69 OR
Lane County Sheriff’s Office
OR
LANE EDUCATION SERVICE
DISTRICT
OR
LANE ELECTRIC COOPERATIVE
OR
LANE MEMORIAL BLOOD BANK
OR
LANE TRANSIT DISTRICT
OR
LANECO FEDERAL CREDIT UNION
OR
LAUREL HILL CENTER
OR
LEAGUE OF OREGON CITIES
OR
League of Women Voters
OR
LEBANON COMMUNITY SCHOOLS
NO.9
OR
Legacy Mt. Hood Medical Center
OR
Legal Aid Services of Oregon LITC
OR
LEWIS AND CLARK COLLEGE
OR
Lewis and Clark Rural Fire Protection
District
OR
Life Flight Network LLC
OR
LifeSource
OR

APPENDIX 7
STATE NOTICE ADDENDEM

LIFEWORKS NW
OR
Lincoln City Chamber of Commerce
OR
LINCOLN COUNTY
OR
LINCOLN COUNTY SCHOOL
DISTRICT
OR
LINFIELD COLLEGE
OR
Linn Benton Lincoln Educational
Services
District
OR
LINN CO. SCHOOL DIST. 95C - SCIO
SD
OR
LINN COUNTY
OR
Linn County Sheriff Office
OR
LINN-BENTON COMMUNITY
COLLEGE
OR
LINN-BENTON-LINCOLN ESD
OR
Literary Expectations dba Moore
Academy
OR
Little Promises Chlildren's Program
OR
Living Opportunities, Inc.
OR
LIVING WAY FELLOWSHIP
OR
Living Word Christian Center
OR
LIVINGSTONE ADVENTIST
ACADEMY
OR
Local 290
OR
LOCAL GOVERNMENT PERSONNEL
INSTITUTE
OR
Long Creek School District
OR
Long Tom Watershed Council
OR
LOOKING GLASS YOUTH AND
FAMILY SERVICES
OR
Love Thy Neighbor services
OR
Lowell Rural Fire Protection District
OR
LOWELL SCHOOL DISTRICT NO.71
OR
Lower Columbia Estuary Partnership
OR
LUCKIAMUTE VALLEY CHARTER
SCHOOLS
OR
Lucky Paws Rescue
OR
LUKE DORF INC
OR
MACDONALD CENTER
OR
Mainstage Theatre Company
OR
MAKING MEMORIES BREAST
CANCER FOUNDATION, INC.
OR
MALIN COMMUNITY PARK AND
RECREATION DISTRICT
OR
Maranatha Church
OR
MARCOLA SCHL DIST
OR
MARCOLA SCHOOL DISTRICT 079J
OR
MARION COUNTY FIRE DISTRCT #1 OR
MARION COUNTY HEALTH DEPT
OR
MARION COUNTY HOUSING
AUTHORITY
OR
MARION COUNTY SCHOOL
DISTRICT 103 - WASHINGTON ES
OR
Marist Catholic High School
OR
Marist High School
OR
MARYLHURST UNIVERSITY
OR
Mastery Learning Institute
OR
Math Learning Center, The
OR
McKay High School
OR
McKenzie Personnel Systems
OR
McKenzie River Trust
OR
MCKENZIE SCHOOL DISTRICT 068
OR
MCKENZIEWATERSHED COUNCIL
OR
McMinnville Adventist Christian School OR
McMinnville Police Department
OR
MCMINNVILLE SCHOOL DISTRICT
NO.40
OR
McMinnville Water & Light
OR
MEALS ON WHEELS PEOPLE, INC.
OR
MECOP Inc.
OR
Mederi Foundation DBA Mederi
Center for Natural Healing
OR
MEDFORD SCHOOL DISTRICT 549C OR
MEDFORD WATER COMMISSION
OR
MEDICAL TEAMS INTL
OR
MENNONITE HOME OF ALBANY INC OR
Mental Health for Children, Inc.
OR
Merchants Exchange of Portland,
Oregon
OR
Mercy Flights, Inc.
OR
METRO
OR
METRO HOME SAFETY REPAIR
PROGRAM
OR
METROEAST COMMUNITY MEDIA
OR
Metropolitan Contractor Improvement
Partnership
OR
METROPOLITAN EXPOSITION-
RECREATION COMMISSION
OR
METROPOLITAN FAMILY SERVICE
OR
Mid Columbia Children’s Council
OR
MID COLUMBIA COUNCIL OF
GOVERNMENTS
OR
MID COLUMBIA MEDICAL CENTER-
GREAT ''''N SMALL
OR

APPENDIX 7
STATE NOTICE ADDENDEM

Mid Rogue Imaging Center
OR
Mid Willamette Valley Community Action OR
MID-COLUMBIA CENTER FOR
LIVING
OR
MID-WILLAMETTE VALLEY
COMMUNITY ACTION AGENCY, INC
OR
Mill City RFPD
OR
Milton-Freewater Unified School District
No 7
OR
Milwaukie-Portland Lodge No.142
Benevolent and Protective Order of Elk
OR
Mission Increase Foundation
OR
MITCH CHARTER SCHOOL
OR
MOLALLA RIVER ACADEMY
OR
Molalla River School District
OR
MOLALLA RIVER SCHOOL DISTRICT
NO.35
OR
Molalla Rural Fire Protection District
OR
Monet's Children's Circle
OR
MONMOUTH - INDEPENDENCE
NETWORK
OR
MONROE SCHOOL DISTRICT NO.1J
OR
monument school
OR
MORNING STAR MISSIONARY
BAPTIST CHURCH
OR
MORRISON CHILD AND FAMILY
SERVICES
OR
MORROW COUNTY
OR
MORROW COUNTY SCHOOL
DISTRICT
OR
MOSAIC CHURCH
OR
Mosier Community School
OR
Mount Angel Abbey
OR
Mount Pisgah Arboretum
OR
Mountain Valley Therapy
OR
Mountain View Academy
OR
MSB
OR
Mt Emily Safe Center
OR
Mt Hood Hospice
OR
MT. ANGEL SCHOOL DISTRICT NO.91 OR
MT. HOOD COMMUNITY COLLEGE
OR
MT.SCOTT LEARNING CENTERS
OR
Muddy Creek Charter School
OR
MULTISENSORY LEARNING
ACADEMY
OR
MULTNOMAH BIBLE COLLEGE
OR
MULTNOMAH COUNTY
OR
Multnomah County Department of
Community Justice
OR
Multnomah County Dept of County
Assets
OR
MULTNOMAH EDUCATION SERVICE
DISTRICT
OR
MULTNOMAH LAW LIBRARY
OR
MULTONAH COUNTY DRAINAGE
DISTRICT #1
OR
MYRTLE POINT SCHOOL DISTRICT
NO.41
OR
NAMI LANE COUNTY
OR
NAMI of Washington County
OR
NAMI OREGON
OR
National Christian Community
Foundation
OR
NATIONAL COLLEGE OF NATURAL
MEDICINE
OR
NATIONAL PSORIASIS FOUNDATION OR
NATIONAL WILD TURKEY
FEDERATION
OR
Native American Youth and Family
Center Early College Academy
OR
NEAH KAH NIE WATER DISTRICT
OR
NEAH-KAH-NIE DISTRICT NO.56
OR
NEDCO
OR
Nehalem Bay House
OR
Nehalem Bay Wastewater
OR
NEHALEM ELEMENTARY SCHOOL
OR
NEIGHBORIMPACT
OR
Neskowin Valley School
OR
NESTUCCA VALLEY SCHOOL
DISTRICT NO.101
OR
Netarts Water District
OR
Netarts-Oceanside RFPD
OR
Network Charter School
OR
New Artists Performing Arts
Productions,
Inc.
OR
NEW AVENUES FOR YOUTH INC
OR
New Hope Christian College
OR
NEW HOPE COMMUNITY CHURCH
OR
New Horizon Christian School
OR
New Life Baptist Church
OR
New Life Fellowship Church of God
OR
NEWBERG FRIENDS CHURCH
OR
Nez Perce Tribe
OR

APPENDIX 7
STATE NOTICE ADDENDEM

NONPROFIT ASSOCIATION OF
OREGON
OR
NORCOR Juvenile Detention
OR
Norkenzie Christian Church
OR
NORTH BEND CITY- COOS/URRY
HOUSING AUTHORITY
OR
NORTH BEND SCHOOL DISTRICT 13 OR
NORTH CLACKAMAS SCHOOL
DISTRICT
OR
North Coast Christian Church
OR
North Coast Family Fellowship
OR
North Douglas County Fire & EMS
OR
North Lake School District 14
OR
North Lincoln Fire & Rescue #1
OR
NORTH MARION SCHL DIST
OR
North Pacific District of Foursquare
Churches
OR
North Portland Bible College
OR
North Powder Charter School
OR
NORTH SANTIAM SCHOOL DISTRICT
29J
OR
NORTH WASCO CTY SCHOOL
DISTRICT 21 - CHENOWITH
OR
NORTH WILLAMETTE VALLEY
HABITAT FOR HUMANITY
OR
Northern Wasco County PUD
OR
Northwest Academy
OR
Northwest Center for Alternatives to
Pesticides
OR
NORTHWEST CHRISTIAN COLLEGE OR
NORTHWEST ENERGY EFFICIENCY
ALLIANCE
OR
Northwest Family Services
OR
NORTHWEST FOOD PROCESSORS
ASSOCIATION
OR
Northwest Habitat Institute
OR
Northwest Health Foundation
OR
NORTHWEST LINE JOINT
APPRENTICESHIP & TRAINING
COMMITTEE
OR
Northwest Opening
OR
Northwest Power and Conservation
Council
OR
NORTHWEST REGIONAL
EDUCATION SERVICE DISTRICT
OR
NORTHWEST YOUTH CORPS
OR
Northwood Christian Church
OR
NW POWER POOL
OR
NW REGIONAL ESD-HILLSBORO
OR
NW Sport Fishing
OR
NYSSA SCHOOL DISTRICT NO. 26
OR
Oak Heights PTC
OR
Oak Hill School
OR
OAK LODGE WATER DISTRICT
OR
OAKLAND SCHOOL DISTRICT 001
OR
Oasis Shelter Home
OR
Obsidian Urgent Care, P.C.
OR
Occu Afghanistan Relief Effort
OR
OCHIN
OR
OEA CHOICE TRUST
OR
OETC
OR
OFFICE OF MEDICAL ASSISTANCE
PROGRAMS
OR
OFFICE OF PUBLIC DEFENSE
SERVICES
OR
Office of the Ong Term Care
Ombudsman
OR
OFFICE OF THE STATE TREASURER OR
Ohara Catholic School
OR
OHSU FOUNDATION
OR
Old Mill Center for Children and
Families
OR
Olive Plaza
OR
Oliver P Lent PTA
OR
OLIVET BAPTIST CHURCH
OR
OMNIMEDIX INSTITUTE
OR
ONTARIO MIDDLE SCHOOL
OR
Ontario School District
OR
Ontario School District 8C
OR
OPEN MEADOW ALTERNATIVE
SCHOOLS, INC.
OR
Operation Christmas
OR
Opportunity Connections
OR
Opportunity Foundation of central
Oregon
OR
OR INT''''L PORT OF COOS BAY
OR
Oregonians for Food & Shelter
OR
Oregon & Southern Idaho District
Council
of Laborers'
OR
Oregon Air National Guard
OR
Oregon And Southern Idaho Laborers
Employers Training School
OR
Oregon Army National Guard
OR
OREGON BALLET THEATRE
OR
OREGON BOARD OF ARCHITECTS
OR
Oregon Board of Chiropractic ExaminersOR

APPENDIX 7
STATE NOTICE ADDENDEM

Oregon Cascades West Council of
Governments
OR
OREGON CHILD DEVELOPMENT
COALITION
OR
Oregon Child Development Coalition
(OCDC)
OR
OREGON CITY CHURCH OF THE
NAZARENE
OR
OREGON CITY PUBLIC SCHL
OR
Oregon Coast Aquarium, Inc.
OR
OREGON COAST COMMUNITY
ACTION
OR
OREGON CORRECTIONS
ENTERPRISES
OR
OREGON DEATH WITH DIGNITY
OR
OREGON DEPARTMENT OF
EDUCATION
OR
OREGON DEPARTMENT OF
FORESTRY
OR
OREGON DEPT OF FISH & WILDLIFE-
SAUVIE
OR
OREGON DEPT OF
TRANSPORTATION
OR
OREGON DEPT. OF CORRECTIONS
OR
OREGON DEPT. OF EDUCATION
OR
Oregon DEQ
OR
OREGON DONOR PROGRAM
OR
OREGON EDUCATION ASSOCIATION OR
Oregon Emergency Management
OR
OREGON ENVIRONMENTAL
COUNCIL
OR
Oregon Farm Bureau
OR
OREGON FOOD BANK
OR
Oregon Forest Industries Council
OR
Oregon Forest Resources Institute
OR
Oregon Funeral Directors Association
OR
OREGON HEALTH AND SCIENCE
UNIVERSITY
OR
Oregon Humanities
OR
Oregon Independent Automobile
Dealers
Association
OR
Oregon Institute of Technology
OR
Oregon Jewish Community Foundation OR
Oregon Jewish Museum and Center for
Holoacust Education
OR
OREGON JUDICIAL DEPARTMENT
OR
Oregon Laborers-Employer
Administrative
Fund, LLC
OR
OREGON LIONS SIGHT & HEARING
OR
OREGON LOTTERY
OR
Oregon Lyme Disease Network
OR
OREGON MUSUEM OF SCIENCE AND
INDUSTRY
OR
Oregon Nikkei Endowment
OR
OREGON OFFICE OF ENERGY
OR
OREGON PEDIATRIC SOCIETY
OR
OREGON PROGRESS FORUM
OR
Oregon Psychoanalytic Center
OR
Oregon Public Broadcasting
OR
Oregon Research Institute
OR
Oregon Rural Electric Cooperative
Association
OR
Oregon Satsang Society, Inc., A
chartered Affiliate of ECKANKAR ,
ECKA
OR
OREGON SCHL BRDS ASSOCIAT
OR
OREGON SCHOOL BOARDS
ASSOCIATION
OR
Oregon Social Learning Center
OR
Oregon State Board of Architect
Examiners
OR
OREGON STATE BOARD OF
NURSING
OR
Oregon State Credit Union
OR
OREGON STATE DEPT OF
CORRECTIONS
OR
OREGON STATE FAIR
OR
Oregon State Fair Council
OR
OREGON STATE HOSPITAL
OR
Oregon State Lottery
OR
OREGON STATE POLICE
OR
Oregon State Treasury
OR
Oregon State University
OR
OREGON STATE UNIVERSITY
ALUMNI ASSOCIATION
OR
OREGON STATE UNIVERSITY
BOOKSTORE INC
OR
OREGON SUPPORTED LIVING
PROGRAM
OR
Oregon Technical Assistance
Corporation
OR
OREGON TOURISM COMMISSION
OR
OREGON TRAIL SCHOOL DISTRICT
NO.46
OR
Oregon Translational Research and
Development Institute
OR
OREGON TRAVEL INFORMATION
COUNCIL
OR
OREGON UNIVERSITY SYSTEM
OR

APPENDIX 7
STATE NOTICE ADDENDEM

OSLC COMMUNITY PROGRAMS
OR
OSLC COMMUNITY PROGRAMS OCP OR
OSU Deschutes County Extension
Service
OR
Oswego Lake Country Club
OR
OUR LADY OF PERPETUAL HELP
CATHOLIC CHURCH ALBANY
OREGON
OR
OUR LADY OF THE LAKE SCHOOL
OR
OUR SAVIOR''''S LUTHERAN CHURCH OR
Our United Villages
OR
OUTSIDE IN
OR
PACIFIC CASCADE FEDERAL CREDIT
UNION
OR
PACIFIC FISHERY MANAGEMENT
COUNCIL
OR
PACIFIC INSTITUTES FOR
RESEARCH
OR
PACIFIC STATES MARINE FISHERIES
COMMISSION
OR
pacific u
OR
PACIFIC UNIVERSITY
OR
PacificSource Health
OR
Pain Society of Oregon
OR
Parenting Now!
OR
Parkinson's Resources of Oregon
OR
Parkrose School District 3
OR
PARTNERSHIPS IN COMMUNITY
LIVING, INC.
OR
PDX Wildlife
OR
Peace Lutheran Church
OR
PENDLETON ACADEMIES
OR
Pendleton Police Department
OR
PENDLETON SCHOOL DISTRICT #16ROR
PENTAGON FEDERAL CREDIT
UNION
OR
PHILOMATH SCHOOL DISTRICT
OR
PHOENIX-TALENT SCHOOL
DISTRICT NO.4
OR
Phoenix-Talent Schools
OR
Pine Eagle Charter School
OR
PINE-EAGLE SCHOOL DISTRICT 061 OR
PIONEER TELEPHONE
COOPERATIVE
OR
PIP Corps LLC
OR
PLANNED PARENTHOOD OF
SOUTHWESTERN OREGON
OR
PLEASANT HILL SCH DIST #1
OR
PNW. For Puerto Rico Relief
OR
Point West Credit Union
OR
POLK COUNTY
OR
Polk County Fire District No.1
OR
Polk Soil and Water Conservation
District
OR
PORT CITY DEVELOPMENT CENTER OR
PORT OF BANDON
OR
PORT OF CASCADE LOCKS
OR
Port of Garibaldi
OR
Port of Hood River
OR
PORT OF SIUSLAW
OR
PORT OF ST HELENS
OR
PORT OF TILLAMOOK BAY
OR
Port of Toledo
OR
PORT OF UMPQUA
OR
Portland Actors Conservatory
OR
PORTLAND ADVENTIST ACADEMY
OR
PORTLAND ART MUSEUM
OR
PORTLAND BUSINESS ALLIANCE
OR
Portland Christian Center
OR
Portland Christian Schools
OR
PORTLAND COMMUNITY COLLEGE
OR
Portland Community Media
OR
Portland Community Reinvestment
Initiatives, Inc.
OR
PORTLAND DEVELOPMENT
COMMISSION
OR
PORTLAND HABILITATION CENTER,
INC.
OR
Portland Japanese Garden
OR
PORTLAND JEWISH ACADEMY
OR
PORTLAND METRO RESIDENTIAL
SERVICES
OR
PORTLAND OIC
OR
Portland Oregon Visitors Association
OR
Portland Parks Foundation
OR
Portland Police Sunshine Division
OR
PORTLAND PUBLIC SCHOOLS
OR
PORTLAND SCHOOLS FOUNDATION OR
PORTLAND STATE UNIV.
OR
PORTLAND WOMENS CRISIS LINE
OR
Portland Yacht Club
OR
Portland YouthBuilders
OR
Prairie Baptist Church
OR
PREGNANCY RESOUCE CENTERS
OR

APPENDIX 7
STATE NOTICE ADDENDEM

GRETER PORTLAND
Prince of Peace Lutheran Church &
School
OR
PRINGLE CREEK SUSTAINABLE
LIVING CENTER
OR
Procurement Services/DAS
OR
PROFESSIONAL GLOBAL EXCHANGE
INC.
OR
Prospect School District
OR
PROVIDENCE HOOD RIVER
MEMORIAL HOSPITAL
OR
PUBLIC DEFENDER SERVICES OF
LANE COUNTY, INC.
OR
QUADRIPLEGICS UNITED AGAINST
DEPENDENCY, INC.
OR
QUEEN OF PEACE SCHOOL
OR
Rainbow Water District
OR
Rainier Assembly of God
OR
RAINIER POLICE DEPARTMENT
OR
RAINIER SCHOOL DISTRICT
OR
RB Pamplin Corporation
OR
Real Life Christian Church
OR
REALMS CHARTER SCHOOL
OR
REBUILDING TOGETHER -
PORTLAND INC.
OR
Redeemer Lutheran Church
OR
REDMOND FIRE & RESCUE
OR
REDMOND PROFICIENCY ACADEMY OR
REDMOND SCHOOL DISTRICT
OR
REED COLLEGE
OR
REEDSPORT SCHOOL DISTRICT
OR
REGIONAL ARTS AND CULTURE
COUNCIL
OR
REGIONAL AUTOMATED
INFORMATION NETWORK
OR
RELEVANT LIFE CHURCH
OR
Reliance eHealth Collaborative
OR
Relief Nursery
OR
RENEWABLE NORTHWEST PROJECT OR
Resource Connections of Oregon
OR
Reynolds High School
OR
REYNOLDS SCHOOL DISTRICT
OR
Riddle School District
OR
Ride Connection
OR
Risen Records
OR
River Network
OR
Riverdale School District 51J
OR
RIVERGROVE WATER DISTRICT
OR
Rockwood Water P.U.D.
OR
ROCKWOOD WATER PEOPLE''''S
UTILITY DISTRICT
OR
ROGUE COMMUNITY COLLEGE
OR
ROGUE FEDERAL CREDIT UNION
OR
Rogue River Fire District
OR
ROGUE RIVER SCHOOL DISTRICT
NO.35
OR
Rogue River Watershed Council
OR
Rogue Valley Humane Society
OR
Rogue Valley Youth Football
OR
Rolling Hills Baptist Church
OR
Rolling Hills Community Church
OR
RON WILSON CENTER FOR
EFFECTIVE LIVING INC
OR
Ronald McDonald House Charities of
Oregon & Southwest Washington
OR
Rose Haven
OR
ROSE VILLA, INC.
OR
ROSEBURG PUBLIC SCHOOLS
OR
Rural Development Initiatives
OR
Sabin-Schellenberg Technical Center
OR
Sacred Heart Catholic Church
OR
SACRED HEART CATHOLIC
DAUGHTERS
OR
Sacred Heart-St Louis Parish
OR
Safe Harbors
OR
SafeHaven Humane Society
OR
SAIF CORPORATION
OR
SAINT ANDREW NATIVITY SCHOOL
OR
SAINT CATHERINE OF SIENA
CHURCH
OR
SAINT JAMES CATHOLIC CHURCH
OR
Salem Academy
OR
Salem Alliance Church
OR
SALEM ALLIANCE CHURCH
OR
Salem Area Chamber of Commerce
OR
SALEM AREA MASS TRANSIT
DISTRICT
OR
SALEM ELECTRIC
OR
Salem Evangelical Church
OR
Salem First Presbyterian Church
OR
SALEM FREE CLINICS
OR
Salem keizar school district
OR

APPENDIX 7
STATE NOTICE ADDENDEM

Salem Keizer School District Purchasing OR
Salem-Keizer 24J
OR
SALEM-KEIZER PUBLIC SCHOOLS
OR
SALMON-SAFE INC.
OR
Samaritan Health Services Inc.
OR
San Martin Deporres Catholic Church
OR
SANDY FIRE DISTRICT NO. 72
OR
Sandy Seventh-day Adventist Church
OR
Santiam Assembly of God
OR
SANTIAM CANYON
COMMUNICATION CENTER
OR
Santiam Canyon SD 129J
OR
SANTIAM CHRISTIAN SCHOOLS
OR
Scappoose Adventist School
OR
SCAPPOOSE SCHOOL DISTRICT 1J
OR
SCIENCEWORKS
OR
ScienceWorks Museum
OR
Scio High School
OR
Scottish Rite
OR
SE WORKS
OR
Seal Rock Water District
OR
Seaside Fire & Rescue
OR
Seaside Public Library
OR
SEASIDE SCHOOL DISTRICT 10
OR
SECURITY FIRST CHILD
DEVELOPMENT CENTER
OR
SEED OF FAITH MINISTRIES
OR
SEIU Local 49
OR
SEIU LOCAL 503, OPEU
OR
SELCO Community Credit Union
OR
SELF ENHANCEMENT INC.
OR
SEPTL Southeast Portland Tool Library OR
Serendipity Center Inc
OR
SERENITY LANE
OR
Serenity Lane Health Services
OR
Seven Feathers Casino
OR
SEVEN PEAKS SCHOOL
OR
SEXUAL ASSAULT RESOURCE
CENTER
OR
Sexual Assault Support Services
OR
Shangri La
OR
Shangri-La
OR
SHELTERCARE
OR
SHERIDAN JAPANESE SCHOOL
FOUNDATION
OR
Sheridan School District 48J
OR
SHERMAN COUNTY
OR
SHERMAN COUNTY SCHOOL
DISTRICT
OR
SHERMAN DEVELOPMENT LEAGUE,
INC.
OR
Sherwood Community Friends Church
OR
SHERWOOD SCHOOL DISTRICT 88J OR
SILVER FALLS SCHOOL DISTRICT
OR
SILVERTON AREA COMMUNITY AID
OR
Silverton Fire District
OR
Silverton Senior Center
OR
SISKIYOU INITIATIVE
OR
Siuslaw Public Library District
OR
SIUSLAW SCHOOL DISTRICT
OR
Siuslaw School District - Transportation OR
SMART
OR
Smith Memorial Presbyterian Church
OR
SOCIAL VENTURE PARTNERS
PORTLAND
OR
Society of American Foresters
OR
SOLUTIONS Yes
OR
SONRISE CHURCH
OR
Soroptimist International of Gold Beach,
OR
OR
SOUTH COAST EDUCATION SERVICE
DISTRICT
OR
SOUTH COAST HOSPICE, INC.
OR
SOUTH LANE FAMILY NURSERY
DBA FAMILY RELIEF NURSE
OR
SOUTH LANE SCHOOL DISTRICT 45J3OR
South Salem High Music Boosters
OR
SOUTH UMPQUA SCHOOL DISTRICT
#19
OR
Southeast Uplift Neighborhood Coalition OR
Southern Coos Hospital
OR
SOUTHERN OREGON CHILD AND
FAMILY COUNCIL, INC.
OR
SOUTHERN OREGON EDUCATION
SERVICE DISTRICT
OR
SOUTHERN OREGON HUMANE
SOCIETY
OR
Southern Oregon Project Hope
OR
SOUTHERN OREGON UNIVERSITY
OR
SOUTHWEST CHARTER SCHOOL
OR
Southwest Christian School
OR

APPENDIX 7
STATE NOTICE ADDENDEM

Southwest Neighborhoods, Inc
OR
SOUTHWESTERN OREGON
COMMUNITY COLLEGE
OR
Southwestern Oregon Public Defender
Services, Inc.
OR
SPARC ENTERPRISES
OR
SPECIAL MOBILITY SERVICES
OR
Sphere MD
OR
SPIRIT WIRELESS
OR
SPONSORS, INC.
OR
SPOTLIGHT THEATRE OF PLEASANT
HILL
OR
Springfield Public Library
OR
Springfield Public Schools
OR
SPRINGFIELD SCHOOL DISTRICT
NO.19
OR
SPRINGFIELD UTILITY BOARD
OR
Springfield Elks #2145
OR
Spruce Villa, Inc.
OR
St Andrews Presbyterian
OR
St Frederic Catholic Church
OR
St Helens School District
OR
ST HENRYS CHURCH
OR
St John Fisher Catholic Church Portland
Oregon
OR
St John the Baptist Greek Orthodox
Church
OR
St Mark Presbyterian Church
OR
St Mary's Catholic School and Parish
OR
St Paul Baptist Church
OR
St Paul Catholic Church
OR
St Paul Parish School
OR
ST VINCENT DE PAUL
OR
ST. ANTHONY CHURCH
OR
ST. ANTHONY SCHOOL
OR
St. Elizabeth Ann Seton Church
OR
St. Helens, City of
OR
St. Joseph Shelter
OR
St. Katherine's Catholic Church
OR
St. Luke Catholic School
OR
St. Martins Episcopal church
OR
St. Mary Catholic School
OR
St. Mary School
OR
St. Mary''''s Church
OR
St. Mary''''s Episcopal Church
OR
ST. MARYS OF MEDFORD, INC.
OR
St. Matthew Catholic School
OR
St. Paul School District
OR
St. Peter Catholic Church
OR
St. Pius X School
OR
St. Stephen's Academy
OR
St. Therese Parish/School
OR
St. Vincent de Paul Church
OR
ST. VINCENT DEPAUL OF LANE
COUNTY
OR
STAND FOR CHILDREN
OR
STANFIELD SCHOOL DISTRICT
OR
STAR OF HOPE ACTIVITY CENTER
INC.
OR
State Accident Insurance Fund
Corporation
OR
STATE OF OREGON
OR
State of Oregon - Department of
Administrative Services
OR
STAYTON FIRE DISTRICT
OR
Stone Creek Christian Church
OR
Store to Door
OR
Street Ministry
OR
Summa Institute
OR
SUMMIT VIEW COVENANT CHURCH OR
Sunny Wolf Charter School
OR
SUNNYSIDE FOURSQUARE CHURCH OR
SUNRISE ENTERPRISES
OR
Sunrise Water
OR
sunrise water authority
OR
Sunset Presbyterian Church
OR
OR
SUSTAINABLE NORTHWEST
OR
Sutherlin School District
OR
SW Community Health Center
OR
SWEET HOME SCHOOL DISTRICT
NO.55
OR
Sweet Home United Methodist Church OR
TAKE III OUTREACH
OR
Tamarack Aquatic Center
OR
Teacher Standards and Practices
Commission
OR
Temple Beth Israel
OR
TENAS ILLAHEE CHILDCARE
CENTER
OR
Teras Interventions and Counseling Inc OR

APPENDIX 7
STATE NOTICE ADDENDEM

The Alliance NW of the Christian &
Missionary Alliance
OR
The ALS Association Oregon and SW
Washington Chapter
OR
The Blosser Center for Dyslexia
Resources
OR
The Canby Center
OR
THE CATLIN GABEL SCHOOL
OR
The Christian Church of Hillsboro
Oregon
OR
The Church of Christ of Latter Day
Saints
OR
THE CITY OF NEWPORT
OR
The Collins Foundation
OR
The Dalles Art Association
OR
The Dreaming Zebra Foundation
OR
THE EARLY EDUCATION PROGRAM,
INC.
OR
The Emerson School
OR
The Followers of Christ Church of
Oregon
City
OR
The Housing Authority of the County of
Umatilla
OR
The Inn Home for Boys, Inc.9138
OR
The International School
OR
The Klamath Tribe
OR
The Lighthouse School
OR
The Madeleine Parish
OR
THE MILL CASINO
OR
THE NATIONAL ASSOCIATION OF
CREDIT MANAGEMENT-OREGON,
INC.
OR
The Nature Conservancy, Willamette
Valley Field Office
OR
THE NEWPORT PARK AND
RECREATION CENTER
OR
THE NEXT DOOR
OR
THE OREGON COMMUNITY
FOUNDATION
OR
THE PORT OF PORTLAND
OR
The Ross Ragland Theater and Cultural
Center
OR
THE SALVATION ARMY - CASCADE
DIVISION
OR
The Spiral Gallery
OR
The Sunriver Owners Association
OR
The Tucker-Maxon Oral School
OR
The Wallace Medical Concern
OR
THREE RIVERS CASINO
OR
Three Rivers School District
OR
Tilikum Center for Retreats and Outdoor
Ministries
OR
TILLAMOOK BAY COMMUNITY
COLLEGE
OR
TILLAMOOK CNTY
OR
TILLAMOOK CNTY WOMENS CRISIS
CENTER
OR
Tillamook County Emergency
Communications District
OR
Tillamook County Transportation Dist
OR
TILLAMOOK ESTUARIES
PARTNERSHIP
OR
Tillamook Fire District
OR
TILLAMOOK PEOPLES UTILITY
DISTRICT
OR
Tillamook School District
OR
Tillamook Seventh Day Adventist
Church
OR
Tillamook Urban Renewal Agency
OR
TLO Farms
OR
Tokyo Int'l University of America, Inc
OR
Toledo Police Department
OR
TOUCHSTONE PARENT
ORGANIZATION
OR
Tower Theatre Foundation, Inc
OR
TRAILS CLUB
OR
Training & Employment
OR
TRAINING EMPLOYMENT
CONSORTIUM
OR
Transition Projects, Inc
OR
Travel Lane County
OR
Treasure Valley Community College
OR
Tri-County Chamber of Commerce Inc
OR
TRI-COUNTY HEALTH CARE SAFETY
NET ENTERPRISE
OR
Tri-County Metropolitan Transportation
District of Oregon ("TriMet")
OR
Trillium Charter School
OR
TRILLIUM FAMILY SERVICES, INC.
OR
Trillium Sprigs
OR
TriMet Transit
OR
Trinity Lutheran
OR
Trinity United Methodist Church
OR
TUALATIN HILLS PARK AND
RECREATION DISTRICT
OR
Tualatin Lacrosse Club
OR
Tualatin Police Department
OR
Tualatin Soil and Water Conservation
District
OR

APPENDIX 7
STATE NOTICE ADDENDEM

TUALATIN VALLEY FIRE & RESCUE
OR
Tualatin Valley Water District
OR
TUALATIN VALLEY WATER
DISTRICT
OR
Tuality Healthcare
OR
Turtle Ridge Wildlife Center
OR
UIUC
OR
Ukiah School District 80R
OR
UMATILLA COUNTY, OREGON
OR
Umatilla Electric Cooperative
OR
Umpqua Basin Water Association
OR
UMPQUA COMMUNITY COLLEGE
OR
UMPQUA COMMUNITY
DEVELOPMENT CORPORATION
OR
Umpqua Community Health Center
OR
Umpqua Valley Public Defender
OR
UNION COUNTY
OR
Union County Economic Development
Corp.
OR
UNION GOSPEL MISSION
OR
Union School District
OR
UNION SOIL & WATER
CONSERVATION DISTRICT
OR
Unitarian Universalist Church in Eugene OR
UNITED CEREBRAL PALSY OF OR
AND SW WA
OR
UNITED METHODIST CHURCH
OR
United Way of Lane County
OR
UNITED WAY OF THE COLUMBIA
WILLAMETTE
OR
United Way
OR
Unitus Community Credit Union
OR
UNIVERSITY OF OREGON
OR
University of Oregon - Purchasing and
Contracting Services
OR
University Of Oregon Athletics
Department
OR
UNIVERSITY OF PORTLAND
OR
University of Western States
OR
University of Oregon
OR
Urban Gleaners
OR
Urban League of Portland
OR
US CONFERENCE OF MENONNITE
BRETHREN CHURCHES
OR
US FISH AND WILDLIFE SERVICE
OR
USAGENCIES CREDIT UNION
OR
USDA Forest Service
OR
USO Northwest
OR
Vale School District No. 84
OR
VALLEY CATHOLIC SCHL
OR
Verde
OR
VERMONT HILLS FAMILY LIFE
CENTER
OR
VERNONIA SCHOOL DISTRICT 47J
OR
Veterans Affairs
OR
VFW POST 4248
OR
Victory Academy
OR
Vietnamese Christian Community
Church
OR
Viking Sal Senior Center
OR
Village Home Education Resource
Center
OR
Vineyard Christian Fellowship
OR
VIRGINIA GARCIA MEMORIAL
HEALTH CENTER
OR
VOLUNTEERS OF AMERICA OREGON OR
Waldo Middle School
OR
WALLOWA COUNTY
OR
Wallowa County ESD
OR
Wallowa Future Foundation
OR
Wallowa Valley Center For Wellness
OR
WARNERPACIFIC COLG
OR
Warrenton Hammond School
OR
WASCO COUNTY
OR
WASHINGTON COUNTY
OR
Washington County Consolidated
Communications Agency
OR
Washington County Facilities & Park
Services
OR
Washington Park Transportation
Management Association
OR
Waste-Pro
OR
WATER ENVIRONMENT SERVICES
OR
WE CARE OREGON
OR
West Coast Haunters Convention
OR
West Hills Christian School
OR
WEST HILLS COMMUNITY CHURCH
OR
West Linn Police
OR
West Linn Police Department
OR
WEST LINN WILSONVILLE SCHOOL
OR

WEST MULTNOMAH SOIL AND
WATER CONSERVATION DISTRICT
OR
West Salem Foursquare Church
OR
West Salem United Methodist
OR
WEST VALLEY HOUSING
AUTHORITY
OR
Western Arts Alliance
OR
Western Environmental Law Center
OR
Western Mennonite School
OR
WESTERN RIVERS CONSERVANCY OR
WESTERN STATES CENTER
OR
Western Wood Products Association
OR
WESTSIDE BAPTIST CHURCH
OR
Westside Church of Christ Inc
OR
Wheeler County
OR
WHITE BIRD CLINIC
OR
WHITEAKER MONTESSORI SCHOOL OR
Wilco Farmers
OR
Wild Lilac Child Development
Community
OR
Wild Rogue Youth Foundation, Inc.
OR
WILD SALMON CENTER
OR
WILLAMALANE PARK AND
RECREATION DISTRICT
OR
Willamette Carpenters Training Center,
Inc
OR
WILLAMETTE EDUCATION SERVICE
DISTRICT
OR
WILLAMETTE FAMILY
OR
Willamette Leadership
Academy/Pioneer Youth Corps Of
Oregon
OR
WILLAMETTE LUTHERAN HOMES,
INC
OR
Willamette Neighborhood Housing
Services
OR
WILLAMETTE UNIVERSITY
OR
Willamette Valley Babe Ruth
OR

Remainder of page intentionally left blank.

Willamette Valley Baptist Church
OR
Willamette Valley Rehab Center
OR
WILLAMETTE VIEW INC.
OR
WILLAMINA SCHOOL DISTRICT
OR
Winding Waters Medical Clinic
OR
WINSTON-DILLARD SCHOOL
DISTRICT 116
OR
WINTERSPRING CENTER
OR
Women''s Safety & Resource Center
OR
WOMENSPACE INC
OR
WOODBURN AREA CHAMBER OF
COMMERCE
OR
Woodburn City Of
OR
WOODBURN SCHOOL DISTRICT 103 OR
WORD OF LIFE COMMUNITY
CHURCH
OR
WORKSYSTEMS INC
OR
World Forestry Center
OR
World of Speed
OR
Yamhill Carlton School District
OR
Yamhill Community Care Organization
OR
YAMHILL COUNTY
OR
Yankton Baptist Church
OR
Yellowhawk Tribal Health
OR
Yellowhawk Tribal Health Center
OR
YMCA OF ASHLAND
OR
YMCA of Marion and Polk Counties
OR
YONCALLA SCHOOL DISTRICT NO.32 OR
YOUNGS RIVER LEWIS AND CLARK
WATER DISTRICT
OR
Youth Dynamics
OR
YOUTH GUIDANCE ASSOC.
OR
Youth M.O.V.E. Oregon
OR
YWCA SALEM
OR
Zion Lutheran Church
OR