Lane County Health & Human Services Youth Services Division Motivational Interviewing REQUEST FOR QUOTES

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Lane County Health & Human Services Youth Services Division Motivational Interviewing REQUEST FOR QUOTES Introduction Lane County Health & Human Services, Division of Youth Services (DYS) is interested in contracting with a trainer to provide Motivational Interviewing training to division staff. Youth Services is a division of Lane County Health & Human Services and provides community based services to youth, and their families, who have committed law violations. Youth Services is seeking a consultant or trainer to provide basic and intermediate Motivational Interviewing skills to division staff. The project will include providing a two day training for staff to covering the basics of Motivational Interviewing, including overview, theory and principles of Motivational Interviewing. Introduction to Motivational Interviewing training would also include skill development, interventions and techniques. The project will also include a two day intermediate training for staff to cover more advanced skills and techniques for staff that have prior training in Motivational Interviewing. The intermediate training would also include an overview of the theory, practice and principals of Motivational Interviewing. The contract for this solicitation will be written for the period of November 1, 2017 through June 30, 2021 based on the contractor s performance, available funding and Lane County need. The anticipated annual funding for the project is not to exceed $12,000 per year. Actual costs will be dependent upon Lane County s use of the services. Submission Requirements/Information: 1. Applicants must provide information requested in the section titled Required Information. 2. Quotes must include all documentation to be considered. 3. The department retains the right to reject any quote not in compliance with the Request or all prescribed Request procedures and requirements and may, for good cause, reject any or all quotes when it is in the public interest to do so. The department further retains the right to request additional information from any respondent during the evaluation process to clarify the respondent s response to any requirement. 4. Lane County reserves the right to add interviews to this process or to make a decision based on the information received. Additional phases of this project may be awarded to the successful recipient of this award without further competitive process.

5. Any contract awarded under this solicitation will be subject Lane County s standard contract conditions available at: https://www.lanecounty.org/government/county_departments/health_and_human_services/administration_an d_support_services/purchasing subcontracting rfp/ 6. This process will follow Lane County s standard bidding procedures located at: https://www.lanecounty.org/government/county_departments/health_and_human_services/administration_an d_support_services/purchasing subcontracting rfp/ Contract Requirements A. The contractor must operate the program independently and not as an agent of Lane County. B. The contractor must comply with all applicable federal, state and local statutes and rules governing the operations of the program. C. The contractor must be able to provide insurance as required in Attachment 1. Contact Information For questions please contact Debbie Heeszel, Sr. Program Services Coordinator 541-682- 7405 or Debbie.heeszel@co.lane.or.us. Responses to this quote request are due electronically to Debbie Heeszel, Senior Program Services Coordinator, Lane County Health and Human Services, Debbie.Heeszel@co.lane.or.us, no later than 12:00 noon on October 6, 2017. Appropriate accommodations can be made upon notice for individuals with disabilities who wish to respond.

Required Information 1. Describe your organization s experience training staff in Motivational Interviewing. 2. Describe your organization s experience providing Motivational Interview training to organizations which provide services to delinquent youth and their families. 3. Indicate the cost of your training services. Include the hourly rates and anticipated hours for the various types of staff who you anticipate assigning to this project. Also include your organization s administrative costs. This estimate is non-binding and may be revised based on information obtained during the interview and/or contract negotiations. 4. Please provide a list of at least three clients who can serve as references. 5. Please submit a signed copy of Proposer s Statements and Certifications (included as Attachment 2 to this Request for Quotes)

Attachment 1 Required Insurance Coverages

INSURANCE COVERAGES REQUIRED Contractor shall not commence any work until Contractor obtains, at Contractor's own expense, all required insurance as specified below. Such insurance must have the approval of Lane County as to limits, form and amount. The types of insurance Contractor is required to obtain or maintain for the full period of the contract will be: X Commercial General Liability Insurance shall include Damage to Rented Property ($50,000), Medical Expenses ($5,000), Personal & Advertising (same per occurence) and Products/Completed Operations (same per occurence.) LIMITS X X X COVERAGES Broad Form Property Damage Contractual Liability Explosion & Collapse Owners & Contractors Protective Products/Completed Operations Underground Hazard X $2 million per occurrence/$4 million aggregate Amount required by funding source Other - Amount approved by Risk Manager or required by contract Automobile Liability insurance with limits as specified below. Coverage shall include owned, hired and non-owned autos and include Lane County and its divisions, commissioners, officers, agents, and employees as additional designated insureds (CA 20 48 02 99 or equivalent). LIMITS $2 million combined single limit per accident for bodily injury and property damage X Statutory Amount Amount required by funding source Other - Amount approved by Risk Manager and required by contract Workers' Compensation and Employer's Liability as statutorily required for persons performing work under this contract. Any subcontractor hired by CONTRACTOR shall also carry Workers' Compensation and Employers' Liability coverage. LIMITS X Statutory amount (currently $500,000 in Oregon, other states may vary) Amount required by funding source Other: minimum of $1,000,000 when not regulated by statute Additional Insured Clause ADDITIONAL INSURED ENDORSEMENT. The insurance coverages required for performance of this contract shall include an Additional Insured Endorsement, either: 1. By Scheduled or named (not blanket or by written contract requirement) endorsement to name "State of Oregon, Lane County and its divisions, its commissioners, officers, agents and employees as additional insureds" on any insurance policies required herein with respect to Provider's activities being performed under the Contract. The additional insureds must be named as an additional insured by separate endorsement, and the policy must be endorsed to show cancellation notices to the Lane County department who originated the contract; OR 2. By Blanket endorsement or by written contract requirement on any insurance policies required herein with respect to Provider's activities being performed under the Contract. The contract MUST include language that the additional insured endorsement is required, and proof of blanket coverage from your policy must be provided. DIRECT INSURANCE RELATED DOCUMENTS TO YOUR LANE CO. CONTACT-DO NOT SEND YOUR DOCUMENTS TO RISK MANAGEMENT. FAILURE TO COMPLY MAY RESULT IN A DELAY IN CONTRACT EXECUTION. Direct questions concerning insurance and indemnity to LC Risk Mgt 541-682-3971. Rev. RM 1/6/17

Attachment 2 Proposer s Statements and Certifications

PROPOSER STATEMENTS AND CERTIFICATIONS Proposer's Name: Quote Title: PROPOSER STATEMENTS Proposer's Offer. Proposer offers to provide the required services in accordance with the requirements of the Request for Quotes (RFQ) stated above and the enclosed quote. The undersigned Proposer declares that the Proposer has carefully examined the above-named Request for Quotes, and that, if this quote is accepted, Proposer will execute a contract with the County to furnish the services of the quote submitted with this form. Proposer attests that the information provided is true and accurate to the best of the personal knowledge of the person signing this quote, and that the person signing has the authority to represent the individual or organization in whose name this quote is submitted. Proposer's Acceptance of Terms and Conditions. By execution of this Form, the undersigned Proposer accepts all terms and conditions of this Request for Quotes except as modified in writing in its quote. Proposer agrees that the offer made in this quote will remain irrevocable for a period of 60 days from the date quotes are due. Proposer's Acknowledgement of Public Records Law. By execution of this Form, the undersigned Proposer acknowledges that its entire quote is subject to Oregon Public Records Law (ORS 192.410 192.505), and may be disclosed in its entirety to any person or organization making a records request, except for such information as may be exempt from disclosure under the law. Proposer agrees that all information included in this quote that is claimed to be exempt from disclosure has been clearly identified either in the Proposer Statement, or in an itemization attached hereto. Proposer further acknowledges its responsibility to defend and indemnify the County for any costs associated with establishing a claimed exemption. ADDENDA Proposer has received and considered, in the accompanying quote, the terms of the following addenda, if any: CERTIFICATIONS By signing this Proposer's Certification form, Proposer certifies that: 1. Certification of Resident Bidder Status. Proposer is is not (check one) a resident bidder, as defined in ORS 279A.120. 2. Certification of Non-Discrimination. Proposer has not discriminated and will not discriminate against a subcontractor in awarding a subcontract because the subcontractor is a disadvantaged business enterprise, minority-owned business, womanowned business, a business that a service-disabled veteran owns, or an emerging small business that is certified under ORS 200.055. 3. Certification of Non-Collusion. This quote is made without connection or agreement with any individual, firm, partnership, corporation, or other entity making a quote for the same services, and is in all respects fair and free from collusion or collaboration with any other proposer. Proposer statements and certifications, rev. 01/01/2017

4. Certification of Compliance with Tax Laws. Proposer has, to the best of Proposer's knowledge, complied with Oregon tax laws in the period prior to the submission of this quote, including: a. All tax laws of the State of Oregon, including but not limited to ORS 305.620 and ORS chapters 316, 317, and 318, b. Any tax provisions imposed by a political subdivision of this state that applied to Proposer or its property, goods, services, operations, receipts, income, performance of or compensation for any work performed, and c. Any rules, regulations, charter provisions, or ordinances that implemented or enforced any of the foregoing tax laws or provisions. The undersigned, by signature here, acknowledges, accepts, and certifies to the statements and certifications as stated above. PROPOSER Authorized signature Proposer s legal name Name of authorized signer Address Title Date Federal Tax ID number OPTIONAL CONTACT INFORMATION REGARDING THIS QUOTE Contact name Telephone number Email address Proposer statements and certifications, rev. 01/01/2017