Okaloosa County BOCC — September 16, 2014 — PennCredit Proposal — reading text

position(s) with your business. YES No__X NAME(S) POSITION(S) FIRM NAME: Penn Credit Corppration BY (PRINTED): ‘Thomas evhin f ca BY (SIGNATURE): WH TITLE: Chief Operating Officer ADDRESS: 916 S, 14th Street Harrisburg, PA 17104 PHONE NO. 800-800-3328 ext 3003 E-MAIL rhett.donagher@penncredit.com DRUG-FREE WORKPLACE CERTIFICATION THE BELOW SIGNED PROPOSER CERTIFIES that it has implemented a drug-free workplace program. In order to have a drug-free workplace program, a business shall: 1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the workplace and specifying the actions that will be taken against employees for violations of such prohibition. Inform employees about the dangers of drug abuse in the workplace, the business’s policy of maintaining a drug-free workplace, any available drug counseling, rehabilitation and employee assistance programs, and the penalties that may be imposed upon employees for drug abuse violations. Give each employee engaged in providing the commodities or contractual services that are under quote a copy of the statement specified in subsection 1. In the statement specified in subsection 1, notify the employees that, as a condition of working on the commodities or contractual services that are under quote, the employee will abide by the terms of the statement and will notify the employer of any conviction of, or plea of guilty or nolo contendere to any violation of Chapter 893 or of any controlled substance law of the United States or any state, for a violation occurring in the workplace no later than five (5) days after such conviction. Impose a sanction on, or require the satisfactory participation in, drug abuse assistance or rehabilitation program if such is available in employee’s community, by any employee who is convicted. Make a good faith effort to continue to maintain a drug-free workplace through implementation of this section. As the person authorized to sign this statement, I certify that this fi rm. co! s fully with the above requirements. , ff ~ July 30, 2014 SIGNATURE: Op DATE: te COMPANY: Penn Credit Corporation NAME: Thomas EF Foley, Jr. (Typed or Printed) ADDRESS: 9165S. 14th Street TITLE; Chief Operating Officer Harrisburg, PA 17104 E-MAIL; thett.donagher@penncredit.com PHONE NO.: 800-800-3328 ext 3003 NO CONTACT CLAUSE The Board of County Commissioners have established a solicitation silence policy (Ne Contact Clause) that prohibits oral and written communication regarding all formal solicitations for goods and services (formal bids, Request for Proposals, Requests for Qualifications) issued by the Board through the County Purchasing Department. The period commences when the procurement document is received and terminates when the Board of County Commissioners approves an award. When the solicitation silence period is in effect, no oral or written communication is allowed regarding the solicitation between prospective bidders/proposers and members of the Board of County Commissioners, the County Administrator, or members of the Board Approved Review Committee. All questions or requests for information regarding the solicitation MUST be directed to the designated Purchasing Representative listed in the solicitation. Any information thought to affect the committee or staff recommendation submitted after bids are due, should be directed to the Purchasing Manager or an appointed representative. It shall be the Purchasing Manager decision whether to consider this information in the decision process. Any violation of this policy shall be grounds to disqualify the proposer from consideration during the selection process, All proposers must agree to comply with this policy by signing the following statement and including it with their submittal. I A... Yft— representing Penn Credit Corporation - Signature Company Name On this 30th day of July , 2014 hereby agree to abide by the County’s “No Contact Clause” and understand violation of this policy shall result in disqualification of my proposal/submittal. FEDERAL E-VERIFY COMPLIANCE CERTIFICATION In accordance with Okaloosa County Policy and Executive Order Number 11-116 from the office of the Governor of the State of Florida, Proposer hereby certifies that the U.S. Department of Homeland Security’s E-Verify system will be used to verify the employment eligibility of all new employees hired by the contractor during the contract term, and shall expressly require any subcontractors performing work or providing services pursuant to the contract to likewise utilize the U.S. Department of Homeland Security’s E-Verify system to verify the employment eligibility of all new employees hired by the subcontractor during the contract term; and shall provide documentation of such verification to the COUNTY upon request. As the person authorized to sign this statement, I certify that this company complies/will comply fully with the above requirements. DATE: COMPANY: ADDRESS: PHONE NO.: July 30, 2014 Penn Credit Corporation 916 S. 14th Street Harrisburg, PA 17104 800-800-3328 ext 3003 SIGNATURE; M4, EE NAME; Thomas F. Foley, Jr. (Typed or Printed) TITLE: Chief Operating Officer E-MAIL; rhett.donagher@penncredit.com www.penncredit.com