Fill - Free fillable BENTON COUNTY 2021 AERIAL IMAGERY RFQ KEY INFORMATION (Benton County Government) PDF form

BENTON COUNTY 2021 AERIAL IMAGERY RFQ

KEY INFORMATION SUMMARY SHEET

RFB Issue/Ad Date(s):

July 5, 2020

RFB Issuing Office:

Benton County Government

Properties Representative:

Terry Lewis

Office Phone: 479-464-6168

Fax: 479-271-1748

E-mail: terry.lewis@bentoncountyar.gov

USPS Mail Address:

(or hand-deliver)

Benton County Administration Building

Properties Office

215 E. Central Ave., Ste. 309

Bentonville, AR 72712

Attention: Terry Lewis

Bids Due / Deadline:

July 31, 2020 @ 2:30 p.m. local time

Pursuant to Arkansas Code Annotated §22-9-203 Benton County encourages all

qualified small, minority and women business enterprises to bid on and receive

contracts for goods, services, and construction. Also, Benton County encourages all

general contractors to subcontract portions of their contract to qualified small, minority

and women business enterprises.

RFQ’s shall be submitted in sealed envelopes labeled: 2021 Aerial Imagery RFQ with

the name and address of the Bidder.

RFQ’s shall be submitted in accordance with the attached Benton County specifications

and RFQ documents attached hereto. Each Bidder is required to fill in every blank and

shall supply all information requested; failure to do so may be used as basis of rejection

Benton County

RFQ-2021 Aerial Imagery

Page 2

Benton County, Arkansas

RFQ-2021 Aerial Imagery

Benton County, Arkansas is requesting RFQs for 2021 Aerial Imagery. To be

considered, bids must be received at the Benton County Administration Building, 215

East Central, Room 309, Bentonville, Arkansas 72712, before July 31, 2020 2:30pm

(Local time).

Forms and addendums can be downloaded from the County’s web site at

https://bentoncountyar.gov/accounting/open-bids/. All questions regarding the

qualification process should be directed to Terry Lewis at

terry.lewis@bentoncountyar.gov or by telephone at 479-464-6168. All questions

regarding specifications should be directed to Aaron Lattin @ 479-271-5786 ext. 4954

or via email at aaron.lattin@bentoncountyar.gov.

RFQs submitted shall be qualified to do business and licensed in accordance with all

applicable laws of the state and local governments where the project is located.

Benton County reserves the right to reject any and all bids and to waive irregularities

therein, and all Bidders shall agree that such rejection shall be without liability on the

part of Benton County for any damage or claim brought by any Bidder because of such

rejections, nor shall your Firm seek any recourse of any kind against Benton County

because of such rejections. The filing of any RFQ in response to this invitation shall

constitute an agreement of your Firm to these conditions.

Ad date: July 5, 2020

Benton County

RFQ-2021 Aerial Imagery

Page 3

Benton County

RFQ-2021 Aerial Imagery

Appendix

SECTION

PAGE NUMBER

Cover page

Appendix

Section A: Scope of Work and Requirements

Section B: General Terms & Conditions

Section C: Professional References

Section D: Statement of Disclosure

Section E: Authorized Negotiator Information

Benton County

RFQ-2021 Aerial Imagery

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Benton County

RFQ-2021 Aerial Imagery

Section A Scope and Requirements

Project Background and Scope:

The purpose of this Request for Qualification (RFQ) is to provide information to

prospective vendors. The vendor will be expected by the County to generate

orthoimagery and oblique imagery for 884 square miles of Benton County. The

orthoimagery imagery must meet NMAS and FEMA mapping requirements. The

aerial project must be accomplished during the winter or early spring during leaf-off

conditions with greater than 30° sun angle. Preferably during the months of

December and January. Oblique imagery must have an adequate means of viewing

when project is completed.

RFQ Requirements:

The COUNTY will provide the Vendor with the following:

1. Digital Elevation Model(s) (DEM) – (see metadata)

a. County

b. Local DEM’s

2. Map of proposal area

3. Shape files of county boundary

4. Metadata of DEM

A. Horizontal and Vertical Control

Sufficient horizontal and vertical control points to support this project must be established by the

Vendor. All control must be included in the final deliverable to the COUNTY. The Vendor will

determine the number, distribution, and collection method (GPS, total stations, etc.) of ground

control points required to meet the accuracy specifications.

B. Digital Ortho Rectified Photography

a. Digital orthos shall be created from existing DEM provided by the COUNTY

b. All additions and corrections by Vendor to existing DEM required to accomplish the

rectification to the specified accuracy will be merged by the Vendor into the existing

DEM and delivered to the COUNTY as an updated DEM.

c. Digital orthos shall be delivered in Arkansas State Plane North, North American Datum

1983, United States Feet

d. All data will be delivered in a Vendor derived grid system or a USGS Quad system. In

this proposal we will make reference to USGS quads only to describe a grid or tile

system.

e. At a minimum, digital orthos shall be delivered in the following formats. In no instance

should any file size be greater than 1 GB:

Benton County

RFQ-2021 Aerial Imagery

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i. Geo-tiff (projection information embedded in the tiff image header) a tfw for each

image shall be supplied as well in quarter-quarter quadrangle format.

ii. Mr. SID (compressed 20:1) and “world file” (sdw) for each image shall be supplied

for the captured resolution of imagery. These files shall mosaic together with no

seam lines and no black or no data areas without regard to layer schema or order

placement of tile layers.

iii. Mr. SID mosaic of the county (an sdw for each image shall be supplied as well)

compressed approximately 50:1. This file shall contain no seam lines and no black

or no data areas along borders.

f. Digital orthos shall be mosaicked to derive a single seamless orthophoto for each USGS

quadrangle format requested. It is recommended that a 100-foot border be included

around each SID image. Horizontal displacement of features at mosaicking will be just

cause for rejection of the orthophoto. Individual tiles must also be seamless without

regard to tiling schema or layer schema or order placement of tile layers.

g. Digital orthos shall have a contrast tonal balance of the completed mosaic to remove

contrast differences across mosaic lines.

h. Digital orthos shall have a contrast adjustment across all contiguous tiles such that the

overall project appears similar in tone.

C. Digital Oblique Photography

a. Oblique imagery shall cover the full extent of the COUNTY as defined in the project

scope.

Each ortho image will be checked for accuracy on screen. All visible control points will

have their x, y, and z coordinates displayed and compared to the project Control

Database values: checked points must fall within the horizontal mapping accuracy at the

95% confidence level.

RFQ Requests

1. Where is your company located? Is it local, regional, or national in operations?

2. How long has your company been in existence?

3. What resolutions of aerial imagery do you provide?

4. Does your company offer multispectral imagery?

5. What means of viewing oblique imagery do you offer?

6. Are you able to provide an example or demonstration of the viewing oblique

imagery?

7. Can your company provide all deliverables in a two-month period from the final

date of capture?

Benton County

RFQ-2021 Aerial Imagery

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Benton County

RFQ-2021 Aerial Imagery

Page 7

Benton County

RFQ-2021 Aerial Imagery

Section B: General Terms & Conditions

Benton County is requesting Statements of Qualifications for Aerial Imagery

1. SUBMISSION OF A STATEMENT OF QUALIFICATIONS:

A. A written narrative describing the method or manner in which the Firm proposes to satisfy

requirements of this RFQ.

B. A description of the Firm’s experience in providing the same or similar services as outlined in

the RFQ. This description should include the names of the person(s) who will provide the

services, their qualifications, and the years of experience in performing this type of work.

Also, include the reference information requested in this RFQ.

C. Statements should be no more than twenty-five (25) pages; single sided, standard, readable,

printed on standard 8.5 x11 paper. The Firm shall also submit a three (3) page (maximum)

executive summary. The following items will not count toward the page limitations:

appendix, cover sheet, 3-page executive summary, resumes (resumes shall be no more than

1 page per person), copies of licenses, insurance, and forms provided by Benton County for

completion.

D. Qualification statements shall be submitted (1) electronic media copy properly labeled (CD or

USB drive) in addition to two (2) paper copy. The use of Adobe PDF documents is strongly

recommended. Files contained on the electronic media shall not be restricted against saving

or printing. The electronic copy shall be identical to the original papers submitted. Electronic

copies shall not be submitted via e-mail to County employees.

E. RFQ will be reviewed following the stated deadline, as shown on the cover sheet of this

document. The names of respondents only will be available after the deadline until a contract

has been awarded. All interested parties understand RFQ documents will not be available

until after a valid contract has been executed.

F. The Firm shall submit a RFQ based on documentation published by Benton County.

G. RFQ shall be enclosed in sealed envelopes or packages addressed to Benton County, 215

East Central, Room 309, Bentonville, Arkansas 72712. The name, address of the Firm and

RFQ name shall be on the outside of the packaging as well as on any packages enclosed in

shipping containers or boxes.

H. The Firm should structure their responses to follow the sequence of the RFQ.

I. The Firm shall have experience in work of the same or similar nature and must provide

professional references that will satisfy Benton County. Firm may furnish a reference list, of

clients for whom they have performed similar services and must provide information as

requested in this document.

J. Firms are advised that exceptions to any of the terms contained in this RFQ or the attached

service agreement must be identified in its response to the RFQ. Failure to do so may lead

the County to declare any such term non-negotiable. Firms desire to take exception to a non-

negotiable term will not disqualify it from consideration for award.

K. Statements of qualification for this project will need to be received Final date July 31, 2020

2:30 p.m. local time.

Benton County

RFQ-2021 Aerial Imagery

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2. WRITTEN REQUESTS FOR INTERPRETATIONS OR CLARIFICATION:

No oral interpretations will be made to any Firm as to the meaning of specifications or any other contract

documents. All questions pertaining to the terms and conditions or scope of work of this RFQ must be

sent in writing via e-mail to the County Properties office. Responses to questions may be handled as an

addendum if the response would provide clarification to the requirements of the RFQ. All such addenda

shall become part of the contract documents. The County will not be responsible for any other

explanation or interpretation of the proposed RFQ made or given prior to the award of the contract.

3. RIGHTS OF BENTON COUNTY IN THE RFQ PROCESS:

In addition to all other rights of Benton County, under state law, the County specifically reserves the

following:

A. Benton County reserves the right to rank Firms and negotiate with the highest-ranking Firm.

Negotiation with an individual Firm does not require negotiation with others.

B. Benton County reserves the right to select the RFQ that it believes will serve the best interest

of the County.

C. Benton County reserves the right to accept or reject any and all RFQ.

D. Benton County reserves the right to cancel the entire request for RFQ.

E. Benton County reserves the right to remedy or waive technical or immaterial errors in the

RFQ submitted.

F. Benton County reserves the right to request any necessary clarifications, additional

information, or data without changing the terms of the RFQ.

G. Benton County reserves the right to make selection of the Firm to perform the services

required on the basis of the original RFQ without negotiation.

4. EVALUATION CRITERIA:

Pursuant to Ark. Code Ann. § 19-11-803, the evaluation criteria define the parameters that will

be used by the selection committee to evaluate and score responsive, responsible and qualified

statements. The different evaluation parameters are shown in the chart below:

Item No.

Parameter

Specialized experience and technical competence of the firm with respect to the

type of professional services required.

Capacity and capability of the firm to perform the work in question including

specialized services, within the time limitations fixed for the completion of the

project.

Past record of performance of the firm with respect to such factors as control of

costs, quality of work and ability to meet schedules and deadlines.

Firm’s proximity to and familiarity with the area in which the project is located.

5. COSTS INCURRED BY FIRM:

All expenses involved with the preparation and submission of RFQ to the County, or any work performed

in connection therewith, shall be borne solely by the Firm. No payment will be made for any responses

received, or for any other effort required of, or made by, the Firm prior to contract commencement.

6. ORAL PRESENTATION:

An oral presentation and/or interview may be requested of any firm, at the selection committee’s

discretion.

Benton County

RFQ-2021 Aerial Imagery

Page 9

7. CONFLICT OF INTEREST:

A. The Firm represents that it presently has no interest and shall acquire no interest, either direct or

indirect, which would conflict in any manner with the performance or services required hereunder,

as provided in Ark. Code Ann. § 14-14-1202.

B. The Firm shall promptly notify Benton County in writing, of all potential conflicts of interest for any

prospective business association, interest, or other circumstance which may influence or appear

to influence the firm’s judgment or quality or services being provided. Such written notification

shall identify the prospective business association, interest or circumstance, the nature of which

the Firm may undertake and request an opinion to the County as to whether the association,

interest or circumstance would, in the opinion of the County; constitute a conflict of interest if

entered into by the Firm. The County agrees to communicate with the Firm its opinion via e-mail

or first-class mail within thirty days of receipt of notification.

8. WITHDRAWAL OF RFQ:

A RFQ may be withdrawn at any time.

9. LATE RFQ OR MODIFICATIONS:

A. Any RFQ and modifications received after the time set for the RFQ submittal shall not be

considered. Modifications in writing received prior to the deadline will be accepted. The County

will not be responsible for misdirected RFQ. Firms should contact the County Properties office at

(479) 464-6168 to ensure receipt of their submittal documents prior to opening time and date

listed.

B. The time set for the deadline shall be local time for Bentonville, Arkansas on the date listed. RFQ

shall be received in the County Properties office BEFORE the stated deadline.

10. LOCAL, STATE AND FEDERAL COMPLIANCE REQUIREMENTS:

A. The laws of the State of Arkansas apply to any purchase made under this RFQ. Firms shall

comply with all local, state, and federal directives, orders and laws as applicable to this RFQ

and subsequent contract(s) including but not limited to Equal Employment Opportunity (EEO),

Disadvantaged Business Enterprises (DBE), & OSHA as applicable to this contract.

B. Pursuant to Arkansas Code Annotated § 22-9-203 Benton County encourages all

qualified small, minority and women business enterprises to submit requests on and receive

contracts for goods, services, and construction. Also, Benton County encourages all general

contractors to subcontract portions of their contract to qualified small, minority and women

business enterprises.

11. COLLUSION:

The Firm, by affixing his or her signature to this RFQ, agrees to the following: “Firm certifies that his RFQ

is made without previous understanding, agreement, or connection with any person, firm or corporation

making a RFQ for the same item(s) and/or services and is in all respects fair, without outside control,

collusion, fraud, or otherwise illegal action.”

Benton County

RFQ-2021 Aerial Imagery

Page 10

12. RIGHT TO AUDIT, FOIA AND JURISDICTION:

A. Benton County reserves the privilege of auditing a Firm’s records as such records relate to

purchases between the County and said Firm.

B. Freedom of Information Act: County contracts and documents prepared while performing

County contractual work are subject to the Arkansas Freedom of Information Act. If a Freedom

of Information Act request is presented to Benton County, the (Contractor) will do everything

possible to provide the documents in a prompt and timely manner as prescribed in the Arkansas

Freedom of Information Act (A.C.A. § 25-19-101 et. seq.) Only legally authorized photocopying

costs pursuant to the FOIA may be assessed for this compliance.

C. Legal jurisdiction to resolve any disputes shall be Arkansas with Arkansas law applying to the

case.

13. COUNTY INDEMNIFICATION:

A. The successful Firm agrees to indemnify the County and hold it harmless and against all claims,

liability, loss, damage or expense, including but not limited to counsel fees, arising from or by

reason of any actual or claimed trademark, patent or copyright infringement or ligation based

thereon, with respect to the services or any part thereof covered by this order, and such

obligation shall survive acceptance of the services and payment thereof by the County.

B. Due to the County statutory tort immunity, it doesn’t carry liability insurance for such claims.

Accordingly, any contract entered into with the successful Firm may not include a clause in which

the County agrees that it or its’ officials or employees will indemnify the other party.

14. VARIANCE FROM STANDARD TERMS & CONDITIONS:

All standard terms and conditions stated in this RFQ apply to this contract except as specifically stated in

the subsequent sections of this document, which take precedence, and should be fully understood by

Firms prior to submitting a RFQ on this requirement.

15. PAYMENT AND INVOICING:

The Firm must specify in their RFQ the exact company name and address which must be the same as

invoices submitted for payment as a result of award of this RFQ. Further, the successful Firm is

responsible for immediately notifying the County Properties office of any company name change, which

would cause invoicing to change from the name used at the time of the original RFQ.

16. CANCELLATION:

A. The County reserves the right to cancel this contract without cause by giving thirty (30) days

prior notice to the Firm in writing of the intention to cancel or with cause if at any time the Firm

fails to fulfill or abide by any of the terms or conditions specified.

B. Failure of the contractor to comply with any of the provisions of the contract shall be considered

a material breach of contract and shall be cause for immediate termination of the contract at the

discretion of Benton County.

C. In addition to all other legal remedies available to Benton County, the County reserves the right

to cancel and obtain from another source, any items and/or services which have not been

delivered within the period of time from the date of order as determined by Benton County.

Benton County

RFQ-2021 Aerial Imagery

Page 11

D. Any contract entered into with a successful bidder/candidate extending beyond the current

budget year (which is the calendar year) the County is subject to non-appropriation.

Accordingly, any contract entered into by the County must provide that in the event no funds or

insufficient funds are appropriated for the continuation of the contract, the contract will end as of

the last day for which funds were appropriated without penalty to the County.

17. ASSIGNMENT, SUBCONTRACTING, CORPORATE ACQUISITIONS AND/OR MERGERS:

A. If a Firm intends to subcontract a portion of this work, the Firm shall disclose such intent in the

RFQ submitted.

B. In the event of a corporate acquisition and/or merger, the Firm shall provide written notice to the

County within thirty (30) calendar days of notice of such action or upon the occurrence of said

action, whichever occurs first. The right to terminate this contract, which shall not be

unreasonably exercised by the County, shall include, but not limited to, instances in which a

corporate acquisition and/or merger represent a conflict of interest or are contrary to any local,

state, or federal laws. Action by the County awarding a contract to a Firm that has disclosed its

intent to assign or subcontract in its response to the RFQ, without exception shall constitute

approval for purpose of this Agreement.

18. NON-EXCLUSIVE CONTRACT:

Award of this RFQ shall impose no obligation on the County to utilize the Firm for all work of this type,

which may develop during the contract period. This is not an exclusive contract. The County specifically

reserves the right to concurrently contract with other companies for similar work if it deems such an action

to be in the County’s best interest. In the case of multiple-term contracts, this provision shall apply

separately to each item.

19. ADDITONAL REQUIREMENTS:

The County reserves the right to request additional services relating to this RFQ from a Firm. When

approved by the County as and amendment to the contract and authorized in writing prior to work, the

Contractor shall provide such additional requirements as may be necessary.

21. INTEGRITY OF RFQ DOCUMENTS:

Firms shall use the original RFQ form(s) provided by the County Properties office and enter information

only in the spaces where a response is requested. Firms may use an attachment as an addendum to the

RFQ form(s) if sufficient space is not available on the original form for the Firm to enter a complete

response. Any modifications or alterations to the original RFQ documents by the Firm, whether

intentional or otherwise, will constitute grounds for rejection of such RFQ response. Any such

modifications or alterations a Firm wishes to propose shall be clearly stated in the Firm’s RFQ response

and presented in the form of an addendum to the original RFQ documents.

22. OTHER GENERAL CONDITIONS:

A. Firms must provide the County with their RFQ signed by an employee having legal authority to

do so, on behalf of the Firm. The entire cost of preparing and providing responses shall be

borne by the Firm.

B. The County reserves the right to request any additional information it deems necessary from

any or all Firms after the submission deadline.

C. The request for RFQ is not to be construed as an offer, a contract, or a commitment of any kind,

nor does it commit the County to pay for any costs incurred by firm in preparation. It shall be

Benton County

RFQ-2021 Aerial Imagery

Page 12

clearly understood that any costs incurred by the Firm in responding to this request is at the

Firm’s own risk and expense as a cost of doing business. The County shall not be liable for

reimbursement to the Firm for any expense so incurred, regardless of whether or not the RFQ is

accepted.

D. If products, components, or services other than those described in this RFQ document are

proposed, the firm must include complete descriptive literature for each. All requests for

additional information must be received within five working days following request.

E. Any uncertainties shall be brought to the attention of Terry Lewis immediately via telephone

(479) 464-6168 or by e-mail at terry.lewis@bentoncountyar.gov. It is the intent and goal of

Benton County to provide documents providing a clear and accurate understanding of the scope

of work to be completed and/or goods to be provided.

F. Any inquiries or requests for explanation in regard to the County’s requirements should be made

promptly to Terry Lewis, Benton County, via e-mail at terry.lewis@bentoncountyar.gov or

telephone at (479) 464-6168. No oral interpretation or clarifications will be given as to the

meaning of any part of this request. Names of firms submitting any questions, clarifications, or

requests will not be disclosed until after a contract is in place.

G. At the discretion of the County, one or more firms may be asked for more detailed information

before final ranking of the Firms, which may also include oral interviews. NOTE: Each Firm

shall submit an “Authorized Negotiator Form” containing the signature of a duly authorized

officer or agent of the Firm’s company empowered with the right to bind and negotiate on behalf

of the Firm for the amounts and terms proposed.

H. Any information provided herein is intended to assist the Firm in the preparation of RFQ

necessary to properly respond to this RFQ. The RFQ is designed to provide qualified Firms with

sufficient basic information to submit specifications and/or test requirements, but is not intended

to limit the RFQ content or exclude any relevant or essential data.

I. Firm irrevocably consent that any legal action or proceeding against it under, arising out of or in

any manner relating to this Contract shall be controlled by Arkansas law. Firm hereby expressly

and irrevocably waives any claim or defense in any said action or proceeding based on any

alleged lack of jurisdiction or improper venue or any similar basis.

J. The successful Firm shall not assign the whole or any part of this Contract or any monies

due or to become due hereunder without written consent of Benton County. In case the

successful Firm assigns all or any part of any monies due or to become due under this Contract,

the Instrument of assignment shall contain a clause substantially to the effect that is agreed that

the right of the assignee in and to any monies due or to become due to the successful Firm shall

be subject to prior liens of all persons, firms, and corporations for services rendered or materials

supplied for the performance of the services called for in this contract.

K. The successful Firm’s attention is directed to the fact that all applicable Federal and State laws,

County and municipal ordinances, and the rules and regulations of all authorizes having

jurisdiction over the services shall apply to the contract throughout, and they will be deemed to

be included in the contract as though written out in full herein. The successful Firm shall keep

himself/herself fully informed of all laws, ordinances and regulations of the Federal, State,

County and municipal governments or authorities in any manner affecting those engaged or

employed in providing these services or in any way affecting the conduct of the services and of

all orders and decrees of bodies or tribunals having any jurisdiction or authority over same. If

any discrepancy or inconsistency should be discovered in these Contract Documents or in the

specifications herein referred to, in relation to any law, ordinance, regulation, order or decree,

he/she shall herewith report the same in writing to Benton County.

Benton County

RFQ-2021 Aerial Imagery

Page 13

Benton County

RFQ-2021 Aerial Imagery

Section C: Professional References

The Firm is requested to supply the following information, if applicable, about your organization.

Company Name________________________________________________________________

Business Address_______________________________________________________________

Number of years in business _________ How long in present location ____________________

Total number of current employees ______________ Full time _________Part time _________

Number of employees you plan to use to service this contract ______ Full time ___Part time ___

In accordance with Ark. Code all applicants must be properly licensed with the State of Arkansas. Please

furnish copies of all appropriate licenses.

Please submit a copy of the Firm’s professional and general liability insurance required by law.

Please list local commercial and/or governmental references that you have previously performed similar

contract services for within the past five (5) years:

Company Name:

______________________________________________________

City, State, Zip:

______________________________________________________

Contact Person:

______________________________________________________

Telephone:

______________________________________________________

Fax Number:

______________________________________________________

E-Mail Address:

______________________________________________________

Company Name:

______________________________________________________

City, State, Zip:

______________________________________________________

Contact Person:

______________________________________________________

Telephone:

______________________________________________________

Fax Number:

______________________________________________________

E-Mail Address:

______________________________________________________

Company Name:

______________________________________________________

City, State, Zip:

______________________________________________________

Contact Person:

______________________________________________________

Telephone:

______________________________________________________

Fax Number:

______________________________________________________

E-Mail Address:

______________________________________________________

Company Name:

______________________________________________________

City, State, Zip:

______________________________________________________

Contact Person:

______________________________________________________

Telephone:

______________________________________________________

Fax Number:

______________________________________________________

E-Mail Address:

______________________________________________________

Benton County

RFQ-2021 Aerial Imagery

Page 14

Benton County

RFQ-2021 Aerial Imagery

Section D: Statement of Disclosure

Firm must disclose any possible conflict of interest with Benton County, including, but not limited

to, any relationship with any Benton County employee. Your response must disclose if a known

relationship exists between any principal or employee of your Firm and any Benton County

employee or County elected official.

If, to your knowledge, no relationship exists, this should also be stated in your response. Failure

to disclose such a relationship may result in cancellation of a purchase and/or contract as a

result of your response. This form must be completed and returned in order for your RFQ to be

eligible for consideration.

PLEASE CHECK ONE OF THE FOLLOWING: AS IT APPROPRIATELY APPLIES TO YOUR FIRM:

_______ NO KNOWN RELATIONSHIP EXISTS

_______ RELATIONSHIP EXISTS (Please explain)

____________________________________________________________________________________

Benton County

RFQ-2021 Aerial Imagery

Page 15

Benton County

RFQ-2021 Aerial Imagery

Section E: Authorized Negotiator Information

At the discretion of the County, one or more Firms may be asked for more detailed information

before final ranking of the Firms, which may also include oral interviews. NOTE: Each Firm

shall submit to the County a primary contact name, e-mail address, and phone number

(preferably a cell phone number) where the County selection committee can contact for

clarification or interview via telephone.

PRIMARY CONTACT INFORMATION

Name of Firm: __________________________________________________________

Name of Primary Contact: ________________________________________________

Title of Primary Contact: _________________________________________________

Phone number #1 (cell phone): ______________ Secondary phone #: _____________

E-Mail address: _________________________________________________________

Is the primary contact (listed in part 1) able to legally bind contracts? YES NO

In no, please list contact that can legally bind a contract for the

Name: ________________________________________________

Title: _________________________________________________

Phone number #1 (cell phone): ______________ Secondary phone #: _____________

E-Mail address: _________________________________________________________

1. I, as an officer of this organization, or per the attached letter of authorization, am duly authorized to

certify the information provided herein are accurate and true; and

2. My organization shall comply with all State and Federal Equal Opportunity and Non-Discrimination

requirements and conditions of employment.

Signed: ___________________________________

Date: _____________________________________

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