PROJECT REFERENCE #
FIRM NAME

The undersigned authorized representative of the identified CONSULTANT does hereby submit this Proposal to perform in full compliance with the subject solicitation. By completing and signing this Form, we are making an offer to the State of Illinois that the State may accept. We are also certifying to compliance with the various requirements of the solicitation and the documents contained in the solicitation.

Offeror hereby certifies that no person or entity representing thisProposal has retained a person or entity to attempt to influence the outcome of a procurement decision made under the Illinois Procurement Code for compensation contingent in whole or in part upon the decision or procurement. Any person who violates this subsection is guilty of a business offense and shall be fined.

We have marked each blank below as appropriate and have used “N/A” when a section is not applicable to this solicitation. We understand that failure to meet all requirements is cause for disqualification.

We, the CONSULTANT, have completed the following:

Signed on the space(s) provided.

Acknowledge receipt of any and all amendments to the solicitation and have taken those into account in making this Proposal.

Reviewed the Standard Agreement Provisions for Land Acquisition Services dated May 22, 2015.

Reviewed and completed the following forms:

LA-RFP-01 Proposal to the State of Illinois

LA-RFP-02Business and Directory Information

LA-RFP-03Disclosures and Conflicts of Interest

LA-RFP-03ASub-Consultant Certification (see “Requirements for Submitting Proposals”)

LA-RFP-04 Disadvantaged Business Enterprise Performance

LA-RFP-05Political Contributions

Have attached the State Board of Election Certification of registration (if required)

LA-RFP-06Taxpayer Identification Number and Legal Status

LA-RFP-07Approved Subcontractors

LA-RFP-08H/08UPricing Compensation

Completed Section 3 of the Request for Proposals

a)Table of Contents

b)Technical Approach

c)Technical Experience

d)Reference

e)Personnel Resumes

f)Subcontractors

g)Organizational Chart

h)Financial Capacity Information

IN PREPARING THE PROPOSAL WE, THE CONSULTANT, HAVE TAKEN: (check one box)

No Exceptions

Exception to the State’s language or requirements in the following sections:

Standard Agreement Provisions for Land Acquisition Servicesdated May 22, 2015

Request for Proposal

Forms

DETAILS OF THE EXCEPTIONS ARE SHOWN(check one box)

In the text of each section of the Proposal

On a separate labeled attachment

DOMESTIC PRODUCTS (check one box)

We are not making a claim for preference under the Procurement of Domestic Products Act (30 ILCS 517).

We are making a claim for preference under the Procurement of Domestic Products Act (30 ILCS 517). After reading the Act we certify we are eligible and that the following product or products bid or proposed in response to this solicitation meet the requirements of the Act. Check and complete as applicable:

All products

The following individual products(show line item if applicable):

REQUEST FOR CONFIDENTIAL TREATMENT (check one box)

We are not requesting confidential treatment for this Proposal.

We are seeking confidential treatment for portions of this Offer. We have supplied, as an attachment to this Offer, a listing of the provisions identified by section number for which we seek confidential treatment along with the statutory basis under Illinois law for exempting that information from public disclosure. We are including a detailed justification to support the statutory basis under Illinois law for exempting that information from public disclosure. We have supplied an additional copy of the Offer with confidential information deleted. In the event the designation of confidentiality of this information is challenged, the undersigned hereby agrees to provide legal counsel or other necessary assistance to defend the designation of confidentiality and agrees to hold the State harmless for any costs or damages arising out of the State agreeing to withhold the materials based on CONSULTANT’S request.

PROTESTS AND NEGOTIATIONS

If we are selected for award, we understand that does not entitle us to a contract. We further understand the award is conditioned on favorable resolution of any protests and to successful negotiation of terms and conditions including, but not limited to price and any exceptions requested.

CONSULTANT CONTACT PERSON

The contact person for purposes of responding to any questions the State may have is:

NAME / TITLE
ADDRESS
CITY / STATE
EMAIL / TELEPHONE
FAX
CONSULTANT NAME AND DBA
SIGNATURE OF PARTY AUTHORIZED TO BIND THE NAMED CONSULTANT
PRINT NAME / TITLE

Page 1 of 3 LA-RFP-01 (Rev. 9/24/18)