Placement Services Coordination
Proposal Checklist
Administrative Organization (Please use entity legal name)Organization Type
Non-Profit Organization For-Profit Business
Other: Please Specify
Geographic Service Area: (check one or more)
Multnomah County Washington County Clackamas County
Contact Person for Proposal / Phone Number
Street Address / Mailing Address (if different)
Email Address / Fax Number
I hereby declare that the information provided herein is accurate, valid and a full disclosure of requested information. I am fully authorized to represent the organization listed above, to act on behalf of it, and to legally bind it in all matters related to this application.
Printed Name / Title
Signature / Date
Proposal Narrative Package Submission
Instructions: Check each of the items submitted. Enclose in complete sets collated in the order listed.
Proposal Submission
Item / Reference / Electronic Submission email / Hardcopy:
Submission
Signed Submission Cover Page & Checklist / Resource Document on website / PDF / Six complete collated sets: One original and five copies
Program Narrative / RFP Part VI Sections A, B, C and D
Limit to 15 pages / PDF
Administrative Capacity Submission
Administrative Coversheet and checklist / Resource Documents on website / PDF / Two complete collated sets: One original and one copy
Administrative Capacity Response / RFP Part VI Section E
Limit to 3 pages / PDF
Additional Documentation / RFP Part VI Section E
Items on Administrative Capacity Checklist / PDF
1618 SW First Avenue, Suite 450 Portland, OR 97201 503.478.7300 503.478.7302 fax www.worksystems.org