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Request for Qualifications <br />Employment and Day Program Services <br /> <br /> <br />2017 Kittitas County RFQ 14 <br /> <br />Attachment B <br /> <br />Qualifications <br /> <br />Note: If additional space is needed, please attach additional sheet(s) and limit your responses to a half page per <br />response. <br /> <br />A. Type of Organization (Attach incorporation documentation, if applicable): <br /> Private for profit <br /> Public non profit <br /> Local or state government <br /> Other (Please specify: ) <br /> <br />B. Each prospective contractor must provide the following: <br /> <br /> Washington State Tax Registration Number <br /> <br /> Employer Identification Number <br /> <br /> Business License <br /> <br />C. Does your agency have a Governing Board? <br /> Yes (attach a list of all members and representation) <br /> No <br /> <br />D. Agency Information <br />If your agency has more than one employee, please indicate whether the following policies and procedures <br />are established and practiced (and are approved and adopted by the agency's Board of Directors, if <br />applicable): <br /> <br />Policy Yes No N/A <br />Written Personnel/EEO <br />Staff Job Descriptions <br />Written Benefits Policy <br />Affirmative Action Plan <br />Financial Policies <br />Program Policies <br />Grievance Policy <br />Fire Marshal Approved Usage <br />Health Department Approved Usage <br />County Zoning Approved Usage <br /> <br /> <br />E. Litigation Status <br />Is your agency or business currently involved in or does it have any pending legal actions? Has your <br />agency or business filed for bankruptcy in the past five years? <br /> Yes (Please Explain) <br /> No