03-COMPLIANCE_VERIFICATION_DOCUMENTATION.pdf
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- Attached to
- CAMP PERRY FMS17 GARAGE WALL REPAIR - ADJ-250009
- Solicitation number
- SRC0000036768
- Issued by
- Ohio
About this file
This is a compliance verification documentation file for a state and local contract opportunity with the State of Ohio related to the Camp Perry FMS17 Garage Wall Repair project (ADJ-250009). The document outlines the mandatory compliance requirements that bidders must submit as separate documentation accompanying their quotes and bidder's certificates. All submission materials must be consolidated into a single compliance verification document that includes an ACORD Certificate or Certificate of Liability Insurance with endorsements and stop gap coverage, a signed Bidder's Certification Form verifying current address and contact information, a completed Contractor/Subcontractor Affirmation and Disclosure Form, and an Affirmative Action Program Verification Form.
The State of Ohio prohibits the expenditure of public funds for services provided outside the United States or that involve state data being sent, stored, maintained, or accessed remotely outside U.S. borders without an executed waiver from the State. Additionally, no state agency will purchase from or invest in Russian institutions or companies, with the State reserving the right to recover funds paid in violation of this provision. Bidders must also submit their Secretary of State Charter or Registration Number, current Bureau of Workers' Compensation (BWC) certification, and any applicable minority business enterprise (MBE), economically disadvantaged women-owned enterprise (EDGE), vendor-owned business enterprise (VBE), or women-owned business enterprise (WBE) certifications. Specialty trade certifications referenced in the project's Scope of Work are also required where applicable.
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Text version
COMPLIANCE VERIFICATION DOCUMENTATION MUST BE SUBMITTED WITH QUOTE AS A
SEPARATE DOCUMENT FROM THE BIDDERS CERTIFICATE AND QUOTE (compliance verification documents should be combined together as one document in and of itself):
• Acord Certificate or Certificate of Liability Insurance with Endorsements and Stop Gap coverage
• Verify Current Address and Contact Information – Signed Bidder’s Certification Form (blank form provided)
• PROHIBITION OF THE EXPENDITURE OF PUBLIC FUND FOR OFFSHORE SERVICES
No State Cabinet Agency, Board or Commission will enter into any contract to purchase services provided outside of the United States or that allows State data to be sent, taken, accessed, tested, maintained, backed-up, stored, or made available remotely outside (located) of the United States, unless a duly signed waiver from the State has been attained. Notwithstanding any other terms of this Contract, the State reserves the right to recover any funds paid for services the Contractor performs outside of the United
States for which it did not receive a waiver. The State does not waive any other rights and remedies provided to the State in the Contract.
Further, no State agency, board, commission, State educational institution, or pension fund will make any purchase from or investment in any Russian institution or company. Notwithstanding any other terms of this
Contract, the State reserves the right to recover any funds paid to Contractor for purchases or investments in a Russian institution or company in violation of this paragraph. The provisions of this paragraph will expire when the applicable Executive Order is no longer effective.
The Contractor must complete the Contractor/Subcontractor Affirmation and Disclosure Form https://procure.ohio.gov/pdf/EO2022-02D/04-Affirmation%20and%20Disclosure%20Form_3-4-22.pdf affirming the Contractor understands and will meet the requirements of the above prohibition. During the performance of this Contract, if the Contractor changes the location(s) disclosed on the Affirmation and
Disclosure Form, Contractor must complete and submit a revised Affirmation and Disclosure Form reflecting such changes.
• Affirmative Action Program Verification Form (AAPV)
• Secretary of State Charter/Registration Number (questions regarding registration should be directed to (614) 466-3910 or visit the web site at https://www.ohiosos.gov/
• Current BWC Certification
• MBE, EDGE, VBE, WBE certification if applicable
• Specialty Trade Certification if applicable (refer to the Scope of Work) https://procure.ohio.gov/pdf/EO2022-02D/04-Affirmation%20and%20Disclosure%20Form_3-4-22.pdf
File details come from the government source that posted it. Updated .