03-COMPLIANCE_VERIFICATION_DOCUMENTATION.pdf

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Attached to
RTI WSHP Control Board State and local contract opportunity
Solicitation number
SRC0000037166
Issued by
Ohio

About this file

This is a Compliance Verification Documentation file for the RTI WSHP Control Board in Ohio, outlining the required submissions and certifications that bidders must provide alongside their quotes. Bidders are required to submit compliance verification documents as a separate document from the bidders' certificate and quote, combined into a single comprehensive document. Required documentation includes an ACCORD Certificate or Certificate of Liability Insurance with endorsements and stop gap coverage, a signed Bidder's Certification Form verifying current address and contact information, an Affirmative Action Program Verification Form, Secretary of State Charter or Registration Number, current BWC Certification, and any applicable MBE, EDGE, VBE, or WBE certifications. Additionally, bidders must complete the Contractor/Subcontractor Affirmation and Disclosure Form and provide specialty trade certifications if applicable per the Scope of Work.

The State of Ohio prohibits the expenditure of public funds for services provided outside the United States or that allow State data to be sent, accessed, stored, or maintained remotely outside the United States without a duly signed waiver from the State. Additionally, no State agency may make purchases from or investments in Russian institutions or companies, with provisions expiring when the applicable Executive Order is no longer effective. Contractors must disclose their service locations on the Affirmation and Disclosure Form and must submit a revised form if service locations change during contract performance. The State reserves the right to recover any funds paid for services performed in violation of these prohibitions.

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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

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