03-COMPLIANCE_VERIFICATION_DOCUMENTATION.pdf03-COMPLIANCE_VERIFICATION_DOCUMENTATION.pdf
PDF 58 KB Posted
- Attached to
- Water Heater Replacement - Piqua Armory
- Solicitation number
- SRC0000041740
- Issued by
- Montgomery County, Ohio
About this file
This is a Compliance Verification Documentation file for a Water Heater Replacement project at the Piqua Armory in Ohio. The project is located at 623 E. Ash Street, Piqua, OH 45356, with a mandatory site visit scheduled for September 14th at 9:00 AM. The point of contact for the site visit is Joshua Farrier. Bidders must submit all required compliance documentation as a separate document from their bid certificate and quote.
Contractors must submit the following documentation with their bid: 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 confirming compliance with the prohibition on offshore services and Russian institution investments; an Affirmative Action Program Verification Form; Secretary of State Charter/Registration Number; current BWC Certification; and any applicable MBE, EDGE, VBE, or WBE certifications. Additionally, contractors must provide Specialty Trade Certification 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 stored, maintained, or accessed remotely outside the United States without a duly signed waiver. All compliance documents should be combined into a single document separate from the bid submission.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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 .