12-26089 Form 7 Attestation Statement.docx
DOCX document 20 KB Posted
- Solicitation number
- DHHS26089
- Issued by
- Utah
About this file
This is a Form 7 Attestation Statement for the Utah Department of Health and Human Services, Division of Services for People with Disabilities (DHHS/DSPD), related to the Employment Training Curriculum and Mentoring Training contract opportunity. The attestation statement serves as a formal declaration by the bidder or contractor regarding compliance with specified requirements and regulations. The document establishes the bidder's acknowledgment of the contract terms, conditions, and any certifications or representations required for participation in this procurement process. The statement confirms the bidder's understanding of the project scope, which involves developing and delivering quality training on Competitive Integrated Employment supports and Customized Employment Supports for persons with disabilities, their families, providers, and the employment community, as well as providing peer-to-peer consultation and technical assistance to support competitive integrated employment and community integration outcomes.
The attestation statement requires the signatory to certify truthfulness and accuracy of information provided during the bid process and to acknowledge compliance with applicable state and federal laws and regulations governing the contract. This document is a critical component of the bid submission process and must be completed, signed, and submitted in accordance with the procurement timeline established by DHHS/DSPD. The form ensures that all bidders meet baseline compliance standards and are legally authorized to enter into a contract with the State of Utah for the delivery of employment training curriculum, mentoring services, and related technical assistance activities.
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Other files
| File | Type | Posted |
|---|---|---|
| 1-26089 RFP.docx | DOCX document | |
| 7-26089 Form 2 W-9.pdf | ||
| 4-26089 Document Submission Checklist.xlsx | XLSX spreadsheet | |
| 6-26089 Form 1 Data Sheet.pdf | ||
| 2-26089 Scope of Work.docx | DOCX document | |
| 3-26089 DHHS Client Service Terms.docx | DOCX document | |
| 5-26089 Score Sheet.xls | XLS spreadsheet | |
| 9-26089 Form 4 Business Associate Agreement.pdf | ||
| 11-26089 Form 6 Cost Proposal.docx | DOCX document | |
| 8-26089 Form 3 Conflict of Interest Disclosure Statement.pdf | ||
| 10-26089 Form 5 Technical Proposal.docx | DOCX document |
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Text version
DHHS26089
Form 7- Attestation Statement Charting the Life Course (CtLC) Tools and Employment Pathway Tool
INSTRUCTIONS: Please check the box and sign below to certify your attestation.
· I attest that I am familiar with the Charting the Life Course (CtLC) tools and the DHHS/DSPD Employment Pathway Tool as found on the DHHS/DSPD website, and with incorporating it into training, and can provide technical assistance on its implementation as needed.
Signature of Vendor’s Authorized Representative
Print Vendor Business Name
Date
File details come from the government source that posted it. Updated .