12-Appendix B Terms and Conditions Acceptance Form.docx

DOCX document 20 KB Posted

Attached to
AI-Driven Translation & Language Access Services
Solicitation number
AFI-2026-124
Issued by
Indiana

About this file

This is a Terms and Conditions Acceptance Form for a state and local contract opportunity issued by the Alliance for Innovation (AFI) as the Lead Contracting Agency, in collaboration with Edge Public as the Cooperative Marketing Partner, for AI-Driven Translation and Language Access Services to be provided to Participating Public Agencies nationwide. The form serves as vendor certification documentation for the solicitation, requiring authorized representatives to acknowledge agreement with all specified terms and conditions prior to proposal submission.

The form mandates vendor compliance with ten federal requirements including Debarment and Suspension, Equal Employment Opportunity, Davis Bacon Act, Copeland Anti-Kickback Act, Contract Work Hours and Safety Standards Act, Right to Inventions Made Under a Contract or Agreement, Clean Air and Water Act, Byrd Anti-Lobbying Amendment, Solid Waste Disposal Act, Energy Policy & Conservation Act, and Record Retention standards. Additionally, vendors must submit nine New Jersey-specific compliance documents: Ownership Disclosure Form, Non-Collusion Affidavit, Affirmative Action Affidavit, Political Contribution Disclosure Form, Stockholder Disclosure Form, Certification of Non-Involvement in Prohibited Activities in Iran, New Jersey Business Registration Certificate, EEO/AA Evidence, and McBride-Principals Form. The authorized representative must sign and date the form to certify vendor acceptance of all stated terms and conditions.

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Terms and Conditions Acceptance Form

Vendor Certification
Vendor Initial if AGREE to terms

1. Debarment and Suspension

2. Equal Employment Opportunity

3. Davis Bacon Act

4. Copeland “Anti-Kickback” Act

5. Contract Work Hours and Safety Standards Act

6. Right to Inventions Made Under a Contract or Agreement

7. Clean Air and Water Act

8. Byrd Anti-Lobbying Amendment

9. Solid Waste Disposal Act

10. Energy Policy & Conservation Act

11. Record Retention

New Jersey Requirements:

Doc #1 Ownership Disclosure Form

Doc # 2 Non-Collusion Affidavit DOC

Doc # 3 Affirmative Action Affidavit

Doc# 4 Political Contribution Disclosure Form

Doc # 5 Stockholder Disclosure Form

Doc # 6 Certification of Non-Involvement in Prohibited Activities in Iran

Doc #7 New Jersey Business Registration Certificate

Doc #8 EEO/AA Evidence

Doc #9 McBride-Principals Form

Name of Company Printed Name of Authorized Representative

Date Signature of Authorized Representative 2 | Page Term and Conditions Acceptance Form

File details come from the government source that posted it. Updated .