3-FEDERAL CONTRACT CLAUSE FILLABLE.pdf

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Attached to
Summer Camp Program for the Village of Spring Valley
Solicitation number
RFP-VOSV-2026-002
Issued by
Rockland County, New York

About this file

This is a Federal Contract Clause fillable form related to the Village of Spring Valley's Summer Camp Program for the 2026 summer season, RFP-VOSV-2026-002. The document serves as a vendor compliance statement requiring all sections to be initialed and signed before a notary public. The summer camp program will serve up to 80 participants and aims to promote the development of social skills and increased self-esteem among children. The program location is preferably within the Village of Spring Valley, with the final size and scope of individual provider services to be negotiated between the Village and selected providers based on available funds, specific activities proposed, camper demand, available staffing, transportation, timelines, and applicable Federal, State, or local restrictions.

The Village will provide payment for officially registered Village resident children who attend the camp or program. The fillable form requires vendors to include their company name and complete multiple certification sections related to federal contracting requirements, including Equal Opportunity provisions, Labor Construction standards, Anti-Kickback statutes, Debarment and Suspension disclosures, and Lobbying disclosures. This document is a mandatory compliance instrument for all potential bidders responding to the Summer Camp Program RFP.

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Text version

Vendor’s�Name�/�Company�Name:��

*Note:��ALL�Sections�on�the�following�pages�must�be�initialed�and�this�Statement�must�be� signed�before�a�Notary� akhterr Typewriter

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“federally contract” “Equal

Opportunity” “Amending Opportunity,”

“Office Labor.”

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“Labor Construction”).

“Anti Kickback” “Contractors

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“funding agreement”�

“funding agreement,” “Rights

Agreements,” akhterr

“Debarment Suspension.”

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“Disclosure Lobbying”, akhterr akhterr akhterr

Vendor’sName/CompanyName:_1:
Vendor’sName/CompanyName:_5:
Vendor’sName/CompanyName:_14:
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Text Field0: Summer Camp Program for the Village of Spring Valley
Text Field1: RFP-VOSV-2026-002

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