4-FEDERAL CONTRACT CLAUSE FILLABLE.pdf
PDF 1 MB Posted
- Attached to
- Medical Laboratory Services
- Solicitation number
- RFB-RC-2026-011
- Issued by
- Rockland County, New York
About this file
This is a Federal Contract Clause document for Medical Laboratory Testing Services associated with Rockland County, New York's RFB-RC-2026-011 solicitation. The document serves as a fillable form that requires vendors to acknowledge and initial multiple federal compliance sections prior to notarization and submission. The underlying contract opportunity seeks laboratory testing services for various Rockland County departments, including the Correctional Facility/Jail, Department of Health, Department of Mental Health, and Medical Examiner's Office. Testing categories encompass routine chemistry and hematology, microbiology, toxicology, STI/public health panels, forensic and medical examiner testing, correctional health panels, and molecular/PCR testing for emerging pathogens. The County reserves the right to request additional tests within these specified categories as needed.
The document requires vendors to acknowledge and initial compliance with federal contract clauses including equal opportunity requirements, labor standards applicable to federally funded construction contracts, anti-kickback statutes, debarment and suspension certifications, and lobbying disclosure requirements. All sections must be completed and the statement must be signed before a notary public prior to bid submission. The document does not specify pricing terms, set-asides, incumbent information, response deadlines, or contract duration details within the fillable form itself.
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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
States”).
“funding agreement”�
“funding agreement,” “Rights
Agreements,” akhterr
“Debarment Suspension.”
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“Disclosure Lobbying”, akhterr akhterr akhterr
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| Text Field0: Medical Laboratory Testing Services |
| Text Field1: RFB-RC-2026-011 |
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