4-FEDERAL CONTRACT CLAUSE FILLABLE.pdf

This is a Federal Contract Clause fillable form related to the Re-Entry Transitional Management proposal solicitation issued by the Rockland County Department of Mental Health (DMH) in New York. The document serves as a compliance and certification form that vendors must complete, initial, and notarize before submission. The solicitation (RFP-RC-2026-010) seeks qualified non-profit agencies to provide Transition Management (TM) and Re-entry (RE) services for individuals with Serious Mental Illness (SMI) and/or substance use disorders (SUD) being released from the Rockland County Jail. The initiative aims to improve behavioral health outcomes, support successful community reintegration, and reduce recidivism through coordinated, person-centered post-release services. The contract will be awarded to a single agency, with an initial term expected to commence and run through December 31, 2028, followed by two optional one-year renewal periods.

The form requires vendors to certify compliance with multiple federal contract clauses including Equal Opportunity, Anti-Kickback, Labor Construction, Debarment and Suspension, and Disclosure of Lobbying provisions. Funding for this contract is contingent upon approval from the Office of Addiction Services and Supports (OASAS) and the Office of Mental Health (OMH). All sections of the form must be completed, initialed by the vendor's authorized representative, and executed before a notary public to ensure compliance with federal contracting requirements and state regulations.