5-FEDERAL CONTRACT CLAUSE FILLABLE.pdf

This is a Federal Contract Clause fillable form related to an RFP (RFP-RC-2026-002) issued by the Workforce Development Board of Rockland County, Inc. (WDBRC) in collaboration with the Rockland County Office of Economic Development and Tourism in New York. The document serves as a compliance and attestation form for vendors submitting proposals to serve as Fiscal Agent for Rockland Works, the county's Career Center. The form requires vendor certification and notarized signatures across multiple sections addressing federally-mandated contract requirements including Equal Opportunity, Labor Construction standards, Anti-Kickback provisions, Debarment and Suspension compliance, and Disclosure of Lobbying Activities. All sections must be initialed and the statement must be signed before a Notary Public prior to proposal submission.

The form is a template designed to ensure vendors meet federal compliance obligations required for administering Workforce Innovation and Opportunity Act (WIOA) funded programs and services. Vendors responding to this RFP must complete and certify multiple federal contract clauses as a prerequisite for consideration. The document does not contain pricing information, specific contract terms, renewal options, or performance timelines within the fillable form itself, as these elements would be addressed in the primary RFP documentation and subsequent fiscal agency agreement with the selected qualified entity.