Addendum 3 - DOTRFP-12 Certificate of Compliance 2-23-26.pdf

RFP Addendum

DOTRFP-22

Daniel Baker Project Manager

(860) 594-3651 Telephone Number dot.transit@ct.gov E-Mail Address

STATE OF CONNECTICUT

DEPARTMENT OF TRANSPORTATION (CTDOT)

Office of Transit & Ridesharing

2800 Berlin Turnpike Newington, CT 06111

RFP NO.

33365

RFP Due Date:

7 April 2026

Date Addendum Issued:

23 February 2026

RFP Addendum #3

Contactless Fare Collection Platform and Support Services

NOTICE TO VENDORS:

To automatically receive notification of new Bids & RFP’s and Addenda from CTSource, the State of Connecticut’s Contracting Portal via e-mail click on the following link. Review the Supplier Registration section; click on CTSource Supplier Registration and follow the instructions to create your CTSource account.

https://portal.ct.gov/DAS/CTSource/CTSource

PLEASE NOTE:

This document must be signed where indicated below by a person authorized to sign Proposals and Addenda on behalf of your company and returned with your Request for Proposal (RFP) submission. Failure to do so may result in rejection of your Proposal.

Please note that the DOTRFP-12 Certificate of Compliance was unintentionally omitted from the original RFP package. Addendum #3 contains this form. Kindly review, complete and submit the attached DOTRFP- 12 with your required forms by the RFP submittal due date (4/7/26).

All other Terms and Conditions remain the same.

Signature Date mailto:dot.transit@ct.gov https://portal.ct.gov/DAS/CTSource/CTSource

OSHA COMPLIANCE

DOTRFP-12 Rev. 02/09 STATE OF CONNECTICUT

DEPARTMENT OF TRANSPORTATION

RFP Number:

33365

2800 Berlin Turnpike Newington, CT 06111

Certificate of Compliance with

Connecticut General Statute Section 31 – 57b

I hereby certify that all of the statements herein contained below have been examined by me and, to the best of my knowledge and belief, are true and correct.

The HAS / HAS NOT Company Name (Cross-out non-applicable) been cited for three (3) or more willful or serious violations of any Occupational Safety and Health Act (OSHA) or of an standard, order, or regulation promulgated pursuant to such act, during the three-year period preceding the RFP, provided such violations were cited in accordance with the provisions of any State Occupational Safety and Health Act of 1970, and not abated within the time fixed by the citation and such citation has not been set aside following appeal to the appropriate agency of court having jurisdiction or HAS / HAS NOT (Cross out non-applicable) received one or more criminal convictions related to the injury or death of any employee in the three-year period preceding the BID.

The list of violations (if applicable) is attached.

Name of Firm, Organization or Corporation

Signed:

Written Signature

Name (typed) (Corporation Seal)

Title:

Title of Above Person, typed

Dated:

State of )

County of ) ss: A.D., 20

Sworn to and personally appeared before me for the above, , Name of Firm, Organization, Corporation

Signer and Sealer of the foregoing instrument of and acknowledged the same to be the free act and deed of

, and his/her free act and deed as Name of Person appearing in front of Notary or Clerk

Title of Person appearing in front of Notary or Clerk

My Commission Expires:

Notary Public (Seal)

Sec. 31-57b. Awarding of contracts to occupational safety and health law violators prohibited. No contract shall be awarded by the state or any of its political subdivisions to any person or firm or any firm, corporation, partnership or association in which such persons or firms have an interest (1) which has been cited for three or more willful or serious violations of any occupational safety and health act or of any standard, order or regulation promulgated pursuant to such act, during the three-year period preceding the bid, provided such violations were cited in accordance with the provisions of any state occupational safety and health act or the Occupational Safety and Health Act of 1970, and not abated within the time fixed by the citation and such citation has not been set aside following appeal to the appropriate agency or court having jurisdiction or (2) which has received one or more criminal convictions related to the injury or death of any employee in the three-year period preceding the bid. Any person who knowingly provides false information concerning the information required pursuant to this section shall be assessed a civil penalty of not less than five hundred dollars nor more than five thousand dollars and shall be disqualified from bidding on or participating in a contract with the state or any of its political subdivisions for five years from the date of the final determination that the information is false. Any political subdivision or any state agency receiving false information pursuant to this section shall notify the Commissioner of Administrative Services and, upon receipt of such notice, the commissioner shall conduct a hearing in accordance with the provisions of chapter 54. Upon a determination that false information was provided, the commissioner shall impose a civil penalty in accordance with the provisions of this section. Such civil penalty shall be paid to the Treasurer or to an official of the political subdivision, as the case may be. Any civil penalty imposed pursuant to this section may be collected in a civil proceeding by any official of a political subdivision authorized to institute civil actions or, in the case of the state, by the attorney general, upon complaint of the Commissioner of Administrative Services.