Affirmation_and_Disclosure_Form.docx

This is an Affirmation and Disclosure Form related to a proposal submission for the Ohio Department of Aging's Emergency Preparedness Course Development opportunity. The Ohio Department of Aging, Quality Initiatives Division is soliciting proposals to develop and facilitate a 3-course curriculum on Emergency Preparedness tailored for nursing home staff through the EXCEL Academy. The curriculum must address preparedness, response, and recovery strategies for various emergency situations including natural disasters, fires, loss of utilities, hazardous chemical emergencies, and state-level emergency declarations. The vendor will be responsible for co-facilitating weekly live webinar modules alongside AGE staff and participating in weekly learning community sessions. The course content must incorporate didactic training, small group scenario-based activities, and learning community discussion questions, with AGE staff providing instructional design guidance.

The file itself appears to be a document navigation interface related to affirmation and disclosure requirements, though specific pricing terms, contract duration, award dates, response deadlines, and funding amounts are not detailed in the provided content. Prospective vendors submitting proposals for this opportunity would be required to complete affirmation and disclosure documentation as part of the submission process. Additional details regarding budget parameters, contract term length, renewal options, and specific response deadlines would typically be found in the complete solicitation documents accompanying this form.