Appendix_D_-_Contractors_Cert_of_Compliance.pdf
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- Solicitation number
- HRA_RHSP05022022
- Issued by
- Sacramento County, San Francisco City, California
About this file
The document is a Contractor Certification of Compliance Form for the County of Sacramento, designed to ensure that entities doing business with the county meet specific child support and employment reporting requirements. The form requires contractors to certify their compliance with court-ordered child support obligations, reporting requirements, and wage assignment orders. Contractors must indicate their status regarding child support orders for principal owners, with options for exemption for government or non-profit entities, or those with no principal owners.
The certification process is part of the county's effort to ensure financial responsibility and integrity among its business partners. Failure to comply with the specified requirements can result in contract default, with a 90-day cure period before potential contract termination. Contractors can contact the Sacramento Department of Child Support Services at 866-901-3212 or through their website for additional information or assistance. The form provides contact details and requires the contractor's name, date, printed name of the authorized signatory, and signature to complete the compliance certification.
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Text version
APPENDIX D –
COUNTY OF SACRAMENTO
CONTRACTOR CERTIFICATION OF COMPLIANCE FORM
WHEREAS it is in the best interest of Sacramento County that those entities with whom the County does business demonstrate financial responsibility, integrity and lawfulness, it is inequitable for those entities with whom the County does business to receive County funds while failing to pay court-ordered child, family and spousal support which shifts the support of their dependents onto the public treasury.
Therefore, in order to assist the Sacramento County Department of Child Support Services in its efforts to collect unpaid court-ordered child, family and spousal support orders, the following certification must be provided by all entities with whom the County does business:
CONTRACTOR hereby certifies that either:
_____ (a) the CONTRACTOR is a government or non-profit entity (exempt), or
_____ (b) the CONTRACTOR has no Principal Owners (25% or more) (exempt), or
_____ (c) each Principal Owner (25% or more), does not have any existing child support orders, or
_____ (d) CONTRACTOR’S Principal Owners are currently in substantial compliance with any court-ordered child, family and spousal support order, including orders to provide current residence address, employment information, and whether dependent health insurance coverage is available. If not in compliance, Principal Owner has become current or has arranged a payment schedule with the Department of Child Support Services or the court.
New CONTRACTOR shall certify that each of the following statements is true:
a. CONTRACTOR has fully complied with all applicable state and federal reporting requirements relating to employment reporting for its employees; and
b. CONTRACTOR has fully complied with all lawfully served wage and earnings assignment orders and notices of assignment and will continue to maintain compliance.
NOTE: Failure to comply with state and federal reporting requirements regarding a contractor's employees or failure to implement lawfully served wage and earnings assignment orders or notices of assignment constitutes a default under the contract; and failure to cure the default within 90 days of notice by the County shall be grounds for termination of the contract. Principal Owners can contact the Sacramento Department of Child Support Services at 866-901-3212, by writing to P.O. Box 269112, Sacramento, 95826-9112, or via the Customer Connect website at www.childsup.ca.gov.
CONTRACTOR NAME Date
Printed Name of person authorized to sign
Signature http://www.childsup.ca.gov/
File details come from the government source that posted it. Updated .