Attachment_3_-_Contractor_Certification_of_Compliance_Form.pdf
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- Solicitation number
- 2025-RFP-0009
- Issued by
- Sacramento County, San Francisco City, California
About this file
This is a Contractor Certification of Compliance Form issued by Sacramento County, specifically required for entities conducting business with the county. The form mandates that all contractors certify compliance with child support obligations and related statutory requirements. Contractors must declare either exempt status (government or non-profit entities, or those with no principal owners holding 25% or greater interest) or attest that all principal owners are current on court-ordered child, family, and spousal support obligations or have arranged compliant payment schedules. Additionally, contractors must certify full compliance with state and federal employment reporting requirements and implementation of lawfully served wage and earnings assignment orders. The form requires signature by an authorized contractor representative and must be dated upon submission.
Failure to comply with employment reporting requirements or wage assignment orders constitutes contract default, with a 90-day cure period before the county may terminate the agreement. Non-compliance may result in immediate contract termination without opportunity to remedy the breach. The Sacramento Department of Child Support Services provides assistance to principal owners regarding compliance matters through phone contact at 1-866-901-3212, written correspondence to P.O. Box 269112, Sacramento, 95826-9112, or via the Customer Connect website at www.childsup.ca.gov. This certification form is a mandatory prerequisite for all contractors seeking to enter into agreements with Sacramento County, including the rodent management services contract at Sacramento International Airport referenced in the associated solicitation documents.
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Text version
Contractor Certification of Compliance Form Rev. 2/24/14
ATTACHMENT 3
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 1-866-901-3212, 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/
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