Attachment B - AFFIRMATION AND DISCLOSURE.docx

This is an Affirmation and Disclosure attachment document related to a Request for Quote (RFQ) issued by the Ohio Department of Job and Family Services (ODJFS), specifically the Office of Family Assistance (OFA) and Office of Child Support (OCS), for ALM Octane SaaS licenses, implementation, and migration solutions. The solicitation is administered under Ohio's House Bill 33 competitive selection procedures through the State Purchasing Procedures (PM-01). The project requires a comprehensive solution that provides online access to real-time employment and income verification data for both W-2 employees and 1099 independent contractors or self-employed individuals. The solution must deliver employer or payer information, employment or engagement details, income and payment information, itemized deductions, and pay or disbursement dates to enable ODJFS staff to determine eligibility efficiently, reduce error rates, preserve program integrity, and support the establishment and collection of child support orders.

The document serves as a disclosure and affirmation form that offerors must complete as part of their proposal submission. Specific details regarding pricing terms, response deadlines, contract award dates, contract term and renewal options, set-asides, incumbent information, and funding sources and amounts are not detailed in this particular attachment. Offerors selected through the competitive evaluation process will be required to perform all or part of the scope of work as a contractor to the State of Ohio.