COMPLIANCE_VERIFICATION_DOCUMENTATION.pdf

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Attached to
Building 124 HVAC Project fund 1031 State and local contract opportunity
Solicitation number
SRC0000034246
Issued by
Gallia County, Ohio

About this file

This document is a Compliance Verification Documentation requirements list for a state contract opportunity, specifically for the State of Ohio. The document outlines multiple mandatory submission requirements for bidders, which must be included as a separate document from the bidders' certificate and quote. These requirements include providing an Acord Certificate of Liability Insurance, verifying current address and contact information, and completing several specific forms and certifications.

The documentation emphasizes critical compliance provisions, particularly prohibiting the expenditure of public funds for offshore services and investments in Russian institutions. Bidders must complete a Contractor/Subcontractor Affirmation and Disclosure Form affirming their understanding of these restrictions. Additional mandatory submissions include an Affirmative Action Program Verification Form, Secretary of State Charter/Registration Number, Current BWC Certification, and applicable certifications such as MBE, EDGE, VBE, WBE, or Specialty Trade Certifications. The state reserves the right to recover funds for any violations of these provisions and requires ongoing disclosure of any changes in service locations during the contract period.

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How to submit a quote.docx DOCX document
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Statement of Work-SOW Updated.docx DOCX document
3Bidder_Certification.pdf PDF
INSTRUCTIONS ON HOW TO REGISTER AS A PAYEE .pdf PDF
Attachment 3 ADJ_OhioBuys_ITB_Instructions_to_Bidders_030921.pdf PDF
Environmental_Procedures.pdf_safe__1_.pdf PDF

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Text version

COMPLIANCE VERIFICATION DOCUMENTATION MUST BE SUBMITTED WITH QUOTE AS A

SEPARATE DOCUMENT FROM THE BIDDERS CERTIFICATE AND QUOTE (compliance verification documents should be combined together as one document in and of itself):

• Acord Certificate or Certificate of Liability Insurance with Endorsements and Stop Gap coverage

• Verify Current Address and Contact Information – Signed Bidder’s Certification Form (blank form provided)

• PROHIBITION OF THE EXPENDITURE OF PUBLIC FUND FOR OFFSHORE SERVICES

No State Cabinet Agency, Board or Commission will enter into any contract to purchase services provided outside of the United States or that allows State data to be sent, taken, accessed, tested, maintained, backed-up, stored, or made available remotely outside (located) of the United States, unless a duly signed waiver from the State has been attained. Notwithstanding any other terms of this Contract, the State reserves the right to recover any funds paid for services the Contractor performs outside of the United

States for which it did not receive a waiver. The State does not waive any other rights and remedies provided to the State in the Contract.

Further, no State agency, board, commission, State educational institution, or pension fund will make any purchase from or investment in any Russian institution or company. Notwithstanding any other terms of this

Contract, the State reserves the right to recover any funds paid to Contractor for purchases or investments in a Russian institution or company in violation of this paragraph. The provisions of this paragraph will expire when the applicable Executive Order is no longer effective.

The Contractor must complete the Contractor/Subcontractor Affirmation and Disclosure Form https://procure.ohio.gov/pdf/EO2022-02D/04-Affirmation%20and%20Disclosure%20Form_3-4-22.pdf affirming the Contractor understands and will meet the requirements of the above prohibition. During the performance of this Contract, if the Contractor changes the location(s) disclosed on the Affirmation and

Disclosure Form, Contractor must complete and submit a revised Affirmation and Disclosure Form reflecting such changes.

• Affirmative Action Program Verification Form (AAPV)

• Secretary of State Charter/Registration Number (questions regarding registration should be directed to (614) 466-3910 or visit the web site at https://www.ohiosos.gov/

• Current BWC Certification

• MBE, EDGE, VBE, WBE certification if applicable

• Specialty Trade Certification if applicable (refer to the Scope of Work) https://procure.ohio.gov/pdf/EO2022-02D/04-Affirmation%20and%20Disclosure%20Form_3-4-22.pdf

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