COVID_19_Vaccine_Policy_Attestation.docx
DOCX document 62 KB Posted
- Solicitation number
- 304
- Issued by
- Los Angeles County, San Francisco City, California
About this file
This COVID-19 Vaccine Policy Attestation is a required document for contractors and personnel performing services for the City of Santa Monica, California. The attestation mandates that all contractor personnel and subcontractors assigned to perform services—whether visiting City facilities, working in City locations, or interacting with City employees or residents—must be fully vaccinated in accordance with the City's COVID-19 Vaccination Policy. Contractors are required to maintain documentation proving vaccination status for the entire contract term and must make such documentation available to the City for inspection upon written demand. The attestation must be executed and submitted to the City as part of the related agreement for preplan and fire inspection SaaS software services.
Failure to comply with the vaccination policy or to permit City inspection of vaccination documentation within ten days of a written request constitutes a material breach of the agreement and grounds for contract termination. The attestation requires an authorized representative of the contractor to sign and date the document, confirming they have read and understand the COVID-19 Vaccination Policy and its applicability to the contract. Contractors must obtain written authorization from personnel and subcontractors prior to submitting their vaccination documentation to the City.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Preplan,_Fire_Inspection_and_other_Fire_Related_Records_Management_Software.pdf | ||
| MandatoryVaccinationPolicy-PfizerApproved_8-23-21.pdf | ||
| Functional_Requirements_-_Final.xlsx | XLSX spreadsheet | |
| Software_as_a_Service_(SaaS).docx | DOCX document | |
| Certificate of Compliance.pdf | ||
| City_of_Santa_Monica_VISA_Questionnaire.docx | DOCX document | |
| OAKS_INITIATIVE_FORM.pdf | ||
| FY21-22_Living_Wage_Certification.pdf | ||
| Proposal Forms.pdf | ||
| Proposer Checklist.pdf |
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Text version
THIS COVID-19 ATTESTATION MUST BE EXECUTED &
SUBMITTED TO CITY AND MADE PART OF AGREEMENT NO. ______.
Contractor attests that all of Contractor’s personnel and subcontractors assigned to perform the Services who will either visit or work in City of Santa Monica facilities, or interact with either City of Santa Monica employees or residents, in the course of performing said Services shall be fully vaccinated as defined in the City’s COVID-19 Vaccination Policy (“VP”), a copy of which is attached as Exhibit ___ to the Agreement under which Contractor, Contractor’s personnel, and/or subcontractors will perform the Services.
Contractor further attests that such personnel and subcontractors have produced to Contractor one of the forms of documentation set forth in the VP. Contractor shall maintain the underlying documentation establishing that such personnel and subcontractors are fully vaccinated and supporting the attestation for the term of the Agreement. Contractor agrees that Contractor will make such documentation available to the City for inspection on demand. Contractor agrees that it will obtain written authorizations from personnel and subcontractors prior to submitting the documentation to City.
Contractor further understands and agrees that failure to comply with the VP, or to permit the City to inspect the documentation to verify compliance with the VP within 10 days after the City’s written request for such documentation, shall constitute a breach of the Agreement and will be grounds for termination.
The undersigned, on behalf of himself or herself individually and on behalf of Contractor, hereby attests that he or she has read and understands the VP and its applicability to the Agreement. The undersigned further attests that he or she is authorized to execute this attestation on behalf of Contractor.
Prepared by: ____________________________Title: ________________________ Signature: ______________________________________ Date: _______________ Email: ____________________________________ Phone: ____________________ image1.jpeg
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