Exhibit_C_County_of_Sacramento_Contractor_Certification_of_Compliance_with_Child,_Family_and_Spousal_Support.pdf
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- Solicitation number
- OFCA/028
- Issued by
- Sacramento County, San Francisco City, California
About this file
This is a Contractor Certification of Compliance form issued by Sacramento County Department of Health Services/Office of Family and Children's Administration (DHS/OFCA) for RFQ No. OFCA/028, applicable to all entities conducting business with the County. The certification requires contractors to demonstrate financial responsibility and compliance with court-ordered child, family, and spousal support obligations. Contractors must certify that they are either government or non-profit entities, have no principal owners holding 25% or more equity, or that all principal owners are either free of child support orders or currently in substantial compliance with existing orders, including current residence address and employment information reporting. Additionally, contractors must confirm full compliance with all applicable state and federal employment reporting requirements and lawfully served wage and earnings assignment orders, with continued compliance expected throughout the contract term.
Failure to comply with reporting requirements or implement wage and earnings assignments constitutes a material default under the contract, with non-compliance subject to termination if not cured within 90 days of County notice. Principal owners requiring support or having questions regarding compliance obligations may contact the Sacramento Department of Child Support Services by telephone at 1-866-901-3212, by mail at P.O. Box 269112, Sacramento, 95826-9112, or through the Customer Connect website at www.childsupport.ca.gov. The form requires the authorized organizational representative to provide printed name, electronic or scanned signature, and certification date.
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Text version
Sacramento County DHS/OFCA: RFQ No. OFCA/028 | EXHIBIT C
EXHIBIT C: COUNTY OF SACRAMENTO
CONTRACTOR CERTIFICATION OF COMPLIANCE WITH
CHILD, FAMILY AND SPOUSAL SUPPORT
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 which 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.childsupport.ca.gov .
Organization’s Name
Printed Name of person authorized to sign Electronic or Scanned Signature Date http://www.childsupport.ca.gov/
| Organizations Name: |
| Date_2: |
| Check Box8: Off |
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| Check Box10: Off |
| Check Box1: Off |
File details come from the government source that posted it. Updated .