Exhibit_F_Certification_of_Compliance_with_Child,_Family,_and_Spousal_Support_Laws.doc
DOC document 33 KB Posted
- Solicitation number
- 2023-CORONER
- Issued by
- Sacramento County, San Francisco City, California
About this file
This document is a Certification of Compliance with Child, Family, and Spousal Support Laws form from the County of Sacramento for the Indigent Remains and Deceased Body Transport Services Request for Proposal (RFP). The County of Sacramento Coroner's Office is seeking qualified vendors to provide cremation, body storage, interment, and transportation services for decedents through a multi-year contract from March 1st, 2024, through June 30th, 2027, with an option to extend the agreement for two additional one-year periods. Contractors may submit proposals for any portion of the requested services and are not required to submit proposals for both indigent remains and deceased body transportation services.
The certification form requires contractors to demonstrate financial responsibility and compliance with child support laws, including reporting requirements and wage assignment orders. Contractors must certify that they have met state and federal employment reporting requirements and comply with wage and earnings assignment orders. Failure to comply with these requirements within 90 days of notice can result in contract termination. Principal owners can contact the Sacramento Department of Child Support Services for verification or assistance, with multiple contact methods provided including phone, mail, and email.
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| Exhibit_E_Statement_of_Compliance_with_Nondiscrimination_Laws.doc | DOC document | |
| Exhibit_D_Certification_of_Insurance_Exhibit.doc | DOC document | |
| Exhibit_C_Work_Plan_Description-Sample_Work_Plan.doc | DOC document | |
| Exhibit_B_Sample_Resolution_from_a_Governing_Board.doc | DOC document | |
| Exhibit_A_RFP_Cover_Letter.doc | DOC document | |
| RFP_Checklist.pdf | ||
| Submission_Guide.pdf | ||
| Attachment_B_-_Insurance_Requirements.pdf | ||
| Attachment_A_-_Proposal_Response_Form.pdf |
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Text version
Indigent Remains & Deceased Body Transport Services RFP
EXHIBIT F
Release Date: November 2023
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:
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(a) the CONTRACTOR is a government or non-profit entity (exempt), or
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(b) the CONTRACTOR has no Principal Owners (25% or more) (exempt), or
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(c) each Principal Owner (25% or more), does not have any existing child support orders, or
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(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 failures 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 (916) 875-7400 or (888) 271-3906, by writing to P.O. Box 269112, Sacramento, 95826-9112, or by E-mailing DCSS-BidderCompliance@SacCounty.net.
CONTRACTOR
DATE
Printed Name
Exhibit F
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