GBV Attestation (fillable).pdf
PDF 193 KB Posted
- Solicitation number
- 2136939
- Issued by
- Oneida County, New York
About this file
This is a Gender-Based Violence Attestation certification form issued by the New York State Department of Corrections and Community Supervision for competitive state procurements, specifically applicable to the Incarcerated Individual Transport Service opportunity at Orleans Correctional Facility. Bidders are required to certify that they have implemented a written policy addressing gender-based violence and the workplace that meets minimum state requirements. The policy must include provisions for sharing information about gender-based violence resources, referring employee-survivors to the New York State Domestic and Sexual Violence Hotline or local service providers, prohibiting retaliation against employees who identify as victims or survivors, and ensuring compliance with applicable state laws including the SAFE Leave Act and New York State Human Rights Law. The certification must be signed by an authorized executive or legal representative and submitted as part of the bid package.
The attestation form serves as a compliance requirement under New York State Finance Law 139-M and must be returned with all bid submissions. Organizations unable to make the required certification must provide an attached statement detailing reasons for non-compliance. The Office of Domestic and Sexual Violence (OPDV) offers technical assistance to employers developing and implementing gender-based violence workplace policies, with contact available at workplace@opdv.ny.gov. This certification applies to all bidders regardless of location, though out-of-state employers may reference local providers or statewide hotlines in lieu of New York-specific resources. No specific response deadline, contract term, pricing information, or award date is specified in this attestation document.
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Text version
RETURN THIS PAGE AS PART OF THE BID
NYS Department of Corrections and Community Supervision
Gender-Based Violence and the Workplace Certification New York State Finance Law §139-M requires bidders on competitive state procurements to certify that they have a written policy addressing gender-based violence and the workplace and that such policy meets the following minimum requirements:
● Share Information: Employers must provide information regarding gender-based violence where employees can see and access it, including displaying the NYS Domestic and Sexual Violence Hotline information and a gender-based violence and the workplace poster.
● Refer Employee-Survivors to Services: The policy must require that the employer refer employees who disclose current or past victim status to the NYS Domestic and Sexual Violence Hotline and/or a local service provider. For bidders outside of New York State, referrals should be made to a local provider or statewide hotline. While referrals are required to be provided by the employer, it is not required for the employee to access services.
● Prohibit Retaliation: The policy must clearly state that discrimination or retaliation against employees who identify as victims or survivors of gender-based violence is prohibited.
● Comply with Laws: Ensure your policy follows State law. For employers based in New York State, this means that the policy must follow the SAFE Leave Act, New York State Human Rights Law, and any other relevant laws and regulations.
● Offer Implementation Support: OPDV is able to assist employers in developing and implementing this policy.
Employers must provide information to supervisors and human resources, where available, about this technical assistance from OPDV. OPDV can be contacted at workplace@opdv.ny.gov.
By submission of this bid, each bidder and each person signing on behalf of any bidder certifies, and in the case of a joint bid each party thereto certifies as to its own organization, under penalty of perjury, that the bidder has and has implemented a written policy addressing gender-based violence and the workplace and has provided such policy to all of its employees, directors and board members. Such policy shall, at a minimum, meet the requirements of subdivision 11 of section five hundred seventy-five of the executive law.
Organization’s signature below certifies its compliance with State Finance Law §139-M.
Organization: __________________________________________
By (signature): ____________________________________
Name (Please Print): _______________________________
Title: ____________________________________________
Date: ____________________
This form must be signed by an authorized executive or legal representative.
If the organization cannot make the above certification, they must provide an attached statement with their bid detailing the reasons therefor.
mailto:workplace@opdv.ny.gov
| Organization 1200: |
| Name Please Print 1200: |
| Title 1200: |
| Date 1200: |
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