Supporting Documents for Contracts (2).pdf
PDF 175 KB Posted
- Attached to
- DRC260138-MANCI-Ambulance Services
- Solicitation number
- SRC0000037979
- Issued by
- Sandusky County, Ohio
About this file
This document outlines supporting requirements for state and local contracts with the State of Ohio, specifically for services valued at $5,000 or more provided to the Ohio Department of Rehabilitation & Correction. The Mansfield Correctional Institution is seeking ambulance services to transport offenders to Med-Central Mansfield. All contractors must submit five mandatory supporting documents with their contract proposals: an Affirmative Action Program Verification (AAPV) Certificate filed through the Ohio Business Gateway with the Ohio Department of Development (construction companies must submit an EEO Certificate instead), a Certificate of Liability Insurance naming the Ohio Department of Rehabilitation & Correction as Certificate Holder at 4545 Fisher Road, Columbus, OH 43228, and a Bureau of Workers Compensation Certificate for all suppliers with employees working in Ohio (except sole proprietors). Additionally, contractors must provide verification of no Findings for Recovery through the Ohio Auditor's office and complete an Affirmation & Disclosure Form for every contract per Executive Order requirements related to the Ukraine crisis.
No specific pricing terms, bid amounts, response deadlines, or contract duration are detailed in this supporting documents file. The requirements apply uniformly to all qualifying contractors regardless of contract value thresholds, and contractors are responsible for obtaining all required certifications and verifications from their respective issuers before contract execution. A copy of Executive Orders 2019-12D and 2022-02D must be included with every solicitation request.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Signed+EO+2019-12D.pdf | ||
| EO+2022-02D.pdf | ||
| Affirmation_and_Disclosure_Form.docx | DOCX document | |
| Ambulance RFQ BLANK - FY 2027.pdf | ||
| Independent Contractor-Worker Acknowledgement Form (PEDACKN).pdf | ||
| Standard_T_C_3-31-25.pdf |
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Text version
Supporting Documents for Contracts (State and I&E Funds) Send these documents with the Contract
1. Affirmative Action Program Verification Certificate.
For organizations that provide $5,000 or more in services to the State of Ohio, we request completion of the Affirmative Action Program Verification (AAPV) Certificate. (Construction companies complete the EEO Certificate instead.). The AAPV Certificate filing is a transaction processed in the State of Ohio’s Ohio Business Gateway. It is filed with the Ohio Department of Development.
The link to the Ohio Business Gateway to complete this document is:
https://development.ohio.gov/business/construction-compliance/affirmative-action-program
To download available certificates use: Download certificate
2. Certificate of Liability Insurance (COI) with Ohio Department of Rehabilitation & Correction listed as Certificate Holder at: 4545 Fisher Road, Columbus, OH 43228
(obtain from supplier)
3. Bureau of Workers Compensation Certificate is required for all suppliers with employees working in the State of Ohio. It is not required for sole proprietors.
Verify active certificates at:
https://www.bwc.ohio.gov/employer/services/EmployerMCOLookup/nlbwc/employer mcolookup0.aspx
4. (No) Findings for Recovery Verification. Verify at: http://ffr.ohioauditor.gov/
Print pdf verification
5. The Affirmation & Disclosure Form should be completed for every contract, per the crisis in Ukraine.
6. Send a copy of Executive Orders 2019-12D and 2022-02D as part of every solicitation request.
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