New Jersey Administrative Code › Title 10 - HUMAN SERVICES › Chapter 3 - CONTRACT ADMINISTRATION › Subchapter 3 - REQUEST FOR PROPOSAL › Appendix B

Current through Register Vol. 56, No. 14, July 15, 2024
DEPARTMENT OF HUMAN SERVICES
STATEMENT OF ASSURANCES
As the duly authorized Chief Executive Officer/Administrator,
				  I am aware that submission to the Department of Human Services of the
				  accompanying application constitutes the creation of a public document and as
				  such may be made available upon request at the completion of the RFP process.
				  This may include the application, budget, and list of applicants (bidder's
				  list). In addition, I certify that the applicant:
. Has legal authority to apply for the funds made available
				  under the requirements of the RFP, and has the institutional, managerial and
				  financial capacity (including funds sufficient to pay the non-Federal/State
				  share of project costs, as appropriate) to ensure proper planning, management
				  and completion of the project described in this application.
. Will give the New Jersey Department of Human Services, or
				  its authorized representatives, access to and the right to examine all records,
				  books, papers, or documents related to the award; and will establish a proper
				  accounting system in accordance with Generally Accepted Accounting Principles
				  (GAAP). Will give proper notice to the independent auditor that DHS will rely
				  upon the fiscal year end audit report to demonstrate compliance with the terms
				  of the contract.
. Will establish safeguards to prohibit employees from using
				  their positions for a purpose that constitutes or presents the appearance of
				  personal or organizational conflict of interest, or personal gain. This means
				  that the applicant did not have any involvement in the preparation of the RFP,
				  including development of specifications, requirements, statement of works, or
				  the evaluation of the RFP applications/bids.
. Will comply with all Federal and State statutes and
				  regulations relating to non-discrimination. These include but are not limited
				  to: 1.) Title VI of the Civil Rights Act of 1964 ( P.L. 88-352; 34 CFR Part 100
				  ) which prohibits discrimination on the basis of race, color or national
				  origin; 2.) Section 504 of the Rehabilitation Act of 1973, as amended (
				  29 U.S.C.
				  §
										794; 34 CFR Part 104 ), which
				  prohibits discrimination on the basis of handicaps and the Americans with
				  Disabilities Act (ADA),
				  42 U.S.C. §
										12101 et seq.; 3.) Age Discrimination Act of
				  1975, as amended (
				  42 U.S.C. §
										6101 et. seq.; 45 CFR part 90 ), which
				  prohibits discrimination on the basis of age; 4.) P.L. 975, Chapter 127, of the
				  State of New Jersey (
				  10:5-31 et seq.) and associated
				  executive orders pertaining to affirmative action and non-discrimination on
				  public contracts; 5.) federal Equal Employment Opportunities Act; and 6.)
				  Affirmative Action Requirements of P.L. 1975, c.127 ( N.J.A.C. 17:27).
. Will comply with all applicable Federal and State laws and
				  regulations.
. Will comply with the Davis-Bacon Act, 40 U.S.C.
				  §§ 276a-276a-5 (
				  29 CFR
				  5.5 ) and the New Jersey Prevailing Wage Act,
				  34:11-56.2 7 et. seq. and all
				  regulations pertaining thereto.
. Is in compliance, for all contracts in excess of $ 100,000,
				  with the Byrd Anti-Lobbying amendment, incorporated at Title
				  31
				  U.S.C. §
										1352. This certification
				  extends to all lower tier subcontracts as well.
. Has included a statement of explanation regarding any and
				  all involvement in any litigation, criminal or civil.
. Has signed the certification in compliance with Federal
				  Executive Orders 12549 and 12689 and State Executive Order 66 and is not
				  presently debarred, proposed for debarment, declared ineligible, or voluntarily
				  excluded. Will have on file signed certifications for all subcontracted
				  funds.
. Understands that this provider agency is an independent,
				  private employer with all the rights and obligations of such, and is not a
				  political subdivision of the Department of Human Services.
. Understands that unresolved monies owed the Department
				  and/or the State of New Jersey may preclude the receipt of this award.
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Applicant Organization
Signature: Chief
						  Executive
Officer of Equivalent
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Date
Typed Name and Title