contract documents to be submitted after award annually updated thereafter: & Liability Insurance (Declaration Page and/or Malpractice Insurance) 13 1. Certificate Holder: NJDCF, 50 East State St., Floor 3, POB 717, Trenton, NJ 08625 --and-- 2. Policy should state in writing that DCF is an "additional insured" Refer to policy for Minimum Standards for Insurance: Employee Fidelity Bond Certificate (commercial blanket bond for dishonest acts) 14 Refer to policy for Minimum Standards for Insurance: Note: Must be at least 15% of the full dollar amount of all State of NJ contracts for the current year when the combined dollar amount exceeds $50,000. If not applicable, include a written statement. contract documents to be submitted after award annually thereafter: (continued) & Notification of Licensed Public Accountant (NLPA) --and-- copy of non-expired Accountant Certification 15 Form: Note: Not required for agencies expending under $100,000 in combined Federal/State Awards. If not applicable, include a written statement. For Each Site Hosting Youth : (e.g. AAS, OVR, OOH programs) Health/Fire Certificates 16 If not applicable, include a written statement. For Each Site Hosting Youth: Current (e.g. OVR & OOH programs) DCF Office of Licensing Certificate 17 If not applicable, include a written statement. Website: http://www.state.nj.us/dcf/about/divisions/ol/index.html 18 Equipment Inventory for items purchased with DCF Funds - If not applicable, include a written statement. Policy: 19 Annual Report of Expenditures (ROE) Annex B (within 120 days of FY end) Form: 20 Significant Events (see DCF.P1.11) Website: contract documents to be maintained onsite by provider: Copy of Most Recently Approved Board Minutes 21 Personnel Manual and Employee Handbook (include staff job descriptions) 22 Affirmative Action Policy/Plan 23 Conflict of Interest Policy and Attestation 24 Form: Procurement Policy 25 Policy:
contract documents to be submitted after award & annually updated thereafter: 13 Liability Insurance (Declaration Page and/or Malpractice Insurance) 1. Certificate Holder: NJDCF, 50 East State St., Floor 3, POB 717, Trenton, NJ 08625 --and-- 2. Policy should state in writing that DCF is an "additional insured" Refer to policy for Minimum Standards for Insurance: 14 Employee Fidelity Bond Certificate (commercial blanket bond for dishonest acts) Refer to policy for Minimum Standards for Insurance: Note: Must be at least 15% of the full dollar amount of all State of NJ contracts for the current year when the combined dollar amount exceeds $50,000. If not applicable, include a written statement. contract documents to be submitted after award & annually thereafter: (continued) 15 Notification of Licensed Public Accountant (NLPA) --and-- copy of non-expired Accountant Certification Form: Note: Not required for agencies expending under $100,000 in combined Federal/State Awards. If not applicable, include a written statement. 16 For Each Site Hosting Youth : Health/Fire Certificates (e.g. AAS, OVR, OOH programs) If not applicable, include a written statement. 17 For Each Site Hosting Youth: Current DCF Office of Licensing Certificate (e.g. OVR & OOH programs) If not applicable, include a written statement. Website: http://www.state.nj.us/dcf/about/divisions/ol/index.html 18 Equipment Inventory for items purchased with DCF Funds - If not applicable, include a written statement. Policy: 19 Annual Report of Expenditures (ROE) Annex B (within 120 days of FY end) Form: 20 Significant Events (see DCF.P1.11) Website: contract documents to be maintained onsite by provider: 21 Copy of Most Recently Approved Board Minutes 22 Personnel Manual and Employee Handbook (include staff job descriptions) 23 Affirmative Action Policy/Plan 24 Conflict of Interest Policy and Attestation Form: 25 Procurement Policy Policy:
Exhibit-D-CSOC-OOH-RFP_Pre-Award-Documents-Checklist_6.29.16.docx