This index provides details of all required documents that must either be included with the contract package (see checklist) or must be available on site for inspections as noted in the Document Verification Sheet (DVS). Forms that are not included in the following pages, can be found by accessing the website at and clicking on the link for Standard Contract Documents. Required Required Required with first Annually for on-site Check if Document Contract and as submitted and as Amended - DVS with Amended Checklist Form package Contract Documents Standard Language Document (SLD) with original signatures 2 (additional copies requested must also have original signature) copies 3 Annex A (including summary sheet and supporting schedules) copies Annex B Budget Form with all required forms, schedules, and 3 – signatures and required Budget Narrative. copies Executive Order 129 (Public Law 2005, Chapter 92) Source ● Disclosure Certification Form Federal Funding Accountability and Transparency Act (FFATA) ● Worksheet (if applicable) Certification of Suspension and Debarment ● Disclosure of Investment Activities in Iran Form ● Agreements Copies of Subcontract/Consultant Agreement(s) ● Private/Public Donor Agreement (s) for Match Responsibilities ● HIPAA Business Associate Agreement (BAA) ● ● A copy of the Acknowledgement of Receipt of the New Jersey State ● Policy and Procedures for EEO/AA Insurances/Licenses/Certificates Liability Insurance Declaration Page and/or Malpractice Insurance ● Bonding Certificate ● Applicable Licenses (business and professional licenses) ● Current Affirmative Action Certificate or copy of renewal application sent to Treasury (AA302 Affirmative Action ● – Employee Information Report) Health/Fire Certificates, Certificate of Occupancy ● Required Required Required for on-site with first Annually Check if Page 2 Document Contract and as DVS submitted – and as Amended Form with amended Checklist package ● Lease or Mortgage for Property and Equipment . ● Certificate of Incorporation
This index provides details of all required documents that must either be included with the contract package (see checklist) or must be available on site for inspections as noted in the Document Verification Sheet (DVS). Forms that are not included in the following pages, can be found by accessing the website at and clicking on the link for Standard Contract Documents. Document Required with first Contract and as Amended Required Annually and as Amended Checklist Required for on-site - DVS Form Check if submitted with package Contract Documents Standard Language Document (SLD) with original signatures (additional copies requested must also have original signature) 2 copies Annex A (including summary sheet and supporting schedules) 3 copies Annex B – Budget Form with all required forms, schedules, and signatures and required Budget Narrative. 3 copies Executive Order 129 (Public Law 2005, Chapter 92) Source Disclosure Certification Form ● Federal Funding Accountability and Transparency Act (FFATA) Worksheet (if applicable) ● Certification of Suspension and Debarment ● Disclosure of Investment Activities in Iran Form ● Agreements Copies of Subcontract/Consultant Agreement(s) ● Private/Public Donor Agreement (s) for Match Responsibilities ● HIPAA Business Associate Agreement (BAA) ● ● A copy of the Acknowledgement of Receipt of the New Jersey State Policy and Procedures for EEO/AA ● Insurances/Licenses/Certificates Liability Insurance Declaration Page and/or Malpractice Insurance ● Bonding Certificate ● Applicable Licenses (business and professional licenses) ● Current Affirmative Action Certificate or copy of renewal application sent to Treasury (AA302 – Affirmative Action Employee Information Report) ● Health/Fire Certificates, Certificate of Occupancy ● Page 2 Document Required with first Contract and as amended Required Annually and as Amended Checklist Required for on-site – DVS Form Check if submitted with package . Lease or Mortgage for Property and Equipment ● Certificate of Incorporation ●
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