STATE OF NEW JERSEY DIVISION OF FAMILY DEVELOPMENT INDEX OF REQUIRED CONTRACT DOCUMENTS CONTRACT CONTRACT NUMBER: ADMINISTRATOR: NAME OF CONTRACT AGENCY: PERIOD: 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 A (including summary sheet and supporting schedules) copies B Budget Form with all required forms, schedules, and 3 – signatures 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 ● 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 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 or Continued Certificate of Occupancy ●
STATE OF NEW JERSEY DIVISION OF FAMILY DEVELOPMENT CONTRACT ADMINISTRATOR: CONTRACT NUMBER: NAME OF AGENCY: CONTRACT PERIOD: INDEX OF REQUIRED CONTRACT DOCUMENTS 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 A (including summary sheet and supporting schedules) 3 copies B – Budget Form with all required forms, schedules, and signatures 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 ● 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 ● 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 or Continued Certificate of Occupancy ●
reap_annexa.docx