Identify any changes, challenges, limitations, restrictions, and priorities on meeting the of work requirements. Identify past year program goals and summarize performance outcomes. Provide a summary of select agency accomplishments. If this is a renewal contract, describe at a minimum how has your program developed and made progress toward its goals in the past. What barriers, if any, have impacted your agency’s ability to meet program goals? Describe the agency’s outreach efforts and communication efforts for the program. If fees will be collected from recipients of any services outlined in the Contract Requirements, state the anticipated annual amount of revenue. Also state how those revenues will be used to offset the contract’s costs. 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 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 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 ●
Identify any changes, challenges, limitations, restrictions, and priorities on meeting the of work requirements. Identify past year program goals and summarize performance outcomes. Provide a summary of select agency accomplishments. If this is a renewal contract, describe at a minimum how has your program developed and made progress toward its goals in the past. What barriers, if any, have impacted your agency’s ability to meet program goals? Describe the agency’s outreach efforts and communication efforts for the program. If fees will be collected from recipients of any services outlined in the Contract Requirements, state the anticipated annual amount of revenue. Also state how those revenues will be used to offset the contract’s costs. 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 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 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 ●
refugee_tag_annexa.docx