UPDATED Waiver and DPA Contract Checklist

Description

INFORMATION SHEET AND CHECKLIST FOR WAIVERS AND DELEGATED PURCHASING AUTHORITY (DPA) TRANSACTIONS STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY - DIVISION OF PURCHASE AND PROPERTY 33 WEST STATE STREET, P.O. BOX 230 TRENTON, NEW JERSEY 08625-0230 (Attachment 1) This checklist is only a guide to assist vendors in locating and compiling all required compliance forms for waivers and DPA transactions. Vendors are required to ensure that all compliance requirements have been met by doing the following: • • • Completing the terms and categories tab in the NJSTART vendor profile; Uploading any forms that may be required to the attachments tab in the NJSTART vendor profile; or Completing and submitting to the forms to the agency. The information is available in NJSTART or the form has been submitted to the agency STATE OF NEW JERSEY STANDARD TERMS AND CONDITIONS AND WAIVERED CONTRACTS /DELEGATED PURCHASING AUTHORITY SUPPLEMENT TO THE STATE OF NEW JERSEY STANDARD TERMS AND CONDITIONSAND CONDITIONS – For use with Waivers and DPAs OWNERSHIP DISCLOSURE FORM DISCLOSURE OF INVESTIGATIONS AND OTHER ACTIONS INVOLVING VENDOR DISCLOSURE OF INVESTMENT ACTIVITIES IN IRAN FORM TWO-YEAR CHAPTER 51/EXECUTIVE ORDER 333 VENDOR CERTIFICATION AND DISCLOSURE OF POLITICAL CONTRIBUTIONS FOR NON-FAIR OPEN CONTRACTS CHAPTER 271 VENDOR CERTIFICATION AND POLITICAL DISCLOSURE FORM MACBRIDE PRINCIPALS FORM PROOF OF BUSINESS REGISTRATION You may register your business HERE or obtain a copy of the Business Registration Certificate HERE. CERTIFICATE OF INSURANCE / ACORD SOURCE DISCLOSURE FORM - To be used only where the contract is primarily for services CERTIFICATION OF NON‐INVOLVEMENT IN PROHIBITED ACTIVITIES IN RUSSIA OR BELARUS PURSUANT TO P.L.2022, c.3. PROOF OF AFFIRMATIVE ACTION COMPLIANCE - Submit one of the following NEW JERSEY CERTIFICATE OF EMPLOYEE INFORMATION REPORT FEDERAL LETTER OF APPROVAL VERIFYING A FEDERALLY APPROVED OR SANCTIONED AFFIRMATIVE ACTION PROGRAM (Dated within one year of the submission) AFFIRMATIVE ACTION EMPLOYEE INFORMATION REPORT (FORM AA302) DPP Rev. 1.10.2024