Forms

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Executive Order 02-22 – Solidarity with the Ukrainian People

• Vendor Certification Form – revised 03/30/2022

• Vendor Certification Follow-up Form – 03/30/2022

AGO Certification Checklist

• AGO Certification Checklist (9-19-22) for all contracts for services valued at $25,000.00 or more per year

• AGO Certification Checklist FAQs (9-19-2022)

State of Vermont – Federal Terms Supplement

When bidding contracts using Federal funds, the State must consider applicable Federal procedures for solicitation, award, and required contract clauses. The basic authority for the Federal requirements, the Federal Office of Management and Budget’s “Uniform Guidance”, is 2 CFR Part 200.

Guidance regarding the implementation of the new requirements can be found in the Memorandum from Commissioner Fitch dated July 29, 2022 - Update, entitled Office of Management and Budget (OMB) Updated Federally Required Contract-Related Requirements. The Memorandum also contains examples of BGS’s implementation of the requirements to assist agencies.

The Federal Terms Supplement must go in all contracts and purchases of products and services when using Federal Funds as well any amendment in which a pre-existing contract will now be used, in accordance with the attached guidance.

• STATE OF VERMONT- FEDERAL TERMS SUPPLEMENT (Non-Construction) for all Contracts and Purchases of Products and Services Using Federal Funds (07-28-2022 Revised)
• STATE OF VERMONT- FEDERAL TERMS SUPPLEMENT (Construction) for all Contracts for Construction Using Federal Funds (07-28-2022 Revised)
• Form Amendment FEDERAL TERMS SUPPLEMENT(03-10-2023 Revised)
• EXHIBIT C – Example Contractor Certification of Non-Debarment (Construction)
• EXHIBIT D – Example Contractor Byrd Anti-Lobbying Certification

Information Technology Bidding form templates:

• Information Technology Request for Proposal (RFP) Shell (07-28-2022 Revised)
  • Bidder Response Form (07-28-2022 Revised)
  • Overview of the New Bidder Response Form & Changes to the IT RFP Template (03-08-2019 Revised)

Request for Proposal RFP Form template - Services:

• Request for Proposal (RFP) Shell - Services (08-29-2022 Revised)

Request of Information (RFI) Form template:

• Request for Information (RFI) Shell (07-28-2022 Revised)

Standard RFP Attachments:

• Certificate of Compliance (07-28-2022 Revised)
• Attachment C - Standard State Provisions for Contracts and Grants (12-15-2017 Revised).  The current official version of Attachment C dated December 15, 2017 is the version in use for all new Contracts or Grants. Revisions to Attachment C are not permitted without the prior approval of Finance and Management, the Attorney General's Office, and BGS Office of Purchasing and Contracting.
• Attachment D - Other Provisions for IT Professional Services (Note: Other terms and conditions for IT Professional Services (non-implementation).  This is not a “one size fits all” and provisions may vary depending on the requirement.) (03-10-2023 Revised)
• Attachment D - Other Provisions for IT Systems Implementation (Note: Other terms and conditions for State hosted as well as vendor hosted systems.  This is not a “one size fits all” and provisions may vary depending on the requirement.) (03-10-2023 Revised)
• State of Vermont IRS Pub. 1075 Terms for all contracts involving disclosure of Federal tax Information (07-14-2022)
• Attachment E – Business Associate Agreement ((BAA) for use in AHS direct contracts) 05-22-2020
• Attachment E – Business Associate Agreement ((BAA) for use in ADS contracts) 05-23-2019
• Attachment F - Agency of Human Services' Customary Contract/Grant Provisions                
• Worker Classification Compliance Requirement - Self Reporting
• Worker Classification Compliance Requirement - Subcontractor Reporting (11-10-2021 Revised)

Standard Contract form template for Information Technology (IT) Services:

• Standard Contract for Information Technology Services (07-28-2022 Revised)

Confidentiality Agreement:

• Confidentiality Agreement

Standard Contract form template for Services:

• Standard Contract for Services (07-28-2022 Revised)

• Standard Short Form:  Standard Short Form (12/12/2018 Revised).  Use of this Short Form is not authorized and the Standard State Contract Form must be used if any of the following apply: (i) the Contract Term is more than 12 months; (ii) the Maximum Amount is more than $24,999; (iii) the Scope of Work involves life safety, transport of persons, hazardous materials, construction, data usage or sharing, access to confidential information, services of licensed professionals, a Zero Dollar Contract, and/or a Financial Transaction Contract.

Bid Tab Sheet/Registry Form template:

• Bid Tab Sheet/Registry Form (06-07-2022)

Waiver Request Form template:

• Waiver Request Form (03-30-2023)

Novation and Amendment Form template:

• Novation and Amendment Form  (03-24-2023 Revised)

Construction Forms

Construction Invitation to Bid Template:

• Invitation to Bid Template (06-17-2022 Revised)

Mean Prevailing Wage Rate Notice:

• Vermont Prevailing Wage Rate Notice (06-17-2022 Revised)

Construction Contract Form template:

• Construction Contract Template (06-14-2021 Revised)

Attachment B MLA Template:

• Attachment B - MLA (05-18-2022 Revised)

General Conditions:

• General Conditions for Construction Contracts (05-22-2019 Revised)
• General Conditions for Design Build Contracts (05-22-2019)

Additional Terms and Conditions for Architect and Engineer Requirements

• Attachment D - Standard State Provisions - Architect and Engineer Professional Services Agreement(08-09-2016)

Contractor Tax Exempt Form template:

• Contractor Tax Exempt Form S-3c

Tax Exempt Form template

• BGS Tax Exempt form S-3

Fuel Requirements Form:

• Fuel Requirements Form
• For more information and online form, see Fuel Information