Kentucky - CertiSurv Contract
Kentucky - CertiSurv Contract
Kentucky - CertiSurv Contract
Issued by
BETWEEN
AND
CertiSurv, LLC
112 W 7th St., Suite C
Columbia, TN 38401
This Personal Service Contract (PSC) is entered into, by and between the Commonwealth of Kentucky,
Cabinet for Health and Family Services, Department for Office of Inspector General (“the Commonwealth”)
and CertiSurv, LLC (“the Contractor”) to establish a contract for Long-Term Care Surveyor Group. The initial
PSC is effective from 07/01/2022 through 06/30/2024.
Per the solicitation, the Commonwealth reserves the right to renew this Contract for up to two (2) additional
two-year periods.
Survey teams must utilize staff who have completed the federally required training courses and are
qualified for the surveys that are conducting, to include, but not limited to, Qualified Mental Retardation
Professional (QMRP) for ICFs/IID Facilities, Life Safety Code (LSC), and have successfully passed the
Surveyor Minimum Qualifictions Test (SMQT) for Long Term Care Facilities.
1. Provide qualified staff to conduct health surveys for Intermediate Care Facilities with the process
outline by Centers for Medicare and Medicaid Services (CMS) and applicable federal laws and
regulations.
Document Description Page 5
2. Provide qualified staff to conduct health surveys on Long-Term Care Facilities with the process outlined
by CMS and applicable federal laws and regulations.
3. Provide qualified staff to conduct CMS required Life Safety Code (LSC) Surveys for the applicable
levels of care.
5. Provide any necessary Personal Protect Equipment (PPE) to surveyors working pursuant to the
Contract.
6. Enter all survey finding into the Automated Survey Processing Environment (ASPEN) shell and
submit to the Division of Health Care (DHC) no later than five (5) business days from the date of survey
completion.
7. Perform a quality assurance review of deficiencies cited to verify the deficient practice is written to
comply with principles of documentation and that documented evidence is obtained to support the tag is
verified.
8. Submit the CMS Infection Control Tool along with the CMS-2567 no later that five (5) business days
from the date of the survey completion.
9. Participate in meetings or conference call, as requested by DHC, to assist in review of survey findings
and/or the facility Plan of Correction.
10. Notify Department of Public Health (DPH) as soon as possible of any suspected Immediate Jeopardy
(IJ) situation in a facility being surveyed and follow procedures set forth in the State Operations Manual
(SOM).
11. Provide requested documentation and/or testimony regarding enforcement actions as needed to
support Federal or State counsel in any resulting litigation.
12. At the completion of each contracted survey, release to DHC all information, working papers, and
reports required by Federal and State law used in determining in whether participating facilities met
requirements.
13. Adhere to all federal and state requirements, including but not not limited to forms, methods, policies
and procedutes, which are applicable to CMS survey and certification work, as well as federal laws and
regulations.
1. Surveys can occur during daytime working hours (Monday-Friday, 8:00 a.m. to 4:30 p.m., EST).
However, surveyors may conduct the survey at any time and on weekends. If the survey is conducted
outside the normal working time, the team may modify the survey in recognition of residents’ activities and
the staff available. All surveys are unannounced.
2. All facility surveys will be conducted in a very similar manner utilizing the federal survey process for
each level of care. The surveys will be performed by multidisciplinary teams that may include registered
nurses, registered dieticians, and social workers.
3. The survey team will meet prior to arrival at the facility to discuss roles and tasks each member is going
to perform. The team will arrive at the facility together as a team and request an entrance conference
with the person in charge of the facility and the staff. The team will be required to let the facility know
Document Description Page 6
what steps they are going to take (purpose of the survey, what areas of the facility they will be in, explain
the interview process, and set a date and time for an exit conference.)
4. Perform the survey by gathering information, conducting interviews with staff and residents, and
making on-site observations. The survey takes the course of several days in succession.
5. Analyze the findings and conduct an exit conference to inform the facility staff of the preliminary
findings.
The Long Term Care (LTC) survey program is a computerized CMS program specifically designed for
a long-term care standard survey. A completed survey is the submittal of the survey packet to DHC
uploaded electronically in ASE-Q. This is a computerized Long Term Care Survey Process that is
resident-centered, identifying resident-specific concerns identified through observations, resident and
family interviews, and record review. The Contractor shall submit completed survey reports no later than
seven (7) business days from the exit date of each survey.
1.02 Subcontractors
The Cabinet for Health and Family Service, Office of Inspector General, DHC is responsible for the
following:
2. Email the Contractor’s survey team a shell from ACO (Aspen Central Office) to be imported by the
survey team in ACO Survey Explorer Quality (ASE-Q). ASE-Q access capabilities are needed.
3. Issue the statement of deficiencies to the facilities, review and approve plans of corrections, complete
any subsequent revisit surveys, and monitor any enforcement.
The survey team shall have the technological capabilities to conduct SMQT Certified Surveys. They must
have computer knowledge and portable computer equipment to support the Centers for Medicare and
Medicaid computer program for the new Long Term Care Survey process. The program, ASE-Q Aspen
Survey Explore - Quality, stores data about certified providers regulated by the Centers for Medicare and
Medicaid Services which is utilized to conduct a standard long term care survey.
Section 2 - Contract Components and Order of Precedence
The Commonwealth’s acceptance of the Contractor’s offer in response to the Solicitation, indicated by the
issuance of a Contract Award shall create a valid contract between the Parties consisting of the following:
1. Procurement Statutes, Regulations and Policies;
2. This written agreement and any subsequent written amendments to this Agreement;
3. Any Addenda to the Solicitation;
4. The Solicitation and all attachments thereto; including PSC Standard Terms and Conditions;
5. Any Best and Final Offer;
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Not applicable.
Section 4 – PRICING
This contract shall not exceed $1,800,000.00. The contractor shall be paid no more than $22,750.00 per
survey of a small facility long term care facility of 49-95 beds. The contractor shall be paid no more than
$29,475.00 per survey of a medium facility of 96-174 beds. The contractor shall be paid no more than
$29,475.00 per survey of a large facility of 175 beds or greater. The contractor shall be paid no note than
$2,750.00 per Life Safety Code Survey.
Section 5 – INVOICING
The Contractor should submit invoices setting forth the hours worked and the expenses for which
reimbursement is sought on a monthly basis.
Invoices for payment shall be submitted electronically to [email protected]. Invoices must be
submitted no later than thirty (30) calendar days after completion of the service period.
Payment shall be conditioned upon receipt of appropriate, accurate, and acceptable invoices that are
submitted in a timely manner.
The Contractor shall submit monthly invoices in accordance with this section. Invoices shall contain two
parts:
A. Legislative Research Commission’s (LRC) Government Contract Review Committee Invoice
Form; and
B. Supporting documentation.
Invoices that do not contain the requirements above will be rejected and sent back to the Contractor for
re-invoicing.
2. Ensure that it has readily accessible copies of licenses, registration, and/or certifications necessary;
and
3. Produce copies of any required license, registration, and/or certification at the request of CHFS or the
Cabinet’s designee.
6.00.13 Permits, Licenses, Taxes, and Laws
The Contractor shall procure all necessary permits and licenses and abide by all applicable laws,
regulations, and ordinances of all federal, state, and local governments in which work under this Contract
is performed.
To the extent required by law, the Contractor shall pay any sales, use, personal property and income
taxes arising out of this Contract and the transaction contemplated hereby. Any other taxes levied upon
this Contract, the transaction, or the equipment or services delivered pursuant hereto shall be borne by
the Contractor.
Contractor shall be responsible for all applicable Federal (including FICA), State and Local tax
withholdings.
6.00.14 Legal Proceedings
Except as specifically disclosed in writing to CHFS by the Contractor, prior to the date of this Contract,
Contractor certifies there are no suits, investigations, or other proceedings pending or threatened against
Contractor or any subcontractor that would have a material effect on Contractor's ability to perform under
this Contract, or on Subcontractors ability to perform under their respective subcontracts, if applicable.
Further, the Contractor shall use its best efforts to notify CHFS within one (1) business day, and in writing
within three (3) business days, of all suits, investigations, or other proceedings involving Contractor
related to this Contract. The Contractor shall send written notice to the Department.
6.00.15 No Grant of Employment or Agency
Nothing in this Contract shall be construed, in any way, as granting to any individual providing services
under the Contract any of the claims, privileges, or rights established or recognized under KRS Chapter
18A or KAR Title 101.
At no point shall any individual providing services under this Contract be considered a full-time or part-
time employee of CHFS, for any purpose, including but not limited to unemployment, taxes, withholding,
health insurance, liability, retirement, Workers’ Compensation, vacation, sick or other leave, the Family
Medical Leave Act, accrued benefits, evaluations, or any other purpose. At all times, any such individual
shall be considered and deemed to be an employee, volunteer, or independent contractor of the
Contractor.
In no event shall any employee, volunteer, or independent contractor of the Contractor be deemed to be a
third-party beneficiary of this Contract or an agent or an employee of the Commonwealth.
6.00.16 CHFS Discrimination Prohibited in Service Provision (Because of Race, Religion, Color,
National Origin, Sex, Disability, Age, Political Beliefs or Reprisal or Retaliation for prior Civil Rights
Activity or other Federal, State, or Local Protected Class)
Discrimination (because of race, religion, color, national origin, sex, sexual orientation, gender identity,
age, or disability) is prohibited. During the performance of this contract, the Contractor agrees as follows:
1. The Contractor will not discriminate against anyone applying for or receiving assistance or services
based on race, religion, color, national origin, sex, disability, age, political beliefs or reprisal or retaliation
for prior civil rights activity or any other protected class identified in federal, state or local laws. The
Contractor agrees to comply with the provisions of the Kentucky Civil Rights Act, the Americans with
Disabilities Act of 1990 as Amended (ADA), , Section 1557 of the Patient Protection and Affordable
Care Act, Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age
Discrimination Act of 1975, as applicable, and all other applicable federal, state and local regulations
relating to prohibiting discrimination.
Document Description Page 11
2. The Contractor will take action to ensure that service applicants and recipients are given services in
the same manner, based on eligibility, and are not based on membership in a protected class: denied
aid, care, services, or other benefits provided under this contract; subjected to segregation or different
treatment in any matter related to receipt of assistance; restricted in any way in the enjoyment of any
advantages or privileges enjoyed by others receiving similar services; given different treatment in
determining eligibility; or meeting other requirements or conditions that must be met to receive benefits.
3. The Contractor agrees to post in conspicuous places, available to program or service applicants or
recipients, notices setting forth the provisions of this non-discrimination clause.
4. In all program or service solicitations or advertisements placed by or on behalf of the Contractor, the
Contractor will state that they will not discriminate against anyone applying for or receiving assistance or
services based on race, religion, color, national origin, sex, disability, age, political beliefs, or reprisal or
retaliation for prior civil rights activity, or any other protected class identified in federal, state, or local laws.
5. In the event of the Contractor's noncompliance with the nondiscrimination clauses of this contract or
with any of the said rules, regulations, or orders, this contract may be cancelled, terminated or suspended
in whole or in part, and such other sanctions that may be imposed and remedies invoked as provided in
or as otherwise provided by law.
6. In compliance with the prohibition against Disability discrimination and in compliance with the
implementing guidance for the Americans with Disabilities Act issued by the Department of Justice, the
Contractor agrees to provide, free of charge, appropriate accommodations for applicants or recipients
with disabilities, including auxiliary aids and services for persons with disabilities who require alternative
means of communication.
7. In compliance with the prohibition against National Origin discrimination and, by extension
discrimination based on Limited English Proficiency (LEP), the Contractor agrees to provide meaningful
language assistance measures free of charge to program or service applicants or recipients with Limited
English Proficiency. The language services shall:
a. Be consistent with the general guidance document issued by the Department of Justice, which sets
forth the compliance standards recipients of federal financial assistance must follow to ensure that
LEP persons have meaningful access to the program’s services and activities;
b. Have a method of identifying LEP individuals; and
c. Provide language assistance measures (e.g., oral interpretation and written translation services;
training of staff; note to LEP persons of availability of language access assistance; monitoring
compliance, etc.).
6.01 Contract Performance
6.01.00 Service Delivery Requirements
All services provided by the Contractor under the terms and conditions of this Contract shall be delivered
in accordance with:
1. All applicable federal and state statutes and regulations;
2. All commitments and assurances as set forth in all CHFS grant awards with respect to goals,
strategies, funding, and outcomes made by the Commonwealth as required by and contained in grant
applications to federal agencies, foundations, and other agencies providing grant funding and in the
resulting award notices from those agencies; and
3. All final, federally-funded grant award terms and conditions, including federal reporting and expenditure
requirements, for any federally-funded proposed project developed jointly by the Contractor and CHFS
and submitted to a federal agency.
6.01.01 Total Amount of Funds and Budget Revisions
CHFS shall have the right to recoup the amount of any overpayment, regardless of the reason for the
overpayment. Any reconciliation or settlement of fund balances contained in the Summary Line Item
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Section of this Contract shall be negotiated between CHFS and the Contractor and determined as soon
as feasible before the end of the scope of work as set forth under the Contract.
The Contractor shall not request a budget revision within the last sixty (60) days of the contract period.
6.01.02 Subcontractors
Unless provided in the scope of work and pre-approved at the Cabinet level, the Contractor shall make
no subcontract with any other party for furnishing any of the work or services herein. This provision shall
not require the approval of contracts of employment between the Contractor and personnel assigned for
services thereunder. The Contractor shall be solely responsible for performance of the entire Contract
whether or not Subcontractors are used.
6.01.03 Indirect Cost
Except as otherwise authorized by this contract, no indirect costs shall be reimbursed.
6.01.04 Financial Record Retention
The Contractor agrees to maintain all records pertaining to this contract for a period of not less than
three (3) years after all matters pertaining to this contract (e.g., audit, settlement of audit exceptions,
disputes, etc.) are resolved in accordance with applicable federal and/or state laws, regulations, and
policies (except as may otherwise be specified in this contract).
6.01.05 Confidential Information
The Contractor shall comply with the state and federal rules and regulations governing access to and use
of information and data provided by CHFS or collected by the Contractor, and will use such information
or data only for those purposes expressly delineated, defined, and authorized in this Contract. The
Contractor agrees to ensure that all confidential information and data shall remain confidential. The
Contractor shall have an appropriate agreement with its employees to that effect.
Any dissemination of information about projects funded and the scope of work described in the terms and
conditions of this Contract, must be fully documented and reviewed by the Cabinet’s project manager
before any representation, electronic or otherwise, of projects, their funding sources, use of data, or data
analyses may be posted to a web page or otherwise published.
The Contractor shall permit unrestricted access on demand to personnel of the Cabinet, the Office of the
Attorney General, the Office of the Auditor of Public Accounts, and any representative of a government
funding agency authorized to review records for audit or investigation purposes to its current policies
and procedures for ensuring compliance with these confidentiality requirements, the confidentiality
agreements with its personnel, and subcontractor confidentiality assurances.
The foregoing will not apply to:
1. Information that the Commonwealth has released in writing from being maintained in confidence;
2. Information that at the time of disclosure is in the public domain by having been printed and published
and available to the public in libraries or other public places where such data is usually collected; or
3. Information that, after disclosure, becomes part of the public domain as defined above, through no act
of the Contractor; or
4. Information required to be disclosed by law.
The Contractor shall have an appropriate agreement with its Subcontractors extending these
confidentiality requirements to all Subcontractors’ employees.
6.01.06 HIPAA Confidentiality Compliance
The Contractor agrees to abide by the “HIPAA Privacy Rule,” 45 CFR Parts 160 and 164, established
under the Health Insurance Portability and Accountability Act, Public Law 104-191 (42 USC 1320d).
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standard Penetration Test Report to the Commonwealth within fourteen (14) business days of its
execution. The Contractor shall provide a Risk Mitigation Plan outlining options and recommending
actions to enhance opportunities and reduce identified project risks.
6.01.12 Protection of Personal Information Security and Breach Investigation Procedures and
Practices Act
When applicable, contractors that receive Personal Information as defined by and in accordance with
Kentucky’s Personal Information Security and Breach Investigation Procedures and Practices Act, KRS
61.931, KRS 61.932, KRS 61.933, and KRS 61.934, (the “Act”), shall secure and protect the Personal
Information by, without limitation, complying with all requirements applicable to non-affiliated third parties
set forth in the Act.
The Contractor hereby agrees to cooperate with the Commonwealth in complying with the response,
mitigation, correction, investigation, and notification requirements of the Act.
The Contractor shall notify as soon as possible, but not to exceed seventy-two (72) hours, the contracting
agency, the Commissioner of the Kentucky State Police, the Auditor of Public Accounts, and the
Commonwealth Office of Technology of a determination of or knowledge of a breach, unless the
exception set forth in KRS 61.932(2)(b)2 applies and the Contractor abides by the requirements set forth
in that exception. If the agency is a unit of government listed in KRS 61.931(1)(b), the Contractor shall
notify the Commissioner of the Department of Local Government in the same manner as above. If the
agency is a public school district listed in KRS 61.931(1)(d), the Contractor shall notify the Commissioner
of the Department of Education in the same manner as above. If the agency is an educational entity listed
under KRS 61.931(1)(e), the Contractor shall notify the Council on Postsecondary Education in the same
manner as above. Notification shall be in writing on a form developed by the Commonwealth Office of
Technology.
The Contractor hereby agrees that the Commonwealth may withhold payment(s) owed to the Contractor
for any violation of the Identity Theft Prevention Reporting Requirements.
The Contractor hereby agrees to undertake a prompt and reasonable investigation of any breach as
required by KRS 61.933.
Upon conclusion of an investigation of a security breach of Personal Information as required by KRS
61.933, the Contractor hereby agrees to an apportionment of the costs of the notification, investigation,
and mitigation of the security breach.
In accordance with KRS 61.932(2)(a) the Contractor shall implement, maintain, and update security and
breach investigation procedures that are appropriate to the nature of the information disclosed, that are
at least as stringent as the security and breach investigation procedures and practices established by the
Commonwealth Office of Technology:
See:
http://technology.ky.gov/ciso/Pages/InformationSecurityPolicies,StandardsandProcedures.aspx
6.01.13-Staffing
Any individual providing services under this Contract must not be included on any formal registry or
listing that is required by law and which relates to abuse, neglect, sexual offenses, or other inappropriate
practices or which, in any way, prohibits their employment for or performance of the services required
herein, including but not limited to the nurse aid abuse registry and the Child Abuse Prevention and
Treatment Act registry. In the event of any such listing or registration, the Contractor shall immediately
notify CHFS.
Any individual providing services under this Contract must not be prohibited or debarred from providing
services or participating in any state or federal governmental program, including but not limited to the
Medicare and Medicaid programs. In the event of any such prohibition or debarment, the Contractor shall
immediately notify CHFS.
Document Description Page 17
Part 50 and CHFS Policy for Responding to Allegations of Scientific Misconduct, as amended, and
shall be made available, upon request, to CHFS. The Contractor shall immediately report to CHFS any
activity reported to the Contractor under these terms and conditions. Notice shall be sent in writing to the
Department.
6.03.05 Intellectual Property
The Contractor agrees that any formulae, methodology, or other reports and compilations of data
provided by the Department to the Contractor for the purposes of meeting the terms and conditions of
this Contract shall be the exclusive property of CHFS, unless the specific ownership of any proposed
or developed formulae, methodology, or other reports and compilations of data is otherwise identified
in any Attachment(s). The Contractor further agrees that any formulae, methodology, other reports and
compilations of data prepared or produced by the Contractor during the course of work pursuant to this
Contract shall be made available to CHFS for the Cabinet’s use upon request and without charge. Any
use of these materials other than for the purposes of meeting the terms and conditions of this Contract
must be reviewed and approved in advance by CHFS.
If any of these materials are included in any publication, training materials, or presentations, or for any
other type of release of this material other than for the purposes of meeting the terms and conditions of
this Contract, appropriate credit for the funding source must be given. This provision shall be included in
any subcontract, including contracting for staff, issued by the Contractor under this Contract.
Any proposed project under the scope of work for any of the Projects set forth under the Summary Line
Item Section in this Contract shall include specific documentation and justification for titles of ownership
as:
1. Patents;
2. Trademarks as proposed or registered with the U.S. Patent and Trademark Office; or
3. Copyrights proposed or certified with the Library of Congress, U.S. Copyright Office.
6.03.06 Certification Regarding Drug-Free Workplace
The Contractor hereby certifies that it will, or will continue to, provide a drug-free workplace in accordance
with 2 CFR Part 182. The Contractor shall at a minimum:
1. Publish a statement notifying employees that the unlawful manufacture, distribution, dispensing,
possession, or use of a controlled substance is prohibited from the Contractor’s workplace and
specifying actions that will be taken against employees for violation of such prohibition;
2. Establish an ongoing drug-free awareness program to inform employees about:
a. The dangers of drug abuse in the workplace;
b. The Contractor’s policy of maintaining a drug-free workplace;
c. Available drug counseling, rehabilitation, and employee assistance programs; and
d. The penalties that may be imposed upon employees for drug abuse violation.
6.03.07 Data Use Agreement
Not Required
A Business Associate Agreement has been determined to be unnecessary for this Agreement.
If federal funds are utilized, the Contractor is responsible for complying with all provisions of 2 CFR Part
200, Appendix II, regarding Contract provisions for non-federal entity Contracts under federal award.
The following terms shall apply:
7.00 Certain Provisions Contained Within 2 CFR, Part 200, Appendix II
7.00.00 Clean Air Act and Federal Water Pollution Control Act
Contractor and subcontractors shall agree to comply with all applicable standards, orders or
regulations issued pursuant to the Clean Air Act, 42 U.S.C. 7401 et seq., and the Federal Water
Pollution Control Act, as amended 33 U.S.C. 1251 et seq. Violations shall be reported to the HHS
and the appropriate Regional Office of the Environmental Protection Agency.
7.00.01 Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary
Exclusion, Lower Tier Covered Transactions
In accordance with Federal Acquisition Regulation 52.209-5, the Contractor shall certify, by
signing the Solicitation, that to the best of its knowledge and belief, the Contractor and/or its
Principals is (are) not presently debarred, suspended, proposed for debarment, or declared
ineligible for the award of contracts by any state or federal agency.
For the purposes of this certification, “Principals,” means officers, directors, owners, partners, and
persons having primary management or supervisory responsibilities within a business entity (e.g.,
general manager, plant manager, head of subsidiary, division, or business segment, and similar
positions.
The Contractor shall be compliant with 2 CFR 180 at the time of award and throughout the
contract period.
7.00.02 Certification of Lobbying Activities
Contractor shall disclose any lobbying activities in accordance with Section 1352, Title 31, U.S.
Code. The Contractor certifies, to the best of his or her knowledge and belief, that:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or employee of
an agency, a Member of Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with the awarding of any Federal contract, the making of any
Federal grant, the making of any Federal loan, the entering into of any cooperative agreement,
and the extension, continuation, renewal, amendment, or modification of any Federal contract,
grant, loan, or cooperative agreement.
2. If any funds other than Federal appropriated funds have been paid or will be paid to any person
for influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned
shall complete and submit Standard Form-LLL, “Disclosure Form to Report Lobbying,'' in
accordance with its instructions.
3. The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under
grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose
accordingly. This certification is a material representation of fact upon which reliance was placed
when this transaction was made or entered into. Submission of this certification is a prerequisite
for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code. Any
person who fails to file the required certification shall be subject to a civil penalty of not less than
$10,000.00 and not more than $100,000.00 for each such failure.
Document Description Page 21
7.00.03-Equipment
For reimbursement type contracts, the Contractor shall not purchase equipment or property
with contract funds, unless and except as specifically authorized under the scope of work and
specifications of this Contract.
Equipment and property reimbursed by CHFS for the purposes of fulfilling the requirements of
this Contract, and that may include, but not be limited to, furniture, computer software, computer
hardware, office equipment, and supplies with any single item purchase of $5,000.00 or greater
(capital expenditures), requires prior approval by the Cabinet and the federal agency before the
federal government will allow the costs in accordance with 2 CFR, Part 200.
7.00.04 Telecommunications and Video Surveillance Services or Equipment
In accordance with 2 CFR § 200.216 Prohibition on certain telecommunications and video
surveillance services or equipment Contractors and subrecipients are prohibited from obligating
or expending loan or grant funds to:
(1) Procure or obtain;
(2) Extend or renew a contract to procure or obtain; or
(3) Enter into a contract (or extend or renew a contract) to procure or obtain equipment, services,
or systems that uses covered telecommunications equipment or services as a substantial
or essential component of any system, or as critical technology as part of any system. As
described in Public Law 115-232, section 889, covered telecommunications equipment is
telecommunications equipment produced by Huawei Technologies Company or ZTE Corporation
(or any subsidiary or affiliate of such entities).
(i) For the purpose of public safety, security of government facilities, physical security
surveillance of critical infrastructure, and other national security purposes, video surveillance and
telecommunications equipment produced by Hytera Communications Corporation, Hangzhou
Hikvision Digital Technology Company, or Dahua Technology Company (or any subsidiary or
affiliate of such entities).
(ii) Telecommunications or video surveillance services provided by such entities or using such
equipment.
(iii) Telecommunications or video surveillance equipment or services produced or provided by an
entity that the Secretary of Defense, in consultation with the Director of the National Intelligence
or the Director of the Federal Bureau of Investigation, reasonably believes to be an entity owned
or controlled by, or otherwise connected to, the government of a covered foreign country.
7.00.05 Domestic Preferences for Procurements
In accordance with 2 CFR § 200.322 Domestic preferences for procurements.
(a) As appropriate and to the extent consistent with law, the non-Federal entity should, to the
greatest extent practicable under a Federal award, provide a preference for the purchase,
acquisition, or use of goods, products, or materials produced in the United States (including but
not limited to iron, aluminum, steel, cement, and other manufactured products). The requirements
Document Description Page 22
of this section must be included in all subawards including all contracts and purchase orders for
work or products under this award.
(b) For purposes of this section:
(1) “Produced in the United States” means, for iron and steel products, that all manufacturing
processes, from the initial melting stage through the application of coatings, occurred in the
United States.
(2) “Manufactured products” means items and construction materials composed in whole or in
part of non-ferrous metals such as aluminum; plastics and polymer-based products such as
polyvinyl chloride pipe; aggregates such as concrete; glass, including optical fiber; and lumber.
7.00.06 Procurement of Recovered Materials
In accordance with 2 CFR § 200.323 Procurement of recovered materials.
A non-Federal entity that is a state agency or agency of a political subdivision of a state and its
contractors must comply with section 6002 of the Solid Waste Disposal Act, as amended by the
Resource Conservation and Recovery Act. The requirements of Section 6002 include procuring
only items designated in guidelines of the Environmental Protection Agency (EPA) at 40 CFR
part 247 that contain the highest percentage of recovered materials practicable, consistent with
maintaining a satisfactory level of competition, where the purchase price of the item exceeds
$10,000 or the value of the quantity acquired during the preceding fiscal year exceeded $10,000;
procuring solid waste management services in a manner that maximizes energy and resource
recovery; and establishing an affirmative procurement program for procurement of recovered
materials identified in the EPA guidelines.
Endnotes
Document Description Page 23
Whereas, the first party, the state agency, has concluded that either state personnel are not available to
perform said function, or it would not be feasible to utilize state personnel to perform said function; and
Whereas, the second party, the Contractor, is available and qualified to perform such function; and
Whereas, for the abovementioned reasons, the state agency desires to avail itself of the services of the
second party;
NOW THEREFORE, the following terms and conditions are applicable to this contract:
KRS 45A.695(7) provides that payments on personal service contracts and memoranda of agreement shall
not be authorized for services rendered after government contract review committee disapproval, unless
the decision of the committee is overridden by the Secretary of the Finance and Administration Cabinet or
agency head, if the agency has been granted delegation authority by the Secretary.
2.00 Renewals:
Upon expiration of the initial term, the contract may be renewed in accordance with the terms and conditions
in the original solicitation. Renewal shall be subject to prior approval from the Secretary of the Finance and
Administration Cabinet or his authorized designee and the LRC Government Contract Review Committee
in accordance with KRS 45A.695 and KRS 45A.705, and contingent upon available funding.
6.00 Cancellation:
The Commonwealth shall have the right to terminate and cancel this contract at any time not to exceed
thirty (30) days' written notice served on the Contractor by registered or certified mail.
7.00 Funding Out Provision:
The state agency may terminate this contract if funds are not appropriated to the contracting agency or are
not otherwise available for the purpose of making payments without incurring any obligation for payment
after the date of termination, regardless of the terms of the contract. The state agency shall provide the
Contractor thirty (30) calendar days’ written notice of termination of the contract due to lack of available
funding.
Document Description Page 24
For all foreign entities required to obtain a certificate of authority to transact business in the
Commonwealth, if a copy of the certificate is not received by the contracting agency within the time
frame identified above, the foreign entity’s solicitation response shall be deemed non-responsive
or the awarded contract shall be cancelled.
Pursuant to KRS 45A.695, no payment shall be made on any personal service contract unless
the individual, firm, partnership, or corporation awarded the personal service contract submits its
invoice for payment on a form established by the committee.
*Invoice form is available on the Legislative Research Commission, Government Contract Review
Committee website: https://apps.legislature.ky.gov/moreinfo/Contracts/homepage.html
The Contractor shall be reimbursed for no other expenses of any kind, unless and except as specifically
authorized within the specifications of this contract or authorized in advance and in writing by the
Commonwealth.
If the reimbursement of such expenses is authorized, the reimbursement shall be only on an out-of-pocket
basis. Request for payment of same shall be processed upon receipt from the Contractor of valid, itemized
statements submitted periodically for payment at the time any fees are due. The Contractor shall maintain
supporting documents that substantiate every claim for expenses and shall furnish same if requested by
the Commonwealth.
17.00 Protest:
Pursuant to KRS 45A.285, the Secretary of the Finance and Administration Cabinet, or his designee, shall
have authority to determine protests and other controversies of actual or prospective vendors in connection
with the solicitation or selection for award of a contract.
Any actual or prospective vendor, who is aggrieved in connection with the solicitation or selection for award
of a contract, may file protest with the Secretary of the Finance and Administration Cabinet. A protest or
notice of other controversy must be filed promptly and, in any event, within two (2) calendar weeks after
Document Description Page 26
such aggrieved person knows or should have known of the facts giving rise thereto. All protests or notices
of other controversies must be in writing and shall be addressed to:
_____ The parties are cognizant that the state is not liable for social security contributions, pursuant to 42
U.S. Code, section 418, relative to the compensation of the second party for this contract.
_____ The parties are cognizant that the state is liable for social security contributions, pursuant to 42 U.S.
Code, section 418, relative to the compensation of the second party for this contract.
To comply with the provisions of KRS 45A.485, the Contractor and all subcontractors performing work
under the contract shall report any such final determination(s) of violation(s) to the Commonwealth by
providing the following information regarding the final determination(s): the KRS violated, the date of the
final determination, and the state agency which issued the final determination.
KRS 45A.485 also provides that, for the duration of any contract, the Contractor and all subcontractors
performing work under the contract shall be in continuous compliance with the provisions of those statutes,
which apply to their operations, and that their failure to reveal a final determination, as described above,
or failure to comply with the above statutes for the duration of the contract, shall be grounds for the
Commonwealth's cancellation of the contract and their disqualification from eligibility for future state
contracts for a period of two (2) years.
______ The Contractor has violated the provisions of one or more of the above statutes within the previous
five (5) year period and has revealed such final determination(s) of violation(s). Attached is a list of such
determination(s), which includes the KRS violated, the date of the final determination, and the state agency
which issued the final determination.
20.00 Discrimination:
Document Description Page 27
This section applies only to contracts disbursing federal funds, in whole or part, when the terms for receiving
those funds mandate its inclusion. Discrimination (because of race, religion, color, national origin, sex,
sexual orientation, gender identity, age, or disability) is prohibited. During the performance of this contract,
the Contractor agrees as follows:
The Contractor will not discriminate against any employee or applicant for employment because of
race, religion, color, national origin, sex, sexual orientation, gender identity or age. The Contractor further
agrees to comply with the provisions of the Americans with Disabilities Act (ADA), Public Law 101-336,
and applicable federal regulations relating thereto prohibiting discrimination against otherwise qualified
disabled individuals under any program or activity. The Contractor agrees to provide, upon request, needed
reasonable accommodations. The Contractor will take affirmative action to ensure that applicants are
employed and that employees are treated during employment without regard to their race, religion, color,
national origin, sex, sexual orientation, gender identity, age or disability. Such action shall include, but
not be limited to the following: employment, upgrading, demotion or transfer; recruitment or recruitment
advertising; layoff or termination; rates of pay or other forms of compensations; and selection for training,
including apprenticeship. The Contractor agrees to post in conspicuous places, available to employees and
applicants for employment, notices setting forth the provisions of this non-discrimination clause.
In all solicitations or advertisements for employees placed by or on behalf of the Contractor, the Contractor
will state that all qualified applicants will receive consideration for employment without regard to race,
religion, color, national origin, sex, sexual orientation, gender identity, age or disability.
The Contractor will send to each labor union or representative of workers with which he/she has a collective
bargaining agreement or other contract or understanding a notice advising the said labor union or workers'
representative of the Contractor's commitments under this section and shall post copies of the notice in
conspicuous places available to employees and applicants for employment. The Contractor will take such
action with respect to any subcontract or purchase order as the administering agency may direct as a means
of enforcing such provisions, including sanctions for noncompliance.
The Contractor will comply with all provisions of Executive Order No. 11246 of September 24, 1965, as
amended, and of the rules, regulations and relevant orders of the Secretary of Labor.
The Contractor will furnish all information and reports required by Executive Order No. 11246 of September
24, 1965, as amended, and by the rules, regulations and orders of the Secretary of Labor, or pursuant
thereto, and will permit access to his/her books, records and accounts by the administering agency and
the Secretary of Labor for purposes of investigation to ascertain compliance with such rules, regulations
and orders.
In the event of the Contractor's noncompliance with the nondiscrimination clauses of this contract or with
any of the said rules, regulations or orders, this contract may be cancelled, terminated or suspended in
whole or in part, and the Contractor may be declared ineligible for further government contracts or federally-
assisted construction contracts in accordance with procedures authorized in Executive Order No. 11246 of
September 24, 1965, as amended, and such other sanctions that may be imposed and remedies invoked
as provided in or as otherwise provided by law.
The Contractor will include the provisions of paragraphs (1) through (7) of section 202 of Executive Order
11246 in every subcontract or purchase order unless exempted by rules, regulations or orders of the
Secretary of Labor, issued pursuant to section 204 of Executive Order No. 11246 of September 24, 1965,
as amended, so that such provisions will be binding upon each subcontractor or vendor. The Contractor
will take such action with respect to any subcontract or purchase order as the administering agency may
direct as a means of enforcing such provisions including sanctions for noncompliance; provided, however,
that in the event a Contractor becomes involved in, or is threatened with, litigation with a subcontractor or
vendor as a result of such direction by the agency, the Contractor may request the United States to enter
into such litigation to protect the interests of the United States.
Document Description Page 28
Approvals
This contract is subject to the terms and conditions stated herein. By affixing signatures below, the parties
verify that they are authorized to enter into this contract and that they accept and consent to be bound
by the terms and conditions stated herein. In addition, the parties agree that (i) electronic approvals may
serve as electronic signatures, and (ii) this contract may be executed in any number of counterparts, each
of which when executed and delivered shall constitute a duplicate original, but all counterparts together
shall constitute a single contract.
/Cab_Sig/ /Cab_Title/
Signature Title
/Cab_Name/ /Cab_Date/
Printed Name Date
Contractor Approval:
/Cont_Sig/ /Cont_Title/
Signature Title
/Cont_Name/ /Cont_Date/
Printed Name Date
/Dept_Sig/ /Dept_Title/
Signature Title
/Dept_Name/ /Dept_Date/
Printed Name Date
/Att_Sig/
Attorney
/Att_Date/
Date