"Contract and Grant Disclosure and Certification Form: Submission Requirement Checklist" - Arkansas

Contract and Grant Disclosure and Certification Form: Submission Requirement Checklist is a legal document that was released by the Arkansas Department of Transformation and Shared Services - a government authority operating within Arkansas.

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DEPARTMENT OF TRANSFORMATION AND SHARED SERVICES
Office of State Procurement
Contract and Grant Disclosure and Certification Form:
Submission Requirement Checklist
Use the checklist below to decide if you need to submit a Contract and Grant Disclosure and Certification
Form to OSP for Legal review under EO-98-04. This checklist is for agency use only. Do not submit this
checklist to OSP.
1. Is the initial contract amount for the contract, lease, purchase agreement, or grant less than
$10,000?
Yes. Do not submit a Contract and Grant Disclosure and Certification Form.
No. Answer question two.
2. Is the contracting agency exempt from Arkansas Procurement Law? §19-11-203 states the
following definition:
(13) "Exempt agencies" means the constitutional departments of the state, the elected constitutional
offices of the state, the General Assembly, including the Legislative Council and the Legislative
Joint Auditing Committee and supporting agencies and bureaus thereof, the Arkansas Supreme
Court, the Court of Appeals, circuit courts, prosecuting attorneys, and the Administrative Office of
the Courts.
Yes. Do not submit a Contract and Grant Disclosure and Certification Form.
No. Answer question three.
If you answer yes to any of questions 3 – 6, please disclose for OSP Legal review. If answers for
questions 3 – 6 are all no, there is no need for disclosure or OSP Legal review.
3. Is the employee (self, spouse, immediate family member) desiring to contract with a state agency a
current or former state employee?
STATE EMPLOYEE shall mean any employee of any state agency. This does not include
disclosure or approval of work-study positions for students at universities, hospitals, etc.
FORMER STATE EMPLOYEE shall mean any person who was a state employee of any state
agency within two years prior to entering into any contract with or receiving any grant awarded by a
state agency.
Yes. Submit a Contract and Grant Disclosure and Certification Form for OSP Legal review.
No, not within the last two years. Answer question four.
5/10/2018
Page 1 of 2
DEPARTMENT OF TRANSFORMATION AND SHARED SERVICES
Office of State Procurement
Contract and Grant Disclosure and Certification Form:
Submission Requirement Checklist
Use the checklist below to decide if you need to submit a Contract and Grant Disclosure and Certification
Form to OSP for Legal review under EO-98-04. This checklist is for agency use only. Do not submit this
checklist to OSP.
1. Is the initial contract amount for the contract, lease, purchase agreement, or grant less than
$10,000?
Yes. Do not submit a Contract and Grant Disclosure and Certification Form.
No. Answer question two.
2. Is the contracting agency exempt from Arkansas Procurement Law? §19-11-203 states the
following definition:
(13) "Exempt agencies" means the constitutional departments of the state, the elected constitutional
offices of the state, the General Assembly, including the Legislative Council and the Legislative
Joint Auditing Committee and supporting agencies and bureaus thereof, the Arkansas Supreme
Court, the Court of Appeals, circuit courts, prosecuting attorneys, and the Administrative Office of
the Courts.
Yes. Do not submit a Contract and Grant Disclosure and Certification Form.
No. Answer question three.
If you answer yes to any of questions 3 – 6, please disclose for OSP Legal review. If answers for
questions 3 – 6 are all no, there is no need for disclosure or OSP Legal review.
3. Is the employee (self, spouse, immediate family member) desiring to contract with a state agency a
current or former state employee?
STATE EMPLOYEE shall mean any employee of any state agency. This does not include
disclosure or approval of work-study positions for students at universities, hospitals, etc.
FORMER STATE EMPLOYEE shall mean any person who was a state employee of any state
agency within two years prior to entering into any contract with or receiving any grant awarded by a
state agency.
Yes. Submit a Contract and Grant Disclosure and Certification Form for OSP Legal review.
No, not within the last two years. Answer question four.
5/10/2018
Page 1 of 2
4. Is the Board or Commission Member (self, spouse, immediate family member) desiring to contract
with a state agency a current or former Board or Commission Member?
BOARD OR COMMISSION MEMBER shall mean any person who is an appointed member of a state
board or commission, whether appointed by a member of the legislative, executive, or judicial branches of
government, or otherwise.
FORMER BOARD OR COMMISSION MEMBER shall mean any person who was a board or commission
member within two years prior to entering into any contract with or receiving any grant awarded by a state
agency.
Yes. Submit a Contract and Grant Disclosure and Certification Form for OSP Legal review.
No, not within the last two years. Answer question five.
5. Is the Member of the General Assembly (self, spouse, immediate family member) desiring to contract
with a state agency a current or former Member of the General Assembly?
MEMBERS OF THE GENERAL ASSEMBLY shall mean member(s) of the Arkansas House of
Representatives or of the Arkansas Senate.
FORMER MEMBER OF THE GENERAL ASSEMBLY shall mean any person who was a member of the
General Assembly within two years prior to entering into any contract with or receiving any grant awarded
by a state agency.
Yes. Submit a Contract and Grant Disclosure and Certification Form for OSP Legal review.
No, not within the last two years. Answer question six.
6. Is the Constitutional Officer (self, spouse, immediate family member) desiring to contract with a state
agency a current or former Constitutional Officer?
CONSTITUTIONAL OFFICER shall mean Governor, Lieutenant Governor, Secretary of State, Treasurer
of State, Attorney General, Commissioner of State Lands, and Auditor of State.
FORMER CONSTITUTIONAL OFFICER shall mean any person who was a Constitutional Officer within
two years prior to entering into any contract with or receiving any grant awarded by a state agency.
Yes. Submit a Contract and Grant Disclosure and Certification Form for OSP Legal review.
No, not within the last two years.
If answers for all of questions 3 – 6 are no, there is no need for disclosure or OSP Legal review. If you
answer yes to any of questions 3 – 6, disclose for OSP Legal review.
5/10/2018
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