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FORMS

Instructions for State of CT Ethics forms and Resolutions

Form 1- Gift Affidavit

Form 5- Consulting Agreement

Form 6- Affirmation of State Ethics

Nondiscrimination Certification-Corporate

Nondiscrimination Certification-Individual

Request for Information Form (RFI)

SEEC Form 11

Sole Source Justification

Corporate Resolutions and Guidelines

Sole Member/LLC

Sample2 - LLC

Sample3 - LLC

Certified Resolution - Sample 1

Certified Resolution - Sample 2

Certified Resolution - Sample 3

 

RESOURCES

State of CT Terms & Conditions
Office of Policy & Management-Ethics Affidavits and Certifications
Office of the Attorney General
State Elections Enforcement Committee (SEEC)
Chapter 55c-Large State Contracts Statue

 

ETHICS AFFIDAVITS and CERTIFICATION FORMS MATRIX

When to SUBMIT

Signed by AGENCY

Signed by CONTRACTOR

ALL Contracts cost or value $50k > or more

LARGE Contracts cost $500k > or more

Submit form with bid or proposal

 

  Form 5*

Form 6 **

Submit form  at time of contract execution

Form 3

Form 1

   Form 5 *

Form 6**

Submit form after contract execution

 

 

 Form 6 **

Submit form ANNUALLY if multi-year contract

 

Form 1

 

Submit form  at time of contract execution

 

Corporate Resolution

Corporate Resolution

Submit form  at time of contract execution

 

Non-Discrimination Form

Non-Discrimination Form

Notice included in contract

 

SEEC Form 11-Notice

SEEC Form 11-Notice

Form 5* is normally submitted by the contractor to the awarding State agency with the bid or proposal.  However, for a sole source or no bid contract, it is submitted at the time of contract execution.

Form 6** is normally submitted by the contractor to the awarding State agency with the bid or proposal.  However, for a sole source or no bid contract, Form 6 is submitted at the time of contract execution.  When applicable, Form 6 is also used by a subcontractor or consultant of the contractor.  The subcontractor or consultant submits the form to the contractor, who then submits it to the awarding State agency.  Depending on when the contractor engages the subcontractor or consultant, the contractor either submits the form at the time of contract execution or after contract execution.