CONTRACT COMPLIANCE CHECKLIST and TIME FRAMES (This document may not be inclusive of all Contract requirements – additional lines may be added as needed) AGENCY CONTROL #: SSA/RCC-13-001-S ATTACHMENT: O SOLICITATION TITLE: RESIDENTIAL CHILD CARE START-UP ACTIVITIES Activity Contract Affidavit (Attachment C) (Section 2.17) MBE Outreach Efforts Compliance Statement (Attachment G) (Section 2.33) MBE Subcontractor Project Participation Certification (Attachment H) (Section 2.33) Certificates of Insurance (Section 2.35) Hiring Agreement (Attachment N) (Section 2.41) Post Award Orientation Conference (Section 3.7) Time Frame Evidence of Completion Evidence Received/Approved By Procurement Officer Within ten (10) work days after recommended award Completed & Signed Affidavit Within 10 working days from notification of recommendation for award Completed & Signed Statement Procurement Officer Within 10 working days from notification of recommendation for award Completed & Signed Certification Procurement Officer Within 10 working days from notification of recommendation for award Within ten (10) business days from notification of recommendation for award Within 2 weeks after BPW approval of the Contract Current Certificate of Insurance meeting all limit requirements Completed & Signed Agreement Procurement officer Schedule & Conduct 1 Statewide Meeting (sign-in sheets from meeting) 1 Procurement Officer State Project Manager and SSA Contracts Unit Date Received / Initials CONTRACT COMPLIANCE CHECKLIST and TIME FRAMES (This document may not be inclusive of all Contract requirements – additional lines may be added as needed) FULL PERFORMANCE ACTIVITIES – DAILY On demand/As required by Service Provided Scheduled and unscheduled site visits Evidence Received/Approved By State Project Manager and SSA Contracts Unit On demand/As required by Service Provided Scheduled and unscheduled site visits State Project Manager and SSA Contracts Unit Quarterly Performance Reports State Project Manager and SSA Contracts Unit Activity Daily Scope of Work Activities as listed in Section 3.4 Daily Scope of Work Activities as listed in Section 3.4.1 Performance Requirements as listed in Sections 3.4.2 Time Frame As Required Evidence of Completion Date Completed / Initials REPORTS Report Requirements / Section Revised Maintenance Payment Statement (Attachment S) (Section 2.25) Individual Service/Treatment Plans (Section __) Results of CANS Assessment (Section __) For Contractors providing DETP Programs only: Diagnostic Assessment (Section __) CANS Assessment (Section __) For Contractors providing Psychiatric Respite Programs only: CON Time Frame Due five (5) business days after receipt Report Sent To Appropriate LDSS staff Due thirty (30) business days after placement and every ninety (90) business days thereafter. Due thirty (30) business days after placement and every ninety (90) business days thereafter Due sixty (60) business days from date of placement LDSS Case Worker Within the first 30 days of admission of a child, every 3 months after initial assessment and upon discharge. Due at discharge, for a residential treatment center bound child LDSS Case Worker 2 LDSS Case Worker LDSS Case Worker LDSS Case Worker Date Received / Initials CONTRACT COMPLIANCE CHECKLIST and TIME FRAMES (This document may not be inclusive of all Contract requirements – additional lines may be added as needed) Documentation (Section __) For Contractors providing Psychiatric Respite Programs only: Respite Census Report (Section __) Purchase of Residential Care Attendance Sheet (Attachment W) (Section __) Annual Financial Audits (Section __) DHR Private Contractor Annual Report (Attachment Y) (Section __) Current Certificates of Insurance (Section __) Prime Contractor Unpaid MBE Invoice Report (Attachment J) (Section __) Report Requirements / Section Subcontractor Payment Invoice Report (Attachment K) (Section __) Quarterly Report of Economic Benefits Attained (see Section 4.2 K) Ad Hoc/Miscellaneous Reports (Section __) Certificates of Insurance (Section 2.35) On the 2nd and 4th Friday each month DHR/SSA Resource Development Placement and Support Services Unit By the 10th of each month for the previous month’s attendance DHR’s electronic email box at MDRehab@dhr.state.md.us or as may be directed. On or before December 2nd of each year, following the end of the contract year Due on or before December 2nd of each year, following the end of the contract year Due at each Contract anniversary date including option periods, if exercised. Due by the 15th of the month following the report month. REPORTS (Cont’d) OIG and SSA Administrative Specialist State Project Manager Time Frame Report Sent To Due by the 15th of the month following the report month. Due by the 15th of the month following the end of the report quarter. Contractors may be required on an annual basis to submit approximately four (4) ad hoc/miscellaneous reports At each Contract anniversary date during the Contract period or as directed by the State State Project Manager and DHR’s MBE Liaison State Project Manager 3 State Project Manager State Project Manager and DHR’s MBE Liaison State Project Manager and the Requestor State Project Manager Date Received / Initials CONTRACT COMPLIANCE CHECKLIST and TIME FRAMES (This document may not be inclusive of all Contract requirements – additional lines may be added as needed) MEETINGS Meeting Requirement / Section Post-Award Orientation Conference (Section 3.7) Frequency of Meeting Location of Meeting One (1) time only TBD Length of Meeting TBD Date Meeting Held / Initials CONTRACT CLOSE OUT Activity Time Frame TBD Transfer of any child placed with the Contractor to another Contractor Due five (5) business days Revised Maintenance after receipt Payment Statement (Attachment S) (Section 2.25) Evidence of Completion TBD Appropriate LDSS staff 4 Evidence Completed/Approved By LDSS Case Worker, State Project Manager and SSA Contracts Unit Status in MD CHESSIE Date Completed / Initials