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Contract Documents • August 9th, 2019

EXHIBIT CCSOC Pre Award DocumentsRequired to Be Submitted with a Response to an OOH RFP Rev. 9-17-18  CONTRACT DOCUMENTS TO BE SUBMITTED ONCE WITH THE RESPONSE: 1 Standard Language Document (SLD) (signed/dated) [Version: Rev. June 6, 2014] Form: http://www.nj.gov/dcf/documents/contract/forms/StandardLanguage.doc 2 Business Associate Agreement/HIPAA (signed/dated under Business Associate) [Version: Rev. 9-2013]Form: http://www.nj.gov/dcf/providers/contracting/forms/HIPAA.doc 3 Dated List of Names, Titles, Emails, Phone Numbers, Addresses and Terms of Board of Directors--or-- Managing Partners, if an LLC or Partnership --or-- Chosen Freeholders of Responsible Governing Body 4 Disclosure of Investigations and Other Actions Involving Bidder Form (PDF) (signed/dated) Website: http://www.state.nj.us/treasury/purchase/forms.shtml [Version 6-18-18]Form: http://www.state.nj.us/treasury/purchase/forms/DisclosureofInvestigations.pdf 5 Disclosure of Investment Activities in Iran (PDF)

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