Forms & Descriptions   Summary Chart   Definitions   Other Notes

This certification accompanies a State contract with a value of $50,000 or more in a calendar or fiscal year.  The completed form is submitted by the contractor to the awarding State agency at the time of contract execution.  The form is also used with a multi-year contract to update the initial certification on an annual basis.

Form 2. Rescinded on 01-Aug-07.  Use Form 1.

Form 3. Certification of State Agency Official or Employee Authorized to Execute Contract   
Rev. 08-01-07   Adobe.pdf   Word.doc

This certification accompanies a State contract with a value of $50,000 or more in a calendar or fiscal year.  The completed form is signed at the time of contract execution by the State agency official or employee authorized to execute the contract on behalf of the awarding State agency.

Form 4. Rescinded on 01-Aug-07.  Use Form 1.

Form 5. Consulting Agreement Affidavit   
Rev. 10-31-07   Adobe.pdf   Word.doc

This affidavit accompanies a State contract for the purchase of goods or services with a value of $50,000 or more in a calendar or fiscal year.  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.

This affirmation accompanies a large State construction contract or a large State procurement contract with a cost of more than $500,000.  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.

Forms 6A, 6B, 6C.  Rescinded on 01-Aug-07.  Use Form 6.

• Cost of the contract means the dollar amount (or equivalent benefit) expended by the State in accordance with the contract.

Example:

 

OPM entered into a contract with Servus Management Corporation to manage the State office complex located at 410-474 Capitol Avenue in Hartford.  OPM pays the contractor a specified amount of money for this service.  This contract represents a cost expended by the State.

• Value of the contract means the dollar amount (or equivalent benefit) expended or received by the State in accordance with the contract. 

Example:

 

OPM entered into an agreement with Pinpoint Power whereby, in the event of a power shortage, certain State agencies may be asked to use their own emergency generators.  In exchange, the contractor pays the State a specified amount of money to compensate for the service interruption.  This contract represents a value received by the State.

• Large state construction contract or large procurement contract means any contract, having a cost of more than $500,000 for (A) the remodeling, alteration, repair or enlargement of any real asset, (B) the construction, alteration, reconstruction, improvement, relocation, widening or changing of the grade of a section of a state highway or a bridge, (C) the purchase or lease of supplies, materials or equipment, as defined in section 4a-50, or (D) the construction, reconstruction, alteration, remodeling, repair or demolition of any public building.