In the realm of regulatory compliance and contract management, the Certificate of No Change form serves as a critical tool for entities doing business with the City of New York. This document mandates the thorough and accurate completion of every field, underscoring the importance of providing complete and truthful information at all times. The requirement to submit two original forms—copies are unequivocally rejected—emphasizes the form's significance in maintaining up-to-date and accurate records. Entities are instructed to direct these forms to the agency that requested the document, with a possible diversion to the Mayor’s Office of Contract Services (MOCS) if specifically instructed. The stipulations of the form are clear: any materially false statement, whether willful or fraudulent, not only jeopardizes the entity’s eligibility for contract awards but also exposes individuals to potential criminal charges, highlighting the legal implications of misinformation. The form acts as a declaration by the submitting vendor that all information provided in the vendor and principal questionnaires remains unchanged and accurate to the best of their knowledge and belief. Moreover, the emphasis on notarization underscores the formal verification process, ensuring that the declarations made are not only official but also legally binding. It is a clear indicator of the City's reliance on this certification as an additional layer of assurance in their decision to enter into contracts, reflecting the intertwined nature of transparency, accountability, and legitimacy in municipal contracting processes.
| Question | Answer |
|---|---|
| Form Name | Certificate Of No Change Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | no change form, certificate of no change form, certificate of no form, of no change |
Certificate of No Change Form
•Please fill in all the fields and DO NOT leave any field blank.
•Please submit two completed forms. Copies will not be accepted.
•Please send both copies to the agency that requested it, unless you are advised to send it directly to the Mayor’s Office of Contract Services (MOCS).
•A materially false statement willfully or fraudulently made in connection with this certification, and/or the failure to conduct appropriate due diligence in verifying the information that is the subject of this certification, may result in rendering the submitting entity
•A materially false statement willfully or fraudulently made in connection with this certification may subject the person making the false statement to criminal charges
I, _____________________________________________, being duly sworn, state that I have read
Enter Your Name
and understand all the items contained in the vendor questionnaire and any submission of change as identified on page one of this form and certify that as of this date, these items have not changed. I further certify that, to the best of my knowledge, information and belief, those answers are full, complete, and accurate; and that, to the best of my knowledge, information, and belief, those answers continue to be full, complete, and accurate.
In addition, I further certify on behalf of the submitting vendor that the information contained in the principal questionnaire(s) and any submission of change identified on page two of this form have not changed and have been verified and continue, to the best of my knowledge, to be full, complete and accurate.
I understand that the City of New York will rely on the information supplied in this certification as additional inducement to enter into a contract with the submitting entity.
Vendor Questionnaire This section is required.
This refers to the vendor questionnaire(s) submitted for the vendor doing business with the City.
Name of Submitting Entity: ________________________________________________________
Vendor’s Address: ________________________________________________________________
Vendor’s EIN or TIN: _____________________ Requesting Agency: ________________________
Are you submitting this Certification as a parent? (Please circle one) Yes No
Signature date on the last full vendor questionnaire signed by the submitting vendor: ___________
Signature date on changed submission, if applicable, for the submitting vendor: _______________
Mayor’s Office of Contract Services |
1 |
253 Broadway, 9th Floor New York, NY 10007 |
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Phone: 212 788 0018 Fax: 212 788 0049 |
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Principal Questionnaire
This section refers to the most recent principal questionnaire submissions.
|
Date of signature |
Date(s) of signature on |
Principal Name |
on last full Principal |
Changed Submission |
|
Questionnaire |
(if applicable) |
1
2
3
4
5
6
Check if additional changes were submitted and attach a document with the date of additional submissions.
Certification This section is required.
This form must be signed and notarized. Please complete this twice. Copies will not be accepted.
Certified By:
____________________________________________________________________________
Name (Print)
____________________________________________________________________________
Title
____________________________________________________________________________
Name of Submitting Entity
____________________________________________________________ ______________
Signature |
|
Date |
Notarized By: |
|
|
______________________________ |
____________________ |
____________________ |
Notary Public |
County License Issued |
License Number |
Sworn to before me on: ________________________ |
|
|
Date |
|
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Mayor’s Office of Contract Services |
2 |
|
253 Broadway, 9th Floor New York, NY 10007 |
||
Phone: 212 788 0018 Fax: 212 788 0049 |
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