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    2004 CSB CONTRACT COMPLIANCE

AGENCY CHECK-OFF LIST

 Agency: 

 Please submit the items checked on this list by 6.25.04.

              Agency Financial Information

 _____1.  Annual Audit with Management Letter

 _____2.  990 with Schedules

              Required Legal Documents

 _____1.  City of Columbus Registration

 _____2.  City of Columbus Solicitation Permit

 _____3.  Secretary of State Registration as Ohio Not-For-Profit

 _____4.  Registration with the Ohio Attorney General

              Agency Policies and Procedures

 _____ 1.  Salary Schedule, employee benefits and compensation

 _____ 2.  Job descriptions

 _____ 3.  Procurement Policy

 _____ 4.  Clients’ rights and grievances

 _____ 5.  Equal Employment Opportunity

 _____ 6.  Client admissions, services and terminations

 _____ 7.  Americans with Disabilities Act

 _____ 8.  Conflict of Interest Policy

 _____ 9.  Nepotism Policy

 _____10.  Drug Free Workplace Policy

              Certificate of Insurance

 _____1.  General Liability

 _____2.  Directors and Officers (optional)

 _____3.  Bureau of Worker’s Compensation

 

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