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https://omers.results.highbond.com/questionnaire_responses/DNWnWqH6C61yS1WyGNsy/edit
Submission: On January 12 via manual from CA — Scanned from CA
Submission: On January 12 via manual from CA — Scanned from CA
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1 forms found in the DOMPOST https://omers.results.highbond.com/questionnaire_responses/DNWnWqH6C61yS1WyGNsy/edit
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<div class="acl_questionnaire-header">
<h1 data-pka-anchor="heading" class="Headingstyles__Heading-sc-1l2r6np-1 ecknBe acl_questionnaire-header__heading" data-qa-anchor="questionnaire-header">
<div class="acl_questionnaire-header-title">Q4 2023 ICP Questionnaire</div>
<div class="acl_questionnaire-header-company">OMERS</div>
</h1>
</div>
<div class="acl_questionnaire-notifications"></div>
<div data-qa-anchor="questionnaire-wrapper" class="acl_questionnaire-wrapper">
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<div class="sidebar-info-section">
<h2 data-pka-anchor="heading" class="Headingstyles__Heading-sc-1l2r6np-1 iAAcQp sidebar-info-section__heading">Instructions</h2>
<div data-pka-anchor="collapsible-text"><span data-pka-anchor="collapsible-text.content" id="891cd860-fe11-49ae-b1b0-70dd62a75e79">
<div class="acl_questionnaire-info-description acl_questionnaire__instructions">
<p><strong><u>OMERS INTERNAL CONTROLS PROGRAM ('ICP')</u></strong></p>
<p>I hereby certify that to the best of my knowledge and belief for the quarter ending December 31, 2023:</p>
<p><br></p>
<p><strong>* Material Financial Information: </strong>Relates to... </p>
</div>
</span><span class="CollapsibleTextstyles__Toggle-sc-1gzbfde-0 bSfQgm"><span data-pka-anchor="button" tabindex="0" aria-label="collapsibleText.more_about: Instructions" aria-controls="891cd860-fe11-49ae-b1b0-70dd62a75e79"
aria-expanded="false" kind="link" role="button" class="RawButtonstyles__RawButton-sc-1jqcbbw-0 iWPHmY Buttonstyles__Button-ru6wp6-0 elKYkG" aria-disabled="false">Show more</span></span></div>
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<div class="sidebar-info-section acl_questionnaire_supporting_files">
<h2 data-pka-anchor="heading" class="Headingstyles__Heading-sc-1l2r6np-1 iAAcQp sidebar-info-section__heading">Related files</h2>
<ul class="acl_questionnaire_supporting_files-files">
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role="button" aria-disabled="false"><span class="Pillstyles__PillText-sc-38nkz1-2 cehRwP">New</span></span></div>
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<li>
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<div data-pka-anchor="popover" class="Popoverstyles__Popover-sc-1lyt872-0 lnhWtU"><span data-pka-anchor="raw-button" tabindex="0" class="RawButtonstyles__RawButton-sc-1jqcbbw-0 iWPHmY Pillstyles__RawButtonPill-sc-38nkz1-1 kQBFEI"
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</li>
<li>
<a href="https://omers.projects.highbond.com/secure/certifications/ebb13cc8-5de9-46c5-8177-4aaaebfdd873/attachments/11329869/download" class="results-file" target="_self"><svg width="24px" height="1em" viewBox="0 0 480 480" focusable="false" data-wbi-icon="true" aria-hidden="true" class="Attachment___StyledSvg-sc-13r7vh3-0 fSGZIP" style="color: rgb(113, 113, 113);"><path fill="currentColor" fill-rule="evenodd" d="M290.69 395.594L90.564 197.834C61.6 167.912 61.6 119.773 91.881 91.15c30.282-28.623 77.68-28.623 106.646 0L422.35 312.327 450 286.306 226.176 65.128C205.11 41.71 176.144 30 145.862 30 81.348 30 30 80.74 30 144.492c0 29.924 11.85 58.547 34.232 80.665l200.125 197.759c31.6 33.827 85.58 36.429 119.812 5.204s36.865-84.568 5.267-118.395l-3.95-3.903L184.044 105.46c-22.383-20.817-56.615-19.516-77.68 2.602-19.75 20.816-19.75 53.343 0 72.858l131.661 130.105 27.649-27.322-131.661-130.105c-6.584-6.505-5.267-16.913 0-22.117 6.583-6.506 15.799-6.506 22.382 0L356.52 329.24c18.433 18.215 18.433 46.838 0 65.053-9.216 9.107-21.065 14.311-32.915 14.311-11.85 0-23.699-3.903-32.915-13.01z"></path></svg>Laura_Kirsch-_Q4_only_RCM_(1).xlsx</a>
</li>
</ul>
</div>
<div class="questionnaire-details">
<h2 data-pka-anchor="heading" class="Headingstyles__Heading-sc-1l2r6np-1 fHRPYD">Progress and details</h2>
<div class="aclui-tabs" role="tablist"><span aria-selected="true" role="tab" aria-disabled="false" class="aclui-tab aclui-tabs__button is-active aclui-raw-button" tabindex="0"><span data-qa-anchor="aclui-raw-button__content"
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class="aclui-raw-button__content">Details</span></span></div>
<div class="sequential-cert-progress">
<div role="list" aria-label="Responses" data-pka-anchor="progress-accordion" class="ProgressAccordionstyles__Accordion-htkptl-0 cReDDm">
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<div class="ProgressAccordionstyles__ActiveItem-htkptl-2 dexoLV">
<div class="ProgressAccordionstyles__ActiveLabel-htkptl-3 hOoOGm">lkirsch@omers.com<span class="ProgressAccordionstyles__ActiveLabelText-htkptl-5 ixXHff">. active</span></div>
<div class="ProgressAccordionstyles__ActiveStatus-htkptl-4 gPluOJ">0 days idle</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="acl_questionnaire-content">
<h2 data-pka-anchor="heading" data-qa-anchor="questionnaire_page.heading" class="Headingstyles__Heading-sc-1l2r6np-1 fHRPYD" tabindex="-1">Questions page 1</h2>
<div class="acl_questionnaire-questions">
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<h3 data-pka-anchor="heading" class="Headingstyles__Heading-sc-1l2r6np-1 fNGGmw acl-question-wrapper__heading">
<div>1) The controls documented in the Risk and Control Matrix attached are accurate and pertain to my area of accountability and/or responsibility.</div>
</h3><span class="Label___StyledSpan-f770ng-1 clnGRh"> (required)</span>
</legend>
<div class="FormElementstyles__Sections-c4la3x-0 jJXIub">
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<h3 data-pka-anchor="heading" class="Headingstyles__Heading-sc-1l2r6np-1 fNGGmw acl-question-wrapper__heading">
<div>Please attach the updated Risk and Control Matrix below.</div>
</h3>
</label>
<div class="FormElementstyles__Sections-c4la3x-0 jJXIub">
<div data-pka-anchor="form-element.content"><span>
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</div>
</div>
<div></div>
</span><input type="hidden" name="questionnaire_response[answers_attributes][6983838][question_id]" value="6983838">
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<div class="acl-radioquestion">
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<h3 data-pka-anchor="heading" class="Headingstyles__Heading-sc-1l2r6np-1 fNGGmw acl-question-wrapper__heading">
<div>2) I have no updates regarding any significant changes within the processes and controls (i.e. people, process, technology, vendors, etc.) that pertain to my area of accountability and/or responsibility (current or future
changes), that may impact the design or operation of controls.</div>
</h3><span class="Label___StyledSpan-f770ng-1 clnGRh"> (required)</span>
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<div class="FormElementstyles__Sections-c4la3x-0 jJXIub">
<div data-pka-anchor="form-element.content">
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</div>
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<h3 data-pka-anchor="heading" class="Headingstyles__Heading-sc-1l2r6np-1 fNGGmw acl-question-wrapper__heading">
<div>
<p>3) I have no control breakdowns associated with the internal controls under my area of accountability and/or responsibility that I would need to self-identify. </p>
</div>
</h3><span class="Label___StyledSpan-f770ng-1 clnGRh"> (required)</span>
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<h3 data-pka-anchor="heading" class="Headingstyles__Heading-sc-1l2r6np-1 fNGGmw acl-question-wrapper__heading">
<div>4) I am not aware of any control issues resulting in erroneous “material financial information*”, as defined in the Financial Disclosure Policy. Note- The Financial Disclosure Policy and the definition of "material financial
information" can be found in the instruction panel to the left.</div>
</h3><span class="Label___StyledSpan-f770ng-1 clnGRh"> (required)</span>
</legend>
<div class="FormElementstyles__Sections-c4la3x-0 jJXIub">
<div data-pka-anchor="form-element.content">
<div role="radiogroup" aria-labelledby="" data-pka-anchor="radio.group" class="radio-question--radio-group">
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tabindex="0" type="radio" value="False - If false, please provide a brief explanation of the control issues in the text box below."><label class="" for="-p6XgxroR6RuSU5PJz6Io">False - If false, please provide a brief
explanation of the control issues in the text box below.<div class="radio-icon radio-solid-background" data-pka-anchor="radio.icon.check"></div></label></div>
<div data-pka-anchor="radio" data-qa-anchor="acl-radioquestion--radio" class="Radiostyles__Radio-sc-13b9zak-0 IgWdu"><input
aria-describedby="9230e57a-920a-47c8-afbf-4a3882271720 46f4fc1c-efaa-40b1-ba85-c5dfdb522327 87c111ec-e847-465e-8ebb-ae9ba60b29fb" id="cmL3uGfktj9AMHdDpwWcu" name="questionnaire_response[answers_attributes][6983841][value]"
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<h3 data-pka-anchor="heading" class="Headingstyles__Heading-sc-1l2r6np-1 fNGGmw acl-question-wrapper__heading">
<div>5) There is no known fraud or suspected fraud pertaining to my area of accountability and or responsibility as defined in the OMERS Anti-Fraud Framework, that has not previously been disclosed in accordance with the Framework.
</div>
</h3><span class="Label___StyledSpan-f770ng-1 clnGRh"> (required)</span>
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aria-describedby="89984351-5986-4bf9-8d54-f20fa64d615d 6de8667f-cedd-4abe-827d-0434cb8bbdac 37835db8-692c-4f3c-a1bf-50be5bc137d8" id="tIOvnQN324NIDKjIunQBv" name="questionnaire_response[answers_attributes][6983842][value]"
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tabindex="0" type="radio" value="Comment - If false, please disclose appropriately per the Framework."><label class="" for="Me9vkxHA47gOqGhubP4bN">Comment - If false, please disclose appropriately per the Framework.<div
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<div data-pka-anchor="radio" data-qa-anchor="acl-radioquestion--radio" class="Radiostyles__Radio-sc-13b9zak-0 IgWdu"><input
aria-describedby="89984351-5986-4bf9-8d54-f20fa64d615d 6de8667f-cedd-4abe-827d-0434cb8bbdac 37835db8-692c-4f3c-a1bf-50be5bc137d8" id="pKWnSICWYBB0yfYczWXyq" name="questionnaire_response[answers_attributes][6983842][value]"
tabindex="0" type="radio" value="N/A"><label class="" for="pKWnSICWYBB0yfYczWXyq">N/A<div class="radio-icon radio-solid-background" data-pka-anchor="radio.icon.check"></div></label></div>
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</div><input type="hidden" name="questionnaire_response[answers_attributes][6983842][question_id]" value="6983842">
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<div class="acl-radioquestion">
<div class="acl-question-wrapper ">
<fieldset data-qa-anchor="radio-question-form" class="FormElementstyles__FormElement-c4la3x-1 bMqJxu">
<legend data-pka-anchor="form-element.label" class="Label___StyledDiv-f770ng-0 dRBHXq">
<h3 data-pka-anchor="heading" class="Headingstyles__Heading-sc-1l2r6np-1 fNGGmw acl-question-wrapper__heading">
<div>6) I am on track to resolve the control issues / deviations as documented within the management action plans that pertain to my area of accountability and/or responsibility</div>
</h3><span class="Label___StyledSpan-f770ng-1 clnGRh"> (required)</span>
</legend>
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<div data-pka-anchor="form-element.content">
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<div data-pka-anchor="radio" data-qa-anchor="acl-radioquestion--radio" class="Radiostyles__Radio-sc-13b9zak-0 IgWdu"><input
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<div data-pka-anchor="radio" data-qa-anchor="acl-radioquestion--radio" class="Radiostyles__Radio-sc-13b9zak-0 IgWdu"><input
aria-describedby="e8cd89ab-fd9a-4da3-8549-574306871c17 c5ce8333-58e7-4309-a98f-27abb2501b3f ace0e9cb-8769-4dcd-aae7-39663d024473" id="-jxhZkuGOvTqW-iJ_5uAW" name="questionnaire_response[answers_attributes][6983843][value]"
tabindex="0" type="radio" value="False - Please provide the revised action items and/or due date from the original management action plan in the textbox section below."><label class="" for="-jxhZkuGOvTqW-iJ_5uAW">False -
Please provide the revised action items and/or due date from the original management action plan in the textbox section below.<div class="radio-icon radio-solid-background" data-pka-anchor="radio.icon.check"></div></label>
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<div class="acl-question-wrapper ">
<div data-qa-anchor="oneline-text-question-form" class="FormElementstyles__FormElement-c4la3x-1 bMqJxu"><label data-pka-anchor="form-element.label" for="fbd781a5-e4bc-45ee-b4a0-a1d852ca42ea" class="Label___StyledDiv-f770ng-0 dRBHXq">
<h3 data-pka-anchor="heading" class="Headingstyles__Heading-sc-1l2r6np-1 fNGGmw acl-question-wrapper__heading">
<div>Please provide the revised action items and/or due date from the original management action plan in the text box below.</div>
</h3>
</label>
<div class="FormElementstyles__Sections-c4la3x-0 jJXIub">
<div data-pka-anchor="form-element.content">
<div class="Inputstyles__Input-hb56vf-0 ldIZCL form-input form-input--medium acl_textquestion-line"><input aria-invalid="false" class="form-input__input" data-pka-anchor="input"
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name="questionnaire_response[answers_attributes][6983844][value]" type="text" value=""></div><input type="hidden" name="questionnaire_response[answers_attributes][6983844][question_id]" value="6983844">
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Text Content
Q4 2023 ICP QUESTIONNAIRE OMERS INSTRUCTIONS OMERS INTERNAL CONTROLS PROGRAM ('ICP') I hereby certify that to the best of my knowledge and belief for the quarter ending December 31, 2023: * Material Financial Information: Relates to... Show more RELATED FILES * Anti-Fraud_Framework.pdf New * Financial_Disclosure_Policy.pdf New * Laura_Kirsch-_Q4_only_RCM_(1).xlsx PROGRESS AND DETAILS ProgressDetails lkirsch@omers.com. active 0 days idle QUESTIONS PAGE 1 1) THE CONTROLS DOCUMENTED IN THE RISK AND CONTROL MATRIX ATTACHED ARE ACCURATE AND PERTAIN TO MY AREA OF ACCOUNTABILITY AND/OR RESPONSIBILITY. (required) True False - Please update the attached risk and control matrix. Not Applicable PLEASE ATTACH THE UPDATED RISK AND CONTROL MATRIX BELOW. Drag and drop or Choose filesFrom your computer 2) I HAVE NO UPDATES REGARDING ANY SIGNIFICANT CHANGES WITHIN THE PROCESSES AND CONTROLS (I.E. PEOPLE, PROCESS, TECHNOLOGY, VENDORS, ETC.) THAT PERTAIN TO MY AREA OF ACCOUNTABILITY AND/OR RESPONSIBILITY (CURRENT OR FUTURE CHANGES), THAT MAY IMPACT THE DESIGN OR OPERATION OF CONTROLS. (required) True False - If false, please provide a brief explanation of the control issues in the text box below. Not Applicable 3) I HAVE NO CONTROL BREAKDOWNS ASSOCIATED WITH THE INTERNAL CONTROLS UNDER MY AREA OF ACCOUNTABILITY AND/OR RESPONSIBILITY THAT I WOULD NEED TO SELF-IDENTIFY. (required) True False - If false, please provide a brief explanation of the control breakdown in the text box below Not Applicable 4) I AM NOT AWARE OF ANY CONTROL ISSUES RESULTING IN ERRONEOUS “MATERIAL FINANCIAL INFORMATION*”, AS DEFINED IN THE FINANCIAL DISCLOSURE POLICY. NOTE- THE FINANCIAL DISCLOSURE POLICY AND THE DEFINITION OF "MATERIAL FINANCIAL INFORMATION" CAN BE FOUND IN THE INSTRUCTION PANEL TO THE LEFT. (required) True False - If false, please provide a brief explanation of the control issues in the text box below. Not Applicable 5) THERE IS NO KNOWN FRAUD OR SUSPECTED FRAUD PERTAINING TO MY AREA OF ACCOUNTABILITY AND OR RESPONSIBILITY AS DEFINED IN THE OMERS ANTI-FRAUD FRAMEWORK, THAT HAS NOT PREVIOUSLY BEEN DISCLOSED IN ACCORDANCE WITH THE FRAMEWORK. (required) True Comment - If false, please disclose appropriately per the Framework. N/A 6) I AM ON TRACK TO RESOLVE THE CONTROL ISSUES / DEVIATIONS AS DOCUMENTED WITHIN THE MANAGEMENT ACTION PLANS THAT PERTAIN TO MY AREA OF ACCOUNTABILITY AND/OR RESPONSIBILITY (required) True N/A False - Please provide the revised action items and/or due date from the original management action plan in the textbox section below. PLEASE PROVIDE THE REVISED ACTION ITEMS AND/OR DUE DATE FROM THE ORIGINAL MANAGEMENT ACTION PLAN IN THE TEXT BOX BELOW. Submit Save Survey powered by Diligent HighBond Session expired Close Overwrite attachments? You are answering a questionnaire for multiple records and you have included attachments. If someone previously responded for some of these records, the records might already have attachments that aren't listed under Previous Attachments. Submitting this questionnaire will overwrite those files. Only the files under Previous Attachments and the attachments you are adding now will remain. OverwriteCancel Viewing 1 records Record IDTitle 149 Laura Kirsch - Quarterly Certification