00488v1 Small Business Affidavit.pdf
PDF 159 KB Posted
- Solicitation number
- 3844
- Issued by
- Knox County, Tennessee
About this file
This document is a Small Business Affidavit of Prime Bidder for KUB (Knoxville Utilities Board), released on 06.24.2020. The affidavit is a formal declaration by a bidding entity confirming its status as a small business for a specific construction project. The document requires the bidding entity to verify that it has 50 or fewer employees, annual revenues of $10,000,000 or less for the previous calendar year, and commits to self-performing at least 51% of the work.
The affidavit explicitly outlines compliance requirements for KUB's small business program, with strict consequences for non-compliance. The bidding entity acknowledges that any deviation from the specified requirements can result in immediate removal from the worksite and termination of the agreement. The document is designed to be executed under oath, with spaces for the bidder's signature, printed name, title, and notarization, providing a legally binding commitment to the small business program's terms and conditions.
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Other files
| File | Type | Posted |
|---|---|---|
| Q&A Document 2.pdf | ||
| Q&A Document 1.pdf | ||
| Q&A Document 3.pdf | ||
| 3844_Invitation Letter.pdf | ||
| Bid_Terms_and_Conditions_2.1.23.pdf |
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Text version
Released 06.24.2020 Small Business Affidavit of Prime Bidder 00488- 1
SECTION 00488
SMALL BUSINESS
AFFIDAVIT OF PRIME BIDDER
STATE OF
COUNTY OF
Comes the affiant after having first been duly sworn and testifies as follows:
1. My name is ______________________________. I hold the principal office of
_______________________ for (Name of Principal Office) (Name of Bidding Entity)
2. _____________________________ has submitted a bid to KUB for the construction (Name of Bidding Entity) of the Work entitled , KUB Control Number: .
3. ______________________________ has fifty (50) or fewer employees and has (Name of Bidding Entity) annual revenue of $10,000,000 or less for the previous calendar year and;
4. ______________________________ verifies that it shall self-perform a minimum of
(Name of Bidding Entity) fifty-one percent (51%) of the work and shall fully comply with all KUB small business program requirements and terms and conditions as stated in the bid specifications and;
5. acknowledges that any deviations whatsoever from (Name of Bidding Entity) the requirements stated in the bid shall be just cause for removal of contractor from worksite and termination of Agreement with cause according to the terms and conditions of the contract documents.
Released 06.24.2020 Small Business Affidavit of Prime Bidder 00488- 2
6. This affidavit is made on personal knowledge.
Further the affiant saith not this _______ day of __________________, 2025.
(signature)
(print name)
Title:
NOTARY:
Witnessed before me this _____ day of __________________, 2025.
My Commission Expires:
STAMP
| SECTION 00488 |
| small business |
| affidavit of prime bidder |
File details come from the government source that posted it. Updated .