00488v1 Small Business Affidavit.pdf
PDF 159 KB Posted
- Solicitation number
- 3917
- Issued by
- Knox County, Tennessee
About this file
The document is a Small Business Affidavit of Prime Bidder form issued by the Knoxville Utilities Board (KUB) for a small business procurement opportunity. The affidavit is designed for vendors bidding on a contract to supply 25 15-inch Surface Laptop 6 for Business units, with specific requirements that the bidding company must be a small business enterprise with 50 or fewer employees and annual revenue of $10,000,000 or less in the previous calendar year.
The affidavit requires the bidding entity to verify that they will self-perform a minimum of 51% of the work and fully comply with KUB's small business program requirements. The document outlines strict conditions, including that any deviation from the bid specifications can result in immediate removal from the worksite and termination of the agreement. The form must be completed, signed, and notarized, serving as a formal declaration of the bidder's status as a small business and commitment to the procurement guidelines set forth by KUB.
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Other files
| File | Type | Posted |
|---|---|---|
| 3917_Invitation Letter.pdf | ||
| Bid_Terms_and_Conditions_4.17.25.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 .