00488v1 Small Business Affidavit.pdf
PDF 159 KB Posted
- Solicitation number
- 3916
- Issued by
- Knox County, Tennessee
About this file
The document is a Small Business Affidavit of Prime Bidder form for the Knoxville Utilities Board (KUB), specifically related to a procurement opportunity for 55 Surface Laptop 6 for Business devices. The affidavit requires the bidding entity to certify that they meet KUB's small business definition, which includes having 50 or fewer employees and annual revenue of $10,000,000 or less in the previous calendar year. The bidder must also commit to self-performing a minimum of 51% of the work and fully comply with KUB's small business program requirements.
The procurement has specific authorization and compliance requirements, including that vendors must be authorized distributors or resellers of the product manufacturer, provide only new factory-sealed equipment with full manufacturer warranty, and meet strict software and service criteria. Vendors must provide proof of manufacturer authorization within two days if requested, and all products must match specified product IDs. The bid excludes used, refurbished, or re-certified products, and requires original manufacturer maintenance and assembly services due to security concerns. Failure to meet any of these detailed specifications can result in bid disqualification.
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Other files
| File | Type | Posted |
|---|---|---|
| Bid_Terms_and_Conditions_4.17.25.pdf | ||
| 3916_Invitation Letter.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 .