00488v1 Small Business Affidavit.pdf
PDF 159 KB Posted
- Solicitation number
- 3949
- Issued by
- Knox County, Tennessee
About this file
This document is a Small Business Affidavit of Prime Bidder for the Knoxville Utilities Board (KUB), a public utility organization. The form is designed for small businesses submitting bids to KUB for construction work, with specific requirements for bidder qualification. The affidavit requires the bidding entity to certify that they have 50 or fewer employees, annual revenue of $10,000,000 or less, and commit to self-performing a minimum of 51% of the contracted work.
The document outlines critical compliance conditions for small businesses seeking to bid on KUB projects, including strict adherence to bid specifications and potential consequences for non-compliance. Any deviation from the stated requirements can result in immediate removal from the worksite and termination of the agreement. The affidavit must be signed, dated, and notarized, with the bidder affirming the statements are made on personal knowledge. The form was released on 06.24.2020 and is part of KUB's small business program requirements to promote opportunities for smaller contractors.
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Other files
| File | Type | Posted |
|---|---|---|
| 3949_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 .