00488v1 Small Business Affidavit.pdf
PDF 159 KB Posted
- Solicitation number
- 3988
- Issued by
- Knox County, Tennessee
About this file
This document is a Small Business Affidavit of Prime Bidder (Section 00488) issued by the Knoxville Utilities Board (KUB) for construction work. The affidavit serves as a sworn certification form that prime bidders must complete when submitting bids for KUB construction projects. The form requires the affiant to identify themselves, their principal office position, and the bidding entity, along with the specific KUB control number for the work being bid. The document does not specify particular project details, quantities, response dates, or award dates, as it functions as a template form applicable to multiple construction opportunities issued by KUB.
The affidavit establishes specific eligibility and performance requirements for small business prime bidders. To qualify, the bidding entity must have fifty or fewer employees and annual revenue of $10,000,000 or less for the previous calendar year. Critically, the small business contractor must self-perform a minimum of fifty-one percent (51%) of the work and fully comply with all KUB small business program requirements and terms and conditions as specified in the bid specifications. The document emphasizes that any deviations from stated requirements constitute just cause for contractor removal from the worksite and termination of the agreement with cause. The affidavit requires notarization and was released on June 24, 2020, with a signature date of 2025.
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Other files
| File | Type | Posted |
|---|---|---|
| Bid_Terms_and_Conditions_4.17.25.pdf | ||
| Q&A Document 1.pdf | ||
| 3988_Invitation Letter.pdf | ||
| Q&A Document 2.pdf | ||
| Q&A Document 3.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 .