00488v1 Small Business Affidavit.pdf
PDF 159 KB Posted
- Attached to
- Small Business Bid-Matrix Multi Tool
- Solicitation number
- 3895
- Issued by
- Knox County, Tennessee
About this file
This document is a Small Business Affidavit of Prime Bidder form issued by the Knoxville Utilities Board (KUB) for a procurement opportunity involving Cedar Creek Matrix Multi Tools. The affidavit is designed for small businesses with 50 or fewer employees and annual revenues of $10,000,000 or less to bid on a contract for a minimum order of 1,000 multi-tools. KUB requires the winning vendor to self-perform at least 51% of the work and will select the lowest submitted vendor around July 1st, with the purchase order based on the unit price submitted. The selected vendor will be required to incorporate the KUB logo on the multi-tool and provide a proof before production.
The affidavit outlines specific requirements for small businesses, including strict compliance with KUB's small business program requirements. The document serves as a formal attestation that the bidding entity meets the small business criteria and commits to performing the majority of the work. Deviation from the bid specifications can result in removal from the worksite and termination of the agreement. The form must be completed, signed, and notarized, with the bidder affirming the information is based on personal knowledge. The procurement appears to be a straightforward purchase with clear selection criteria focused on supporting small businesses in the Tennessee region.
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Other files
| File | Type | Posted |
|---|---|---|
| Bid_Terms_and_Conditions_4.17.25.pdf | ||
| 3895_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 .