10.Appendix H - Professional Broadcast Capability Attestation Form.docx
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- Solicitation number
- 6100066560
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- Pennsylvania
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This document is an Appendix H Professional Broadcast Capability Attestation Form for a Professional Broadcast, Audio Visual & Multi-Media contract opportunity with the Commonwealth of Pennsylvania. Bidders must complete this attestation form to demonstrate their qualifications and certifications to provide consulting, design, and build services for AV installations and related broadcast systems. The form requires bidders to verify their performance history of at least five years and minimum annual revenue of one million dollars, establishing baseline organizational stability and experience requirements.
The attestation form outlines specific certification requirements organized by service categories. Bidders must check applicable boxes confirming possession of relevant certifications, including AVIXA membership and CTS-D/CTS-I certifications for AV room installations such as conference rooms and auditoriums; AMX ACE or Crestron Certified Programmer credentials for control system designs; Microsoft MCSE/MCSA certifications or equivalent for network engineers handling digital asset management and network-based broadcast video systems; and compliance with Society of Cable Telecommunications Engineers (SCTE) standards for digital cable upgrades and installations. The signatory attests under penalty of law that all statements are true and accurate, with false statements subject to penalties under 18 Pa. C.S. 4904 relating to unsworn falsification to authorities.
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APPENDIX H – PROFESSIONAL BROADCAST CAPABILITY ATTESTATION FORM
Revised 10/28/2025
I, [Name], [Title] with [Bidder’s Name] (referred to hereinafter as “Bidder”) attest to the following:
A. The Bidder must have a performance history of no less than five (5) years and have a minimum of one (1) million dollars in annual revenue.
B. The Bidder must have the following certifications to provide consulting, design and build services for AV installations. Please check applicable box for certifications acquired.
|_| AV Room Installations such as conference rooms, training rooms, boardrooms, auditoriums and control centers:
· Audiovisual and Integrated Experience Association (AVIXA) Membership, current and active
· AVIXA Certified Technology Specialist (CTS-D) designers
· AVIXA Certified Technology Specialist (CTS-I) installers
|_| For designs using the following control systems, the Bidder must have a programmer on staff with the following certifications:
· AMX ACE Certified Programmer
· Crestron Certified Programmer
|_| Digital Asset Management, Storage Area Network (SAN), Network Attached Storage (NAS) and computer network-based broadcast video systems:
· Microsoft Certified System Engineer (MCSE) and Microsoft Certified System Administrator (MCSA) certified or higher network engineers on staff
|_| For Digital Cable Upgrades and Installations, the Bidder must meet the Society of Cable Telecommunications Engineers (SCTE) standards for Digital Cable Systems.
I verify that the statements and information contained in this attestation are true and correct to the best of my knowledge, information and belief. I understand that false statements made herein are subject to the penalties of 18 Pa. C.S. §4904 (relating to unsworn falsification to authorities).
| Signature | Date |
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