2-Attachment B Documents.pdf
PDF 83 KB Posted
- Attached to
- Mixed Housing Project
- Solicitation number
- 25-045 (Rerelease)
- Issued by
- Jackson County, Missouri
About this file
This is an Attachment B document containing required forms and certifications for Jackson County, Missouri's Request for Qualifications (RFQ) No. 25-045 related to a Mixed Housing Project construction bid. The document includes an Acknowledgment of Receipt of Addenda form requiring respondents to confirm receipt of any addenda issued prior to the Question Response Deadline of 5:00 pm CST on December 16th, 2025. Respondents are required to monitor the Bonfire Portal regularly for additional addenda that may be issued before this deadline. The attachment also contains a Bidder's Exceptions to Scope of Services form allowing respondents to document any requested exceptions to the specifications outlined in RFQ No. 25-045, with instructions to reference the specific paragraph and page number for each exception requested.
The document includes a notarized Affidavit that all respondents must execute, containing eight sworn certifications. These certifications require bidders to confirm that no Jackson County officer, agent, or employee has a financial interest in the bid; that no county employee would benefit from contract profits; that the bidder is current on Jackson County taxes or had no taxable property as of December 31, 2024; that the bidder has not engaged in collusion or restraint of trade; that the bidder is not listed on the General Services Administration's debarred or suspended parties list; and that the bidder is enrolled in a federal work authorization program and does not knowingly employ unauthorized aliens in connection with the contracted services. All affidavits must be notarized and executed by an authorized representative of the bidding firm.
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Other files
| File | Type | Posted |
|---|---|---|
| 4-25-045 Addendum 1 .pdf | ||
| 3-25-045 Scope of Services.pdf | ||
| 1-Attachment A Documents.pdf |
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Text version
ACKNOWLEDGMENT OF RECEIPT OF ADDENDA
We acknowledge the receipt # of Addenda ______________ for this Request for Qualifications. We understand that additional addenda may be issued up until the Question Response Deadline of 5:00 pm CST December 16th, 2025, and acknowledge that we will be responsible for checking the Bonfire Portal regularly for any new addenda issued.
Signature of Respondent Date
Company Name
Address
City, State, and Zip Phone
AFFIDAVIT
STATE OF ______________________ )
) SS.
COUNTY OF ____________________ )
_________________________________of the city of ________________________________ County of ____________________ State of __________________being duly sworn on her or his oath, deposes and says;
1. That I am the _________________________ (Title of Affiant) of __________________________________(Name of Bidder) and have been authorized by said Bidder to make this Affidavit upon my best information and belief, after reasonable inquiry as to the representations herein.
2. No Officer, Agent or Employee of Jackson County, Missouri is financially interested directly or indirectly what Bidder is offering to sell to the County pursuant to this Invitation (though no representation is made regarding potential ownership of publicly traded stock of bidder).
3. If Bidder were awarded any contract, job, work or service for Jackson County, Missouri, no Officer, Agent or Employee of the County would be interested in or receive any benefit from the profit or emolument of such.
4. Either Bidder is duly listed and assessed on the tax rolls of Jackson County, Missouri and is not delinquent in the payment of any taxes due to the County or Bidder did not have on December 31, 2024, any property subject to taxation by the County and if bidder is duly listed and assessed on the tax rolls of Jackson County, Missouri, bidder agrees to permit an audit of its records, if requested by the Jackson County Director of Assessment, as they relate to the assessment of Business Personal Property.
5. Bidder has not participated in collusion or committed any act in restraint of trade, directly or indirectly, which bears upon anyone's response or lack of response to the Invitation.
6. Bidder certifies and warrants that Bidder or Bidder's firm/organization is not listed on the General Services Administration's Report of Debarred and/or Suspended Parties.
7. Bidder certifies and affirms its enrollment and participation in a federal work authorization program with respect to the employees working in connection with the contracted services.
8. Bidder certifies and affirms that it does not knowingly employ any person who is an unauthorized alien in connection with the contracted services.
_______________________________ (Name of Bidder)
By: ____________________________ (Signature of Affiant)
_______________________________ (Title of Affiant)
Subscribed and sworn to before me this ______ day of _________________, 20____
NOTARY PUBLIC in and for the County of _______________________________(SEAL)
State of _____________________________
My Commission Expires: ______________________________________________
BIDDER'S EXCEPTIONS
TO
SCOPE OF SERVICES
OF
JACKSON COUNTY, MISSOURI REQUEST FOR QUALIFICATIONS NO. 25-045
Respondent's attention is directed to Paragraph 4 of the General Conditions of this Invitation to Bid. READ THIS PARAGRAPH
CAREFULLY.
The following exceptions to the Specifications of Request for Qualifications No. 25-045 are requested by the undersigned Respondent:
(Use additional pages as necessary.)
REFERENCE
PARA # & PAGE # EXCEPTION REQUESTED
Name of Firm:
Signature of Bidder:
| Addenda |
| Affidavit |
| Exhibit F - Bidder's Exceptions |
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