2-Re-Evaluation Signature Page.pdf
PDF 10 KB Posted
- Attached to
- Reevaluation 2026 (Contractor Prequalification)
- Solicitation number
- 26-40004 / Reevaluation 2026 (Contractor Prequalification)
- Issued by
- Bath County, Kentucky
About this file
This is a Contractor Re-Evaluation Application Signature Form for the Louisville Water Company in Kentucky. The form serves as the signature page for contractors submitting prequalification re-evaluation applications through Louisville Water Company's electronic portal. Contractors subject to re-evaluation must complete and submit their prequalification re-evaluation applications no later than July 30, 2026. The form requires the applicant's signature, notarization, and scanning for upload through the Louisville Water Company electronic portal. Louisville Water Company reserves the right to request the original paper version of the signed and notarized form at any time within three years following submission.
The signature form confirms that all statements and responses submitted electronically through the prequalification contractor portal are true to the best of the applicant's knowledge. For contractors whose company names begin with letters A-L, Dezlarree Vann (dvann@louisvillewater.com, 502-569-3604) serves as the primary contact; contractors with company names beginning with M-Z should contact Susan McNeill (smcneill@louisvillewater.com, 502-276-0470). Contractors unable to meet the July 30, 2026 deadline are encouraged to submit requests for deadline extensions through the website portal question area, though Louisville Water Company emphasizes the importance of completing the re-evaluation promptly.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
LOUISVILLE WATER COMPANY
CONTRACTOR RE-EVALUATION APPLICATION
SIGNATURE FORM
SIGNATURE
The statements and responses in the electronical submittal through Louisville Water Prequalification contractor electronic portal are true to the best of my knowledge.
Signed By: _______________________________
Date: _______________________________
STATE OF ]
] SS
COUNTY OF ]
I, the undersigned notary public within and for the state and county aforesaid, do hereby
Certify that the foregoing instrument of writing was this day produced to me in said state and
County by ________________________________________________________________.
(Name of person acknowledged)
WITNESS by my hand this ________ day of ___________________, 20________.
My commission expires _________________________, 20______.
(Notary Public)
This form must be completed, signed, notarized, scanned and uploaded through the Louisville Water Company electronic portal with your prequalification re-evaluation application. Please keep original on file, as Louisville
Water Company reserves the right to request the original paper version at any time within the next three years.
File details come from the government source that posted it. Updated .