3-27-104 Affidavit of Qualification to Bid.pdf
PDF 56 KB Posted
- Solicitation number
- 27-104
- Issued by
- Harford County, Maryland
About this file
This is an Affidavit of Qualification to Bid form required by the State of Maryland for bidders on the Abingdon Water Treatment Plant pH Control System Upgrade project. The document, which must be completed by an authorized representative of the bidding firm, certifies that the firm and its officers, directors, partners, and relevant employees have not been convicted of or admitted to bribery, attempted bribery, or conspiracy to bribe under Maryland law or applicable federal or state statutes. The affidavit references Section 16D of Article 78A of the Annotated Code of Maryland and requires disclosure of any such convictions, pleas, or admissions with specific details including dates, courts or administrative bodies involved, individuals implicated and their positions, and resulting sentences or dispositions.
The affidavit acknowledges that false representations may result in contract termination and other appropriate agency action, and that execution is in compliance with Maryland's disqualification provisions for individuals convicted of or who have admitted to bribery-related offenses. The form must be executed under penalties of perjury and will be furnished to relevant agencies, the Board of Public Works, and the Attorney General as required by law. The document references insurance requirements including Commercial General Liability, Employers Liability, Commercial Umbrella, and Contractors Pollution Liability coverage with specific minimum limits and required endorsements (CG 20 10 and CG 20 37 with edition dates of 11-85 or later versions if unavailable).
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 2-27-104 Affidavit of Non-Collusion.pdf | ||
| 6-27-104 IFB Euna POSTED.pdf | ||
| 7-27-104 Bid Form For Construction Contracts.pdf | ||
| 5-27-104 Bid Affidavit.pdf | ||
| 4-27-104 Bid Table Euna.xlsx | XLSX spreadsheet | |
| 8-27-104 Bid Ready Drawings POSTED.pdf | ||
| 1-27-104 Bid Security - Bid Deposit.pdf |
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Text version
N:\14442-000\Design\Spec\DIV 0\06-00410 - Documents.doc
AFFIDAVIT OF QUALIFICATION TO BID
I hereby affirm that
1. I am the ________________________________________and the duly authorized ( Title) representative of the firm of _____________________________________ whose ( Name of Corporation) address is _________________________________________________ and that I ( Address ) possess the legal authority to make this affidavit on behalf of myself and the firm for which I am acting.
2. Except as described in paragraph 3 below, I nor the above firm, nor to the best of my knowledge, any of its officers, directors, or partners, or any of its employees directly involved in obtaining contracts with the State or any county, bi-county or multi-county agency, or subdivision of the State have been convicted of, or have pleaded nolo contendere to a charge of, or have during the course of an official investigation or other proceeding admitted in writing or under oath acts or omissions which constitute bribery, attempted bribery, or conspiracy to bribe under the provisions of Article 27 of the Annotated Code of Maryland or under the laws of any State or Federal Government (conduct prior to July 1, 1977 is not required to be reported).
3. State "none" or, as appropriate, list any conviction, pleas, or admission described in paragraph 2 above, with the date; court, official, or administrative body; the individuals involved and their position with the firm, and the sentence or disposition, if any.
N:\14442-000\Design\Spec\DIV 0\06-00410 - Documents.doc
I acknowledge that this affidavit is to be furnished to such other agencies as are hereinafter set forth and, where appropriate, to the Board of Public Works and to the Attorney General under Section 16D of Article 78A of the Annotated Code of Maryland.
I acknowledge that, if the representatives set forth in this affidavit are not true and correct, any such agency may terminate any contract awarded and take any other appropriate action. I further acknowledge that I am executing this affidavit in compliance with Section 16D of Article 78A of the Annotated Code of Maryland, which provides that certain persons who have been convicted of or have admitted to bribery, attempted bribery, or conspiracy to bribe may be disqualified, either by operation of law or after a hearing, from entering into contracts with the State or any of its agencies or subdivisions.
I do solemnly declare and affirm under penalties of perjury that the contents of this affidavit are true and correct.
( Date ) ( Signature )
| ADPB1D0.tmp |
| A. AUTHORIZED REPRESENTATIVE |
| New and_or Large-Scale Construction Revised 11-24-2025.pdf |
| Minimum limits required: |
| AND |
| No other forms are acceptable unless equivalent to CG 20 10 and CG 20 37. Both endorsements are required and edition date of 11-85; where available. If not available, then edition dates of |
| Employers Liability Limits |
| Commercial Umbrella |
| Contractors Pollution Liability |
| ADDITIONAL REQUIREMENTS |
| ADP3DAF.tmp |
| Sheet1 |
File details come from the government source that posted it. Updated .