6-A5 Prequalification Signature Page.pdf

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Attached to
Contractor Prequalification Application
Solicitation number
26-40001 CONTRACTOR PREQUALIFICATION APPLICATION-2026
Issued by
Bath County, Kentucky

About this file

This is a Contractor Prequalification Signature Page document for Louisville Water Company in Kentucky. The form serves as the official signature component of the Contractor Prequalification Application, requiring contractors to certify that all statements and responses submitted electronically through Louisville Water's prequalification portal are accurate to the best of their knowledge. The signature page must be completed, signed by an authorized company representative, notarized, scanned, and uploaded through the electronic portal as part of the complete prequalification application submission. Contractor prequalification may be required for most construction bids and certain service bids or RFP requests; contractors can apply at any time, but must achieve prequalified status by the bid submittal date specified in individual bid or RFP solicitations.

Louisville Water Company retains the right to request the original paper version of the notarized signature page at any time within three years of submission, requiring contractors to maintain original documentation on file. The notarization requirement includes certification by a notary public within the applicable state and county, with completion of notary commission expiration dates. This prequalification mechanism allows Louisville Water to establish a pool of qualified contractors prior to individual procurement solicitations and streamlines the bidding process for subsequent construction and service opportunities.

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Text version

LOUISVILLE WATER COMPANY

CONTRACTOR PREQUALIFICATION APPLICATION

SIGNATURE FORM

The statements and responses in the electronical submittal through Louisville Water Prequalification contractor electronic portal are true to the best of my knowledge.

Signature: ______________________________________________

Company Name: ________________________________________

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 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 .