81558AttF_Attestation Form.docx

DOCX document 46 KB Posted

Attached to
AR-15 Pro Rifle and AccessoriesBid Documents State and local contract opportunity
Solicitation number
25-81558
Issued by
Indiana

About this file

Written by GovTribe AI ·

This document is an Attestation Form for a negotiated bid contract opportunity, Bid 25-81558, issued by the state government. The form requires the respondent to confirm their understanding and submission of various mandatory requirements, including pricing, mandatory PO terms and conditions, executive summary, Indiana economic impact, bid cost, and other attachments. The respondent must also indicate if they are an Indiana Veteran Owned Small Business and provide information on any subcontractors they plan to utilize for the contract. The respondent has the option to submit additional attachments as part of their response.

The document outlines the various mandatory submissions and requirements that the respondent must meet to be considered for the contract, including completed forms, signed acknowledgments, and submitted documents. Respondents who disagree with the mandatory items may be disqualified. The contract appears to have a focus on Indiana preferences, including Minority and Women Business Enterprises and Indiana Veteran Owned Small Businesses.

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81558AttG_Preferences.docx DOCX document
81558AttF_Attestation Form.docx DOCX document
81558Att AIVOSBNeg Bid.docx DOCX document
81558AttBPO Terms.docx DOCX document
81558AttCIndiana Economic Impact Form.xls XLS spreadsheet
BID PO_v6823_Portal.pdf PDF
81558AttBPO Terms.docx DOCX document
81558AttCIndiana Economic Impact Form.xls XLS spreadsheet
81558AttDbidcost.xlsx XLSX spreadsheet
BID PO_v6823_Portal.pdf PDF
81558AttG_Preferences.docx DOCX document
81558Att AIVOSBNeg Bid.docx DOCX document
81558AttAMWBENegBid.docx DOCX document
81558AttEQandA_.xlsx XLSX spreadsheet
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ATTESTATION FORM

Negotiated Bid – 25-81558

ATTACHMENT F

Respondent Name:

1.0 Mandatory Submissions and Requirements: Disagreement with these items may result in the response being disqualified.

Section 1.9 Pricing
☐ Have read and meet this requirement
Section 2.2.6 Mandatory PO Terms and Conditions
☐ Have read and understand this section
Section 2.2 Executive Summary
☐ Have completed, signed, and submitted
Section 2.4.1 Attachment C: Indiana Economic Impact
☐ Have read, completed, and submitted
Section 2.3 Attachment D: Bid Cost (Excel Workbook)
☐ Have completed and submitted
Section 2.4 Attachment F: Attestation Form
☐ Have completed in its entirety and submitted

2.0 Confirm mutual understanding and submission.

1.19 Attachment A: Minority and Women Business Enterprise form, IDOA provided certification letter and Subcontractor’s signed letter on company letterhead.

☐ Have completed, signed, and submitted or ☐ Opting not to submit

1.20 Attachment A1: Indiana Veteran Owned Small Business form IDOA provided certification letter and Subcontractor’s signed letter on company letterhead.

☐ Have completed, signed, and submitted

2.2.1 Ability and Desire to Supply the Required Products or Services
☐ Have read, and agree
2.4.3 Attachment G: Indiana Preferences form
☐ Have completed, and submitted

2.4.4. Subcontractors

(Additional subcontractors/those not submitted in Attachment A/Attachment A1)

☐ Have read, agree, listed subcontractors in 5.0 of this attachment and submitted documents

☐ Have read, and does not apply to response

3.0 Claim clarification

1.20 Respondent is IVOSB certified
☐ YES, claiming; Att A, have completed, signed, and submitted

☐ NO, not claiming

4.0 Subcontractors per PO 2.4.4 (additional subcontractors/those not submitted in Attachment A/Attachment A1) More rows may be inserted if necessary

Subcontractor Name
Function to be performed
Document Submitted

☐ Executed contract

☐ Letter of Agreement

☐ Executed contract

☐ Executed contract

☐ Executed contract

☐ Executed contract

☐ Executed contract

☐ Executed contract

5.0 Respondent additional attachments (OPTIONAL)

More rows may be inserted if necessary

Filename
Attachment Reference

File details come from the government source that posted it. Updated .