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
This document is an Attestation Form related to a negotiated bid for the Department of Natural Resources in the state of Indiana. The solicitation is for the procurement of AR-15 Pro Rifles and Accessories. The form requires the respondent to confirm their understanding and compliance with various mandatory submission requirements, including pricing, terms and conditions, executive summary, economic impact, bid cost, and attachments. The respondent must also provide information on any subcontractors, including identifying functions to be performed and submitting executed contracts or letters of agreement.
The solicitation seeks to select a respondent that can satisfy the state's need for Sig Sauer Pro Rifles. The contract term is not specified. The document does not provide details on pricing terms, set asides, incumbents, funding requirements or sources, or other salient information.
View the file
Other files for this state and local contract opportunity
| File | Type | Posted |
|---|---|---|
| 81558Att AIVOSBNeg Bid.docx | DOCX document | |
| 81558AttBPO Terms.docx | DOCX document | |
| 81558AttCIndiana Economic Impact Form.xls | XLS spreadsheet | |
| BID PO_v6823_Portal.pdf | ||
| 81558AttEQandA_Response.xlsx | XLSX spreadsheet | |
| 81558AttG_Preferences.docx | DOCX document | |
| 81558AttAMWBENegBid.docx | DOCX document | |
| 81558AttDbidcost.xlsx | XLSX spreadsheet | |
| 81558AttEQandA_.xlsx | XLSX spreadsheet | |
| 81558Att AIVOSBNeg Bid.docx | DOCX document | |
| 81558AttAMWBENegBid.docx | DOCX document | |
| 81558AttEQandA_.xlsx | XLSX spreadsheet | |
| 81558AttF_Attestation Form.docx | DOCX document | |
| 81558AttG_Preferences.docx | DOCX document | |
| 81558AttBPO Terms.docx | DOCX document | |
| 81558AttCIndiana Economic Impact Form.xls | XLS spreadsheet | |
| 81558AttDbidcost.xlsx | XLSX spreadsheet | |
| BID PO_v6823_Portal.pdf |
Show all 18
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Text version
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 |
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