81752AttF_Attestation Form_NB.docx
DOCX document 50 KB Posted
- Attached to
- Bobcat Skid -Steer LoaderBid Documents
- Solicitation number
- 25-81752
- Issued by
- Jasper County, Indiana
About this file
This document is an Attestation Form for a Negotiated Bid for a state and local contract opportunity. The key details are:
The respondent must confirm their understanding and submission of several mandatory requirements, including pricing, terms and conditions, executive summary, Indiana economic impact, bid cost, and the attestation form itself. The respondent must also complete and submit several attachments, such as Minority and Women Business Enterprise forms, Indiana Veteran Owned Small Business forms, and the Indiana Preferences form. The respondent has the option to list any additional subcontractors and provide executed contracts or letters of agreement for those subcontractors.
The pricing, set-asides, incumbents, funding, and other salient information are not explicitly stated in this document. This appears to be a standard attestation form for the respondent to acknowledge and confirm their compliance with the mandatory requirements of the solicitation.
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Other files
| File | Type | Posted |
|---|---|---|
| 81752AttBPO Terms.docx | DOCX document | |
| 81752AttEQandA.xlsx | XLSX spreadsheet | |
| 81752BID PO.pdf | ||
| 81752AttDBid Cost.xlsx | XLSX spreadsheet | |
| 81752AttA1IVOSB.docx | DOCX document | |
| 81752AttCIndiana Economic Impact Form.xls | XLS spreadsheet | |
| 81752AttG_Preferences.docx | DOCX document | |
| 81752AttAMWBE.docx | DOCX document |
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Text version
ATTESTATION FORM
Negotiated Bid - PO
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) Comment by IDOA Procurement: This can be removed in its entirety if IDOA considers it appropriate to do so.
More rows may be inserted if necessary
| Filename |
| Attachment Reference |
File details come from the government source that posted it. Updated .