82335AttF_Attestation Form_NB.docx
DOCX document 46 KB Posted
- Solicitation number
- 25-82335
- Issued by
- Jasper County, Indiana
About this file
This document is an Attestation Form for a Negotiated Bid (PO 25-82335) issued by an undisclosed government agency. The form requires the respondent to confirm their compliance with mandatory submissions and requirements, including pricing, mandatory terms and conditions, executive summary, Indiana economic impact, bid cost, and subcontractor information. The respondent must also confirm their ability and desire to supply the required products or services, as well as their eligibility for Indiana preferences and any subcontractors they will utilize. The respondent is given the option to claim IVOSB certification and provide details on any additional subcontractors beyond those already submitted.
The document outlines the specific attachments and forms the respondent must complete and submit, such as the Minority and Women Business Enterprise form, Indiana Veteran Owned Small Business form, and Indiana Preferences form. Pricing terms, set-asides, and funding requirements are not explicitly stated in this Attestation Form, as it is focused on the respondent's acknowledgment of the mandatory requirements and their commitment to fulfilling the contract.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 82335AttEQandA.xlsx | XLSX spreadsheet | |
| 82335AttG_Preferences.docx | DOCX document | |
| 82335AttAMWBE.docx | DOCX document | |
| 82335Bid Package.pdf | ||
| 82335AttBPO Terms.docx | DOCX document | |
| 82335AttD_CostBid.xlsx | XLSX spreadsheet | |
| 82335AttA1IVOSB.docx | DOCX document | |
| 82335AttCIndiana Economic Impact Form.xls | XLS spreadsheet | |
| 82335AttF_Attestation Form_NB.docx | DOCX document | |
| 82335AttAMWBE.docx | DOCX document | |
| 82335AttD_CostBid.xlsx | XLSX spreadsheet | |
| 82335Bid Package.pdf | ||
| 82335AttEQandA.xlsx | XLSX spreadsheet | |
| 82335AttBPO Terms.docx | DOCX document | |
| 82335AttCIndiana Economic Impact Form.xls | XLS spreadsheet | |
| 82335AttG_Preferences.docx | DOCX document | |
| 82335AttA1IVOSB.docx | DOCX document |
Show all 17
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTESTATION FORM
Negotiated Bid – PO 25-82335
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 .