9-Joint Venture Affidavit.pdf

Joint Venture Affidavit updated 9/2019

JOINT VENTURE AFFIDAVIT

(This form must be completed and returned with your response)

Primary Vendor Name:

If this will not be a joint venture, check this box:

Solicitation Name: ___________________

Solicitation Number: ___________________

State of:

County of:

We, the undersigned, being duly sworn according to law, upon our respective oaths depose and say that:

1. The following named contractors/companies have entered into a joint venture for the purpose of carrying out all the provisions of the Contract for the above named solicitation:

Joint Venture Company “A”

Company Name Federal ID No.

Address:

City: State: Zip:

Check all that apply:

Sole Proprietorship Partnership Corporation N/A, other

Joint Venture Company “B”

Company Name Federal ID No.

Address:

City: State: Zip:

Check all that apply:

Sole Proprietorship Partnership Corporation N/A, other

2. The contractors/companies, under whose names we have affixed our respective signatures, have duly authorized and empowered us to execute this Joint Venture Statement in the name of and on behalf of such contractors for the purpose hereinbefore stated.

Under the provision of such Joint Venture, the assets of each of the contractors named in Paragraph 1 hereof, and in case any contractor so named above is in partnership, the assets of the individual members of such partnership, will be available for the performance of such Joint Venture and liable therefore and for all obligations incurred in connection therewith.

This Joint Venture Statement is executed so that the named contractors/companies, as one organization, may under such joint venture, bid upon said contract, and be awarded the contract if they should become the successful bidder therefore, any bid, bond and agreement relating to joint venture and each and every contractor name herein, severally and jointly. Simultaneous with the execution of the contract, the contractors entering into this joint venture shall designate and appoint a project manager to act as their true and lawful agent with full power and authority to do and perform any and all acts or things necessary to carry out the work set forth in said contract.

The Joint Venture shall be known as:

Principal Office Address:

City: State: Zip:

Telephone: ( ) Fax: ( )

3. On a separate sheet provide the following information and reference the section number:

A. Describe the capital contributions by each joint venture and accounting therefore.

B. Describe the financial controls of the joint venture. Will a separate cost center be established?

Which joint venture company will be responsible for keeping the books? How will the expenses be reimbursed? What is the authority of each joint venture company to commit or obligate the other?

C. Describe any ownership, options for ownership, or loans between the joint ventures. Identify terms thereof.

D. Describe the estimated contract cash flow for each joint venture company. .

E. How and by whom will the on-site work be supervised?

F. How and by whom will the administrative office be supervised?

G. Which joint venture company will be responsible for material purchases including the estimated cost thereof? How will the purchases be financed?

H. Which joint venture company will provide equipment? What is the estimated cost thereof? How will the equipment be financed?

I. Describe the experience and business qualifications of each joint venture company.

J. Submit a copy of all joint venture agreements and evidence of authority to do business in the

State of Georgia as well as locally, to include all necessary business licenses.

In connection with any work that these firms, as a joint venture, might be authorized to perform in connection with the above captioned contract, we each do hereby authorize representatives of the APS, Department of Purchasing and Warehouse Operations Services, Office of Contract Administration, to examine, from time to time, the books, records and files to the extent that such relate to this APS solicitation.

We bind the contractors for whom we respectively execute this Joint Venture Statement in firm agreement with the APS, that each of the representations herein set forth is true.

Subscribed and sworn before me this day of 20 .

(A) Name of Contractor/Company A

My commission expires: By: (L.S.)

Notary Public Print Name

Subscribed and sworn before me this day of 20 .

(B) Name of Contractor/Company B

My commission expires: By: (L.S.)

Notary Public Print Name