Affirmation_and_Disclosure_Form_5-20-24_fillable_form.pdf

This is an Affirmation and Disclosure Form related to a state and local contract opportunity in Ohio for the furnishing of conventional light poles with bracket arms. The D01 Lighting Poles contract for Allen 117 @ 10.78 seeks one-time bid pricing for Highway Lighting Supports in accordance with the Department's specifications and procedures. The form serves as a required disclosure document for bidders participating in this procurement, establishing compliance with applicable state regulations and requirements. Specific details regarding quantities, response deadlines, site visits, bidders' conferences, and award dates are not contained within this form itself, as it functions primarily as an affirmation and disclosure instrument rather than a detailed project specification document.

The form establishes the affirmative declarations and disclosures required from bidding entities participating in Ohio's contract process. As a standardized form dated May 20, 2024, it serves to verify bidder eligibility, compliance status, and acknowledgment of contractual terms and conditions. Additional details regarding pricing terms, set-asides, funding sources, and other financial specifications would be contained in the primary solicitation documents and project specifications rather than in this disclosure form.