Alabama-Vendor-Disclosure-Statement JULY 2026.pdf

363 KB Posted

Attached to
PS- RFP 2026-3 WELDING- AIDT
Solicitation number
SRC0000035026
Issued by
Alabama

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Written by GovTribe AI ·

This is a Vendor Disclosure Statement form for the State of Alabama related to a Request for Proposals (RFP 2026-3) for welding industry training through the Alabama Industry and Technology (AIDT) program. The RFP seeks proposals for welding industry training services. Questions regarding the RFP specifications must be submitted by email no later than August 17, 2026 at 5:00 PM Central Time. Formal proposals are due through the Alabama Buys procurement portal no later than August 31, 2026 at 5:00 PM Central Time. The vendor disclosure statement serves as a required documentation component for vendors participating in the competitive bidding process.

The disclosure statement form requires vendors to provide information regarding their business structure, ownership, financial standing, and compliance history with state and local requirements. This form is a standard prerequisite for vendor participation in Alabama state procurement activities and helps ensure vendor accountability and regulatory compliance. Vendors must complete and submit this disclosure statement as part of their proposal package to be considered for award under this AIDT welding training opportunity.

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State of Alabama Disclosure Statement

Required by Article 3B of Chapter 16 of Title 41, Code of Alabama 1975

ENTITY COMPLETING FORM

ADDRESS

CITY, STATE, ZIP TELEPHONE NUMBER

STATE AGENCY/DEPARTMENT THAT WILL RECEIVE GOODS, SERVICES, OR IS RESPONSIBLE FOR GRANT AWARD

ADDRESS

CITY, STATE, ZIP TELEPHONE NUMBER

This form is provided with:

Contract Proposal Request for Proposal Invitation to Bid Grant Proposal

Have you or any of your partners, divisions, or any related business units previously performed work or provided goods to any State Agency/Department in the current or last fiscal year?

Yes No If yes, identify below the State Agency/Department that received the goods or services, the type(s) of goods or services previously provided, and the amount received for the provision of such goods or services.

Have you or any of your partners, divisions, or any related business units previously applied and received any grants from any State Agency/Department in the current or last fiscal year?

Yes No If yes, identify the State Agency/Department that awarded the grant, the date such grant was awarded, and the amount of the grant.

1. List below the name(s) and address(es) of all public officials/public employees with whom you, members of your immediate family, or any of your employees have a family relationship and who may directly personally benefit financially from the proposed transaction.

Identify the State Department/Agency for which the public officials/public employees work. (Attach additional sheets if necessary.)

STATE AGENCY/DEPARTMENT TYPE OF GOODS/SERVICES AMOUNT RECEIVED

STATE AGENCY/DEPARTMENT DATE GRANT AWARDED AMOUNT OF GRANT

NAME OF PUBLIC OFFICIAL/EMPLOYEE ADDRESS STATE DEPARTMENT/AGENCY

2. List below the name(s) and address(es) of all family members of public officials/public employees with whom you, members of your immediate family, or any of your employees have a family relationship and who may directly personally benefit financially from the proposed transaction. Identify the public officials/public employees and State Department/Agency for which the public officials/public employees work. (Attach additional sheets if necessary.)

NAME OF

FAMILY MEMBER ADDRESS

STATE DEPARTMENT/

AGENCY WHERE EMPLOYED

If you identified individuals in items one and/or two above, describe in detail below the direct financial benefit to be gained by the public officials, public employees, and/or their family members as the result of the contract, proposal, request for proposal, invitation to bid, or grant proposal. (Attach additional sheets if necessary.)

Describe in detail below any indirect financial benefits to be gained by any public official, public employee, and/or family members of the public official or public employee as the result of the contract, proposal, request for proposal, invitation to bid, or grant proposal. (Attach additional sheets if necessary.)

List below the name(s) and address(es) of all paid consultants and/or lobbyists utilized to obtain the contract, proposal, request for proposal, invitation to bid, or grant proposal:

By signing below, I certify under penalty of perjury (in the jurisdiction in which it is executed) that all statements on or attached to this form are true and correct to the best of my knowledge. I further understand that a person who knowingly violates this article shall be subject to civil penalty in an amount of ten thousand dollars ($10,000), or 10 percent of the amount of the contract, whichever is less, to be deposited in the State General Fund. Also, the contract or grant shall be voidable by the awarding agency.

Authorized Signatory Date Jurisdiction in which this Disclosure Statement is executed

The disclosure statement is required to be completed and filed with grant proposals in excess of $25,000 and contracts that meet or exceed the threshold for bid or other formal solicitations under Article 5 of Chapter 4 of Title 41 or any other law that requires formal solicitation procedures for awarding public contracts.

NAME OF PAID CONSULTANT/LOBBYIST ADDRESS

NAME OF PUBLIC OFFICIAL/

PUBLIC EMPLOYEE

State of Alabama Disclosure Statement
State of Alabama Disclosure Statement
State of Alabama Disclosure Statement
Authorized Signatory:
Date:
Types of Goods/Services Line 1:
Types of Goods/Services Line 2:
Types of Goods/Services Line 3:
Date Grant Awarded Line 1:
Date Grant Awarded Line 2:
Date Grant Awarded Line 3:
Name of Public Official/Employee Line 1:
Name of Family Member Line 1:
Name of Family Member Line 2:
Name of Family Member Line 3:
Name of Public Official/Employee Line 2:
Name of Public Official/Employee Line 3:
Name of Paid Consultant/Lobbyist Line 1:
Name of Paid Consultant/Lobbyist Line 2:
Name of Paid Consultant/Lobbyist Line 3:
Provided With: Off
Previous Applications or Grants: Off
Previous Work or Goods Provided: Off
Amount Received Line 1:
Amount Received Line 2:
Amount Received Line 3:
Amount of Grant Line 1:
Amount of Grant Line 2:
Amount of Grant Line 3:
Jurisdiction in which this Disclosure Statement is executed:
ENTITY COMPLETING FORM:
STATE AGENCY/DEPARTMENT THAT WILL RECEIVE GOODS, SERVICES, OR IS RESPONSIBLE FOR GRANT AWARD:
CITY, STATE, ZIP OF ENTITY:
ADDRESS OF ENTITY:
TELEPHONE NUMBER OF ENTITY:
ADDRESS OF STATE AGENCY/DEPARTMENT:
CITY, STATE, ZIP OF STATE AGENCY/DEPARTMENT:
TELEPHONE NUMBER OF STATE AGENCY/DEPARTMENT:
State Agency/Department Receiving Line 1:
State Agency/Department Receiving Line 2:
State Agency/Department Receiving Line 3:
State Agency/Department Awarding Line 1:
State Agency/Department Awarding Line 2:
Address of Public Official/Employee Line 1:
Address of Public Official/Employee Line 2:
Address of Public Official/Employee Line 3:
State Department/Agency Employing Line 1:
State Department/Agency Employing Line 2:
State Department/Agency Employing Line 3:
Address of Family Member Line 1:
Address of Family Member Line 2:
Address of Family Member Line 3:
Name of Public Official/Public Employee Line 1:
Name of Public Official/Public Employee Line 2:
Name of Public Official/Public Employee Line 3:
State Department/Agency Where Employed Line 1:
State Department/Agency Where Employed Line 2:
State Department/Agency Where Employed Line 3:
If you identified individuals in items one and/or two above, describe in detail below the direct financial benefit to be gained by the public officials, public employees, and/or their family members as the result of the contract, proposal, request for proposal, invitation to bid, or grant proposal:
(Attach additional sheets if necessary:
):
Describe in detail below any indirect financial benefits to be gained by any public official, public employee, and/or family members of the public official or public employee as the result of the contract, proposal, request for proposal, invitation to bid, or grant proposal:
(Attach additional sheets if necessary:
):
Address of Paid Consultant/Lobbyist Line 1:
Address of Paid Consultant/Lobbyist Line 2:
Address of Paid Consultant/Lobbyist Line 3:
State Agency/Department Awarding Line 3:

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