Alabama-Vendor-Disclosure-Statement JULY 2026.pdf

PDF 363 KB Posted Aug 5, 2026

Attached to: RFP 2026-1 Space Industry Training - AIDT
Solicitation number: SRC0000035020
Issued by: Alabama

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Written by GovTribe AI · Sep 9, 2026

This is a State of Alabama Vendor Disclosure Statement required for contract proposals, requests for proposals, invitations to bid, and grant proposals submitted to Alabama state agencies and departments. The form must be completed and filed with grant proposals exceeding $25,000 and contracts meeting or exceeding the threshold for bid or other formal solicitations under Alabama law. The disclosure statement applies to the RFP 2026-1 Space Industry Training opportunity with the Alabama Department of Industrial Training (AIDT), with proposals due by August 31, 2026 at 5:00 PM CT and questions to be submitted by August 17, 2026 at 5:00 PM CT through Alabama Buys.

The disclosure statement requires vendors to identify any previous work or goods provided to state agencies in the current or last fiscal year, including the agency, type of goods or services, and amounts received. Vendors must also disclose any grants previously received from state agencies, list any public officials or employees with whom they have family relationships who may benefit financially from the proposed transaction, identify all paid consultants or lobbyists used to obtain the contract, and describe any direct or indirect financial benefits to public officials or their family members. Vendors certify under penalty of perjury that all statements are true and correct, with violations subject to civil penalties of $10,000 or 10 percent of the contract amount, whichever is less, and potential contract voidability by the awarding agency.

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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

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:

(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:

File details come from the government source that posted it. Updated Sep 9, 2026.