Att F - Attestation Form.docx
DOCX document 43 KB Posted
- Solicitation number
- 27-88277
- Issued by
- Marion County, Indiana
About this file
This is an attestation form used by bidders responding to state and local contract opportunities. The form serves as a declaration document where vendors certify compliance with various regulatory and contractual requirements relevant to the procurement process. The attestation form typically requires bidders to confirm their understanding of contract terms, acknowledge receipt of all solicitation documents including any addenda, and verify their eligibility to bid based on business registration status, licensing requirements, and regulatory compliance. Bidders must also attest to their ability to meet specified delivery timelines, performance standards, and any mandatory site visit or pre-bid conference attendance requirements if applicable to the specific solicitation.
The form functions as a binding acknowledgment that bidders have reviewed all contract documents, pricing requirements, and terms and conditions prior to submitting their bid. By signing the attestation, vendors confirm they possess the necessary qualifications, certifications, insurance coverage, and operational capacity to fulfill the contract obligations. The form also typically includes representations regarding non-debarment status, absence of conflicts of interest, and compliance with applicable federal, state, and local laws and regulations. Completion and submission of the attestation form is generally a mandatory requirement for bid acceptance and evaluation.
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| Infrastructure Overview.docx | DOCX document | |
| Att J Campus Maps 27-88277.pdf | ||
| Att I - SOW 27-88277.docx | DOCX document | |
| Artificial Intelligence - Technical Proposal Questions.docx | DOCX document | |
| Att H - Affidavit of Eligibility.docx | DOCX document | |
| Att D - Cost Proposal 27-88277.xlsx | XLSX spreadsheet | |
| Att G - Preferences.docx | DOCX document | |
| Att A1 - IVOSB.docx | DOCX document | |
| Negotiated Bid Main Document 27-88277.pdf | ||
| Att B - Sample Contract.docx | DOCX document | |
| Att C - Indiana Economic Impact Form.xls | XLS spreadsheet |
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Text version
ATTESTATION FORM
Negotiated Bid - Contract
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 Contract Terms/Clauses |
| ☐ Have read and understand this section |
| Section 2.2 Executive Summary |
| ☐ Have completed, signed, and submitted |
| Section 3.2 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.
1.13 and 2.1 Confidential Information:
The complete list of Confidential and Redacted files is specified in section 4.0 of this attachment.
☐ Have read, and submitted or ☐ Have read, and does not apply to response
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
☐ Opting not to submit
| 2.2.1 Ability and Desire to Supply the Required Products or Services |
| ☐ Have read, and agree |
| 2.2.6 Contract Terms/Clauses |
| ☐ Confirm Respondent’s Legal Representation has read and accepts Sample Contract language. |
or ☐ Confirm Respondent’s Legal Representation has read and submitted alternative language per Section 6.0 of this attachment.
| 2.4.3 Attachment G: Indiana Preferences form |
| ☐ Have completed, and submitted |
☐ Opting not to submit
2.4.4. Subcontractors
(Additional subcontractors/those not submitted in 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 A1, have completed, signed, and submitted |
☐ NO, not claiming
4.0 Confidential / Redacted File: confirm submission if applicable More rows may be inserted if necessary
Responses must include the following required information:
· List all documents or sections of documents, for which statutory exemption to APRA;
· Specify which statutory exception of APRA applies for each document or section of the document;
· Provide a description explaining how the statutory exception to the APRA applies for each document or section of the document; and
· Provide a separate redacted or confidential, whichever is applicable, version of the document. File name should use the following format:
· (Insert bid #) _ (insert Att letter) _CONFIDENTIAL
· (Insert bid #) _ (insert Att letter) _REDACTED
· More rows may be inserted if necessary
| Filename |
| Document Section |
| Document |
Page #
| Statutory exception reference |
| Rationale for application of the statute |
| Submitted |
5.0 Subcontractors per RFP 2.4.4 (additional subcontractors/those not submitted in Attachment A1)
| 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
6.0 Respondent Alternative Contract Terms/Clauses per Section 2.2.6.
| Attachment B, Section Reference |
| Alternative Proposed Language |
7.0 Respondent additional attachments (OPTIONAL)
| Filename |
| BID Attachment Reference |
File details come from the government source that posted it. Updated .