Att F - Attestation Form.docx

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Attached to
Ride Safe IN Training MotorcyclesBid Documents
Solicitation number
27-88102
Issued by
Marion County, Indiana

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Att D - Cost Proposal Template.xlsx XLSX spreadsheet
Negotiated Bid Main Document.pdf PDF
Artificial Intelligence - Technical Proposal Questions.docx DOCX document
Att G - Preferences.docx DOCX document
Negotiated Bid Main Document.docx DOCX document
Att E - Q&A Template.xlsx XLSX spreadsheet
Att A1 - IVOSB.docx DOCX document
Att C - Indiana Economic Impact Form.xls XLS spreadsheet
Infrastructure Overview.docx DOCX document
Att B - Sample Purchase Order (For PO).docx DOCX document
Att H - Affidavit of Eligibility.docx DOCX document
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ATTESTATION FORM

Negotiated Bid - PO

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 PO Terms and Conditions
☐ Have read and understand this section
Section 2.2 Executive Summary
☐ Have completed, signed, and submitted
Section 2.4.1 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.

1.20 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 or ☐ Opting not to submit

2.2.1 Ability and Desire to Supply the Required Products or Services
☐ Have read, and agree
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 Subcontractors per PO 2.4.4 (additional subcontractors/those not submitted in Attachment A1) More rows may be inserted if necessary

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

5.0 Respondent additional attachments (OPTIONAL)

More rows may be inserted if necessary

Filename
Attachment Reference

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