Att F - Attestation Form (For PO).docx

This is an Attestation Form for a Negotiated Bid Purchase Order issued by the Indiana Department of Agriculture (IDOA). The document serves as a checklist to confirm that respondents have read, understood, and submitted all mandatory requirements and supporting documentation necessary for bid consideration. Key mandatory submissions include completion of the Executive Summary, Bid Cost Excel Workbook, Indiana Economic Impact form, and PO Terms and Conditions acknowledgment. Respondents must also attest to their ability and desire to supply the required products or services, though the specific nature of those products or services is not detailed in this attestation form itself.

The attestation form requires respondents to confirm submission of various optional and conditional attachments, including Minority and Women Business Enterprise (MWBE) certification, Indiana Veteran Owned Small Business (IVOSB) certification, and Indiana Preferences forms. Respondents must disclose all subcontractors, whether previously submitted in supporting attachments or newly identified, along with executed contracts or letters of agreement for each subcontractor's assigned function. The form includes a section for respondents to claim IVOSB status if applicable and provides space for optional additional attachments or comments. Disagreement with mandatory items or failure to properly complete and submit required documentation may result in disqualification of the response.