Att F - Attestation Form (For PO).docx

This Attestation Form for a Negotiated Bid Purchase Order is required by the Indiana Department of Agriculture (IDOA) as part of a state procurement process. The form serves as a confirmation that respondents have reviewed, understood, and complied with mandatory submission requirements and terms outlined in the solicitation. Key mandatory submissions include completion of the Executive Summary (Section 2.2), Bid Cost Excel Workbook (Attachment D), Indiana Economic Impact form (Attachment C), Mandatory PO Terms and Conditions (Section 2.2.6), and pricing requirements (Section 1.9). Respondents must also certify their ability and desire to supply required products or services and identify any subcontractors performing work under the purchase order, with documentation of executed contracts or letters of agreement required for each subcontractor listed.

The attestation form includes optional certifications related to Minority and Women Business Enterprise (MWBE) status and Indiana Veteran Owned Small Business (IVOSB) status, with respondents able to either submit completed certification documentation or opt out of claiming such designations. The form requires respondents to list additional subcontractors not previously submitted in Attachments A or A1, along with their designated functions and supporting documentation. Respondents may submit optional additional attachments for consideration at IDOA's discretion. The form emphasizes that disagreement with mandatory requirements may result in disqualification of the response, ensuring compliance with all specified procurement conditions and contractual obligations.