Att J - Attestation Form.docx
DOCX document 45 KB Posted
- Solicitation number
- 26-87776
- Issued by
- Marion County, Indiana
About this file
This is an Attestation Form document associated with a state and local contract opportunity. The form serves as a certification instrument requiring authorized representatives to attest to specific compliance statements, representations, and certifications related to bidder eligibility and qualifications. While the document does not specify explicit product or service requirements, project timelines, quantities, response deadlines, site visits, or bidder conferences, it functions as a mandatory submission component within the procurement process. The form requires completion and signature by qualified organizational representatives prior to contract award, establishing a binding commitment to the accuracy of information provided throughout the bidding process.
The Attestation Form addresses compliance certifications including business status representations, regulatory adherence declarations, and standard procurement certifications required by the procuring jurisdiction. The document does not contain detailed pricing information, set-asides, incumbent contractor details, or funding source specifications within its structure. Instead, it operates as a prerequisite certification mechanism designed to ensure bidder accountability and regulatory compliance before contract execution, typically requiring notarization or authorized signature verification depending on the specific jurisdiction's requirements.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Att G - Q&A 26-87776.xlsx | XLSX spreadsheet | |
| Att B3 - IOT-SaaS.docx | DOCX document | |
| Att D - Cost Proposal.xlsx | XLSX spreadsheet | |
| Infrastructure Overview.docx | DOCX document | |
| Att B2 - IOT-PaaS.docx | DOCX document | |
| Att F- Technical Proposal.docx | DOCX document | |
| Att H - Reference Check Form.docx | DOCX document | |
| Att B1 - IOT-IaaS.docx | DOCX document | |
| Artificial Intelligence - Technical Proposal Questions.docx | DOCX document | |
| Att I - Pre-proposal Network Form.docx | DOCX document | |
| Att K - SOW.pdf | ||
| Att E - Business Proposal.docx | DOCX document | |
| Att G - Q&A Template.xlsx | XLSX spreadsheet | |
| RFS Main Document 26-87776.pdf | ||
| Att B - Sample Contract.docx | DOCX document |
Show all 15
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
ATTESTATION FORM
ATTACHMENT J
Respondent Name:
Respondent’s Internal Response Manager’s Name:
This person will be the dedicated contact to receive State correspondence specific to this solicitation.
Respondent’s Internal Response Manager’s Email Address:
1.0 Mandatory Submissions and Requirements: Disagreement with these items may result in the response being disqualified.
| Attachment J: Attestation Form |
| ☐ Have completed in its entirety and submitted |
| Section 1.10 Pricing |
| ☐ Have read and meet this requirement |
| Section 3.2 Executive Summary |
| ☐ Have completed, signed, and submitted |
| Section 3.2 Attachment C: Indiana Economic Impact |
| ☐ Have read, completed, and submitted |
| Section 3.2 Attachment D: Cost Proposal (Excel Workbook) |
| ☐ Have completed and submitted |
| Section 3.2 Attachment E: Business Proposal |
| ☐ Have completed and submitted |
| Section 3.2 Attachment F: Technical Proposal |
| ☐ Have completed and submitted |
2.0 Confirm mutual understanding and submission.
1.15 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
| 2.2.1 Ability and Desire to Supply the Required Products or Services |
| ☐ Have read, and agree |
| 2.3.6 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 Attachment E.
2.6.3. Subcontractors
☐ 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
| 2.6.2 Buy Indiana Initiative/Indiana Company |
| ☐ YES claiming (points only awarded if certification is finalized per Buy Indiana registry* at time of Sourcing Event Submission Date) |
*Validated by Respondent within Buy IN Designation List at https://www.in.gov/idoa/procurement/supplier-resource-center/programs-and-preferences/buy-indiana/
☐ 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 rfp #) _ (insert Att letter) _CONFIDENTIAL
· (insert rfp #) _ (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 2.6.3
| 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 additional attachments (OPTIONAL)
| Filename |
| RFP Attachment Reference |
2 v.07112024
File details come from the government source that posted it. Updated .