Att J - Attestation Form.docx
DOCX document 43 KB Posted
- Solicitation number
- RFS 26-87589
- Issued by
- Indiana
About this file
This is an Attestation Form (Attachment J) for RFS 26-87589, a state procurement solicitation managed by the Indiana Department of Administration (IDOA). The document outlines mandatory submission requirements and confirmation items that respondents must complete and attest to in order for their proposals to remain eligible for consideration. Key mandatory submissions include the Executive Summary (Section 3.2), the Business Proposal (Attachment E), the Technical Proposal (Attachment F), and the Indiana Economic Impact form (Attachment C). Respondents must designate an Internal Response Manager who will serve as the dedicated contact for all State correspondence related to this solicitation. The form requires respondents to confirm their legal representation has reviewed and accepts the sample contract language provided, or alternatively, has submitted alternative language per the instructions.
The Attestation Form also addresses confidential and redacted information submissions, requiring respondents to identify any documents or sections requiring statutory exemption under the Access to Public Records Act (APRA), specify the applicable statutory exception, provide a rationale for the exemption, and submit separate redacted or confidential versions of affected documents using the prescribed naming convention. Additionally, respondents must confirm whether they are claiming participation in the Buy Indiana Initiative, which awards points only if certification is finalized in the Buy Indiana registry by the Sourcing Event Submission Date. Certain sections are noted as omitted for this specific RFS, including pricing (Section 1.10), minority and women business enterprise forms (Attachment A), Indiana Veteran Owned Small Business forms (Attachment A1), and cost proposal worksheets (Attachment D).
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Other files
| File | Type | Posted |
|---|---|---|
| Att G - Q and A Responses Soil Sample.xlsx | XLSX spreadsheet | |
| RFS 26-87589 Addendum #1.docx | DOCX document | |
| Pre-Proposal Conference June 24 2026 Slides.pptx | PPTX presentation | |
| Att I - Pre-proposal Network Form.docx | DOCX document | |
| Att F- Technical Proposal Template.docx | DOCX document | |
| Att H - Reference Check Form.docx | DOCX document | |
| Att M - Infrastructure Overview.docx | DOCX document | |
| Att E - Business Proposal Template.docx | DOCX document | |
| Att L - Artificial Intelligence.docx | DOCX document | |
| Att G - Q&A Template.xlsx | XLSX spreadsheet | |
| Att B - Sample Contract.docx | DOCX document | |
| Att K - SOW.docx | DOCX document | |
| RFS 26-87589 Main Document.pdf | ||
| Att C - Indiana Economic Impact Form.xls | XLS spreadsheet |
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Text version
ATTESTATION FORM
ATTACHMENT J
RFS 26-87589
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 |
| ☒ Omitted for RFS 26-87589 |
| Section 3.2 Executive Summary |
| ☐ Have completed, signed, and submitted |
Section 3.2 Attachment A: Minority and Women Business Enterprise form, IDOA provided certification letter and Subcontractor’s signed letter on company letterhead.
☒ Omitted for RFS 26-87589
Section 3.2 Attachment A1: Indiana Veteran Owned Small Business form IDOA provided certification letter and Subcontractor’s signed letter on company letterhead.
| Section 3.2 Attachment C: Indiana Economic Impact |
| ☐ Have read, completed, and submitted |
| Section 3.2 Attachment D: Cost Proposal (Excel Workbook) |
| ☒ Omitted for RFS 26-87589 |
| 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
(Additional subcontractors/those not submitted in Attachment A/Attachment A1)
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/ or ☐ 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 rfs #) _ (insert Att letter) _CONFIDENTIAL
· (insert rfs #) _ (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 RFS 2.6.3 Omitted for RFS 26-87589
6.0 Respondent additional attachments (OPTIONAL)
More rows may be inserted if necessary
| Filename |
| RFP Attachment Reference |
2 v.07112024
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