Attach D Qualified Bidder Affidavit.doc
DOC document 35 KB Posted
- Attached to
- EVENT PRODUCTION CONCESSION
- Solicitation number
- RFB 758 1900000240 1
- Issued by
- Fayette County, Kentucky
About this file
This is a Qualified Bidder Affidavit required for Solicitation/Contract RFB 758 1900000240, applicable to state and local contracting entities in Kentucky. The affidavit serves as a sworn statement under penalty of perjury, requiring bidders and offerors to confirm that they and all subcontractors meet the qualifications to be classified as "qualified bidders" in accordance with 200 KAR 5:410(3), and that they will maintain compliance throughout the contract duration. The document requires bidding entities to identify and claim the specific qualified bidder status under which they are bidding, with options including a nonprofit corporation that furthers the purposes of KRS Chapter 163 or a qualified nonprofit agency for individuals with severe disabilities as defined under KRS 45A.465(3).
A qualified nonprofit agency for individuals with severe disabilities must be organized and operated in the interest of individuals with severe disabilities, comply with applicable occupational health and safety laws of the United States and Commonwealth of Kentucky, employ individuals with severe disabilities for at least seventy-five percent of the man hours of direct labor required for manufacturing or provision of listed products or services under KRS 45A.470, and be registered and in good standing as a nonprofit organization with the Kentucky Secretary of State. The bidding agency reserves the right to request supporting documentation of a bidder's qualified bidder status claim, and failure to provide such documentation upon request may result in bidder disqualification or contract termination. The affidavit must be notarized and executed with the affiant's signature, printed name, title, date, and company information.
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Other files
| File | Type | Posted |
|---|---|---|
| Attach A - 758 1900000240.pdf | ||
| Attach C Resident Bidder Affidavit.doc | DOC document | |
| Attach B Annual Affidavit.pdf | ||
| KHP Exposition Services Rental-details.docx | DOCX document | |
| Final_RFB_758_1900000240_1_SO_FORM.PDF |
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Text version
Solicitation/Contract #: RFB 758 1900000240 REQUIRED AFFIDAVIT FOR BIDDERS, OFFERORS AND CONTRACTORS CLAIMING QUALIFIED BIDDER STATUS
FOR BIDS AND CONTRACTS IN GENERAL:
I. The bidder or offeror swears and affirms under penalty of perjury that the entity bidding, and all subcontractors therein, meets the requirements to be considered a “qualified bidder” in accordance with 200 KAR 5:410(3); and will continue to comply with such requirements for the duration of any contract awarded. Please identify below the particular “qualified bidder” status claimed by the bidding entity.
________ A nonprofit corporation that furthers the purposes of KRS Chapter 163 _______ Per KRS 45A.465(3), a "Qualified nonprofit agency for individuals with severe disabilities" means an organization that:
(a) Is organized and operated in the interest of individuals with severe disabilities; and
(b) Complies with any applicable occupational health and safety law of the United States and the Commonwealth; and
(c) In the manufacture or provision of products or services listed or purchased under KRS 45A.470, during the fiscal year employs individuals with severe disabilities for not less than seventy-five percent (75%) of the man hours of direct labor required for the manufacture or provision of the products or services; and
(d) Is registered and in good standing as a nonprofit organization with the Secretary of State.
The BIDDING AGENCY reserves the right to request documentation supporting a bidder’s claim of qualified bidder status. Failure to provide such documentation upon request may result in disqualification of the bidder or contract termination.
Signature
Printed Name
Title
Date
Company Name
Address
Subscribed and sworn to before me by
(Affiant)
(Title) of this _____day of ____________,20___.
(Company Name)
Notary Public
[seal of notary]
My commission expires:
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