Attach D Qualified Bidder Affidavit.doc
DOC document 35 KB Posted
- Attached to
- 1099R FORMS & MAILING
- Solicitation number
- RFB 758 1900000231 3
- Issued by
- Elliott County, Kentucky
About this file
This is a Qualified Bidder Affidavit required for RFB 758 1900000231, establishing compliance standards for entities seeking to bid on state and local contracts in Kentucky. The affidavit requires bidders and all subcontractors to meet "qualified bidder" status as defined under 200 KAR 5:410(3) and maintain compliance throughout the contract term. Bidding entities must declare their particular qualified bidder status, which may include nonprofit corporations furthering purposes under KRS Chapter 163 or qualified nonprofit agencies for individuals with severe disabilities. No specific products, services, quantities, response dates, site visits, or bidders' meetings are detailed in this affidavit document.
A qualified nonprofit agency for individuals with severe disabilities must be organized to serve individuals with severe disabilities, comply with applicable occupational health and safety laws, employ individuals with severe disabilities for at least 75 percent of direct labor man hours in manufacturing or providing listed products or services, and maintain registration in good standing with the Kentucky Secretary of State. The bidding agency reserves the right to request supporting documentation of qualified bidder claims, and failure to provide such documentation upon request may result in bidder disqualification or contract termination. The affidavit requires notarization and must be signed by an authorized representative of the bidding entity.
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Other files
| File | Type | Posted |
|---|---|---|
| Attach B Annual Affidavit.pdf | ||
| 1099R Summary & Timeline.docx | DOCX document | |
| Final_RFB_758_1900000231_1_SO_FORM.PDF | ||
| Attach C Resident Bidder Affidavit.doc | DOC document | |
| KRS 1099R #10 ENVELOPE PROOF.pdf | ||
| Final_RFB_758_1900000231_2_SO_FORM.PDF | ||
| 1099R_2018 BLANK FORM.pdf | ||
| Attach A-3 RFB 758 1900000231.pdf | ||
| Final_RFB_758_1900000231_3_SO_FORM.PDF |
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Text version
Solicitation/Contract #: RFB 758 1900000231 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:
File details come from the government source that posted it. Updated .