Attach D Qualified Bidder Affidavit.doc
DOC document 51 KB Posted
- Attached to
- GOLF COURSE CHEMICALS-SEPRO
- Solicitation number
- RFB 758 2000000254 1
- Issued by
- Kentucky
About this file
This is a Qualified Bidder Affidavit form required for RFB 758 2000000254, applicable to bidders and offerors seeking to claim qualified bidder status under Kentucky Administrative Regulations (200 KAR 5:410(3)) and Kentucky Revised Statutes (KRS Chapter 163 and KRS 45A.465). Bidders and their subcontractors must affirm under penalty of perjury that they meet the qualifications to be considered a "qualified bidder" and will maintain compliance throughout the contract term. The affidavit requires bidders to specify which qualified bidder status category they are claiming, with options including nonprofit corporations furthering the purposes of KRS Chapter 163 or qualified nonprofit agencies for individuals with severe disabilities.
Qualified nonprofit agencies for individuals with severe disabilities must satisfy four specific criteria: organizational status furthering the interests of individuals with severe disabilities, compliance with applicable occupational health and safety laws of the United States and Commonwealth, employment of individuals with severe disabilities for at least seventy-five percent of direct labor man-hours in manufacturing or providing products or services listed under KRS 45A.470, and registration in good standing as a nonprofit organization with the Kentucky Secretary of State. The bidding agency reserves the right to request documentation supporting any claimed qualified bidder status, and failure to provide such documentation upon request may result in bidder disqualification or contract termination. The affidavit must be notarized and signed by an authorized representative of the bidding entity.
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Other files
| File | Type | Posted |
|---|---|---|
| ATTACH A - 758 2000000254.pdf | ||
| Attach C Resident Bidder Affidavit.doc | DOC document | |
| Final_RFB_758_2000000254_1_SO_FORM.PDF | ||
| Attach B ANNUAL AFFIDAVIT.pdf |
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Text version
Solicitation/Contract #: RFB 758 2000000254 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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