Attach D Qualified Bidder Affidavit.doc

DOC document 50 KB Posted

Attached to
Experimental Asian Carp Fishing Gear
Solicitation number
RFP-758-2000000118-6
Issued by
Kentucky

About this file

This is a Qualified Bidder Affidavit required for RFP 758 2000000118 in Kentucky related to an Experimental Asian Carp Fishing Gear procurement. The affidavit serves as a sworn statement under penalty of perjury, whereby bidders and offerors must certify that their entity and all subcontractors meet the requirements to be classified as a "qualified bidder" in accordance with 200 KAR 5:410(3) and agree to maintain compliance throughout the contract duration. Bidders must identify the specific qualified bidder status being claimed and provide corresponding documentation upon request from the bidding agency.

The affidavit identifies two potential qualified bidder statuses available under Kentucky law. The first classification applies to nonprofit corporations that further the purposes of KRS Chapter 163. The second classification pertains to qualified nonprofit agencies for individuals with severe disabilities as defined under KRS 45A.465(3), which requires the organization to be organized and operated in the interest of individuals with severe disabilities, comply with applicable occupational health and safety laws, employ individuals with severe disabilities for at least seventy-five percent of direct labor man hours in the manufacture or provision of products or services, and maintain registration and good standing with the Secretary of State. The bidding agency reserves the right to request supporting documentation and may disqualify bidders or terminate contracts for failure to provide such documentation upon request.

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Text version

Solicitation/Contract #: RFP 758 2000000118 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 .