Attach D Qualified Bidder Affidavit.doc

DOC document 35 KB Posted

Attached to
EVENT PRODUCTION CONCESSION
Solicitation number
RFB-758-1900000240-1
Issued by
Elliott County, Kentucky

About this file

This is a Required Affidavit for Bidders, Offerors and Contractors document for Solicitation/Contract RFB 758 1900000240 issued by the Commonwealth of Kentucky for an Event Production Concession opportunity. The affidavit requires bidders and all subcontractors to swear under penalty of perjury that they meet the requirements to be considered a "qualified bidder" in accordance with 200 KAR 5:410(3) and certify their commitment to maintain compliance with such requirements throughout the duration of any awarded contract. Bidders must identify the specific qualified bidder status claimed, which may include status as a nonprofit corporation that furthers the purposes of KRS Chapter 163.

The document specifies that 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 the Commonwealth, employ individuals with severe disabilities for not less than seventy-five percent of the man hours of direct labor required for the manufacture or provision of products or services listed or purchased under KRS 45A.470, and be 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, and failure to provide such documentation upon request may result in disqualification of the bidder or contract termination. The affidavit must be notarized and include the signature, printed name, title, date, company name, and address of the affiant.

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Attach A - 758 1900000240.pdf PDF
Attach B Annual Affidavit.pdf PDF
Final_RFB_758_1900000240_1_SO_FORM.PDF 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:

File details come from the government source that posted it. Updated .