Attach D Qualified Bidder Affidavit.doc

DOC document 35 KB Posted

Attached to
Fidelity Bonds
Solicitation number
RFB 758 2000000357 2
Issued by
Elliott County, Kentucky

About this file

This is a Required Affidavit for Bidders document related to RFB 758 2000000357, establishing qualified bidder status requirements for an unnamed state or local government agency. Bidders and all subcontractors must meet the qualifications outlined in 200 KAR 5:410(3) and maintain compliance throughout the contract term. The affidavit requires bidders to identify and claim specific qualified bidder status under applicable Kentucky Revised Statutes.

The document establishes two primary qualified bidder categories: nonprofit corporations that further the purposes of KRS Chapter 163, and qualified nonprofit agencies for individuals with severe disabilities as defined under KRS 45A.465(3). Organizations claiming the latter status must be organized to serve individuals with severe disabilities, comply with all applicable occupational health and safety laws, employ individuals with severe disabilities for at least seventy-five percent of direct labor hours in manufacturing or providing listed products or services, and maintain registration in good standing with the Secretary of State. The bidding agency reserves the right to request supporting documentation for any qualified bidder claim, and failure to provide requested documentation may result in bidder disqualification or contract termination. The affidavit must be completed, signed, and notarized by the bidder's authorized representative.

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Text version

Solicitation/Contract #: RFB 758 2000000357 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 .