Attach D Qualified Bidder Affidavit.doc

DOC document 35 KB Posted

Attached to
GOLF GREENS COVERS
Solicitation number
RFB 758 2000000014 2
Issued by
Lewis County, Kentucky

About this file

This is a Qualified Bidder Affidavit document for RFB 758 2000000014, required for bidders and offerors claiming qualified bidder status under Kentucky Administrative Regulations (200 KAR 5:410(3)). Bidders must swear under penalty of perjury that they and all subcontractors meet the requirements to be considered a qualified bidder and will maintain compliance throughout the contract duration. The affidavit requires bidders to identify their specific qualified bidder status category and be executed before a notary public.

The document establishes that qualified bidders may include nonprofit corporations that further the purposes of Kentucky Revised Statutes Chapter 163, or qualified nonprofit agencies for individuals with severe disabilities as defined under KRS 45A.465(3). Qualified nonprofit agencies 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 seventy-five percent of direct labor man hours in manufacturing or providing products or services, and maintain good standing as a nonprofit with the Kentucky Secretary of State. The bidding agency reserves the right to request supporting documentation for any qualified bidder claim, and failure to provide such documentation upon request may result in bidder disqualification or contract termination.

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Other files

File Type Posted
Attach B ANNUAL AFFIDAVIT.pdf PDF
ATTACH A - 2 758 2000000014.pdf PDF
Final_RFB_758_2000000014_1_SO_FORM.PDF PDF
Final_RFB_758_2000000014_2_SO_FORM.PDF PDF
Attach C Resident Bidder Affidavit.doc DOC document
Site Visit Verification Form.docx DOCX document

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Text version

Solicitation/Contract #: RFB 758 2000000014 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 .