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 for RFP 758 2000000118, required for entities seeking to bid on state and local contracts in Kentucky. Bidders claiming qualified bidder status must attest under penalty of perjury that they and all subcontractors meet the requirements established under 200 KAR 5:410(3) and will maintain compliance throughout any awarded contract term. The affidavit requires bidders to identify and claim the specific qualified bidder status category for which they are applying.
The document establishes two primary qualified bidder classifications: a nonprofit corporation that furthers the purposes of KRS Chapter 163, or a qualified nonprofit agency for individuals with severe disabilities as defined under KRS 45A.465(3). The latter classification requires the organization to be organized for individuals with severe disabilities, maintain compliance with applicable occupational health and safety laws, employ individuals with severe disabilities for at least seventy-five percent of direct labor hours for products or services listed under KRS 45A.470, and maintain registration in good standing with the Secretary of State. The bidding agency reserves the right to request documentation supporting any qualified bidder status claim, and failure to provide requested documentation may result in bidder disqualification or contract termination. The affidavit must be notarized and include the bidder's signature, printed name, title, date, company name, and address.
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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 .