Attach D Qualified Bidder Affidavit.doc
DOC document 35 KB Posted
- Attached to
- KDFWR - Asian Carp Removal Program
- Solicitation number
- RFB 758 1900000577 1
- Issued by
- Elliott County, Kentucky
About this file
This is a Required Affidavit for Bidders document associated with RFB 758 1900000577, establishing qualified bidder status requirements for state and local contract opportunities. The affidavit requires bidders and their subcontractors to certify compliance with 200 KAR 5:410(3) qualified bidder standards and maintain such compliance throughout the contract term. Bidders must declare their specific qualified bidder status category and acknowledge understanding of documentation requirements and potential disqualification consequences.
The affidavit addresses qualified nonprofit agency status for individuals with severe disabilities as defined under KRS 45A.465(3), requiring organizations to be registered nonprofits operated in the interest of individuals with severe disabilities, comply with applicable occupational health and safety laws, and employ individuals with severe disabilities for at least seventy-five percent of direct labor man hours in the manufacture or provision of listed products or services. The bidding agency reserves the right to request supporting documentation for any qualified bidder claim, with failure to provide such documentation upon request resulting in bidder disqualification or contract termination. The affidavit requires notarization and must be executed by an authorized representative with title and company information clearly identified.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Asian Carp- River Pool Program Details.doc | DOC document | |
| Attch A RFB 758 1900000577.pdf | ||
| Attach C Resident Bidder Affidavit.doc | DOC document | |
| Final_RFB_758_1900000577_1_SO_FORM.PDF | ||
| Attach B ANNUAL AFFIDAVIT.pdf |
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Text version
Solicitation/Contract #: RFB 758 1900000577 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 .