Attach D Qualified Bidder Affidavit.doc
DOC document 35 KB Posted
- Attached to
- CABINETRY COMPONENTS
- Solicitation number
- RFB 758 1900000034 1
- Issued by
- Elliott County, Kentucky
About this file
This is a Qualified Bidder Affidavit for RFB 758 1900000034, a state and local contract opportunity in Kentucky. The affidavit establishes the requirements and certification process for entities seeking to claim "qualified bidder" status under 200 KAR 5:410(3). Bidders and all subcontractors must swear under penalty of perjury that they meet the qualifications for this status and will maintain compliance throughout the contract term. The document allows bidding entities to identify which qualified bidder classification they are claiming, with specific provisions for nonprofit corporations furthering the purposes of KRS Chapter 163.
The affidavit outlines specific criteria for nonprofit agencies serving individuals with severe disabilities, including requirements that the organization be operated in the interest of such individuals, comply with 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 Kentucky Secretary of State. The bidding agency reserves the right to request documentation supporting qualified bidder claims, and failure to provide such documentation upon request 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.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attach C Resident Bidder Affidavit.doc | DOC document | |
| Attach B Annual Affidavit.pdf | ||
| Final_RFB_758_1900000034_1_SO_FORM.PDF | ||
| Attach A RFB 758 1900000034.pdf | ||
| Parks Cabinetry CATALOG.xlsx | XLSX spreadsheet |
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Text version
Solicitation/Contract #: RFB 758 1900000034 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 .