Attachment C Qualified Bidder Status.xml.pdf

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Attached to
Hot Water Pressure Washers
Solicitation number
RFB 605 2100000451 1
Issued by
Elliott County, Kentucky

About this file

This is a Required Affidavit for Qualified Bidder Status document issued by a Kentucky state agency under the authority of 200 KAR 5:410(3) and KRS 45A.465(3). The document establishes the requirements and certification process for bidders and offerors seeking to claim qualified bidder status in state and local contracts. Bidders must swear under penalty of perjury that both the bidding entity and all subcontractors meet the applicable qualified bidder requirements and will maintain compliance throughout the contract term.

The affidavit identifies two primary pathways for claiming qualified bidder status: a nonprofit corporation that furthers the purposes of KRS Chapter 163, or a qualified nonprofit agency for individuals with severe disabilities. For the latter designation, organizations 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 75 percent of direct labor man hours in manufacturing or providing products or services listed under KRS 45A.470, and maintain good standing as a registered nonprofit with the Kentucky Secretary of State. The bidding agency reserves the right to request supporting documentation for any qualified bidder status claim, and failure to provide documentation upon request may result in bidder disqualification or contract termination. The affidavit requires signature, notarization, and inclusion of bidder information including company name, address, title, and date.

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Attachment C

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:

http://www.lrc.state.ky.us/kar/200/005/410reg.htm

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