Attachment C Qualified Bidder Status.xml.pdf
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- Attached to
- ARC Road Pavement and Air Sensors
- Solicitation number
- RFB 605 2100000467 1
- Issued by
- Kentucky
About this file
This is a required affidavit document for bidders and offerors in Kentucky state and local contract opportunities claiming qualified bidder status under 200 KAR 5:410(3). The affidavit requires bidding entities and all subcontractors to swear under penalty of perjury that they meet the requirements to be considered a qualified bidder and will maintain compliance throughout the contract duration. Bidders must identify the specific qualified bidder status being claimed, which may include status as a nonprofit corporation furthering the purposes of Kentucky Revised Statutes Chapter 163. The document establishes that the bidding agency reserves the right to request documentation supporting a bidder's claimed qualified bidder status at any time.
The affidavit specifically addresses qualifications for nonprofit agencies serving individuals with severe disabilities, which must be organized and 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 man hours in manufacturing or providing products or services listed under KRS 45A.470, and maintain registration and good standing as a nonprofit organization with the Kentucky Secretary of State. Failure to provide requested supporting documentation may result in bidder disqualification or contract termination. The document requires the bidder's signature, printed name, title, date, company name, address, and notarization before a notary public.
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Text version
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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