Attachment D Qualified Bidder Affidavit.doc

DOC document 35 KB Posted

Attached to
IMPRINTED PLASTIC BAGS
Solicitation number
RFB 758 1900000482 2
Issued by
Elliott County, Kentucky

About this file

This is a Required Affidavit for Bidders document associated with RFB 758 1900000482, issued by a Kentucky state agency. The affidavit establishes the qualification requirements and procedures for bidders and offerors seeking to claim "qualified bidder" status under 200 KAR 5:410(3). Bidders must affirm under penalty of perjury that both the bidding entity and all subcontractors meet the requirements for qualified bidder status and will maintain compliance throughout the contract duration. The document requires bidders to identify the specific qualified bidder category they are claiming.

The primary qualified bidder category outlined is a nonprofit organization claiming status as a "Qualified nonprofit agency for individuals with severe disabilities" under KRS 45A.465(3). To qualify, the organization must be organized and operated for individuals with severe disabilities, 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 the manufacture or provision of listed products or services, and maintain registration in good standing as a nonprofit with the Secretary of State. The bidding agency reserves the right to request documentation substantiating qualified bidder claims, and failure to provide requested documentation upon demand may result in bidder disqualification or contract termination. The affidavit requires the bidder's signature, printed name, title, date, and company information, along with notarization.

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Other files

File Type Posted
Final_RFB_758_1900000482_2_SO_FORM.PDF PDF
Attch B ANNUAL AFFIDAVIT - 2019.pdf PDF
Final_RFB_758_1900000482_1_SO_FORM.PDF PDF
Attachment C Resident Bidder Affidavit.doc DOC document
ATTACHMENT A-2 Terms & Conditions.pdf PDF
PARKS_ADDRESSES-giftbags.xlsx XLSX spreadsheet
Merchandise Bags ARTWORK.pdf PDF

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Text version

Solicitation/Contract #: RFB 758 1900000482 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 .