Attachment D Qualified Bidder Affidavit.doc
DOC document 35 KB Posted
- Attached to
- NO-TILL GRAIN DRILL
- Solicitation number
- RFB 758 1900000475 1
- Issued by
- Kentucky
About this file
This is a Qualified Bidder Affidavit for Solicitation/Contract #RFB 758 1900000475, issued by a state bidding agency in Kentucky under the authority of 200 KAR 5:410(3). The affidavit serves as a required document for bidders, offerors, and contractors seeking to claim qualified bidder status. Bidders must swear under penalty of perjury that both the bidding entity and all subcontractors meet the statutory requirements for qualified bidder classification and will maintain compliance throughout any awarded contract term. The document requires bidders to identify the specific qualified bidder status being claimed and must be completed, signed, and notarized before submission.
The affidavit addresses two primary qualified bidder classifications under Kentucky law. The first category encompasses nonprofit corporations that further the purposes of KRS Chapter 163. The second category pertains to qualified nonprofit agencies for individuals with severe disabilities as defined under KRS 45A.465(3), which requires the organization to be structured to serve 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 nonprofit registration in good standing with the Secretary of State. The bidding agency retains the right to request documentation substantiating any claimed qualified bidder status, with failure to provide such documentation upon request potentially resulting in bidder disqualification or contract termination.
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Other files
| File | Type | Posted |
|---|---|---|
| Attch B ANNUAL AFFIDAVIT - 2019.pdf | ||
| ATTACHMENT A - Terms & Conditions.pdf | ||
| Attachment C Resident Bidder Affidavit.doc | DOC document | |
| Final_RFB_758_1900000475_1_SO_FORM.PDF |
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Text version
Solicitation/Contract #: RFB 758 1900000475 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:
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