Attachment D - Transmittal Letter Checklist.docx
DOCX document 146 KB Posted
- Attached to
- Retrofit Trucks Rebid - Boone and Kenton Co
- Solicitation number
- RFP 605 2100000347 2
- Issued by
- Kenton County, Kentucky
About this file
This is a Transmittal Letter Checklist for RFP 605 2100000347 issued by the Commonwealth of Kentucky. The checklist serves as a standardized form that vendors must complete and submit as part of their proposal response. The document requires vendors to confirm compliance with various statutory and regulatory requirements, identify key personnel for proposal and contract performance, and disclose any subcontractors that will be utilized in fulfilling the contract obligations. Vendors must also certify whether they are taking any exceptions or proposing deviations to the stated requirements and affirm their compliance with the Kentucky Civil Rights Act, the Executive Branch Code of Ethics, conflict of interest prohibitions, and debarment status requirements.
The checklist mandates that vendor responses be notarized and signed by an authorized representative of the company. Additionally, vendors must certify compliance with KRS 45A.485 statutes and provide required information if any violations have occurred. The form includes designated spaces for vendors to list subcontractors and to document any exceptions or deviations from RFP requirements on a separate section of the same document. All responses must include contact information for both the proposal point of contact and the individual responsible for contract performance.
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Text version
Transmittal Letter Checklist _________________________________________(vendor)
RFP 605 2100000347
1. Does your company take any exceptions or want to propose any deviations to the requirements?
Yes No If yes, please submit on the below page titled “Exceptions / Deviations”
2. Will your company comply with the Kentucky Civil Rights Act? Yes No
3. Has your company knowingly violated any provisions of the Executive Branch Cold of Ethics? Yes No
4. Is your company in compliance with Prohibition of Certain Conflicts of Interest? Yes No
5. Is your company, or any of its principals, debarred, suspended, proposed for debarment, or declared ineligible for award of state or federal contracts? Yes No
6. Contact person for proposal: ________________________________________(Name)
| ________________________________________(Phone) |
| _________________________________________(Email, alternate phone) |
7. Contact person for contract performance: ________________________________________ (Name)
| ________________________________________ (Phone) |
| ________________________________________(Email, alternate phone) |
8. Will you be using subcontractors? Yes No If Yes, list here: ___________________________________________________________
| ___________________________________________________________ |
| ___________________________________________________________ |
9. Has your company been in violation of statutes as per KRS 45A.485? (see below)
| Yes No | |
| If yes, you must submit the required information regarding determinations as per KRS 45A.485. |
Vendor Signature affirming the above and notary should be applied below.
Vendor 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:
Exceptions / Deviations
RFP 605 2100000347
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File details come from the government source that posted it. Updated .