Attachment H Transmittal Letter Checklist- Marine Surveyor.docx
DOCX document 149 KB Posted
- Attached to
- Marine Surveyors
- Solicitation number
- RFP 605 2200000378 3
- Issued by
- Montgomery County, Kentucky
About this file
This is a Transmittal Letter Checklist for RFP 605 2200000378 issued by the Commonwealth of Kentucky for a Marine Surveyor contract. The checklist serves as a certification document that vendors must complete and submit with their bid proposals, confirming compliance with various regulatory and ethical requirements. The document requires vendors to affirm their adherence to Kentucky Civil Rights Act provisions, confirm independent price development without collusion, and validate their authorization to conduct business within the Commonwealth.
The checklist addresses nine primary requirements, including disclosure of any proposed exceptions or deviations to contract specifications, proprietary information inclusion, compliance with the Executive Branch Code of Ethics, and identification of any subcontractors that will be utilized on the contract. Vendors must also declare whether they have violated KRS 45A.485 statutes and provide contact information for contract performance. The submission must be notarized and signed by an authorized company representative, with the vendor's printed name, title, date, company name, and address included. All responses require affirmative or negative answers, with specific instructions to submit additional documentation if violations or exceptions apply.
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Text version
Transmittal Letter Checklist _________________________________________(vendor)
RFP 605 2200000378
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. Did your company include any proprietary information?
Yes No
3. Will your company comply with the Kentucky Civil Rights Act? Yes No
4. Has your company knowingly violated any provisions of the Executive Branch Cold of Ethics? Yes No
5. Did your company arrive at the price independently without collusion, consultation, Communication, or agreement as to any matter relating to such prices with any other Offeror or with any competitior?
Yes No Not Applicable
6. Please confirm your company is authorized under laws of the Commonwealth to conduct business in this state and will remain in good standing with KY Secretary of State for duration of any awarded contract.
Yes No
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 2200000378
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File details come from the government source that posted it. Updated .