Attachment H Transmittal Letter Checklist Marine Surveyor REVISED.docx
DOCX document 149 KB Posted
- Attached to
- Marine Surveyors
- Solicitation number
- RFP 605 2200000314 2
- Issued by
- Mercer County, Kentucky
About this file
This is a Transmittal Letter Checklist for RFP 605 2200000314 issued by the Commonwealth of Kentucky for a Marine Surveyor position. The document serves as a standardized submission form requiring vendors to confirm compliance with various statutory and regulatory requirements, including attestation regarding price independence, authorization to conduct business in Kentucky, and compliance with the Kentucky Civil Rights Act and Executive Branch Code of Ethics. Vendors must identify their primary contact person for contract performance, disclose any proposed exceptions or deviations to stated requirements, and indicate whether subcontractors will be utilized in performance of the contract.
The checklist also requires vendors to certify they have not violated provisions outlined in KRS 45A.485 and to disclose any proprietary information included in their submission. All responses must be notarized and signed by an authorized company representative, with the vendor's printed name, title, date, company name, and address included. The document provides a designated section for vendors to detail any exceptions or deviations to RFP requirements and includes space for notary public authentication with commission expiration date.
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Text version
Transmittal Letter Checklist _________________________________________(vendor)
RFP 605 2200000314
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 2200000314
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File details come from the government source that posted it. Updated .