Attachment I Transmittal Letter Checklist CDL Exams D8, D11.docx
DOCX document 146 KB Posted
- Attached to
- CDL Exams and Vaccines D8, D11
- Solicitation number
- RFP-605-2200000154-2
- Issued by
- Clay County, Pulaski County, Kentucky
About this file
This document is a Transmittal Letter Checklist related to Request for Proposal (RFP) 605 2200000154 for CDL Exams. The checklist outlines various requirements and questions for the vendor, including whether they take any exceptions or propose deviations, comply with the Kentucky Civil Rights Act, have any conflicts of interest, or are debarred or suspended. The checklist also requests the vendor's contact information and whether they will be using subcontractors. Additionally, the vendor must affirm they have not violated any statutes as per KRS 45A.485.
The document also includes a section for the vendor to list any exceptions or deviations to the RFP requirements. Overall, this checklist serves as a cover sheet for the vendor's proposal submission, ensuring they have addressed all the necessary administrative and compliance requirements.
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Text version
Transmittal Letter Checklist _________________________________________(vendor)
RFP 605 2200000154
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 2200000154
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File details come from the government source that posted it. Updated .