Final_RFQ_540_2100000120_1_SO_FORM.PDF
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- Attached to
- Virtual Welder for Monroe Co ATC
- Solicitation number
- RFQ 540 2100000120 1
- Issued by
- Elliott County, Kentucky
About this file
This is a Request for Quotation (RFQ) issued by the Commonwealth of Kentucky Department of Education for the procurement of virtual welding simulation equipment for Monroe County Area Technology Center. The solicitation seeks one Reality Works guideWELD VR Welding Simulator system or approved equal brand/model, which must include a workstation with GMAW (MIG) and SMAW (STICK) welding simulator capabilities, three welding joints (tee/lap/butt), welding gloves, curriculum download, USB cable, power supply, and unlimited user seats. The system must also include webinar training and shipping/handling. The solicitation was issued on May 12, 2021, with responses due by 2:30 PM EST on May 24, 2021. Delivery and installation must be completed before June 30, 2021, at Monroe County ATC located at 757 Old Mulkey Road, Tompkinsville, Kentucky 42167. No pre-bid conference or site visit was scheduled. Award will be made to the lowest evaluated responsive and responsible bidder based on a best value evaluation approach.
All vendor costs must include shipping, delivery, installation, and training. Evaluation criteria include price (90 points maximum), delivery time in calendar days (5 points maximum), and warranty period in months (5 points maximum). The bidder submitting the lowest price receives maximum points; subsequent bids are scored proportionally. A minimum one-year warranty on all parts and labor is required. Vendors may propose equal or superior alternative brands/specifications with supporting descriptive literature. Kentucky resident bidders receive reciprocal preference, and qualified bidders including Kentucky Correctional Industries, Kentucky Industries for the Blind, and qualified nonprofit agencies for individuals with severe disabilities receive additional point preferences. Payment will be made within 30 working days of invoice receipt in accordance with Kentucky law, and the contract is non-renewable with a maximum annual expenditure limit of $20,000 per fiscal year.
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Text version
Document ID: RFQ 540 2100000120 Page: 1
Commonwealth of Kentucky
SOLICITATION
Addenda: No Addenda #:
TITLE: Virtual Welder for Monroe Co ATC
Date Issued:
5/12/21 Record Date:
2021-05-07
Solicitation Closes Date:
5/24/21 Time:
14:30
Solicitation No:
RFQ 540 2100000120
Online Bidding Prohibited: Yes
For Information Call:
Tori Mason 502-564-1979
Bid Receiving Location:
KDE - Division of Financial Managment Procurement Branch 300 Sower Blvd, 5th Floor, CSW
Frankfort KY 40601
Vendor Customer Number:
Vendor Name:
Phone Number:
Fax Number:
Email Address:
Ordering
Address:
City, State, Zip:
Contact Name:
Contact Email:
Contact Phone Number:
Payment
Address:
City, State, Zip:
Contact Name:
Contact Email:
Contact Phone Number:
Ownership Type
__ Sole Proprietorship __ Partnership __ Corporation __ Other_________________________
SIGNATURE OF AUTHORIZED AGENT IS REQUIRED UNLESS RESPONSE
IS SUBMITTED ELECTRONICALLY. FAILURE TO SIGN SHALL RENDER
THE BID INVALID.
Signature X_________________________________________ FEIN#____________________ Date____________
All offers subject to all terms and conditions contained in this solicitation.
Document ID: RFQ 540 2100000120 Page: 2
Line Items
Commodity Group: Default
Line CL Description Quantity UOM Unit Cost Line Total or Contract Amnt
1 Virtual Welder 1.00000 EA
Comm Code Comm Description Manufacturer Model # Manuf Part #
78592 Training Aids, Materials, and Equipment for the Industrial T
Extended Description Reality works guideWeld VR system or approved equal brand / model
WORKSTATION:
-guideWeld VR workstation with GMAW (MIG) welding simulator gum
- 3 welding joints (tee / lap / butt) -welding gloves -guideWeld curriculum download -workstation USB Cable -workstation power supply 12VDC 1.3 5ft 2.5mm, power cord 3-prong-US -unlimited seats for users
SMAW/STICK GUN:
-SMAW/STICK welding simulator gun
WEBINAR TRAINING
SHIPPING/HANDLING
DELIVERY LOCATION
Monroe Co ATC 757 Old Mulkey Road Tompkinsville, KY 42167 Jesse Muse, Welding Instructor
DELIVERY/COMPLETION DATE
Delivery is required before June 30, 2021
Delivery date: ___________________.
Vendors Cost SHALL include all shipping/delivery and installation and training costs.
Shipping Information Area Technology Center - Monroe County Shipping 757 Old Mulkey Rd
Tompkinsville KY 42167
Billing Information Area Technology Center - Monroe County Billing 757 Old Mulkey Rd
Tompkinsville KY 42167
Document ID: RFQ 540 2100000120 Page: 3
Submission Checklist
The following items will be required to be submitted with bid:
Item Price (90 points) Delivery (5 Points) Warranty (5 Points)
Kentucky Department of Education 300 Sower Boulevard Frankfort, KY 40601
Informal Solicitation for Goods or Non-Professional Service
Please note: The Finance and Administration Cabinet Policy Procedure FAP 110-10-00: General Conditions and Instructions for Solicitations and Contracts is hereby incorporated by reference into this solicitation.
The Web site for entire Policies and Procedure manual: http://finance.ky.gov/services/policies/Pages/ default.aspx
Solicitation Instructions Due Date for Response 2:30 PM EST May 24, 2021
Request for Quotation must be returned to the following Tori Mason KY Department of Education Division of Budgets & Financial Management 300 Sower Blvd Frankfort KY, 40601 Tori.mason@education.ky.gov
Only Emailed quotes will be condsidered due to COVID 19 Heathy at Work Guidlines
Terms and Conditions
DELIVERY LOCATION
Monroe Co ATC 757 Old Mulkey Road Tompkinsville, KY 42167 Jesse Muse, Welding Instructor Teresa Cloyd, Administrative Specialist 270-487-8261
DELIVERY/INSTALLATION COMPLETION DATE
Delivery is required before June 30, 2021
Pricing should include all shipping/delivery and installation and training costs.
GOODS/SERVICE TO BE PROVIDED BY VENDOR
Reality Works guideWELD VR Welding Simulator or approved equal brand / model
SPECIFICATIONS
Reality Works RealCareer guideWELD VR Welding Simulator SKU56010111 MIG and STICK VR 1pk- V3.1.9.4 system or approved equal brand / model.
Workstation: All items listed below need to be Reality works or approved equal brand / model
- guideWeld VR workstation with GMAW (MIG) and SMAW (STICK) welding simulator gun
- 3 welding joints (tee / lap / butt)
- Welding gloves
- guideWeld VR curriculum download
- Workstation USB CABLE
Document Description Page 4
2100000120 Virtual Welder for Monroe Co ATC http://finance.ky.gov/services/policies/Pages/default.aspx http://finance.ky.gov/services/policies/Pages/default.aspx
- Workstation power supply 12VDC 1.3A 5ft 2.5mm, power cord 3-prong-US
- Unlimited seats for users guideWeld VR Systems Cost $_______________
Webinar Training Cost $_______________
Shipping/Handling Cost $_______________
TOTAL COST, including shipping/handling $_______________
WARRANTY
Minimum One-year warranty on all parts and labor. The warranty is attached.
EXCEPTIONS TO SPECIFICAITONS
Vendors are cautioned that changes made to the solicitation other than in the designated fields for response shall render the response invalid and result in a non-responsive bid. Otherwise, it will be considered that items/services offered are in strict compliance with these specifications, and the successful bidder shall be held responsible for delivering materials/services that meet these specifications. Any exceptions shall be marked as such within the body of the bid and explained on a separate page. The Commonwealth is not bound to accept any exceptions.
ALTERNATE BRANDS/SPECIFICATIONS
Unless otherwise specified, brands and specifications referenced in this solicitation are meant to establish a minimum standard of quality only. Bidders may bid brands/specifications they consider to be equal by specifying the brand(s)/specifications and inserting the brand name(s), model number(s), etc. on which they are bidding. Bids offering “equal” products/specifications will be considered for award if such products are clearly identified in the bid and are determined by the State to meet or exceed fully the minimum essential specifications and salient characteristics referenced in the Solicitation. Bids that contain products/ specifications that fail to meet the minimum essential requirements shall be deemed non-responsive.
Bidders who propose alternate brands/specifications should enclose descriptive literature with their bids so that the equality can be verified. Failure to enclose sufficient literature may result in a non-responsive bid.
If the brands are not changed, the contract will be written accordingly, and the successful bidder shall be required to deliver the brands/specifications stated in the solicitation.
RECYCLE REQUIREMENTS
Prospective bidders are required to comply with Recycle Requirements for the purchase of goods, supplies, equipment, materials and printing with a minimum recycled content to the extent practicable per 200 KAR 5:330. This regulation can be viewed on the Internet at <http://www.lrc.state.ky.us/kar/200/005/330.htm>.
INVOICING INSTRUCTIONS
The vendor is responsible to submit an invoice to the agency at the address indicated above on or before the 10th of the month following the month in which the service(s) were rendered. Invoices shall contain, at a minimum, the following information: Contract and order number (if any), item numbers, description of supplies or services, sizes, quantities, unit prices, and extended totals.
PAYMENT TERMS
The Commonwealth shall pay all invoices in accordance with KRS 44.010, KRS 45.453 and KRS 45.454, which basically is “when due, and within 30 working days after receipt of approved invoice.” Vendor/ Contractor/Proprietor with the ability to accept credit card transactions must accept the Commonwealth Procurement Card (MasterCard) for payment of services
KENTUCKY SALES AND USE TAXES
Document Description Page 5
2100000120 Virtual Welder for Monroe Co ATC http://www.lrc.state.ky.us/kar/200/005/330.htm
Sales of tangible personal property or services to the State of Kentucky and its agencies are not subject to state sales or use taxes. The agency shall furnish the tax exemption number for applicable tax-exempt purchases.
GOVERNMENTAL MANDATES (WORKMAN’S COMPENSATION, UNEMPLOYMENT INSURANCE,
ETC)
The Vendor/Contractor/Proprietor is responsible for compliance with all applicable mandates concerning this agreement. For the purposes of this contract the Vendor/Contractor/Proprietor is deemed to be an independent agent and is not considered to be an employee of the Commonwealth.
COMPLIANCE WITH STATE LAWS
Contracts and orders shall be governed by the laws of the Commonwealth of Kentucky. The rights and obligations of the parties thereto shall be determined in accordance with these laws.
CONTRACT MODIFICATIONS
No modification to this contract shall be permitted unless the contractor receives written approval from the Commonwealth of Kentucky.
If the contractor believes modifications are necessary, he/she may request approval of the Commonwealth of Kentucky. All contract modifications shall be subject to the provisions of 200 KAR 5:311.
The agency reserves the right to modify this agreement for the addition or deletion of requirements deemed necessary by the agency with the mutual agreement of both parties; however, modifications will not result in the expenditures against this contract exceeding $20,000 per fiscal year.
TERMINATION OF CONTRACT
Either party may terminate this agreement at any time for just cause, or either party may cancel this agreement with thirty (30) days written notice.
METHOD OF AWARD
Award will be made to the lowest evaluated responsive, responsible best value offeror. The agency will issue a notification of award accepting the best value offer. Prompt Payment may be considered in award criteria. The scoring of bids/proposals is subject to Reciprocal preference for Kentucky resident bidders and Preferences for a Qualified Bidder or the Department of Corrections, Division of Prison Industries. See below.
ACCESS TO RECORDS
The contractor, as defined in KRS 45A.030 (9) agrees that the contracting agency, the Finance and Administration Cabinet, the Auditor of Public Accounts, and the Legislative Research Commission, or their duly authorized representatives, shall have access to any books, documents, papers, records, or other evidence, which are directly pertinent to this contract for the purpose of financial audit or program review.
Records and other prequalification information confidentially disclosed as part of the bid process shall not be deemed as directly pertinent to the contract and shall be exempt from disclosure as provided in KRS 61.878(1)(c). The contractor also recognizes that any books, documents, papers, records, or other evidence, received during a financial audit or program review shall be subject to the Kentucky Open Records Act, KRS 61.870 to 61.884.
VALIDITY OF OFFER
This offer is valid for sixty (60) days.
Method of Award Best Value - Ranking Approach
The Commonwealth intends to award a contract to the vendor, whose offer, conforming to the solicitation, is the most advantageous on the basis of "best value" for all products, services, and requirements contained herein.
An evaluation committee, or a designated individual, will evaluate the information provided by the vendor in response to the established measurable criteria contained in the solicitation.
Measurable Criteria: Delete any criteria that is not applicable Cost 90 Points Delivery 5 Points
Document Description Page 6
Warranty 5 Points Total Points 100 Points
Each vendor is responsible for submitting all relevant, factual and correct information with their offer to enable the evaluator(s) to afford each vendor the maximum score based on the available data submitted by the Vendor.
A bidder shall submit one (1) response to a solicitation and shall not propose more than one (1) model/brand for each item listed in the solicitation, except for requested tier pricing. Multiple or alternate bids offering more than one (1) bid price in total or by line item shall be rejected.
Vendors responding with the minimum Best Value requirements in this solicitation shall not be credited with Best Value points. Vendors responding with greater than the minimum requirements shall receive Best Value points. Failure to provide adequate information will impact the evaluated points awarded to the vendor.
COST; maximum 90 points The bidder with the lowest Price receives the maximum score. The bidder with the next lowest Price receives points by dividing the lowest Price by the next lowest price and multiplying that percentage by the available points. For example, if 90 points is allocated to the lowest Price criteria for this procurement, bidder "A" bids $3.00 as the lowest bidder and receives the maximum 90 points ($3.00 / $3.00 = 1.00 x 90 = 90). Assume bidder "B" is the next lowest bidder at $4.00, then "B" receives 67.5 points ($3.00 / $4.00) = .75 x 90 = 67.5).
WARRANTY; maximum 5 points
BIDDERS ARE TO ENTER THEIR WARRNTY PERIOD IN MONTHS IN THE SPACE PROVIDED BELOW.
The bidder shall clearly state the warranty for this procurement. Warranty period must be specific and such phrases as, "as required", "as soon as possible", or "prompt" have no meaning and may result in a non-responsive bid.
Vendor shall enter best materials, workmanship & installation warranty period: __________ MONTHS
For example, if the best warranty offer is 24 months, that bidder receives maximum points. If the next best warranty offer is 18 months, that bidder receives 75 points. (18/24 = .75 X 5 = 3.75 points, etc.)
DELIVERY; maximum 5 points
Prompt delivery is desired. That bidder with the Best Delivery offer will received maximum points. Other offers will be scored by dividing the best offer by the next best offer and multiplying the available points by that resulting percentage.
For example, if the best delivery offer is 20 days, that bidder receives maximum points. If the next best delivery offer is 30 days, that bidder receives 3.3 points. (20/30 = .666666 X 5 = 3.3 points, etc.)
BIDDERS ARE TO ENTER THEIR DELIVERY OFFER IN CALENDAR DAYS IN THE SPACE PROVIDED
BELOW.
The bidder shall clearly state the delivery time for this procurement. Delivery time must be specific and such phrases as, "as required", "as soon as possible", or "prompt" have no meaning and may result in a non-responsive bid.
Vendor should enter best delivery time in working days: __________ DAYS ARO
The vendor agrees that when delivery/service is not made within the contracted due date, one percent (1%) per day will be deducted from the vendor’s invoice for each day the vendor fails to meet the contracted delivery/service date.
The Commonwealth reserves the right to negotiate all aspects of the solicitation with the evaluated best value vendor.
Document Description Page 7
Best Value scoring is subject to Reciprocal preference for Kentucky resident bidders and Preferences for a Qualified Bidder or the Department of Corrections, Division of Prison Industries (KAR 200 5:410).
KRS 45A.490 Definitions for KRS 45A.490 to 45A.494.
As used in KRS 45A.490 to 45A.494:
(1) "Contract" means any agreement of a public agency, including grants and orders, for the purchase or disposal of supplies, services, construction, or any other item; and
(2) "Public agency" has the same meaning as in KRS 61.805.
KRS 45A.492 Legislative declarations.
The General Assembly declares:
(1) A public purpose of the Commonwealth is served by providing preference to Kentucky residents in contracts by public agencies; and
(2) Providing preference to Kentucky residents equalizes the competition with other states that provide preference to their residents.
KRS 45A.494 Reciprocal preference to be given by public agencies to resident bidders -- List of states -- Administrative regulations.
(1) Prior to a contract being awarded to the lowest responsible and responsive bidder on a contract by a public agency, a resident bidder of the Commonwealth shall be given a preference against a nonresident bidder registered in any state that gives or requires a preference to bidders from that state. The preference shall be equal to the preference given or required by the state of the nonresident bidder.
(2) A resident bidder is an individual, partnership, association, corporation, or other business entity that, on the date the contract is first advertised or announced as available for bidding:
(a) Is authorized to transact business in the Commonwealth; and
(b) Has for one (1) year prior to and through the date of the advertisement, filed Kentucky corporate income taxes, made payments to the Kentucky unemployment insurance fund established in KRS 341.490, and maintained a Kentucky workers' compensation policy in effect.
(3) A nonresident bidder is an individual, partnership, association, corporation, or other business entity that does not meet the requirements of subsection (2) of this section.
(4) If a procurement determination results in a tie between a resident bidder and a nonresident bidder, preference shall be given to the resident bidder.
(5) This section shall apply to all contracts funded or controlled in whole or in part by a public agency.
(6) The Finance and Administration Cabinet shall maintain a list of states that give to or require a preference for their own resident bidders, including details of the preference given to such bidders, to be used by public agencies in determining resident bidder preferences. The cabinet shall also promulgate administrative regulations in accordance with KRS Chapter 13A establishing the procedure by which the preferences required by this section shall be given.
(7) The preference for resident bidders shall not be given if the preference conflicts with federal law.
(8) Any public agency soliciting or advertising for bids for contracts shall make KRS 45A.490 to 45A.494 part of the solicitation or advertisement for bids.
The reciprocal preference as described in KRS 45A.490-494 above shall be applied in accordance with
200 KAR 5:400.
Determining the residency of a bidder for purposes of applying a reciprocal preference Any individual, partnership, association, corporation, or other business entity claiming resident bidder status shall submit along with its response the attached Required Affidavit for Bidders, Offerors, and Contractors Claiming Resident Bidder Status. The BIDDING AGENCY reserves the right to request documentation supporting a bidder's claim of resident bidder status. Failure to provide such documentation upon request shall result in disqualification of the bidder or contract termination.
A nonresident bidder shall submit, along with its response, its certificate of authority to transact business in the Commonwealth as filed with the Commonwealth of Kentucky, Secretary of State. The location of the principal office identified therein shall be deemed the state of residency for that bidder. If the bidder is not required by law to obtain said certificate, the state of residency for that bidder shall be deemed to be that which is identified in its mailing address as provided in its bid.
Preferences for a Qualified Bidder or the Department of Corrections, Division of Prison Industries (KAR 200 5:410).
Pursuant to 200 KAR 5:410, and KRS 45A.470, Kentucky Correctional Industries will receive a preference equal to twenty (20) percent of the maximum points awarded to a bidder in a solicitation. In addition, the following "qualified bidders" will receive a preference equal to fifteen (15) percent of the maximum points awarded to a bidder in a solicitation: Kentucky Industries for the Blind, any nonprofit corporation that furthers
Document Description Page 8 the purposes of KRS Chapter 163 and any qualified nonprofit agencies for individuals with severe disabilities as defined in KRS 45A.465(3). Other than Kentucky Industries for the Blind, a bidder claiming "qualified bidder" status shall submit along with its response to the solicitation a notarized affidavit which affirms that it meets the requirements to be considered a qualified bidder- affidavit form included. If requested, failure to provide documentation to a public agency proving qualified bidder status may result in disqualification of the bidder or contract termination.
Past Vendor Performance may be considered in the award of this Contract. Vendors with a record of poor performance in the last 12 months may be found non-responsible and ineligible for award.
Successful bidder shall submit an Annual Affidavit for Bidders, Offerors and Contractors prior to issuing an award.
Document Description Page 9
Affidavit Effective Date:
Affidavit Expiration Date:
Maximum Length One- Year
REQUIRED AFFIDAVIT FOR BIDDERS, OFFERORS AND CONTRACTORS PAGE 1 OF 2
FOR BIDS AND CONTRACTS IN GENERAL:
I. Each bidder or offeror swears and affirms under penalty of perjury, that to the best of their knowledge:
a. In accordance with KRS 45A.110 and KRS 45A.115, neither the bidder or offeror as defined in KRS 45A.070(6), nor the entity which he/she represents, has knowingly violated any provisions of the campaign finance laws of the Commonwealth of Kentucky; and the award of a contract to the bidder or offeror or the entity which he/she represents will not violate any provisions of the campaign finance laws of the Commonwealth.
b. The bidder or offeror swears and affirms under penalty of perjury that, to the extent required by Kentucky law, the entity bidding, and all subcontractors therein, are aware of the requirements and penalties outlined in KRS 45A.485; have properly disclosed all information required by this statute; and will continue to comply with such requirements for the duration of any contract awarded.
c. The bidder or offeror swears and affirms under penalty of perjury that, to the extent required by Kentucky law, the entity bidding, and its affiliates, are duly registered with the Kentucky Department of Revenue to collect and remit the sales and use tax imposed by KRS Chapter 139, and will remain registered for the duration of any contract awarded.
d. The bidder or offeror swears and affirms under penalty of perjury that the entity bidding is not delinquent on any state taxes or fees owed to the Commonwealth of Kentucky and will remain in good standing for the duration of any contract awarded.
e. The bidder or offeror swears and affirms under penalty of perjury that the entity bidding, is not currently engaged in, and will not for the duration of the contract engage in, the boycott of a person or an entity based in or doing business with a jurisdiction with which Kentucky can enjoy open trade, as defined in KRS 45A.607.
f. The bidder or offeror swears and affirms that the entity bidding, and all subcontractors therein, have not violated any of the prohibitions set forth in KRS 11A.236 during the previous ten (10) years, and further pledge to abide by the restrictions set forth in such statute for the duration of the contract awarded.
FOR “NON-BID” CONTRACTS (I.E. SOLE-SOURCE; NOT-PRACTICAL OR FEASIBLE TO BID; OR
EMERGENCY CONTRACTS, ETC):
II. Each contractor further swears and affirms under penalty of perjury, that to the best of their knowledge:
a. In accordance with KRS 121.056, and if this is a non-bid contract, neither the contractor, nor any member of his/her immediate family having an interest of 10% or more in any business entity involved in the performance of any contract awarded, have contributed
Document Description Page 10
2100000120 Virtual Welder for Monroe Co ATC http://www.lrc.state.ky.us/KRS/045A00/110.PDF http://www.lrc.state.ky.us/KRS/045A00/115.PDF http://www.lrc.state.ky.us/KRS/045A00/070.PDF http://www.lrc.state.ky.us/KRS/045A00/070.PDF http://www.lrc.state.ky.us/KRS/045A00/485.PDF http://www.lrc.ky.gov/KRS/139-00/CHAPTER.HTM http://www.lrc.ky.gov/KRS/121-00/056.PDF more than the amount specified in KRS 121.150 to the campaign of the gubernatorial slate elected in the election last preceding the date of contract award.
REQUIRED AFFIDAVIT FOR BIDDERS, OFFERORS AND CONTRACTORS PAGE 2 OF 2
b. In accordance with KRS 121.330(1) and (2), and if this is a non-bid contract, neither the contractor, nor officers or employees of the contractor or any entity affiliated with the contractor, nor the spouses of officers or employees of the contractor or any entity affiliated with the contractor, have knowingly contributed more than $5,000 in aggregate to the campaign of a candidate elected in the election last preceding the date of contract award that has jurisdiction over this contract award.
c. In accordance with KRS 121.330(3) and (4), and if this is a non-bid contract, to the best of his/her knowledge, neither the contractor, nor any member of his/her immediate family, his/her employer, or his/her employees, or any entity affiliated with any of these entities or individuals, have directly solicited contributions in excess of $30,000 in the aggregate for the campaign of a candidate elected in the election last preceding the date of contract award that has jurisdiction over this contract.
As a duly authorized representative for the bidder, offeror, or contractor, I have fully informed myself regarding the accuracy of all statements made in this affidavit, and acknowledge that the Commonwealth is reasonably relying upon these statements, in making a decision for contract award and any failure to accurately disclose such information may result in contract termination, repayment of funds and other available remedies under law. If the bidder, offeror, or contractor becomes non-compliant with any statements during the affidavit effective period, I will notify the Finance and Administration Cabinet, Office of Procurement Services immediately. I understand that the Commonwealth retains the right to request an updated affidavit at any time.
Signature Printed Name Title Date
Commonwealth of Kentucky Vendor Code (if known)
Subscribed and sworn to before me by (Affiant) (Title) of this day of ,20 .
(Company Name) Notary Public [seal of notary] My commission expires:
Document Description Page 11 http://www.lrc.ky.gov/KRS/121-00/150.PDF http://www.lrc.ky.gov/KRS/121-00/330.PDF http://www.lrc.ky.gov/KRS/121-00/330.PDF
Document Description Page 12 http://www.lrc.state.ky.us/kar/200/005/410reg.htm
Document Description Page 13
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