Purchasing Affidavit.pdf

PDF 366 KB Posted

Attached to
Contract Dietary Service
Solicitation number
ARFQ-0512-HOP2500000004-2
Issued by
Pleasants County, West Virginia

About this file

This document is a Purchasing Affidavit form for state and local government contracts in West Virginia, specifically designed to certify a vendor's compliance with state procurement regulations. The form outlines critical legal requirements for vendors bidding on construction and other contracts, mandating that vendors affirm they are not in default on monetary obligations to the state and have no outstanding debts exceeding $1,000.

The affidavit provides comprehensive definitions of key terms such as "debt", "employer default", and "related party", establishing strict criteria for vendor eligibility. Vendors must attest that neither they nor their related parties are in employer default, with exceptions for contested tax matters or specific workers' compensation scenarios. By signing, the vendor's authorized representative swears under penalty of law that they meet all state procurement requirements, with the document requiring notarization to validate the vendor's claims and commitments.

View the file

Other files

File Type Posted
HIPPA FORM (2).pdf PDF
Final_ARFQ_0512_HOP2500000004_2_WV_ARFQ_FORM.PDF PDF
WV 43 Dietary Service Request for Quotation.docx DOCX document
OSA TCA HOP25-05.pdf PDF
Dietary Specifications (1).docx DOCX document
Federal Funds Addendum.docx DOCX document
ADDENDUM #1 ARFQ HOP25-04.pdf PDF
Pricing Page .xlsx XLSX spreadsheet
Final_ARFQ_0512_HOP2500000004_1_WV_ARFQ_FORM.PDF PDF

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

File details come from the government source that posted it. Updated .