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