Purchasing Affidavit.pdf

PDF 366 KB Posted

Attached to
Contract Dietary Service
Solicitation number
ARFQ-0512-HOP2500000004-5
Issued by
Tucker County, West Virginia

About this file

This document is a Purchasing Affidavit for construction and other contracts under West Virginia state law, specifically governed by the Office of State Auditor (OSA). The affidavit outlines legal restrictions on awarding contracts to vendors who have outstanding debts, tax obligations, or are in employer default. It provides comprehensive definitions for terms like "debt", "employer default", and "related party" to clarify contract eligibility requirements.

The affidavit serves as a legally binding document requiring vendors to affirm they are not in default on monetary obligations to the state for construction or other contracts. Vendors must disclose any outstanding assessments, penalties, fines, or other monetary obligations to the state or its political subdivisions. By signing, the vendor's authorized representative swears under penalty of law that neither the vendor nor any related parties have unresolved debts or are in employer default, with specific exceptions outlined for contested tax matters or where payment plans are in place.

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Other files

File Type Posted
Final_ARFQ_0512_HOP2500000004_3_WV_ARFQ_FORM.PDF PDF
Addendum 4 forms.docx DOCX document
Addendum #2 & Attachment B.pdf PDF
Final_ARFQ_0512_HOP2500000004_2_WV_ARFQ_FORM.PDF PDF
ADDENDUM #1 ARFQ HOP25-04.pdf PDF
WV 43 Dietary Service Request for Quotation.docx DOCX document
OSA TCA HOP25-05.pdf PDF
Addendum 3 forms.docx DOCX document
Final_ARFQ_0512_HOP2500000004_1_WV_ARFQ_FORM.PDF PDF
Federal Funds Addendum.docx DOCX document
HIPPA FORM (2).pdf PDF
Final_ARFQ_0512_HOP2500000004_4_WV_ARFQ_FORM.PDF PDF
Pricing Page .xlsx XLSX spreadsheet
Final_ARFQ_0512_HOP2500000004_5_WV_ARFQ_FORM.PDF PDF
Dietary Specifications (1).docx DOCX document
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