Supplemental Bidder Attestation - 12-01-2025.pdf
PDF 190 KB Posted
- Attached to
- DOA Risk Management Insurance Broker Services
- Solicitation number
- RFP26006446
- Issued by
- Providence County, Rhode Island
About this file
This is a Supplemental Bidder Attestation form issued by the Rhode Island Division of Purchases under R.I. Gen. Laws 37-2-13.1(b) for the Department of Administration's Office of Risk Management procurement of insurance broker services. The form requires authorized signatories from bidding vendors to certify that their organization and any parent corporations, subsidiaries, affiliates, and subcontractors do not have conflicts of interest with state officials, officers, or agencies involved in the Request for Proposal process. Bidders must also attest that they did not materially participate in or provide consultation regarding the technical requirements or formation of the solicitation, and that the procurement does not involve an audit, examination, review, or evaluation of the bidder's own work or operations previously performed for the state.
The attestation form contains blank fields to be completed by the bidder, including the vendor or entity name, authorized signatory information, solicitation number and title, and the date of submission. The form clarifies that simply being a current or past state vendor does not automatically create a disqualifying conflict of interest, and that formal responses to prior Requests for Information do not constitute participation that would preclude future RFP participation. Bidders must sign and date the completed attestation as part of their proposal submission, confirming the accuracy of their representations.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Revised 11/29/2024
Division of Purchases One Capitol Hill │ Providence, RI 02908 │ (401) 574-8100
Jay Hauser, State Purchasing Agent
SUPPLEMENTAL BIDDER ATTESTATION
R.I. GEN. LAWS § 37-2-13.1(b)
In accordance with R.I. Gen. Laws § 37-2-13.1(b), I hereby certify that ____________________ and its parent corporation, subsidiary, affiliates and/or subcontractors do not have a conflict of interest as defined in Chapter 14 of Title 36 with any official, officer or agency in charge of the below-noted Request for Proposal, nor materially participated or was consulted with respect to the requirements, technical aspects or any other part of the formation and promulgation of the below-noted Request for Proposal.1 Further and if applicable, the below-noted Request for Proposal does not relate to any audit, examination, independent verification, review, or evaluation of
____________________’s work, financials, or operations performed on behalf of the State of
Rhode Island or any official, officer, or agency.
By signature below, I attest that the information provided above is true and correct to the best of my knowledge. Further, I attest that I am authorized to make such attestation on behalf of and in the interest of __________________________.
So attested on this ________ day of ______________ in the year 20_____.
AUTHORIZED SIGNATORY NAME (PRINTED): ___________________________________
AUTHORIZED SIGNATURE: ____________________________________________________
SOLICITATION NUMBER/TITLE: _______________________________________________
1 A “conflict of interest” occurs when private interests or relationships interfere in any way with the interests of the
State. Simply being a current vendor or a past vendor of the State does not in itself cause a conflict requiring preclusion. Additionally, formal responses to a Request for Information (RFI) issued by the Division of Purchases does not constitute “participation” or “consultation” with respect to a future RFP and does not disqualify a vendor from future participation from a subsequent RFP.
2022-3B Supplemental Bidder Attestation https://webserver.rilegislature.gov/Statutes/TITLE36/36-14/INDEX.htm
| VENDOR/ENTITY NAME: |
| DATE: |
| MONTH: |
| YEAR: |
| NAME TYPED/PRINTED: |
| SOL: |
| NUMBER/TITLE: |
File details come from the government source that posted it. Updated .