Supplemental Bidder Attestation - 12-01-2025.pdf
PDF 190 KB Posted
- Solicitation number
- RFP26006435
- Issued by
- Providence County, Rhode Island
About this file
This is a Supplemental Bidder Attestation form issued by the Rhode Island Department of Administration, Division of Purchases, for use in response to the DCAMM Pastore Campus Complex MS4 Stormwater Compliance solicitation. The form requires authorized signatories to certify that their company and all parent corporations, subsidiaries, affiliates, and subcontractors do not have conflicts of interest with any Rhode Island state officials, officers, or agencies involved in the request for proposal. The bidder must also attest that the company did not materially participate in or receive consultation regarding the requirements, technical aspects, or formation of the RFP. Additionally, bidders must confirm that the solicitation does not involve any audit, examination, independent verification, review, or evaluation of their work, financials, or operations previously performed for the State of Rhode Island. A pre-bid information meeting is scheduled for May 7, 2026, at 10:00 AM EST at Building 61 (Facilities Office) on the Pastore Campus located at 14 West Road in Cranston, Rhode Island.
The attestation form clarifies that being a current or past vendor to the State does not automatically create a conflict of interest requiring disqualification. Additionally, formal responses to any prior Request for Information issued by the Division of Purchases do not constitute participation or consultation in future RFPs and will not disqualify vendors from subsequent proposal submissions. The authorized signatory must provide their printed name, signature, date of attestation, and the solicitation number and title on the completed form before submission.
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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: |
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