Supplemental Bidder Attestation - 12-01-2025.pdf
PDF 190 KB Posted
- Attached to
- Analytical Laboratory Inspection Services
- Solicitation number
- RFP27006984
- Issued by
- Providence County, Rhode Island
About this file
This is a Supplemental Bidder Attestation form issued by the State of Rhode Island Division of Purchases in accordance with R.I. Gen. Laws 37-2-13.1(b). The form requires bidders and their parent corporations, subsidiaries, affiliates, and subcontractors to certify that they do not have conflicts of interest with any official, officer, or agency overseeing the Request for Proposal and that they have not materially participated in or been consulted regarding the requirements, technical aspects, or formation of the RFP. The attestation also requires certification that the RFP does not relate to any audit, examination, independent verification, review, or evaluation of the bidder's work, financials, or operations performed on behalf of the State of Rhode Island or its officials or agencies. The form was revised on November 29, 2024.
The authorized signatory must complete all required fields including the vendor or entity name, date, authorized signature, solicitation number and title, and printed name of the authorized representative. The form clarifies that being a current or past vendor to the State does not automatically create a conflict of interest and that formal responses to a prior Request for Information do not constitute participation or consultation that would disqualify a vendor from bidding on a subsequent RFP.
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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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