2-Statement Required Pursuant to KRS45A.395 Page - FINAL.pdf
PDF 198 KB Posted
- Attached to
- 2025 Fall Paving
- Solicitation number
- 4441
- Issued by
- Daviess County, Kentucky
About this file
This document is a Statement Required Pursuant to KRS45A.395 form from the City of Owensboro, Kentucky's Purchasing Department. The form serves as a sworn statement that bidders or offerors must submit as a prerequisite to being determined a responsible bidder for any contract opportunity with the city. The statement requires the signatory to attest under penalty of perjury that neither they nor anyone acting on behalf of their organization has knowingly violated Kentucky's campaign finance laws, and that awarding a contract to their organization would not violate these laws. The form includes blank fields for completion in 2025 and requires the bidder's company name, authorized representative signature, and title.
The document does not specify pricing terms, contract amounts, funding sources, or incumbent information, as it functions solely as a compliance certification form rather than a solicitation document. This statement appears to be a standard requirement that must accompany bid submissions to the City of Owensboro, ensuring adherence to Kentucky Revised Statutes regarding campaign finance law compliance for public contracting. The form defines "knowingly" as being aware or should have been aware of conduct or circumstances that violate the statute.
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STATEMENT REQUIRED PURSUANT TO KRS45A.395
The provisions of KRS45A.395 require that any bidder or offeror submit a sworn statement in conformity with such statute as a prerequisite to a determination that such bidder or offeror is a responsible bidder.
The undersigned, individually and as the________________________________ (office or title) of _________________________________________________ (bidder or offeror) states under penalty of perjury that neither he (she), nor, to the best of his (her) knowledge, anyone acting on behalf of Bidder or Offeror, has knowingly violated any provision of the campaign finance laws of the Commonwealth of Kentucky and that the award of a contract to the Bidder or Offeror will not violate any provision of the campaign finance laws of the Commonwealth. “Knowingly” means, with respect to conduct or to a circumstance described by a statute defining an offense, that a person is aware or should have been aware that his conduct is of that nature or that the circumstance exists.
This _______ day of _____________________, 2025.
Company Name: ________________________________________________
By: ___________________________________________________________
Signature: _____________________________________________________
Title: ________________________________________________________
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