2-Statement Required Pursuant to KRS45A.395 Page - FINAL.pdf
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- Attached to
- Overhead Refuse Truck
- Solicitation number
- 4436
- Issued by
- Daviess County, Kentucky
About this file
This is a sworn statement form required pursuant to Kentucky Revised Statute KRS45A.395 for bidders and offerors responding to City of Owensboro contract opportunities. The form serves as a prerequisite for determining bidder responsibility and requires certification that neither the signatory nor anyone acting on behalf of the bidder or offeror has knowingly violated Kentucky's campaign finance laws. The document includes spaces for completion in 2025 and requires the company name, authorized signatory information, signature, and title of the person executing the statement.
The statement operates under penalty of perjury and specifically defines "knowingly" as being aware or should have been aware that conduct violates campaign finance provisions or that prohibited circumstances exist. The City of Owensboro's Purchasing Department contact information is provided (270-687-8431, 101 E. 4th Street, P.O. Box 10003, Owensboro, KY 42302-9003), indicating this form is part of the city's procurement process requirements. This compliance document ensures bidders affirm that contract awards will not violate Commonwealth campaign finance laws.
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Text version
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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