2-Statement Required Pursuant to KRS45A.395 Page - FINAL.pdf

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Attached to
Bus Shelters with Benches
Solicitation number
4451
Issued by
Clinton County, Kentucky

About this file

This document is a Statement Required Pursuant to KRS45A.395, issued by the Purchasing Department of the City of Owensboro, Kentucky, located at 101 E. 4th Street. The form is a sworn statement required for bidders or offerors to be considered a responsible bidder, which must be completed under penalty of perjury. The document requires the bidder to affirm that neither they nor anyone acting on their behalf has knowingly violated any campaign finance laws of the Commonwealth of Kentucky.

The statement includes blank spaces for the company name, representative's name, signature, title, and date, and is to be completed as part of the bidding process for a contract with the City of Owensboro. The key legal requirement is for the bidder to attest that awarding a contract to them will not violate any campaign finance laws, with "knowingly" defined as being aware or should have been aware of potential violations. The document is dated for the year 2025 and is part of the city's standard procurement compliance documentation.

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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: ________________________________________________________

Company Name:
By:
Title:
office or title:
bidder or offeror:
day:
month:

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