2-Statement Required Pursuant to KRS45A - FINAL.pdf
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- Solicitation number
- 4432
- Issued by
- Daviess County, Kentucky
About this file
This document is a sworn statement form required pursuant to Kentucky Revised Statute KRS45A.395 for bidders or offerors submitting proposals to the City of Owensboro, Kentucky. The form serves as a prerequisite for determining whether a bidder or offeror qualifies as a responsible bidder under Kentucky procurement law. The document does not specify particular products, services, quantities, response dates, or contract terms, as it appears to be a standard compliance form that would accompany various solicitations from the City of Owensboro's Purchasing Department.
The statement requires bidders to affirm under penalty of perjury that neither they nor anyone acting on their behalf has knowingly violated Kentucky's campaign finance laws, and that awarding them a contract would not violate these laws. The form includes signature fields for company representatives to complete, including company name, authorized signatory, signature, and title, along with a date field for 2025. This compliance requirement appears to be a standard component of the City of Owensboro's procurement process to ensure ethical contracting practices in accordance with Kentucky state law.
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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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