_2023- Annual Required Affidavit for Bidders Offerors and Contractors.pdf
PDF 253 KB Posted
- Attached to
- KYPCIS Catering / Bowling Green KY
- Solicitation number
- RFQ 525 2700000004 1
- Issued by
- Kenton County, Kentucky
About this file
This is a Required Affidavit form for Bidders, Offerors, and Contractors issued by the Commonwealth of Kentucky pursuant to KRS 45A.110 and 45A.115. The affidavit applies to the KYPCIS Catering contract opportunity in Bowling Green, Kentucky. An authorized representative of any bidding or contracting party must complete, notarize, and submit this attestation to be eligible for contract award or contract renewal. The affidavit remains effective for one year from the date of execution.
The attestation requires the authorized representative to swear under penalty of perjury that the contractor has not knowingly violated Kentucky's campaign finance laws and that awarding the contract will not violate any provision of those laws. "Knowingly" is defined as awareness or should-be awareness of a violation's existence. The Commonwealth reserves the right to request an updated affidavit at any time during the contract period. The completed form must include the bidder or offeror's name, address, vendor code if available, the representative's signature and title, the date of execution, and notarization details including the notary's name, county, and commission expiration date.
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Other files
| File | Type | Posted |
|---|---|---|
| Food Matrix FY27 Bowling Green.xlsx | XLSX spreadsheet | |
| Final_RFQ_525_2700000004_1_SO_FORM.PDF |
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Text version
Rev. 9-16-22
Required Affidavit for Bidders, Offerors and Contractors
(KRS 45A.110 & 45A.115)
Affidavit Effective for One (1) Year from Date of Execution
Instructions: Pursuant to KRS 45A.110 and 45A.115, a bidder, offeror, or contractor
(“Contractor”) is required to submit a Required Affidavit for Bidders, Offerors, and Contractors to be awarded a contract, or for the renewal of a contract. An authorized representative of the contracting party must complete the attestation below, have the attestation notarized, and return the completed affidavit to the Commonwealth.
Attestation
As a duly authorized representative for the Contractor, I swear and affirm under penalty of perjury, that that the Contractor has not knowingly violated campaign finance laws of the Commonwealth of Kentucky and that the award of a contract will not violate any provision of the campaign finance laws of the Commonwealth. For purposes of this attestation, "Knowingly" means that the bidder or offeror is aware or should have been aware of the existence of a violation. The bidder or offer understands that the Commonwealth retains the right to request an updated affidavit at any time.
Signature Printed Name
Title Date
Bidder or Offeror Name: __________________________________________________________
Address: __________________________________________________________
Commonwealth of Kentucky Vendor Code (If known): _______________
Subscribed and sworn to before me this _____ day of _______________, ____________.
State of: ___________________ Notary: ___________________________________
County of: _________________ My Commission Expires: _____________________ https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=22348 https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=22349
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