3-Vendors Statement Pursuant to KRS45A.343 - FINAL.pdf
PDF 174 KB Posted
- Attached to
- Demolition of Structure
- Solicitation number
- 4453
- Issued by
- Clinton County, Kentucky
About this file
This is a Vendor's Statement form pursuant to Kentucky Revised Statutes (KRS) 45A.343, required by the City of Owensboro, Kentucky for a demolition contract opportunity. The statement serves as a compliance certification document that vendors must complete and submit as part of their bid for the demolition of one structure. The form requires vendors to disclose any violations of specified Kentucky statutes within the five-year period preceding the statement and to acknowledge their commitment to maintaining compliance throughout the contract duration. The contract involves the complete demolition, removal, and disposal of all structures and debris in accordance with applicable local, state, and federal requirements.
The vendor certification addresses compliance with Kentucky Revised Statutes covering corporate taxes (KRS 136), sales and use taxes (KRS 139), income taxes (KRS 141), wage and hour laws (KRS 337), occupational safety (KRS 338), unemployment (KRS 341), and workers' compensation (KRS 342). Vendors are required to certify that they have not been finally determined to have violated any of these provisions within the preceding five years and agree to maintain compliance for the duration of the contract. Non-disclosure of violations or failure to comply with applicable statutes provides grounds for the City of Owensboro to cancel the contract and disqualify the vendor from future City contracts for a period of two years. The form requires signatures from a duly authorized officer of the bidding company, including the company name, authorized representative name, title, and execution date.
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Text version
VENDOR’S STATEMENT PURSUANT TO KRS45A.343
45A.343 Local Public Agency may adopt provisions of KRS 45A.345 to 45A.460— Effect of adoption – Contracts required to mandate revealing of violations of and compliance with specified KRS chapters – Effect of nondisclosure or noncompliance.
(KRS 136 – Corporate taxes; KRS 139 – Sales & use taxes; KRS 141 – Income taxes;
KRS 337 – Wage and hour; KRS 338 – Occupational safety; KRS 341 – Unemployment;
KRS 342 – Workers Comp.)
The undersigned, as a duly authorized officer of ______________________________________ pursuant to KRS45A.343 states;
1. To the best of my knowledge, information and belief, ____________________________ has not been finally determined to have violated any of the provisions of KRS Chapters
136, 139, 141, 337, 338, 341, or 342 that apply to it within the five year period preceding this statement.
2. __________________________________________ acknowledges that it will be required to be in compliance with those provisions of KRS Chapters 136, 139, 141, 337, 338, 341, and 342 that apply to it for the duration of the Contract to be entered into with the City of Owensboro, Kentucky.
3. __________________________________________ acknowledges that if it fails to reveal any final determination of violation of KRS Chapters 136, 139, 141, 337, 338, 341, or 342, or to comply with the applicable provisions of those statutes for the duration of the aforesaid Contract, such shall be grounds for The City of Owensboro, Kentucky to:
a. Cancel its contract with___________________________________________, and
b. Disqualify _______________________________________________from eligibility for future contracts awarded by The City of Owensboro for a period of two years.
This _______ day of _____________________, 2025.
Company Name: ________________________________________________
By: ___________________________________________________________
Signature: _____________________________________________________
Title: ________________________________________________________
| The undersigned as a duly authorized officer of: |
| To the best of my knowledge information and belief: |
| 2: |
| 3: |
| Cancel its contract with: |
| Disqualify: |
| This: |
| day of: |
| Company Name: |
| By: |
| Title: |
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