3-Vendors Statement Pursuant to KRS45A.343 Page - FINAL.pdf
PDF 174 KB Posted
- Attached to
- Bulk Salt
- Solicitation number
- 4463
- Issued by
- Clinton County, Kentucky
About this file
This is a Vendor's Statement form pursuant to Kentucky Revised Statute 45A.343, required by the City of Owensboro, Kentucky for contract compliance certification. The form applies to vendors seeking to contract with the City of Owensboro and serves as a declaration of the vendor's compliance history and future obligations regarding Kentucky state regulations. The statement requires vendors to certify that they have not been found in violation of specified Kentucky statutes within the five-year period preceding the submission and to acknowledge their obligation to maintain compliance throughout the contract term. The form does not specify particular products, services, project scopes, quantities, response dates, or contract terms, as it serves as a standard compliance document applicable to multiple procurement opportunities administered by the City of Owensboro.
The vendor statement imposes compliance requirements across seven Kentucky statutory chapters covering corporate taxes, sales and use taxes, income taxes, wage and hour laws, occupational safety, unemployment insurance, and workers' compensation. Vendors must acknowledge that failure to maintain compliance or failure to disclose prior violations constitutes grounds for contract cancellation and disqualification from City of Owensboro contracts for two years. The form requires completion with the vendor's company name, authorized officer signature, title, and date, serving as a certification mechanism rather than establishing pricing terms, set-asides, funding sources, or other contract-specific provisions. This document functions as a prerequisite compliance instrument that may be required in conjunction with other procurement documents but does not independently establish the terms of any specific contract opportunity.
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Other files
| File | Type | Posted |
|---|---|---|
| 4-RFB 4463 - Bulk Salt - FINAL.pdf | ||
| 1-Exceptions Page - FINAL.pdf | ||
| 2-Statement Required Pursuant to KRS45A.395 Page - FINAL.pdf |
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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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