3-Vendors Statement Pursuant to KRS45A.343 Page - UPLOAD.pdf
PDF 174 KB Posted
- Attached to
- Citizens Portal with Codes Enforcement
- Solicitation number
- 4446
- Issued by
- Cumberland County, Kentucky
About this file
This document is a Vendor's Statement form from the City of Owensboro, Kentucky, pursuant to Kentucky Revised Statute (KRS) 45A.343. The form requires vendors to disclose and certify compliance with specific state tax and labor regulations covering corporate taxes, sales and use taxes, income taxes, wage and hour standards, occupational safety, unemployment, and workers' compensation. The document serves as a mandatory declaration for potential contractors, affirming they have not been found in violation of these statutory provisions within the past five years and committing to ongoing compliance throughout the contract period.
The statement outlines potential consequences for nondisclosure or noncompliance, which include contract cancellation by the City of Owensboro and disqualification from future city contracts for two years. The form is designed to be completed by a duly authorized company officer and requires the vendor to acknowledge their understanding of these requirements. While no specific contract details are provided, the document represents a standard compliance mechanism for local government procurement, ensuring vendor accountability and adherence to state regulations across multiple statutory domains.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-Statement Required Pursuant to KRS45A.395 Page - UPLOAD.pdf | ||
| 5-RFP 4446 - Citizens Portal with Codes Enforcement - FINAL.pdf | ||
| 4-RFP 4446 - Price Sheet.xlsx | XLSX spreadsheet | |
| 1-Exceptions Page - UPLOAD.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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