3-Vendors Statement Pursuant to KRS45A.343 Page - UPLOAD.pdf
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- Attached to
- Budget Book Automation Software Solution
- Solicitation number
- 4450
- Issued by
- Daviess 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 statutory chapters related to corporate and tax regulations, labor standards, and workplace requirements. Vendors must affirm they have not been found in violation of these statutes (including chapters on corporate taxes, sales taxes, income taxes, wage and hour laws, occupational safety, unemployment, and workers' compensation) within the past five years.
The document outlines potential consequences for non-compliance, including contract cancellation and a two-year disqualification from future city contracts. By executing this statement, a vendor acknowledges ongoing compliance obligations for the duration of any contract with the City of Owensboro. The form is designed to ensure vendor accountability and adherence to state regulatory standards across multiple areas of business and employment practices.
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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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