3-Vendors Statement Pursuant to KRS45A.pdf

153 KB Posted

Attached to
Owensboro Police Department Uniforms
Solicitation number
4467
Issued by
Daviess County, Kentucky

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This is a Vendor's Statement of Compliance form pursuant to Kentucky Revised Statutes (KRS) 45A.343, required by the City of Owensboro, Kentucky for contract eligibility. The document serves as a certification that vendor applicants have not violated specified Kentucky statutes within the five-year period preceding contract submission and commits vendors to ongoing compliance throughout the contract term. The form applies to the Owensboro Police Department Uniforms contract, which seeks a qualified company with a minimum of five years in business to provide uniforms, shoes, leather goods, and associated equipment to the police department. All items will be awarded to a single successful bidder, with all equivalents or alternates requiring approval by the Owensboro Police Chief or designee and the Purchasing Manager prior to bid opening. The submission deadline for substitute item requests is 5:00 PM Central Time on March 27, 2026.

The vendor compliance statement requires certification regarding adherence to Kentucky statutes covering corporate taxes (KRS 136), sales and use taxes (KRS 139), income taxes (KRS 141), wage and hour requirements (KRS 337), occupational safety (KRS 338), unemployment insurance (KRS 341), and workers compensation (KRS 342). Non-disclosure or non-compliance with these requirements provides grounds for contract cancellation and disqualification from future City of Owensboro contract awards for a period of two years. The form requires signature by a duly authorized company officer and must be completed with specific dates and company identification information before submission to the City.

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Other files

File Type Posted
4-RFB 4467 - Owensboro Police Department Uniforms - FINAL.pdf PDF
2-Statement Required Pursuant to KRS45A.pdf PDF
1-Exceptions Page - FINAL.pdf PDF

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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 _____________________, 20___.

Company Name: ________________________________________________

By: ___________________________________________________________

Signature: _____________________________________________________

Title: ________________________________________________________

To the best of my knowledge information and belief:
2:
3:
Cancel its contract with:
Disqualify:
This:
day of:
20:
Company Name:
By:
Title:
Text1:

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