4. RFR Affadavit.cleaned.docx

DOCX document 294 KB Posted

Attached to
Hartford Applied AI Center - Website & Event Scheduling
Solicitation number
145387
Issued by
Hartford County, Connecticut

About this file

This is a Request for Response (RFR) Affidavit required by the City of Hartford, Connecticut for vendors responding to the Hartford Applied AI Center - Website & Event Scheduling contract opportunity. The affidavit serves as a sworn certification document that must be completed and notarized by an authorized representative of the responding company. The document requires the affiant to confirm their authority to execute the affidavit on behalf of the respondent and to verify that they are over 18 years of age and understand the obligations of an oath.

The affidavit contains four substantive certifications that respondents must affirm under penalty of perjury: that there are no delinquent real and personal property taxes owed to the City of Hartford by the respondent; that the respondent is current on all monetary obligations to the City of Hartford; and that the respondent is in compliance with all applicable laws, regulations, and ordinances of the United States, the State of Connecticut, and the City of Hartford. The document must be executed before a notary public, with the notary signing and dating the affidavit and providing their commission expiration date. This affidavit is a standard compliance and eligibility requirement for participation in the procurement process.

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Text version

Request for Response (RFR)

AFFIDAVIT

STATE OF CONNECTICUT)
) ss. __________________, 20___
COUNTY OF ________________)

I, ___________________________________, being duly sworn, depose and say:

(insert name of authorized agent)

1. I am the ___________________________ of ______________________________ (the (insert title) (insert name of company) “Respondent”) and am authorized on behalf of the Proposer to make this Affidavit.

2. I am over 18 years of age and understand the obligations of an oath.

3. There are no delinquent real and personal property taxes due the City of Hartford from the Respondent.

4. The Respondent is current on all monetary obligations due the City of Hartford.

5. The Respondent is currently in compliance with all applicable laws, regulations and ordinances of the United States, State of Connecticut and the City of Hartford.

__________________________________
(Insert name of company)
By: _______________________________
Name:Click or tap here to enter text.
Title: Click or tap here to enter text.

Subscribed and sworn to before me, ___________________________, the undersigned officer this _________ day of ___________, 20___.

____________________________________
Notary Public
My Commission Expires:

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